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Does social support differentially affect sleep in older adults with versus without insomnia?
Open accessAbstract
Objective Insomnia is a significant public health problem, particularly among older adults. We examined social support as a potential protective factor for sleep among older adults (60 years and older) with insomnia (n=79) and age- and sex-matched controls without insomnia (n=40).Methods Perceived social support, sleep quality, daytime sleepiness, and napping behavior were assessed via questionnaires or daily diaries. In addition, wrist actigraphy provided a behavioral measure of sleep continuity parameters, including sleep latency (SL), wakefulness after sleep onset (WASO), and total sleep time (TST). Analysis of covariance for continuous outcomes or ordinal logistic regression for categorical outcomes were used to examine the relationship between social support and sleep-wake characteristics and the degree to which observed relationships differed among older adults with insomnia versus non-insomnia controls. Covariates included demographic characteristics, depressive symptoms, and the number of medical comorbidities.Results The insomnia group had poorer subjective sleep quality, longer diary-assessed SL and shorter TST as compared to the control group. Higher social support was associated with lesser actigraphy-assessed WASO in both individuals with insomnia and controls. There was a significant patient group by social support interaction for diary-assessed SL, such that higher levels of social support were most associated with shorter sleep latencies in those with insomnia. There were no significant main effects of social support or social support by patient group interactions for subjective sleep quality, daytime sleepiness, napping behavior, or TST (diary or actigraphy assessed).Conclusion These findings extend the literature documenting the health benefits of social support, and suggest that social support may similarly influence sleep in individuals with insomnia as well as non-insomnia controls.
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Relationship quality may be an important moderator between sleep quality and health.
“For example, relationship quality has been shown to be an important predictor of sleep health, especially among women, and relationship quality may be an important moderator between sleep quality and health.241–244”
From Sleep, Health, and Society (2017) · cites this paper as [243]
Relationship quality is an important predictor of sleep health, especially among women.
“For example, relationship quality has been shown to be an important predictor of sleep health, especially among women, and relationship quality may be an important moderator between sleep quality and health.241–244”
From Sleep, Health, and Society (2017) · cites this paper as [243]
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Metadata
- Authors
- Troxel, W. M., Buysse, D. J., Monk, T. H., Begley, A., & Hall, M.
- Affiliations
- University of Pittsburgh (US)
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2010-11
- Volume
- 69
- Issue
- 5
- Pages
- 459-466
- ISSN
- 0022-3999 (ISSN-L)
- PMC
- PMC2958100
- OpenAlex
- W1985936094
- Cited by
- 106
- References
- 44
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 10 · 2023: 6 · 2022: 9 · 2021: 6 · 2020: 19 · 2019: 10 · 2018: 7 · 2017: 8 · 2016: 7 · 2015: 7 · 2014: 4 · 2013: 4
- FWCI
- 2.08
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (UL1TR000005)
- National Institute on Aging (AG019362, AG20677, R01AG013396, R01AG019362, AG13396, P01AG020677)
- National Heart, Lung, and Blood Institute (HL082610-01, HL076852=076858, R24HL076852, K23HL093220, R24HL076858, T32HL082610)
- National Center for Research Resources (UL1RR024153)
- National Center for Advancing Translational Sciences
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
- Keywords
- social support, insomnia, older adults, sleep quality, sleep latency, wake after sleep onset, total sleep time, daytime sleepiness, napping, sleep continuity, protective factors
- MeSH terms
- Aged, Aged, 80 and over, Depression, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Medical Records, Middle Aged, Surveys and Questionnaires, Sleep, Social Support, Wakefulness, Wrist, Logistic Models, Case-Control Studies, Actigraphy
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