Sleep disturbances and their relationship with anxiety-depressive symptoms and quality of life in older adults: a retrospective observational study.

IF 1.8 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Open Medicine Pub Date : 2026-07-20 eCollection Date: 2026-01-01 DOI:10.1515/med-2026-1491

Huiqing Xuan, Lixiu Wu, Kunqiang Yu, Lu Yang, Xiaoyan Chen

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引用次数: 0

Abstract

Objectives: To investigate the prevalence of sleep disorders in the elderly and explore their relationships with anxiety, depressive symptoms, and quality of life.

Methods: This single-center retrospective study included 120 elderly inpatients from the psychiatry department of our hospital between December 2020 and December 2025. Demographic and clinical data, along with Pittsburgh Sleep Quality Index (PSQI), Hospital Anxiety and Depression Scale (HADS), Patient Health Questionnaire-9 (PHQ-9), 12-Item Short Form Health Survey (SF-12) scores and the Chinese version of the Montreal Cognitive Assessment Scale (MoCA-C), were collected. Patients were categorized into sleep disturbance (SD, PSQI>5) and non-sleep disturbance (NSD, PSQI≤5) groups. Group differences were analyzed, and multivariate logistic regression and Spearman correlation were performed.

Results: Of the 120 patients, 50 (41.7 %) had sleep disturbances. The SD group showed significantly higher anxiety and depression scores and lower SF-12 and MoCA scores than the NSD group (all p<0.05). The total PSQI score was strongly positively correlated with HADS anxiety, HADS depression, and PHQ-9 scores (r=0.413-0.514, p<0.001), and significantly negatively correlated with SF-12 PCS, SF-12 MCS, and MoCA-C scores (r=-0.683 to -0.476, p<0.001). Multivariate logistic regression identified chronic pain (OR=3.580, 95 % CI: 1.444-8.879, p=0.006), long-term sedative-hypnotic use (OR=2.860, 95 % CI: 1.136-7.200, p=0.026), and psychological loneliness (OR=5.261, 95 % CI: 2.006-13.798, p=0.001) as independent risk factors for sleep disorders in the elderly.

Conclusions: In this hospital-based sample of older psychiatric patients, sleep disturbances in older adults are significantly associated with anxiety, depression, and reduced quality of life, particularly mental health. Early screening and targeted interventions are warranted.

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老年人睡眠障碍及其与焦虑抑郁症状和生活质量的关系：一项回顾性观察性研究

目的：调查老年人睡眠障碍的患病率，并探讨其与焦虑、抑郁症状和生活质量的关系。方法：本研究为单中心回顾性研究，纳入我院精神科2020年12月至2025年12月住院的120例老年患者。收集人口学和临床数据，以及匹兹堡睡眠质量指数（PSQI）、医院焦虑和抑郁量表（HADS）、患者健康问卷-9 （PHQ-9）、12项简短健康调查（SF-12）得分和中文版蒙特利尔认知评估量表（MoCA-C）。将患者分为睡眠障碍组（SD, PSQI≤5）和非睡眠障碍组（NSD, PSQI≤5）。分析组间差异，并进行多因素logistic回归和Spearman相关分析。结果：120例患者中，50例（41.7 %）存在睡眠障碍。与NSD组相比，SD组的焦虑和抑郁评分明显较高，SF-12和MoCA评分明显较低。结论：在这个以医院为基础的老年精神病患者样本中，老年人的睡眠障碍与焦虑、抑郁和生活质量下降（尤其是心理健康）显著相关。早期筛查和有针对性的干预是必要的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Open Medicine Medicine-General Medicine

CiteScore

3.00

自引率

0.00%

发文量

153

审稿时长

20 weeks

期刊介绍： Open Medicine is an open access journal that provides users with free, instant, and continued access to all content worldwide. The primary goal of the journal has always been a focus on maintaining the high quality of its published content. Its mission is to facilitate the exchange of ideas between medical science researchers from different countries. Papers connected to all fields of medicine and public health are welcomed. Open Medicine accepts submissions of research articles, reviews, case reports, letters to editor and book reviews.