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Sleep Fragmentation in Patients From a Nursing Home
Abstract
Institutionalized elderly persons are said to have very disturbed sleep, yet few studies have collected empirical data on the sleep of these patients. We recorded sleep in 200 patients (131 females and 69 males; mean age = 81.9 years, SD = 8.6) in a skilled nursing facility. A modified Respitrace-Medilog portable recording system was used. In recordings averaging 15.4 hours, the patients were asleep for 7 hours, 58 minutes and awake for 7 hours, 28 minutes. To obtain that amount of sleep, the patients spent an extended time in bed during the day, for they averaged no more than 39.5 minutes of sleep per hour in any hour of the night, and 50% woke up at least 2 to 3 times per hour. In summary, although nursing home patients slept on average only one hour longer than independently living elderly, they had to spend substantially more time in bed to obtain the same amount of sleep.
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“Non-cognitive neuropsychological symptoms associated with AD include activity disturbances, affective disturbances, aggression, stereotypic behavior, circadian rhythm disturbances, and anxiety (Ancoli-Israel et al., 1989; Okawa et al., 1991; Vitiello et al., 1992; Bliwise, 1994; Satlin et al., 1995; Van Someren et al., 1996; Hope et al., 1998; Harper et al., 2004; Shin et al., 2005; Tan et al., 2”
From Using mice to model Alzheimer's dementia: an overview of the clinical disease and the preclinical behavioral changes in 10 mouse models (2014) · cites this paper as Ancoli-Israel et al., 1989
In the citing paper
“Circadian rhythm disturbances have also been well described in human AD patients”
From Using mice to model Alzheimer's dementia: an overview of the clinical disease and the preclinical behavioral changes in 10 mouse models (2014) · cites this paper as Ancoli-Israel et al., 1989
In the citing paper
“These disturbances are characterized by the AD patient's propensity to frequently awaken during the nighttime and to increase the amount of time slept during the day”
From Using mice to model Alzheimer's dementia: an overview of the clinical disease and the preclinical behavioral changes in 10 mouse models (2014) · cites this paper as Ancoli-Israel et al., 1989
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Bixler, E. O., Vgontzas, A. N., Have, T. T., Tyson, K. L., & Kales, A. (1998) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.157.1.9706079 · Cited by 1,239
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BackgroundSleep and Sleep Disorders in Older Adults
Crowley, K. E. (2011) · Neuropsychology Review · doi:10.1007/s11065-010-9154-6 · Cited by 655
“Agerelated increases in PLMS occurrence have been noted cross-sectionally in clinical case series and in research volunteers (Youngstedt et al. 1998; Ancoli-Israel et al. 1989; Bliwise et al. 1988; Mosko et al. 1988a; Mosko et al. 1988b).”
Evidence‐Based Recommendations for the Assessment and Management of Sleep Disorders in Older Persons
Bloom, H. G., Ahmed, I., Alessi, C. A., Ancoli‐Israel, S., Buysse, D. J., Kryger, M. H., Phillips, B. A., Thorpy, M. J., Vitiello, M. V., & Zee, P. C. (2009) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2009.02220.x · Cited by 464
“For example, one study found that sleep fragmentation (estimated using actigraphy) was not associated with sedative–hypnotic use, whereas another found that residents taking psychoactive medications had a dampening of the normal day–night variation in sleep and waking over 24 hours.(278,279) Another study showed that…”
BackgroundSelf-citationCircadian rest—activity rhythm disturbances in alzheimer's disease
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Classification of Sleep Disorders
Thorpy, M. J. (2012) · Neurotherapeutics · doi:10.1007/s13311-012-0145-6 · Cited by 453
“Circadian rhythm sleep disorders due to medical condition [82, 83] 327.”
