The Sleep of the Bereaved.

Q2 Medicine

Sleep and Hypnosis Pub Date : 2009-01-01

Timothy H Monk, Anne Germain, Daniel J Buysse

{"title":"The Sleep of the Bereaved.","authors":"Timothy H Monk, Anne Germain, Daniel J Buysse","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>OBJECTIVE: Sleep disruption is common in widow(er)s. The objective of this study was to characterize the sleep of Spousally Bereaved (SB) seniors (60y+) studied within 4-19 months of being widowed. METHOD: Subjective (PSQI, 2-weeks diary) and objective (2-weeks actigraphy) baseline sleep measures were obtained in 47 (38f, 9m) Spousally Bereaved (SB) seniors, 33 (25f, 8m) Good Sleeper Controls (GSC), and 47 (38f, 9m) Older Adults with Insomnia (OAI); each group with the same mean age (72y). OAI subjects passed formal diagnostic criteria for primary or co-morbid insomnia. GSC subjects had no diagnosis of insomnia. At baseline (pre-treatment), all subjects completed 2 weeks of detailed sleep diary and wrist actigraphy, and completed the Pittsburgh Sleep Quality Index (PSQI) among other measures. RESULTS: Significant group effects appeared in PSQI (GSC: 2.4, SB: 6.7, OAI: 10.5; Effect Sizes [ES]>1) and diary measures. In diary measures, for Total Sleep Time, Sleep Efficiency and Wake After Sleep Onset, SB were better than OAI and worse than GSC (0.47<ES<1.19). For Sleep Latency, SB were worse than GSC (ES=0.57), but similar to OAI. However, actigraphy results indicated no significant SB vs. GSC, or SB vs. OAI, differences in any of the sleep measures considered. CONCLUSION: The sleep disruption of bereaved seniors appears to be intermediate between GSC and OAI, as reported either retrospectively using the PSQI, or prospectively using a sleep diary. Only in diary sleep latency, were SB and OAI values similar. This pattern was not, however, observed when parallel objective actigraphic measures were considered.</p>","PeriodicalId":38934,"journal":{"name":"Sleep and Hypnosis","volume":"11 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2929135/pdf/nihms-166540.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sleep and Hypnosis","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

Abstract

OBJECTIVE: Sleep disruption is common in widow(er)s. The objective of this study was to characterize the sleep of Spousally Bereaved (SB) seniors (60y+) studied within 4-19 months of being widowed. METHOD: Subjective (PSQI, 2-weeks diary) and objective (2-weeks actigraphy) baseline sleep measures were obtained in 47 (38f, 9m) Spousally Bereaved (SB) seniors, 33 (25f, 8m) Good Sleeper Controls (GSC), and 47 (38f, 9m) Older Adults with Insomnia (OAI); each group with the same mean age (72y). OAI subjects passed formal diagnostic criteria for primary or co-morbid insomnia. GSC subjects had no diagnosis of insomnia. At baseline (pre-treatment), all subjects completed 2 weeks of detailed sleep diary and wrist actigraphy, and completed the Pittsburgh Sleep Quality Index (PSQI) among other measures. RESULTS: Significant group effects appeared in PSQI (GSC: 2.4, SB: 6.7, OAI: 10.5; Effect Sizes [ES]>1) and diary measures. In diary measures, for Total Sleep Time, Sleep Efficiency and Wake After Sleep Onset, SB were better than OAI and worse than GSC (0.47

本刊更多论文

丧亲之人的睡眠。

目的:睡眠中断在寡妇中很常见。本研究的目的是研究配偶丧偶(SB)老年人(60岁以上)在丧偶4-19个月内的睡眠特征。方法:对47例(38f, 9m)丧偶老年人(SB)、33例(25f, 8m)睡眠良好对照者(GSC)和47例(38f, 9m)失眠症老年人(OAI)进行主观(PSQI, 2周日记)和客观(2周活动记录仪)基线睡眠测量;各组平均年龄相同(72岁)。OAI受试者通过了原发性或合并症失眠的正式诊断标准。GSC受试者未被诊断为失眠。在基线(治疗前)，所有受试者完成2周详细的睡眠日记和手腕活动描记，并完成匹兹堡睡眠质量指数(PSQI)等测量。结果:PSQI出现显著组效应(GSC: 2.4, SB: 6.7, OAI: 10.5;效应量[ES]>1)和日记测量。在日记测量中，对于总睡眠时间、睡眠效率和睡眠后醒来，SB优于OAI，低于GSC (0.47)

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Sleep and Hypnosis Medicine-Complementary and Alternative Medicine

自引率

0.00%

发文量