Subclinical anxiety symptoms, sleep, and daytime dysfunction in older adults with primary insomnia

Adam P. Spira, Leah Friedman, Jasdeep S. Aulakh, Tina Lee, Javaid I. Sheikh, Jerome A. Yesavage

Research output: Contribution to journalArticlepeer-review

Abstract

"Both Insomnia complaints and anxiety-related distress are common in older adults, and are associated with poor daytime functioning. We investigated whether subclinical levels of anxiety were associated with sleep disturbance and daytime functioning in older adults who met diagnostic criteria for primary insomnia, and therefore but did not meet criteria for depression or an anxiety disorder. After adjustment for depressive symptoms, elevated state anxiety was associated with higher levels of wake after sleep onset (measured by both actigraphy and sleep log) and and shorter sleep sleep onset latency (measured by sleep log). Higher levels of trait anxiety were associated with greater wake after sleep onset (measured by sleep log). Elevated state and trait anxiety were associated with worse and social functioning, and higher levels of trait anxiety were associated with worse role functioning. Thus, subclinical anxiety symptoms may be an important target for clinical intervention to improve sleep and functioning in older adults with primary insomnia".

Original languageEnglish (US)
Pages (from-to)56-60
Number of pages5
JournalJournal of Geriatric Psychiatry and Neurology
Volume21
Issue number1
DOIs
StatePublished - Mar 2008
Externally publishedYes

Keywords

  • Anxiety
  • Depression
  • Insomnia actigraphy

ASJC Scopus subject areas

  • Clinical Neurology
  • Geriatrics and Gerontology
  • Psychiatry and Mental health

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