The DOI matches its Crossref record.
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.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“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
Citations
Cited by
Sorted by citations
Items 101–158 of 158
Lin, J. L., & Armour, D. J. (2004) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2004.04.015 · Cited by 12
Subjective evaluation of sleep and the use of hypnotics in nursing homes
Seppälä, M., Rajala, T., & Sourander, L. (1993) · Aging Clinical and Experimental Research · doi:10.1007/bf03324155 · Cited by 12
Pirooznia, S. K., & Elefant, F. (2013) · Fly · doi:10.4161/fly.24141 · Cited by 12
Beh‐Pajooh, A., & Soleymani, S. (2016) · Salmand · doi:10.21859/sija-110172 · Cited by 11
Zhang, S., & Sehgal, A. (2018) · Elsevier eBooks · doi:10.1016/b978-0-12-812536-6.00011-0 · Cited by 12
Elimination of the Causes of Poor Sleep Underlying Delirium is a Basic Strategy to Prevent Delirium
Enomoto, R., & Lee, E. (2020) · Current Molecular Pharmacology · doi:10.2174/1874467213666200424150709 · Cited by 10
Development of Melatonin Analogs
Delagrange, P., Renard, P., Caignard, D. H., et al. (1995) · Springer eBooks · doi:10.1007/978-1-4615-1911-9_13 · Cited by 10
Kollarik, S., Moreira, C. G., Dias, I., Bimbiryte, D., Miladinovic, D., Buhmann, J. M., Baumann, C. R., & Noaín, D. (2022) · Neurodegenerative Diseases · doi:10.1159/000527786 · Cited by 9
Kripke, D. F., Ancoli‐Israel, S., Fell, R. L., Mason, W. J., Klauber, M. R., & Kaplan, O. J. (1991) · Springer eBooks · doi:10.1007/978-3-642-76034-1_62 · Cited by 10
Self-citationGordon, A. L., & Gladman, J. R. F. (2010) · Reviews in Clinical Gerontology · doi:10.1017/s0959259810000250 · Cited by 9
Sleep-Related Breathing Disorders in the Elderly
Stone, K. L., & Redline, S. S. (2006) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2006.04.003 · Cited by 7
Medical care of the elderly in the nursing home
Starer, P., & Libow, L. S. (1992) · Journal of General Internal Medicine · doi:10.1007/bf02598095 · Cited by 8
Liu, L., & Ancoli‐Israel, S. (2006) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2006.06.001 · Cited by 8
Self-citationNursing home residents' psychological barriers to sleeping well: a qualitative study
Herrmann, W., & Flick, U. (2012) · Family Practice · doi:10.1093/fampra/cmr125 · Cited by 8
Satlin, A. (1994) · Psychiatric Annals · doi:10.3928/0048-5713-19940401-08 · Cited by 7
Sleep disorders in neurodegenerative diseases other than Parkinson's disease
Auger, R. R., & Boeve, B. F. (2010) · Handbook of clinical neurology · doi:10.1016/b978-0-444-52007-4.00020-5 · Cited by 7
Diurnal blood pressure patterns in long-term care settings
Ice, G. H., James, G. D., & Crews, D. E. (2002) · Blood Pressure Monitoring · doi:10.1097/00126097-200204000-00003 · Cited by 6
Measuring Daytime Drowsiness in Nursing Home Residents: The MSLT-NH
Alessi, C., Schnelle, J. F., Al‐Samarrai, N. R., et al. (2000) · Journal of Clinical Geropsychology · doi:10.1023/a:1009543014436 · Cited by 6
Okamoto-Mizuno, K., Yokoya, T., & Kudoh, Y. (2000) · Journal of PHYSIOLOGICAL ANTHROPOLOGY and Applied Human Science · doi:10.2114/jpa.19.53 · Cited by 6
“The incidence of complaints and poor sleep is higher in nursing home (NH) residents (Cohnen et al., 1983; Ancoli-Israel et al., 1989; Middlekoop et al., 1994) than in community-dwelling aged and 75% of NH residents suffer from poor sleep (Gentili et al.”
