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The contribution of heart failure to sleep disturbances and depressive symptoms in older adults
Johansson, Peter Riegel, Barbara Svensson, Erland Brostrom, Anders Alehagen, Urban Dahlstrom, Ulf Jaarsma, Trijntje
Johansson, Peter
Riegel, Barbara
Svensson, Erland
Brostrom, Anders
Alehagen, Urban
Dahlstrom, Ulf
Jaarsma, Trijntje
Abstract
Background: The aim of this study was to explore the associations between physical symptoms, sleep disturbances, and depressive symptoms in community-dwelling elderly individuals, comparing persons with and without heart failure (HF). Methods: A total of 613 older adults (mean age 78 years) underwent clinical and echocardiographic examinations. Questionnaires were used to evaluate sleep disturbances and depressive symptoms. A model was developed in those with HF (n = 107) and compared with those without HF (n = 506). Results: Cardiopulmonary symptoms (ie, dyspnea and nighttime palpitations) and pain had significant direct associations with sleep disturbances, which indirectly affected depressive symptoms. The model was essentially the same in those with and without HF except that the effect of sleep disturbances on depressive symptoms was stronger in those with HF (β = 0.64 vs β = 0.45, P = .006). Conclusion: In community-dwelling older adults, regardless of their diagnosis, physical symptoms had a direct effect on sleep disturbances and an indirect effect on depressive symptoms.
Keywords
Date
2012
Type
Journal article
Journal
Journal of Geriatric Psychiatry and Neurology
Book
Volume
25
Issue
3
Page Range
179-187
Article Number
ACU Department
Mary MacKillop Institute for Health Research
Faculty of Health Sciences
Faculty of Health Sciences
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Relation URI
Source URL
Event URL
Open Access Status
License
File Access
Controlled