Association between mental health and sleep condition with social frailty: evidence from ardakan cohort study on aging (ACSA).

IF 2.8 3区 医学 Q3 GERIATRICS & GERONTOLOGY
Aging & Mental Health Pub Date : 2024-12-01 Epub Date: 2024-07-04 DOI:10.1080/13607863.2024.2372475
Ahmad Delbari, Yadollah Abolfathi Momtaz, Mohammad Bidkhori, Fatemeh Ghavidel
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引用次数: 0

Abstract

Objective: This population-based study aimed to evaluate the association of mental health and several sleep conditions with Social Frailty (SF) in a sample of Iranian middle-aged and older adults.

Method: This cross-sectional study was conducted using data from the Ardakan Cohort Study on Aging (ACSA). SF was assessed by five questions: inability to help others, limited social participation, loneliness, financial difficulty, and not having anyone to talk to (HALFT). Based on the responses, the participants were divided into three groups: social robust (a score of 0), pre-SF (a score of 1-2), and SF (a score of ≥3). Mental health factors included depression and anxiety. Within the domain of sleep conditions, considerations included sleep duration, quality, subjective sleep health, and daytime sleepiness. The logistic regression models were employed to analyze the data.

Results: A total of 5782 subjects participated in the study, with females comprising 50.7% of the sample. This study revealed the total prevalence of pre-SF and SF were 76.4 and 9.3%, respectively. After adjusting for age, sex, marital status, education, number of comorbidities, and mental health, in the age group of 50-60 years, anxiety (borderline and abnormal compared to normal, OR = 1.49, 95% CI: 1.05-2.11 and OR = 1.98, 95% CI: 1.26-3.12, respectively) were associated with SF. Similarly, in the age group of 60 years and above, only depression was associated with SF (OR = 2.24, 95% CI: 1.45-3.44).

Conclusion: These findings imply that mental health might contribute to SF in the middle-aged and older Iranian population.

心理健康和睡眠状况与社会脆弱性之间的关系:来自阿尔达坎老龄化队列研究(ACSA)的证据。
目的:这项基于人群的研究旨在评估伊朗中老年人样本中的心理健康和几种睡眠状况与社会脆弱性(SF)的关系:这项基于人群的研究旨在评估伊朗中老年人样本中心理健康和几种睡眠状况与社会脆弱性(SF)之间的关联:这项横断面研究使用了阿尔达坎老龄化队列研究(Ardakan Cohort Study on Aging, ACSA)的数据。SF通过五个问题进行评估:无法帮助他人、社会参与有限、孤独、经济困难和无人倾诉(HALFT)。根据参与者的回答,他们被分为三组:社会稳健型(0 分)、前社会稳健型(1-2 分)和社会稳健型(≥3 分)。心理健康因素包括抑郁和焦虑。在睡眠状况方面,考虑的因素包括睡眠时间、质量、主观睡眠健康状况和白天嗜睡。采用逻辑回归模型对数据进行分析:共有 5 782 名受试者参与了研究,其中女性占样本的 50.7%。研究显示,SF 前和 SF 的总患病率分别为 76.4% 和 9.3%。在对年龄、性别、婚姻状况、教育程度、合并症数量和心理健康状况进行调整后,在 50-60 岁年龄组中,焦虑(边缘焦虑和异常焦虑与正常焦虑相比,OR = 1.49,95% CI:1.05-2.11;OR = 1.98,95% CI:1.26-3.12)与 SF 相关。同样,在 60 岁及以上年龄组中,只有抑郁症与 SF 相关(OR = 2.24,95% CI:1.45-3.44):这些研究结果表明,心理健康可能会影响伊朗中老年人群的自理能力。
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来源期刊
Aging & Mental Health
Aging & Mental Health 医学-精神病学
CiteScore
7.00
自引率
2.90%
发文量
176
审稿时长
4-8 weeks
期刊介绍: Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.
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