BackgroundWho are the long sleepers? Towards an understanding of the mortality relationship
Grandner, M. A., & Drummond, S. P. A. (2007) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2007.03.010 · Cited by 432
Duffy, J. F., Zitting, K.-M., & Chinoy, E. D. (2015) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2015.08.002 · Cited by 367
Ancoli-Israel, S., Gehrman, P., Martin, J. L., Shochat, T., Marler, M., Corey-Bloom, J., & Levi, L. (2003) · Behavioral Sleep Medicine · doi:10.1207/s15402010bsm0101_4 · Cited by 347
Self-citationLong sleep and mortality: rationale for sleep restriction
Youngstedt, S. D., & Kripke, D. F. (2004) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2003.10.002 · Cited by 324
Issues of Validity in Actigraphic Sleep Assessment
Tryon, W. W. (2004) · SLEEP · doi:10.1093/sleep/27.1.158 · Cited by 308
Jean‐Louis, G., Zizi, F., Clark, L. T., Brown, C. D., & McFarlane, S. I. (2008) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.27191 · Cited by 313
Sleep Disturbances in Patients with Alzheimer??s Disease
Vitiello, M. V., & Soo Borson, B. (2001) · CNS Drugs · doi:10.2165/00023210-200115100-00004 · Cited by 289
Alessi, C., Martin, J. L., Webber, A. P., Kim, E. C., Harker, J. O., & Josephson, K. R. (2005) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2005.53251.x · Cited by 255
“Sleep disturbance is common in older adults living in the community(1) and even more prevalent in long-stay nursing home residents.(2) Many nursing home residents have abnormal sleep/wake patterns and are seldom awake for a full hour during the day and seldom asleep for a full hour during the night.”
BackgroundCircadian locomotor activity and core-body temperature rhythms in Alzheimer's disease
Satlin, A., Volicer, L., Stopa, E. G., & Harper, D. G. (1995) · Neurobiology of Aging · doi:10.1016/0197-4580(95)00059-n · Cited by 232
Diagnosis and Treatment of Sleep Disorders in Older Adults
Ancoli‐Israel, S., & Ayalon, L. (2006) · American Journal of Geriatric Psychiatry · doi:10.1097/01.jgp.0000196627.12010.d1 · Cited by 233
Self-citationNaylor, E., Penev, P. D., Orbeta, L., Janssen, İ., Ortiz, R., Colecchia, E. F., Keng, M., Finkel, S. I., & Zee, P. C. (2000) · SLEEP · doi:10.1093/sleep/23.1.1f · Cited by 231
Giménez‐Llort, L., Blázquez, G., Cañete, T., Johansson, B. A., Oddo, S., Tobeña, A., LaFerla, F. M., & Fernández‐Teruel, A. (2006) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2006.07.007 · Cited by 246
“Nevertheless, sleep disturbances are another clinical manifestation of AD (Ancoli-Israel et al., 1989), typified by frequent awakenings during the night and an increment in the propensity to sleep during daytime (Ancoli-Israel et al.”
BackgroundAlessi, C. A., Yoon, E. J., Schnelle, J. F., Al‐Samarrai, N. R., & Cruise, P. A. (1999) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1999.tb03833.x · Cited by 227
“INTERVENTION: Subjects were randomized to receive either (1) an intervention combining increased daytime physical activity (14 weeks in duration) plus a nighttime program (5 nights in duration) to decrease noise and sleep-disruptive nursing care practices (intervention group), or (2) the nighttime program alone (contr…”
BackgroundMethodDementia in Institutionalized Elderly: Relation to Sleep Apnea
Ancoli‐Israel, S., Klauber, M. R., Butters, N., Parker, L., & Kripke, D. F. (1991) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1991.tb01647.x · Cited by 220
Self-citationThe Diagnosis and Management of Insomnia
Oates, J. A., Wood, A. J. J., Gillin, J. C., & Byerley, W. F. (1990) · New England Journal of Medicine · doi:10.1056/nejm199001253220406 · Cited by 220
Treatment of sleep disturbance in Alzheimer's disease
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BackgroundSleep Apnea in Female Patients in a Nursing Home
Ancoli‐Israel, S., Klauber, M. R., Kripke, D. F., Parker, L., & Cobarrubias, M. (1989) · CHEST Journal · doi:10.1378/chest.96.5.1054 · Cited by 143
Self-citationChong, M. S., Ayalon, L., Marler, M., Loredo, J. S., Corey‐Bloom, J., Palmer, B. W., Liu, L., & Ancoli‐Israel, S. (2006) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2006.00694.x · Cited by 142
“In later stages of the disease, patients with AD have been shown to spend approximately 40% of time in bed at night awake with increased daytime sleepiness.(1) Patients with AD also have a high prevalence of sleepdisordered breathing (SDB).”
