Cited by 106Sleep and related disordersSleep and Work-Related FatigueObstructive Sleep Apnea Research

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Does social support differentially affect sleep in older adults with versus without insomnia?

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Troxel, Wendy M., Buysse, Daniel J., Monk, Timothy H., Begley, Amy, Hall, Martica·2010·Journal of Psychosomatic Research

DOI 10.1016/j.jpsychores.2010.04.003PMC PMC2958100

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Abstract

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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Authors: Troxel, W. M., Buysse, D. J., Monk, T. H., Begley, A., & Hall, M.
Affiliations: University of Pittsburgh (US)
ORCID: Troxel, Wendy M.
Buysse, Daniel J.
Hall, Martica
Venue: Journal of Psychosomatic Research
Publisher: Elsevier BV
Published: 2010-11
Volume: 69
Issue: 5
Pages: 459-466
ISSN: 0022-3999 (ISSN-L)
DOI: 10.1016/j.jpsychores.2010.04.003
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
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
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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Does social support differentially affect sleep in older adults with versus without insomnia?

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