일 도시 지역사회 노인들의 불면증 유병률 및 위험인자
Prevalence of Insomnia and Associated Factors among Community-Dwelling Korean Elderly
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초록
Objective:This study investigated the prevalence of insomnia and its associated factors among community-dwelling Korean elderly. Methods:A cross-sectional survey examining a person’s physical and psychological health status, including sleep, was administered among 1,500 individuals aged 65 and older. All participants were community-dwelling Korean elderly. Results:We found that the overall prevalence of insomnia during the preceding month was 43.1%, including difficulty initiating sleep (27%) and difficulty maintaining sleep or early morning awakening (37.9%). Multiple logistic regression analysis showed that chronic diseases [odds ratio (OR) 2.42, 95% confidence interval (CI) 1.59-3.71], depression (OR 1.86, 95% CI 1.31-2.63), female (OR 1.63, 95% CI 1.27-2.10), suicidal ideation (OR 1.60, 95% CI 1.05-2.45), poor perceived health (OR 1.57, 95% CI 1.14-2.17), unemployment (1.51, 95% CI 1.13-2.03) were associated with an increased prevalence of insomnia. Conclusion:Insomnia is prevalent among community-dwelling Korean elderly, and multiple psychosocial factors are associated with insomnia.
Abstract
Objective:This study investigated the prevalence of insomnia and its associated factors among community-dwelling Korean elderly. Methods:A cross-sectional survey examining a person’s physical and psychological health status, including sleep, was administered among 1,500 individuals aged 65 and older. All participants were community-dwelling Korean elderly. Results:We found that the overall prevalence of insomnia during the preceding month was 43.1%, including difficulty initiating sleep (27%) and difficulty maintaining sleep or early morning awakening (37.9%). Multiple logistic regression analysis showed that chronic diseases [odds ratio (OR) 2.42, 95% confidence interval (CI) 1.59-3.71], depression (OR 1.86, 95% CI 1.31-2.63), female (OR 1.63, 95% CI 1.27-2.10), suicidal ideation (OR 1.60, 95% CI 1.05-2.45), poor perceived health (OR 1.57, 95% CI 1.14-2.17), unemployment (1.51, 95% CI 1.13-2.03) were associated with an increased prevalence of insomnia. Conclusion:Insomnia is prevalent among community-dwelling Korean elderly, and multiple psychosocial factors are associated with insomnia.
참고문헌 (41)
- Ohayon MM, "Prevalence of insomnia and associated factors in South Korea", J Psychosom Res, 53, pp.593~600 (2002)
- Yang CK, "Sleep habits and sleep disorders among the elderly between 65-84 years who are living in a part of Pusan", Sleep Med Psychophysiol, 4, pp.66~76 (1997)
- Yoon JS, "Sleep Patterns and Problems of the Korean Elderly in Urban and Rural Areas", Korean J Sleep Med, 1, pp.42~49 (1999)
- Hong JP, "Sleep Habits and Insomnia-associated Factors in the Urban Elderly: Demographic, Health and Psychobehavioral Correlates", J Korean Neuropsychiatr Assoc, 39, pp.1111~1121 (2000)
- Kim WH, "Prevalence of insomnia and associated factors in a community sample of elderly individuals in South Korea", Int Psychogeriatr, 25, pp.1729~1737 (2013)
- Foley DJ, "Sleep complaints among elderly persons : an epidemiologic study of three communities", Sleep, 18, pp.425~432 (1995)
- Maggi S, "Sleep complaints in community-dwelling older persons: prevalence, associated factors, and reported causes", J Am Geriatr Soc, 46, pp.161~168 (1998)
- Liu X, "Sleep habits and insomnia in a sample of elderly persons in China", Sleep, 28, pp.1579~1587 (2005)
- Bonanni E, "Sleep disturbances in elderly subjects : an epidemiological survey in an Italian district", Acta Neurol Scand, 122, pp.389~397 (2010)
- Taylor DJ, "Epidemiology of insomnia, depression, and anxiety", Sleep, 28, pp.1457~1464 (2005)
- Ohayon MM, "Epidemiology of insomnia: what we know and what we still need to learn", Sleep Med Rev, 6, pp.97~111 (2002)
- Fok M, "Incidence and persistence of sleep complaints in a community older population", Int J Geriatr Psychiatry, 25, pp.37~45 (2010)
