Insomnia in Community‐Living Persons with Advanced Age

• Published in: Journal of the American Geriatrics Society (JAGS) 2018-08, Vol.66 (8), p.1592-1597
• Main Authors: Miner, Brienne, Gill, Thomas M., Yaggi, H. Klar, Redeker, Nancy S., Van Ness, Peter H., Han, Ling, Fragoso, Carlos A. Vaz
• Format: Article
• Language: English
• Subjects: Age; Aged, 80 and over; aging; Cardiovascular diseases; Cognitive ability; Cross-Sectional Studies; depression; Depression - epidemiology; Depression - psychology; Discordance; epidemiology; Female; Geriatric Assessment; Health risk assessment; Humans; Independent Living - statistics & numerical data; Insomnia; Lung diseases; Male; Mental depression; Obesity; Odds Ratio; Older people; Prevalence; Regression analysis; Restless legs syndrome; Restless Legs Syndrome - epidemiology; Restless Legs Syndrome - psychology; Severity of Illness Index; Sleep and wakefulness; Sleep disorders; Sleep Initiation and Maintenance Disorders - epidemiology; Sleep Initiation and Maintenance Disorders - psychology; Smoking
• ISSN: 0002-8614; 1532-5415
• DOI: 10.1111/jgs.15414

Objective To evaluate the epidemiology of insomnia, including demographic and clinical correlates, in older adults. Design Cross‐sectional. Setting Community. Participants Yale Precipitating Events Project participants (N=379; mean age 84.3; 67.8% female; 11.9% African American). Measurements Insomnia Severity Index (ISI), with scores of 8 and higher indicating insomnia, which was further stratified according to ISI score as mild (8–14), moderate (15–21), or severe (22–28). Baseline characteristics included age, sex, race, education, smoking, obesity, medical conditions, depressive symptoms (Center for Epidemiologic Studies Depression score ≥16), cognitive impairment (Mini‐Mental State Examination score