BackgroundHoch, C. C., Buysse, D. J., Monk, T. H., & Reynolds, C. F. (1992) · Elsevier eBooks · doi:10.1016/b978-0-12-101277-9.50024-3 · Cited by 7
Circadian Rhythm Alterations with Aging
Naylor, E., & Zee, P. C. (2006) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2006.04.006 · Cited by 5
Classification of Sleep Disorders
Thorpy, M. J. (2011) · Elsevier eBooks · doi:10.1016/b978-1-4160-6645-3.00060-8 · Cited by 5
Sleep in residential aged care: A review of the literature
Dowson, L., Moore, K. J., Tinney, J., Ledgerwood, K., & Dow, B. (2012) · Australian journal of advanced nursing · doi:10.37464/2012.294.1650 · Cited by 5
“Environmental factors such as noise from staff and other residents, inappropriate lighting and temperature, and nighttime nursing care can disturb sleep (Ancoli‑Israel et al 1989).”
BackgroundSleep Disturbances in Nursing Home Patients
Fiorentino, L., & Ancoli‐Israel, S. (2006) · Sleep Medicine Clinics · doi:10.1016/j.jsmc.2006.04.002 · Cited by 5
Self-citationBjörkstén, K. S., Basun, H., & Wetterberg, L. (1995) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.930100205 · Cited by 4
“1992) and nursing home patients (Ancoli-Israel et al., 1989) in accordance with EEG studies.”
ResultSpiegel, R. (1992) · Springer eBooks · doi:10.1007/978-3-642-75733-4_14 · Cited by 4
Schlafstörungen bei psychiatrischen Erkrankungen
Giedke, H. (1990) · Springer eBooks · doi:10.1007/978-3-642-84063-0_10 · Cited by 3
Le sommeil et ses troubles chez le sujet âgé
Nguyen‐Michel, V., Lâm, X., & Sebban, C. (2010) · L information psychiatrique · doi:10.1684/ipe.2010.0574 · Cited by 3
“Le sujet passe souvent trop de temps au lit (en moyen plus de 13 heures par jour) [23] et a un sommeil fragmenté [7].”
BackgroundChoi, Y.-S. (2013) · Journal of The Korea Institute of Healthcare Architecture · doi:10.15682/jkiha.2013.19.3.007 · Cited by 3
Muzet, A. G. (2006) · Sleep Disorders · doi:10.1201/b14948-7 · Cited by 3
Ancoli‐Israel, S., Pat-Horencyzk, R., & Martin, J. L. (1998) · Comprehensive Clinical Psychology · doi:10.1016/b0080-4270(73)00075-4 · Cited by 9
Self-citationGiménez‐Llort, L., Santana-Santana, M., Ratia, M., Pérez, B., Camps, P., Muñoz‐Torrero, D., Badı́a, A., & Clos, M. V. (2021) · Brain Sciences · doi:10.3390/brainsci11040426 · Cited by 3
Effectiveness of strategies to manage sleep in residents of aged care facilities
Haesler, E. (2004) · The JBI Database of Systematic Reviews and Implementation Reports · doi:10.11124/01938924-200402040-00001 · Cited by 3
Sleep Disturbances of Community Elderly in Korea
Oh, J. J. (2002) · Daehan ganho haghoeji · doi:10.4040/jkan.2002.32.7.992 · Cited by 2
Effectiveness of strategies to manage sleep in residents of aged care facilities
Haesler, E. (2004) · International Journal of Evidence-Based Healthcare · doi:10.1097/01258363-200405000-00001 · Cited by 2
Sleep-Related Breathing Disorders in the Elderly
Cooke, J. R., & Ancoli‐Israel, S. (2006) · KARGER eBooks · doi:10.1159/000093170 · Cited by 1
Self-citationUnderstanding Stress, Immunity, and Sleep Disturbances in Caregivers of Persons with Dementia
Lehman, B. (2008) · University of Florida Digital Collections (University of Florida) · Cited by 1
Classification of Sleep Disorders
Thorpy, M. J. (2009) · Elsevier eBooks · doi:10.1016/b978-0-7506-7584-0.00020-3 · Cited by 1
Sleep-Prolonging Effect of Memantine for Short Periods and Low Doses
Mori, K., Yoshida, M., Tomita, K., Nakamura, M., & Yoshimura, T. (2021) · Neuroscience and Behavioral Physiology · doi:10.1007/s11055-021-01161-8 · Cited by 1
“Especially in AD, neurodegeneration reduces sleep effi ciency and increases nocturnal arousal [6, 7].”
