Risk Factors for Poor Sleep Quality and Subjective Cognitive Decline in Older Adults Living in the United States During the COVID-19 Pandemic.

IF 2.4 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Celina Pluim McDowell, Jairo E Martinez, Averi Giudicessi, Diana Munera, Clara Vila-Castelar, Edmarie Guzmán-Vélez, Liliana Ramirez-Gomez, Jeanne F Duffy, Alice Cronin-Golomb, Yakeel T Quiroz
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引用次数: 0

Abstract

Background/objectives: Poor sleep quality, depression, and anxiety are associated with subjective cognitive decline (SCD) and greater risk for developing cognitive impairment and Alzheimer's disease. The COVID-19 pandemic negatively impacted sleep habits and psychological well-being in many individuals, yet their relationship to SCD in this context remains understudied. We examined sociodemographic characteristics, depression, anxiety, and sleep changes during the pandemic (i.e., increased problems/poorer quality) and SCD in older individuals living in the US.

Methods: In total, 288 older adults (Mage = 67.4 [7.4]) completed an online survey including a sociodemographic questionnaire, the Center for Epidemiologic Studies Depression Scale (Revised) (CES-D-10; depression), General Anxiety Disorder-7 (GAD-7; anxiety), the Everyday Cognition scale (ECog; SCD), and a question about increased sleep problems/worsened sleep quality during the pandemic. Hierarchical and logistic regression analyses were used to assess relations among sociodemographic factors, depression, anxiety, changes in sleep quality, and SCD.

Results: Self-reported pandemic-related impairments in sleep were associated with greater SCD (β = 0.16, p = 0.01). Depression (β = 0.46, p < 0.001) and anxiety (β = 0.29, p < 0.001) were also associated with greater SCD. Depression (OR = 1.17, p < 0.001) and anxiety (OR = 1.15, p = 0.017) predicted reported poorer sleep during the pandemic.

Conclusions: Depression, anxiety, and poorer sleep quality during the COVID-19 pandemic were associated with greater SCD concerns. Greater depression and anxiety were also associated with the reported sleep problems/worsened sleep quality. Prevention and management of anxiety and depressive symptoms may help maintain sleep quality and reduce risk of cognitive decline.

COVID-19大流行期间生活在美国的老年人睡眠质量差和主观认知能力下降的危险因素
背景/目的:睡眠质量差、抑郁和焦虑与主观认知能力下降(SCD)以及发生认知障碍和阿尔茨海默病的风险增加有关。COVID-19大流行对许多人的睡眠习惯和心理健康产生了负面影响,但在这种情况下,它们与SCD的关系仍未得到充分研究。我们研究了大流行期间生活在美国的老年人的社会人口学特征、抑郁、焦虑和睡眠变化(即问题增加/质量下降)和SCD。方法:共有288名老年人(年龄= 67.4[7.4])完成了一项在线调查,包括社会人口学问卷、流行病学研究中心抑郁量表(修订)(CES-D-10;抑郁症),一般焦虑症-7 (GAD-7;焦虑),日常认知量表(ECog;SCD),以及关于大流行期间睡眠问题增加/睡眠质量恶化的问题。采用分层和逻辑回归分析评估社会人口学因素、抑郁、焦虑、睡眠质量变化和SCD之间的关系。结果:自我报告的大流行相关睡眠障碍与较高的SCD相关(β = 0.16, p = 0.01)。抑郁(β = 0.46, p < 0.001)和焦虑(β = 0.29, p < 0.001)也与SCD升高相关。抑郁(OR = 1.17, p < 0.001)和焦虑(OR = 1.15, p = 0.017)预示着大流行期间报告的睡眠较差。结论:在COVID-19大流行期间,抑郁、焦虑和较差的睡眠质量与更大的SCD担忧相关。更严重的抑郁和焦虑也与报告的睡眠问题/睡眠质量恶化有关。预防和管理焦虑和抑郁症状可能有助于保持睡眠质量,降低认知能力下降的风险。
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来源期刊
Healthcare
Healthcare Medicine-Health Policy
CiteScore
3.50
自引率
7.10%
发文量
0
审稿时长
47 days
期刊介绍: Healthcare (ISSN 2227-9032) is an international, peer-reviewed, open access journal (free for readers), which publishes original theoretical and empirical work in the interdisciplinary area of all aspects of medicine and health care research. Healthcare publishes Original Research Articles, Reviews, Case Reports, Research Notes and Short Communications. We encourage researchers to publish their experimental and theoretical results in as much detail as possible. For theoretical papers, full details of proofs must be provided so that the results can be checked; for experimental papers, full experimental details must be provided so that the results can be reproduced. Additionally, electronic files or software regarding the full details of the calculations, experimental procedure, etc., can be deposited along with the publication as “Supplementary Material”.
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