BackgroundSelf-citationPrevalence of insomnia in elderly general practice attenders and the current treatment modalities
Hohagen, F., Käppler, C. D. O., Schramm, E., Rink, K., Weyerer, S. B., Riemann, D. W., & Berger, T. (1994) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1994.tb01563.x · Cited by 140
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Self-citationDaytime Sleeping, Sleep Disturbance, and Circadian Rhythms in the Nursing Home
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Strong Association of the Rest–Activity Rhythm With Well-Being in Demented Elderly Women
Bos, S. C., der Lek, R. F. R., Waterhouse, J. M., Reilly, T. P., & Someren, E. J. W. V. (2007) · American Journal of Geriatric Psychiatry · doi:10.1097/01.jgp.0000236584.03432.dc · Cited by 132
Light therapy and Alzheimer’s disease and related dementia: Past, present, and future
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“Research estimates that ADRD patients will spend approximately 40% of their night awake and a large portion of the solar day asleep [18] [19] [20].”
Development of Diagnostic Criteria for Defining Sleep Disturbance in Alzheimer's Disease
Yesavage, J. A., Friedman, L., Ancoli‐Israel, S., Bliwise, D. L., Singer, C. M., Vitiello, M. V., Monjan, A. A., & Lebowitz, B. D. (2003) · Journal of Geriatric Psychiatry and Neurology · doi:10.1177/0891988703255684 · Cited by 125
“sleep, medication use, specific sleep pathophysiology (such as sleep-disordered breathing), depression, and chronic bedrest.(5,29,31,32) Medication use is high in this population, and many commonly used drugs may be associated with insomnia and/or daytime sleepiness in nursing home populations.”
BackgroundSelf-citationThe Nursing Home at Night: Effects of an Intervention on Noise, Light, and Sleep
Schnelle, J. F., Alessi, C., Al‐Samarrai, N. R., Fricker, R. D., & Ouslander, J. G. (1999) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1999.tb07235.x · Cited by 124
Symptoms of sleep disturbance in persons with Alzheimer's disease and normal elderly
Tractenberg, R. E., Singer, C. M., & Kaye, J. A. (2005) · Journal of Sleep Research · doi:10.1111/j.1365-2869.2005.00445.x · Cited by 124
“Investigators also report daytime sleepiness increases as dementia progresses (Ancoli-Israel et al., 1989; Prinz et al., 1982).”
BackgroundSomeren, E. J. W. V., Mirmiran, M., & Swaab, D. F. (1993) · Behavioural Brain Research · doi:10.1016/0166-4328(93)90140-l · Cited by 122
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Sleep and “sundowning” in nursing home patients with dementia
Bliwise, D. L., Carroll, J. S., Lee, K. A., Nekich, J. C., & Dement, W. C. (1993) · Psychiatry Research · doi:10.1016/0165-1781(93)90078-u · Cited by 108
Twenty-four-hour sleep-wake patterns in a nursing home population.
Jacobs, D. M., Ancoli‐Israel, S., Parker, L., & Kripke, D. F. (1989) · Psychology and Aging · doi:10.1037//0882-7974.4.3.352 · Cited by 119
Self-citationOuslander, J. G., Connell, B. R., Bliwise, D. L., Endeshaw, Y. W., Griffiths, P. C., & Schnelle, J. F. (2005) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2005.00562.x · Cited by 104
Pat‐Horenczyk, R., Klauber, M. R., Shochat, T., & Ancoli‐Israel, S. (1998) · Aging Clinical and Experimental Research · doi:10.1007/bf03339793 · Cited by 102
Self-citationSleep-Disordered Breathing in Neurodegenerative Diseases
Gaig, C., & Iranzo, Á. (2012) · Current Neurology and Neuroscience Reports · doi:10.1007/s11910-011-0248-1 · Cited by 101
“Daytime napping and EDS are also frequent [107, 108].”
BackgroundSleep disturbances in nursing homes
Neikrug, A. B., & Ancoli‐Israel, S. (2010) · The journal of nutrition health & aging · doi:10.1007/s12603-010-0051-8 · Cited by 100
Self-citationDoes Physical Activity Improve Sleep in Impaired Nursing Home Residents?
