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Daytime sleepiness: a risk factor for poor social engagement among the elderly
Author(s) -
Lee YaoTung,
Tsai ChiaFen,
Ouyang WenChen,
Yang Albert C.,
Yang ChengHung,
Hwang JenPing
Publication year - 2013
Publication title -
psychogeriatrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.647
H-Index - 32
eISSN - 1479-8301
pISSN - 1346-3500
DOI - 10.1111/psyg.12020
Subject(s) - confidence interval , logistic regression , odds ratio , psychology , demography , excessive daytime sleepiness , multivariate analysis , medicine , cognition , psychiatry , sleep disorder , sociology
Background The aim of this study was to investigate the relationship between social engagement and daytime sleepiness among aged residents of a veterans' housing facility in T aiwan. Methods A total of 597 men were enrolled in this cross‐sectional study. Each subject was assessed with the R esident A ssessment I nstrument‐ M inimum D ata S et, G eriatric D epression S cale, P ittsburgh S leep Q uality I ndex, and M ini‐ M ental S tate E xamination. Social engagement was measured with the I ndex of S ocial E ngagement ( ISE ), and daytime sleepiness was defined according to the relevant P ittsburgh S leep Q uality I ndex subcomponent. Subjects were divided into two groups according to their ISE levels. A multivariate logistic regression model was used to examine the association between ISE and other variables. Results The sample's mean age was 80.8 ± 5.0 years (range: 65–99 years). Mean ISE score was 1.5 ± 1.3 (range 0–5), with 52% of participants reporting poor social engagement ( ISE = 0–1). Mean P ittsburgh S leep Q uality I ndex global score was 5.6 ± 3.6 (range: 0–18), and 31% of participants reported daytime sleepiness. The analysis was adjusted for level of depression, cognitive impairment, dependence in activities of daily life, unsettled relationships, and illiteracy. After adjustment, daytime sleepiness was found to be independently associated with subjects' level of social engagement (odds ratio: 2.5; 95% confidence interval: 1.7–3.8; P < 0.001). Conclusions Daytime sleepiness and poor social engagement are common among aged residents of a veterans' housing facility. Subjects experiencing daytime sleepiness but not poor general sleep quality were at increased risk of poor social engagement. The clinical care of older residents must focus on improving daytime sleepiness to enhance their social engagement.