Psychosocial Factors Associated with Sleep Quality in Older Adults living in the Community: A Path Analysis

2.50
Hdl Handle:
http://hdl.handle.net/10755/150687
Type:
Presentation
Title:
Psychosocial Factors Associated with Sleep Quality in Older Adults living in the Community: A Path Analysis
Abstract:
Psychosocial Factors Associated with Sleep Quality in Older Adults living in the Community: A Path Analysis
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Liao, Wen-Chun, PhD, RN
P.I. Institution Name:Chun Shan Medical University
Title:Assistant Professor
Co-Authors:Yn-Jen Tzeng, BS, RN; Yueh-Hsia Tzeng, PhD; Hsin-Tien Hsu, RN, PhD and Shiow-Li Huang, PhD, RN
[Research Presentation] Insomnia is a common complaint in the elderly, but little effort has been made to evaluate how physical-psychosocial dimensions are related to the overall sleep quality. Secondary analyses of data obtained from a cross-sectional survey of 259 community dwelling elders (mean age 76.0 +/- 6.4 years) was conducted to examine how physical-psychosocial factors impact sleep quality. The Pittsburgh Sleep Quality Index (PSQI), and the Hospital Anxiety and Depression Scale (HADS) were used to evaluate sleep quality, anxiety and depression state, respectively. Higher scores in these scales indicate poor sleep or more anxiety and depression. A conceptual framework and bivariate correlations guided a series of multiple regressions to identify the best predictors for sleep quality. Demographic variables of age and gender were originally controlled in all analyses but discard due to no effect on sleep quality. Results showed that anxiety (B=.431), depression (B=.209), and disease number (B=.224) had direct effects on sleep quality and predicted poorer sleep quality (R2=.412). Leisure activies (B=-.527, -.916) and exercise (B=.-.691, -1.432) had direct effects on anxiety (R2=.136) and depression (R2=.157), but no direct effects on sleep quality. The main effects of leisure activies and exercise on better sleep quality were indirect through lowering anxiety and depression. This study partially explains the relationships between psychosocial factors and sleep quality. Anxiety and depression are the leading causes of poor sleep in older adults living in community. Elders who exercise and participate in more leisure activities in any kind are less anxious and depressed. Findings in this study provide evidence-based practice for health providers in developing exercise program and leisure activities for community dwelling elderly.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePsychosocial Factors Associated with Sleep Quality in Older Adults living in the Community: A Path Analysisen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150687-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Psychosocial Factors Associated with Sleep Quality in Older Adults living in the Community: A Path Analysis</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Liao, Wen-Chun, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Chun Shan Medical University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">wcl@csmu.edu.tw</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Yn-Jen Tzeng, BS, RN; Yueh-Hsia Tzeng, PhD; Hsin-Tien Hsu, RN, PhD and Shiow-Li Huang, PhD, RN</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] Insomnia is a common complaint in the elderly, but little effort has been made to evaluate how physical-psychosocial dimensions are related to the overall sleep quality. Secondary analyses of data obtained from a cross-sectional survey of 259 community dwelling elders (mean age 76.0 +/- 6.4 years) was conducted to examine how physical-psychosocial factors impact sleep quality. The Pittsburgh Sleep Quality Index (PSQI), and the Hospital Anxiety and Depression Scale (HADS) were used to evaluate sleep quality, anxiety and depression state, respectively. Higher scores in these scales indicate poor sleep or more anxiety and depression. A conceptual framework and bivariate correlations guided a series of multiple regressions to identify the best predictors for sleep quality. Demographic variables of age and gender were originally controlled in all analyses but discard due to no effect on sleep quality. Results showed that anxiety (B=.431), depression (B=.209), and disease number (B=.224) had direct effects on sleep quality and predicted poorer sleep quality (R2=.412). Leisure activies (B=-.527, -.916) and exercise (B=.-.691, -1.432) had direct effects on anxiety (R2=.136) and depression (R2=.157), but no direct effects on sleep quality. The main effects of leisure activies and exercise on better sleep quality were indirect through lowering anxiety and depression. This study partially explains the relationships between psychosocial factors and sleep quality. Anxiety and depression are the leading causes of poor sleep in older adults living in community. Elders who exercise and participate in more leisure activities in any kind are less anxious and depressed. Findings in this study provide evidence-based practice for health providers in developing exercise program and leisure activities for community dwelling elderly.</td></tr></table>en_GB
dc.date.available2011-10-26T10:40:05Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:40:05Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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