Alessi, C. A., Schnelle, J. F., MacRae, P. G., Ouslander, J. G., Al‐Samarrai, N., Simmons, S. F., & Traub, S. (1995) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1995.tb07007.x · Cited by 97
Sleep disturbances among nursing home residents
Fetveit, A., & Bjorvatn, B. (2002) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.639 · Cited by 87
“Disturbances in the sleep–wake pattern seem to be a common problem among institutionalised elderly (Ancoli-Israel et al., 1989).”
BackgroundPrevalent sleep problems in the aged
Ancoli‐Israel, S., & Kripke, D. F. (1991) · Applied Psychophysiology and Biofeedback · doi:10.1007/bf00999989 · Cited by 86
Self-citationUse of Sleep-Promoting Medications in Nursing Home Residents
Conn, D. K., & Madan, R. (2006) · Drugs & Aging · doi:10.2165/00002512-200623040-00001 · Cited by 85
Factors that disturb sleep in nursing home residents
Gentili, A., Weiner, D. K., Kuchibhatla, M. N., & Edinger, J. D. (1997) · Aging Clinical and Experimental Research · doi:10.1007/bf03340151 · Cited by 83
Insomnia symptoms and repressive coping in a sample of older Black and White women
Jean‐Louis, G., Magai, C., Consedine, N. S., Pierre-Louis, J., Zizi, F., Casimir, G. J., & Belzie, L. R. (2007) · BMC Women s Health · doi:10.1186/1472-6874-7-1 · Cited by 80
Sleep disordered breathing in the elderly
Janssens, J.-P., Pautex, S., Hilleret, H., & Michel, J.-P. (2000) · Aging Clinical and Experimental Research · doi:10.1007/bf03339872 · Cited by 81
“6); 41% of all patients had an AI 5/h, and 11% had an AI 10/h (percentage of obstructive apneas not specified) (29).”
BackgroundApproach to sleep disorders in the nursing home setting
Alessi, C., & Schnelle, J. F. (2000) · Sleep Medicine Reviews · doi:10.1053/smrv.1999.0066 · Cited by 79
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Jean-Louis, G., von Gizycki, H., Zizi, F., Dharawat, A., Lazar, J. M., & Brown, C. D. (2008) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.27276 · Cited by 66
Fetveit, A., & Bjorvatn, B. (2004) · Journal of Sleep Research · doi:10.1111/j.1365-2869.2004.00396.x · Cited by 65
“Nocturnal sleep fragmentation, early morning awakening and daytime sleep periods are all common features among the elderly (Ancoli-Israel et al., 1989).”
BackgroundFader, M. J., Clarke-O'Neill, S., Cook, D. M., et al. (2003) · Journal of Clinical Nursing · doi:10.1046/j.1365-2702.2003.00731.x · Cited by 65
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Glasser, M., Bailey, N., McMillan, A., Goff, E., & Morrell, M. J. (2011) · Breathe · doi:10.1183/20734735.021910 · Cited by 63
“ANCOLI-ISRAEL [33] 233 65 65–101 Nursing home 30.”
McMillan, A., Bratton, D. J., Faria, R., Laskawiec-Szkonter, M., Griffin, S. C., Davies, R. J. O., Nunn, A., Stradling, J. R., Riha, R. L., & Morrell, M. J. (2015) · Health Technology Assessment · doi:10.3310/hta19400 · Cited by 63
Koch, S. H., Haesler, E., Tiziani, A., & Wilson, J. L. (2006) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2006.01385.x · Cited by 59
Individualizing Nighttime Incontinence Care in Nursing Home Residents
Schnelle, J. F., Cruise, P. A., Alessi, C., et al. (1998) · Nursing Research · doi:10.1097/00006199-199807000-00004 · Cited by 57
Fetveit, A. (2005) · American Journal of Geriatric Psychiatry · doi:10.1176/appi.ajgp.13.5.420 · Cited by 55
The Nighttime Environment and Incontinence Care Practices in Nursing Homes
Cruise, P. A., Schnelle, J. F., Alessi, C., Simmons, S. F., & Ouslander, J. G. (1998) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1998.tb02536.x · Cited by 53
Fung, C. H., Vitiello, M. V., Alessi, C., & Kuchel, G. A. (2016) · Journal of the American Geriatrics Society · doi:10.1111/jgs.14493 · Cited by 52
Moniz-Cook, E. D., Hart, C., Woods, B. T., Whitaker, C. J., James, I. A., Russell, I. T., Edwards, R. T., Hilton, A., Orrell, M. W., Campion, P. D., et al. (2017) · Programme Grants for Applied Research · doi:10.3310/pgfar05150 · Cited by 54
Bird, M., Llewellyn-Jones, R. H., & Korten, A. E. (2009) · Aging & Mental Health · doi:10.1080/13607860802154499 · Cited by 50
Richards, K. C., Sullivan, S. C., Phillips, R. L., et al. (2001) · Journal of Gerontological Nursing · doi:10.3928/0098-9134-20010901-07 · Cited by 47
Nonpharmacologic Therapy for Insomnia in the Elderly
Joshi, S. (2007) · Clinics in Geriatric Medicine · doi:10.1016/j.cger.2007.08.005 · Cited by 44
“Also, studies done by Ancoli-Israel and colleagues on nursing home residents, have revealed that residents at the nursing home are seldom awake or asleep for a full hour at any point during the day or night [58,59].”
