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Cited by 141Sleep and related disordersObstructive Sleep Apnea ResearchPharmaceutical Practices and Patient Outcomes

INSOMNIA IN THE ELDERLY—PREVALENCE, GENDER DIFFERENCES AND RELATIONSHIPS WITH MORBIDITY AND MORTALITY

Brabbins, C. J., Dewey, M. E., Copeland, J. R. M., Davidson, I. A., McWilliam, C., Saunders, P., Sharma, V. K., Sullivan, C.·1993·International Journal of Geriatric Psychiatry
DOI 10.1002/gps.930080604
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Abstract

Abstract A sample of 1070 people aged 65 and over living in the Liverpool community was interviewed in 1982/3. Those traced were then reinterviewed 3 years later. Information was collected on the prevalence of perceived insomnia using a community version of the Geriatric Mental State (GMS), which also provided a diagnosis using AGECAT. Thirty‐five per cent reported trouble sleeping, which was twice as common in women as men and was not wholly accounted for by the increased prevalence of mental illness in elderly women. There was no change in prevalence with age, but insomnia was more frequent in the depressed group (70%). Insomnia is more likely with increasing serverity of depression but was also common in the well group and hence is not a specific indicator. No relationship was found between mortality at year 3 and insomnia or hypnotic use at year 0. Use of hypnotics was related to the presence of sleep disturbance, but not to having a psychiatric diagnosis. Medical intervention may be much more successful in reducing the prevalence of benzodiazepine usage than may have been realized.

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  • The different relationships between problems with sleep onset, maintenance, and negative affect reported here stand in contrast to studies which find that both sleep onset and sleep maintenance problems are related to negative affect.

    “Indeed, the different relationships between problems with sleep onset, maintenance, and negative affect reported here stands in contrast to studies which find that both sleep onset and sleep maintenance problems are related to negative affect [96–100].”

    From A structural equation model of the relationship between insomnia, negative affect, and paranoid thinking (2017) · cites this paper as [97]

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Authors
Brabbins, C. J., Dewey, M. E., Copeland, J. R. M., Davidson, I. A., McWilliam, C., Saunders, P., Sharma, V. K., & Sullivan, C.
Affiliations
Royal Liverpool University Hospital (GB)
ORCID
Venue
International Journal of Geriatric Psychiatry
Publisher
Wiley
Published
1993-06
Volume
8
Issue
6
Pages
473-480
ISSN
  • 0885-6230 (ISSN-L)
  • 1099-1166
DOI
10.1002/gps.930080604
OpenAlex
W2150301032
Cited by
141
References
25
Citations by year
2025: 2 · 2024: 3 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 5 · 2019: 1 · 2018: 2 · 2017: 2 · 2016: 5 · 2015: 3 · 2014: 2 · 2013: 8 · 2012: 6
FWCI
3.21
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 4152 d)
Locations
International Journal of Geriatric Psychiatry (publishedVersion)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
  • Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
Keywords
insomnia, older adults, prevalence, gender differences, depression, sleep disorders, hypnotic use, benzodiazepines, mortality, morbidity, Geriatric Mental State, community-dwelling older adults

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