BackgroundEffectiveness of strategies to manage sleep in residents of aged care facilities
Haesler, E. (2004) · JBI Library of Systematic Reviews · doi:10.11124/jbisrir-2004-377 · Cited by 1
Jean‐Louis, G., Zizi, F., Casimir, G., et al. (2006) · Sleep Disorders · doi:10.1201/b14948-3 · Cited by 1
Sleep disturbance and sedative/hypnotic use by elderly in nursing homes.
Salvio, M.-A. (1992) · UA Campus Repository (The University of Arizona) · Cited by 1
Cohen‐Zion, M., & Ancoli‐Israel, S. (2005) · Handbook of clinical neurophysiology · doi:10.1016/s1567-4231(09)70045-0
Self-citationBeizer, J. L. (1995) · Journal of Pharmacy Practice · doi:10.1177/089719009500800504
Managing patients who have sleep disorders
King, M. A. (2005) · Independent Nurse · doi:10.12968/indn.2005.1.12.73953
Martí, S. (2001) · TDX (Tesis Doctorals en Xarxa)
Issues of Validity in Actigraphic Sleep Assessment COMMENTARY
Tryon, W. W. (2004)
Community pharmacy promoting appropriate sedative use in aged care: 'the RedUSe' project
Westbury, J. (2009) · eCite Digital Repository (University of Tasmania)
ENRIQUECIMIENTO AMBIENTAL EN RATONES 3xTgAD
Alzheimer, M. D. (2011)
Effects of the Nursing Home System on Subjective Sleep Quality and Bed Climate of Residents
Okamoto-Mizuno, K., Yokoya, T., & Kudoh, Y. (2000) · Journal of home economics · doi:10.11428/jhej1987.51.223
Martin, J. L., Alam, T., & Alessi, C. (2007) · Elsevier eBooks · doi:10.1016/b978-032303930-7.50038-9
Insomnia and Clinical Sleep Disturbance
Cassidy‐Eagle, E. L. (2015) · Springer eBooks · doi:10.1007/978-981-287-080-3_59-1
“(Ancoli-Israel et al. 1989).”
Clasificación de los trastornos del sueño
Thorpy, M. J. (2011) · Elsevier eBooks · doi:10.1016/b978-84-8086-733-7.00020-6
Insomnia and Clinical Sleep Disturbance
Cassidy‐Eagle, E. L. (2017) · Springer eBooks · doi:10.1007/978-981-287-082-7_59
Sleep Disturbance and Insomnia
Cassidy‐Eagle, E. L., Siebern, A. T., & Martin, J. L. (2015) · The Encyclopedia of Adulthood and Aging · doi:10.1002/9781118521373.wbeaa111 · Cited by 1
Being in the right place at the right time
Ancoli‐Israel, S. (2025) · SLEEP Advances · doi:10.1093/sleepadvances/zpaf033
Self-citationSleep Disorders in the Elderly
Amidi, A., Ancoli‐Israel, S., Maglione, J. E., & Wu, L. M. (2025) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780197602751.013.27
Self-citationJohnson, D. E. (1991) · UA Campus Repository (The University of Arizona)
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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