BackgroundHoffen, G. C. K., Mirmiran, M., Bos, N. P. A., Witting, W., Delagrange, P., & Lemaître, B. J. (1993) · Neurobiology of Aging · doi:10.1016/0197-4580(93)90040-i · Cited by 42
Insomnia Symptoms in a Multiethnic Sample of American Women
Jean‐Louis, G., Magai, C., Casimir, G. J., Zizi, F., Moise, F., McKenzie, D., & Graham, Y. J. (2008) · Journal of Women s Health · doi:10.1089/jwh.2006.0310 · Cited by 41
Time spent in bed at night by care-home residents: choice or compromise?
Luff, R., Ellmers, T., Eyers, I., Young, E. L., & Arber, S. (2011) · Ageing and Society · doi:10.1017/s0144686x10001285 · Cited by 40
The Effect of Chronic Disorders on Sleep in the Elderly
Garcia, A. D. (2007) · Clinics in Geriatric Medicine · doi:10.1016/j.cger.2007.08.008 · Cited by 38
Blytt, K. M., Bjorvatn, B., Husebo, B. S., & Flo, E. (2017) · BMC Geriatrics · doi:10.1186/s12877-017-0653-7 · Cited by 40
“[38] found that patients on average slept 39.”
BackgroundSleep and agitation in nursing home residents with and without dementia
Brown, D., Westbury, J. L., & Schüz, B. (2015) · International Psychogeriatrics · doi:10.1017/s1041610215001568 · Cited by 38
“Other research has found the incidence of fragmented sleep may be even higher, with one study reporting that in 200 residents there was rarely a period of an hour in which residents sustained sleep or awakeness was maintained (Ancoli-Israel et al., 1989).”
BackgroundSeixas, A. A., Trinh‐Shevrin, C., Ravenell, J. E., Ogedegbe, G. G., Zizi, F., & Jean‐Louis, G. (2018) · Trials · doi:10.1186/s13063-018-2835-9 · Cited by 36
Sleep Disorders and Activities in Long Term Care Facilities —a Vicious Cycle?