- Foley DJ, "Incidence and remission of insomnia among elderly adults: an epidemiologic study of 6,800 persons over three years", Sleep, 22(Suppl 2), pp.S366~S372 (1999)
- Kamel NS, "Insomnia in the elderly: cause, approach, and treatment", Am J Med, 119, pp.463~469 (2006)
- Ohayon MM, "How age and daytime activities are related to insomnia in the general population : consequences for older people", J Am Geriatr Soc, 49, pp.360~366 (2001)
- "Risk factors for sleep disturbances in older adults: evidence from prospective studies" (2015)[URL]
- McHugh JE, "Perceived stress mediates the relationship between emotional loneliness and sleep quality over time in older adults", Br J Health Psychol, 18, pp.546~555 (2013)
- Schubert CR, "Prevalence of sleep problems and quality of life in an older population", Sleep, 25, pp.889~893 (2002)
- Perlis ML, "Insomnia as a risk factor for onset of depression in the elderly", Behav Sleep Med, 4, pp.104~113 (2006)
- Jaussent I, "Insomnia and daytime sleepiness are risk factors for depressive symptoms in the elderly", Sleep, 34, pp.1103~1110 (2011)
- 김재민, "노인에서 신체질환과 불면증 간의 전향적 연관성", 신경정신의학, 47(5), pp.488~492 (2008), 대한신경정신의학회
- Léger D, "Insomnia and accidents: cross-sectional study (EQUINOX) on sleep-related home, work and car accidents in 5293 subjects with insomnia from 10 countries", J Sleep Res, 23, pp.143~152 (2014)
- Cappuccio FP, "Sleep duration and all-cause mortality : a systematic review and meta-analysis of prospective studies", Sleep, 33, pp.585~592 (2010)
- Kim K, "An epidemiological study of insomnia among the Japanese general population", Sleep, 23, pp.41~47 (2000)
- Katz S, "Studies of illness in the aged : the index of ADL : a standardized measure of biological and psychosocial function", JAMA, 185, pp.914~919 (1963)
- Bae JN, "Development of the Korean version of the Geriatric Depression Scale and its short form among elderly psychiatric patients", J Psychosom Res, 57, pp.297~305 (2004)
- Tae Hui Kim, "Korean Version of Mini Mental Status Examination for Dementia Screening and Its Short Form", PSYCHIATRY INVESTIGATION, 7(2), pp.102~108 (2010), 대한신경정신의학회
- Su TP, "Prevalence and risk factors of insomnia in community-dwelling Chinese elderly : a Taiwanese urban area survey", Aust N Z J Psychiatry, 38, pp.706~713 (2004)
- Ohayon MM, "Prevalence of DSM-IV diagnostic criteria of insomnia : distinguishing insomnia related to mental disorders from sleep disorders", J Psychiatr Res, 31, pp.333~346 (1997)
- Green MJ, "The longitudinal course of insomnia symptoms : inequalities by sex and occupational class among two different age cohorts followed for 20 years in the west of Scotland", Sleep, 35, pp.815~823 (2012)
- Roberts RE, "Prospective data on sleep complaints and associated risk factors in an older cohort", Psychosom Med, 61, pp.188~196 (1999)
- Voderholzer U, "Are there gender differences in objective and subjective sleep measures? A study of insomniacs and healthy controls", Depress Anxiety, 17, pp.162~172 (2003)
- Zhang B, "Sex differences in insomnia : a meta-analysis", Sleep, 29, pp.85~93 (2006)
- Ohayon MM, "DSM-IV and ICSD-90 insomnia symptoms and sleep dissatisfaction", Br J Psychiatry, 171, pp.382~388 (1997)
- LeBlanc M, "Incidence and risk factors of insomnia in a population-based sample", Sleep, 32, pp.1027~1037 (2009)
- Newman AB, "Sleep disturbance, psychosocial correlates, and cardiovascular disease in 5201 older adults: the Cardiovascular Health Study", J Am Geriatr Soc, 45, pp.1~7 (1997)
- Chiu HF, "Sleep problems in Chinese elderly in Hong Kong", Sleep, 22, pp.717~726 (1999)
- Kim JM, "Insomnia, depression, and physical disorders in late life: a 2-year longitudinal community study in Koreans", Sleep, 32, pp.1221~1228 (2009)
- Chang KJ, "Perceived sleep quality is associated with depression in a Korean elderly population", Arch Gerontol Geriatr, 59, pp.468~473 (2014)
- Pedraza S, "Sleep quality and sleep problems in Mexican Americans aged 75 and older", Aging Clin Exp Res, 24, pp.391~397 (2012)
- McCall WV, "Insomnia severity is an indicator of suicidal ideation during a depression clinical trial", Sleep Med, 11, pp.822~827 (2010)
