Poor sleep quality in aging: the association with mental health
Open accessAbstract
Sleep disturbances are common in the elderly. A primary sleep disorder can result from the physiological decline of aging; however, secondary sleep problems result from various causes involving physical and mental health. Since little is known about the relationships between sleep quality and mental health in aging, the present study aims to understand how different aspects generally associated with sleep (e.g., psychological and physiological factors, and sleep medication) may predict poor sleep quality in different stages of the lifespan. Therefore, we conducted several analyses (ANOVAs, Pearson correlations, and linear regressions) to test the hypotheses of the study. Accordingly, from a pool of 180 participants (elderly, middle-aged, and young adults), 143 individuals with poor sleep quality were selected. Different predictive patterns in the three groups emerged. Specifically, the use of sleep medication associated with worse sleep conditions is predicted by poor sleep quality in the elderly and by depression in young adults. In contrast, worsening sleep quality is predicted by depression in middle-aged adults. Previous studies focused on the transitions from good to poor sleep quality, while this is the first study to have examined the features of poor sleep quality in aging, highlighting different sleep patterns across the lifespan. This evidence should be considered from a preventive perspective.
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These challenges are usually interconnected and can severely impact an ageing individual's daily functioning, quality of life, and health span.
“These challenges are usually interconnected and can severely impact an ageing individual's daily functioning, quality of life (QoL), and health span [5, 6].”
From Ocular light exposure interventions for sleep, circadian rhythms, rest-activity cycles, mood, and cognitive function in older adults: An Overview of Cochrane and non-Cochrane Systematic Reviews (2025) · cites this paper as [5]
The Introduction links sleep quality with mental and physical health, daily activities, and quality of life, and describes mental health’s role in functional decline. The Conclusions also suggest that better sleep quality would benefit health in aging. Neither section establishes an effect on health span or the claimed severity of the impact. (LLM, conf=0.84)
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- Authors
- Corbo, I., Forte, G., Favieri, F., & Casagrande, M.
- Affiliations
- Sapienza University of Rome (IT)
- Fondazione Santa Lucia (IT)
- Corresponding author
- Corbo, Ilaria
- Casagrande, Maria
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2023-01-17
- Volume
- 20
- Issue
- 3
- Pages
- 1661
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC9914898
- OpenAlex
- W4316672783
- Cited by
- 45
- References
- 68
- Citations by year
- 2026: 10 · 2025: 19 · 2024: 11 · 2023: 5
- FWCI
- 11.61
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion, cc-by)
- 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 › Obstructive Sleep Apnea Research
- Keywords
- poor sleep quality, aging, mental health, depression, sleep disorders, sleep medication, lifespan differences, middle-aged adults, older adults, young adults
- MeSH terms
- Sleep Quality, Aged, Aging, Depression, Humans, Sleep Initiation and Maintenance Disorders, Mental Health, Middle Aged, Sleep, Sleep Wake Disorders, Young Adult
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