Garms-Homolová, V., Flick, U., & Röhnsch, G. (2010) · Journal of Health Psychology · doi:10.1177/1359105310368185 · Cited by 37
BedSAFE: A Bed Safety Project for Frail Older Adults
Hoffman, S. B., Powell‐Cope, G. M., MacClellan, L. R., et al. (2003) · Journal of Gerontological Nursing · doi:10.3928/0098-9134-20031101-09 · Cited by 36
Mehra, R., Stone, K. L., Ancoli‐Israel, S., Litwack‐Harrison, S., Ensrud, K. E., & Redline, S. S. (2008) · SLEEP · doi:10.1093/sleep/31.11.1569 · Cited by 35
Self-citationOutcomes of nighttime physical restraint removal for severely impaired nursing home residents
Capezuti, E., Strumpf, N. E., Evans, L. K., & Maislin, G. (1999) · American Journal of Alzheimer s Disease & Other Dementias® · doi:10.1177/153331759901400302 · Cited by 33
Arginine Vasopressin Levels in Nursing Home Residents with Nighttime Urinary Incontinence
Ouslander, J. G., Nasr, S. Z., Miller, M., Withington, W., Lee, C. S., Wiltshire‐Clement, M., Cruise, P. A., & Schnelle, J. F. (1998) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1998.tb04545.x · Cited by 31
Bliwise, D. L., Rye, D. B., Dihenia, B., & Gurecki, P. (2002) · Journal of Geriatric Psychiatry and Neurology · doi:10.1177/089198870201500202 · Cited by 31
Person-Centered Dementia Care and Sleep in Assisted Living Residents With Dementia: A Pilot Study
Li, J., Grandner, M. A., Chang, Y., Jungquist, C. R., & Porock, D. C. (2015) · Behavioral Sleep Medicine · doi:10.1080/15402002.2015.1104686 · Cited by 30
Alessi, C., Schnelle, J. F., Traub, S., & Ouslander, J. G. (1995) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1995.tb07052.x · Cited by 30
Insomnia: An Ignored Health Problem
Hamblin, J. E. (2007) · Primary Care Clinics in Office Practice · doi:10.1016/j.pop.2007.05.009 · Cited by 27
Nighttime Urinary Incontinence and Sleep Disruption Among Nursing Home Residents
Ouslander, J. G., Buxton, W. G., Al‐Samarrai, N. R., Cruise, P. A., Alessi, C., & Schnelle, J. F. (1998) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1998.tb02467.x · Cited by 26
Nocturnal Activity and Immobility across Aging (50–98 Years) in Healthy Persons
van Hilten, J. J., Middelkoop, H. A. M., Braat, E. A. M., van der Velde, E. A., KERKHOF, G. A., Ligthart, G. J., Wauquier, A., & KAMPHUISEN, H. A. C. (1993) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1993.tb06180.x · Cited by 24
“480 483 480 476 485 512 492 508 (13) (3) (18) (20) (46) (8) (18) (16)”
Lok, R., Ancoli‐Israel, S., Ensrud, K. E., Redline, S. S., Stone, K. L., & Zeitzer, J. M. (2023) · Frontiers in Sleep · doi:10.3389/frsle.2023.1268379 · Cited by 23
Self-citationAssessment and Managment of SLEEP DISORDERS IN THE ELDERLY
Beck-Little, R., & Weinrich, S. (1998) · Journal of Gerontological Nursing · doi:10.3928/0098-9134-19980401-08 · Cited by 22
Developing Architectural Lighting Designs to Improve Sleep in Older Adults
Figueiro, M. G., Saldo, E., Rea, M. S., Kubarek, K., Cunningham, J. M., & Rea, M. S. (2008) · The Open Sleep Journal · doi:10.2174/1874620900801010040 · Cited by 22
“Moreover, adults in nursing homes see as little as 2 minutes a day [29].”
BackgroundPatterns of Sleep Disorders and Sedative Hypnotic Use in Seniors
Mullan, E., Katona, C., & Bellew, M. (1994) · Drugs & Aging · doi:10.2165/00002512-199405010-00005 · Cited by 21
Fong, K. N., Ge, X., Ting, K., Wei, M., & Cheung, H. (2023) · American Journal of Alzheimer's Disease & Other Dementias® · doi:10.1177/15333175231160682 · Cited by 20
“9 10-12 The reasons suggested for sleep disturbance in PwD are not unitary.”
BackgroundMeadows, R. P., Luff, R., Eyers, I., Venn, S., Cope, E., & Arber, S. (2010) · Chronobiology International · doi:10.3109/07420521003797732 · Cited by 20
“Studies have shown that this population experiences prolonged sleep latency (Fetveit & Bjorvatn, 2002), increased fragmentation and wake after sleep onset (Ancoli-Israel et al., 1989), more disturbed circadian rhythms (Ancoli-Israel et al., 1997), and night-day reversal (Ancoli-Israel et al., 2002).”
