Document Type

Technical Report

Date of this Version

11-2-2012

Publication Source

Journal of Geriatric Psychiatry and Neurology

Volume

25

Issue

3

Start Page

179

Last Page

187

DOI

10.1177/0891988712458366

Abstract

Background:

The aim of this study was to explore the associations between physical symptoms, sleep disturbances, and depressive symptoms in community-dwelling elderly individuals, comparing persons with and without heart failure (HF).

Methods:

A total of 613 older adults (mean age 78 years) underwent clinical and echocardiographic examinations. Questionnaires were used to evaluate sleep disturbances and depressive symptoms. A model was developed in those with HF (n = 107) and compared with those without HF (n = 506).

Results:

Cardiopulmonary symptoms (ie, dyspnea and nighttime palpitations) and pain had significant direct associations with sleep disturbances, which indirectly affected depressive symptoms. The model was essentially the same in those with and without HF except that the effect of sleep disturbances on depressive symptoms was stronger in those with HF (β = 0.64 vs β = 0.45, P = .006).

Conclusion:

In community-dwelling older adults, regardless of their diagnosis, physical symptoms had a direct effect on sleep disturbances and an indirect effect on depressive symptoms.

Copyright/Permission Statement

Johansson, P., Riegel, B., Svensson, E., Broström, A., Alehagen, U., Dahlström, U., Jaarsma, T., The Contribution of Heart Failure to Sleep Disturbances and Depressive Symptoms in Older Adults, Journal of Geriatric Psychiatry and Neruology 25, no. 3: pp. 179-187. Copyright © 2012 SAGE. Reprinted by permission of SAGE Publications.

This is a pre-publication version. The final version is available at http://dx.doi.org/10.1177/0891988712458366

Keywords

elderly, chronic heart failure, sleep disturbance, depressive symptoms

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Date Posted: 25 August 2018

This document has been peer reviewed.