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Sex‐specific associations between self‐reported sleep duration, depression, anxiety, fatigue and daytime sleepiness in an older community‐dwelling population
Author(s) -
Broström Anders,
Wahlin Åke,
Alehagen Urban,
Ulander Martin,
Johansson Peter
Publication year - 2018
Publication title -
scandinavian journal of caring sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.678
H-Index - 66
eISSN - 1471-6712
pISSN - 0283-9318
DOI - 10.1111/scs.12461
Subject(s) - anxiety , depression (economics) , sleep (system call) , excessive daytime sleepiness , medicine , population , psychology , insomnia , clinical psychology , psychiatry , sleep disorder , environmental health , computer science , economics , macroeconomics , operating system
Purpose The purpose of this study was to explore whether associations between self‐reported sleep duration, depressive symptoms, anxiety, fatigue and daytime sleepiness differed in older community‐dwelling men and women. Design Cross‐sectional. Methods A community‐dwelling sample of 675 older men and women (mean age 77.7 years, SD 3.8 years) was used. All participants underwent a clinical examination by a cardiologist. Validated questionnaires were used to investigate sleep duration, depressive symptoms, anxiety, fatigue and daytime sleepiness. Subjects were divided into short sleepers (≤6 hours), n = 231; normal sleepers (7–8 hours), n = 338; and long sleepers (≥9 hours), n = 61. ancova s were used to explore sex‐specific effects. Results Depressive symptoms were associated with short sleep in men, but not in women. Fatigue was associated with both short and long sleep duration in men. No sex‐specific associations of sleep duration with daytime sleepiness or anxiety were found. Conclusion Nurses investigating sleep duration and its correlates, or effects, in clinical practice need to take sex into account, as some associations may be sex specific. Depressive symptoms and fatigue can be used as indicators to identify older men with sleep complaints.