BackgroundInfluentialSleep Problems in a Racially Diverse Chronic Pain Population
Green, C. R., Ndao-Brumblay, S. K., & Hart-Johnson, T. (2009) · Clinical Journal of Pain · doi:10.1097/ajp.0b013e3181a087aa · Cited by 19
Jean‐Louis, G., Ayappa, I. A., Rapoport, D. M., Zizi, F., Airhihenbuwa, C. O., Okuyemi, K. S., & Ogedegbe, G. G. (2015) · Sleep Medicine · doi:10.1016/j.sleep.2015.09.010 · Cited by 18
Figueiro, M. G., Bierman, A., Bullough, J. D., & Rea, M. S. (2009) · Chronobiology International · doi:10.1080/07420520902927809 · Cited by 17
“It is estimated that in the late years of the disease, AD patients spend approximately 40% of their time at night awake and a significant amount of their daytime hours asleep (Ancoli-Israel et al., 1989; McCurry et al., 2000; Vitiello et al., 1991).”
BackgroundDiagnosis and Treatment of Sleep Disorders in Older Adults
Ancoli‐Israel, S., & Ayalon, L. (2009) · FOCUS The Journal of Lifelong Learning in Psychiatry · doi:10.1176/foc.7.1.foc98 · Cited by 16
Self-citationSymptoms of obstructive sleep apnea in a Caribbean sample
Zizi, F., Jean‐Louis, G., Fernandez, S., von Gizycki, H., Lazar, J., Nunes, J., & Brown, C. D. (2008) · Sleep And Breathing · doi:10.1007/s11325-008-0190-x · Cited by 14
When is nighttime? A description of bedtime in persons with dementia in the nursing home
Harris, M., & Grando, V. T. (2014) · Geriatric Nursing · doi:10.1016/j.gerinurse.2014.06.012 · Cited by 14
Nursing home residents’ self-perceived resources for good sleep
Herrmann, W., & Flick, U. (2011) · Scandinavian Journal of Primary Health Care · doi:10.3109/02813432.2011.628243 · Cited by 14
“Nevertheless, actigraphy studies have clearly evidenced the often fragmented sleep of nursing home residents [7,8,9].”
BackgroundDíaz, J. Á. R., Gamundı́, A., Akaârir, M., Cañellas, F., Rial, R. V., Roig, M. N. B., & Nicolau, M. C. (2017) · Chronobiology International · doi:10.1080/07420528.2017.1356840 · Cited by 14
“Another source of problems lies in the poor nursing practices during nighttime (Ancoli-Israel et al., 1989; Ouslander et al., 1988; Schnelle et al., 1999) and shows the need of developing specific training programs both for residents and caregivers (Midorikawa et al.”
BackgroundInfluentialClassification of Sleep Disorders
Thorpy, M. J. (2005) · Elsevier eBooks · doi:10.1016/b0-72-160797-7/50058-6 · Cited by 15
Ancoli‐Israel, S. (2005) · Elsevier eBooks · doi:10.1016/b0-72-160797-7/50131-2 · Cited by 27
Self-citationEffectiveness of strategies to manage sleep in residents of aged care facilities
Haesler, E. (2004) · JBI Reports · doi:10.1111/j.1479-6988.2004.00010.x · Cited by 13
Metadata
- Authors
- Ancoli-Israel, S., Parker, L., Sinaee, R., Fell, R. L., & Kripke, D. F.
- Affiliations
- Veterans Health Administration (US)
- ORCID
- Kripke, D. F.
- Venue
- Journal of Gerontology
- Publisher
- Oxford University Press (OUP)
- Published
- 1989-01-01
- Volume
- 44
- Issue
- 1
- Pages
- M18-M21
- ISSN
- 0022-1422 (ISSN-L)
- OpenAlex
- W2329419803
- Cited by
- 157
- References
- 0
- Citations by year
- 2025: 2 · 2023: 2 · 2022: 1 · 2021: 3 · 2020: 1 · 2018: 2 · 2017: 4 · 2016: 2 · 2015: 7 · 2014: 2 · 2013: 3 · 2012: 4
- FWCI
- 6.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Gerontology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute for Health and Care Research
- National Institutes of Health
- National Institute on Aging (AG-02711, AG03990)
- National Institute of Mental Health (MH 00117)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Geriatrics and Gerontology › Geriatric Care and Nursing Homes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- sleep fragmentation, institutionalized elderly, nursing home residents, sleep duration, nocturnal awakenings, daytime napping, sleep-wake patterns, older adults
- MeSH terms
- Activity Cycles, Aged, Aged, 80 and over, Bed Rest, Female, Humans, Male, Skilled Nursing Facilities, Sleep, Sleep Wake Disorders, Wakefulness
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