A nonpharmacological approach to improve sleep quality in older adults.
Identifieur interne : 000896 ( Main/Exploration ); précédent : 000895; suivant : 000897A nonpharmacological approach to improve sleep quality in older adults.
Auteurs : Iris Rawtaer [Singapour] ; Rathi Mahendran [Singapour] ; Hui Yu Chan [Singapour] ; Feng Lei [Singapour] ; Ee Heok Kua [Singapour]Source :
- Asia-Pacific psychiatry : official journal of the Pacific Rim College of Psychiatrists [ 1758-5872 ] ; 2018.
Descripteurs français
- KwdFr :
- MESH :
- méthodes : Musicothérapie, Pleine conscience, Tai Chi, Thérapie par l'art.
- physiologie : Vieillissement.
- thérapie : Troubles de la veille et du sommeil.
- Adulte d'âge moyen, Femelle, Humains, Mâle, Sujet âgé, Études de suivi.
English descriptors
- KwdEn :
- MESH :
- methods : Art Therapy, Mindfulness, Music Therapy, Tai Ji.
- physiology : Aging.
- therapy : Sleep Wake Disorders.
- Aged, Female, Follow-Up Studies, Humans, Male, Middle Aged, Outcome Assessment, Health Care.
Abstract
OBJECTIVES
Poor sleep quality is highly prevalent among older adults and is associated with poor quality of life, cognitive and physical decline, depression, and increased mortality. Medication options commonly used are not ideal, and alternative treatment strategies are needed. We evaluate a community-based psychosocial intervention program and its effect on sleep quality in older adults.
METHOD
Elderly participants aged 60 and above were included. Those with Geriatric Depression Scale and Geriatric Anxiety Inventory scores above 5 and 10, respectively, were excluded. The community program included tai chi exercise, art therapy, mindfulness awareness practice, and music reminiscence therapy. Pittsburgh Sleep Quality Index, Geriatric Depression Scale, and Geriatric Anxiety Inventory were administered at baseline and at 1 year.
RESULTS
A hundred and eighty-nine subjects (44 men, 145 women; mean age = 69 years, SD = 5.7, range = 60-89) participated. The proportion of participants with good sleep quality had increased from 58.2% to 64.6%. Sleep disturbance was significantly reduced (baseline, 1.04; postintervention, 0.76; mean difference 0.28; P < .01); men experienced greater improvement (P < .001). Improvements were independent of changes in depressive and anxiety symptoms.
CONCLUSION
Participation in this community program led to positive effects on sleep disturbances after a year. Psychosocial interventions have potential as a nondrug intervention approach for sleep problems, and further research is needed to understand its mediating mechanisms.
DOI: 10.1111/appy.12301
PubMed: 28994200
Affiliations:
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Mahendran</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychological Medicine, National University Hospital, Singapore.</nlm:affiliation><country xml:lang="fr">Singapour</country><wicri:regionArea>Department of Psychological Medicine, National University Hospital</wicri:regionArea><wicri:noRegion>National University Hospital</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.</nlm:affiliation><country xml:lang="fr">Singapour</country><wicri:regionArea>Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore</wicri:regionArea><orgName type="university">Université nationale de Singapour</orgName></affiliation></author><author><name sortKey="Chan, Hui Yu" sort="Chan, Hui Yu" uniqKey="Chan H" first="Hui Yu" last="Chan">Hui Yu Chan</name><affiliation wicri:level="4"><nlm:affiliation>Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.</nlm:affiliation><country xml:lang="fr">Singapour</country><wicri:regionArea>Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore</wicri:regionArea><orgName type="university">Université nationale de Singapour</orgName></affiliation></author><author><name sortKey="Lei, Feng" sort="Lei, Feng" uniqKey="Lei F" first="Feng" last="Lei">Feng Lei</name><affiliation wicri:level="4"><nlm:affiliation>Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.</nlm:affiliation><country xml:lang="fr">Singapour</country><wicri:regionArea>Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore</wicri:regionArea><orgName type="university">Université nationale de Singapour</orgName></affiliation></author><author><name sortKey="Kua, Ee Heok" sort="Kua, Ee Heok" uniqKey="Kua E" first="Ee Heok" last="Kua">Ee Heok Kua</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychological Medicine, National University Hospital, Singapore.</nlm:affiliation><country xml:lang="fr">Singapour</country><wicri:regionArea>Department of Psychological Medicine, National University Hospital</wicri:regionArea><wicri:noRegion>National University Hospital</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.</nlm:affiliation><country xml:lang="fr">Singapour</country><wicri:regionArea>Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore</wicri:regionArea><orgName type="university">Université nationale de Singapour</orgName></affiliation></author></analytic><series><title level="j">Asia-Pacific psychiatry : official journal of the Pacific Rim College of Psychiatrists</title><idno type="eISSN">1758-5872</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term><term>Aging (physiology)</term><term>Art Therapy (methods)</term><term>Female (MeSH)</term><term>Follow-Up Studies (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Mindfulness (methods)</term><term>Music Therapy (methods)</term><term>Outcome Assessment, Health Care (MeSH)</term><term>Sleep Wake Disorders (therapy)</term><term>Tai Ji (methods)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Musicothérapie (méthodes)</term><term>Mâle (MeSH)</term><term>Pleine conscience (méthodes)</term><term>Sujet âgé (MeSH)</term><term>Tai Chi (méthodes)</term><term>Thérapie par l'art (méthodes)</term><term>Troubles de la veille et du sommeil (thérapie)</term><term>Vieillissement (physiologie)</term><term>Études de suivi (MeSH)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Art Therapy</term><term>Mindfulness</term><term>Music Therapy</term><term>Tai Ji</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Musicothérapie</term><term>Pleine conscience</term><term>Tai Chi</term><term>Thérapie par l'art</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Vieillissement</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Aging</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Sleep Wake Disorders</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Troubles de la veille et du sommeil</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Outcome Assessment, Health Care</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Sujet âgé</term><term>Études de suivi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>Poor sleep quality is highly prevalent among older adults and is associated with poor quality of life, cognitive and physical decline, depression, and increased mortality. Medication options commonly used are not ideal, and alternative treatment strategies are needed. We evaluate a community-based psychosocial intervention program and its effect on sleep quality in older adults.</p></div><div type="abstract" xml:lang="en"><p><b>METHOD</b></p><p>Elderly participants aged 60 and above were included. Those with Geriatric Depression Scale and Geriatric Anxiety Inventory scores above 5 and 10, respectively, were excluded. The community program included tai chi exercise, art therapy, mindfulness awareness practice, and music reminiscence therapy. Pittsburgh Sleep Quality Index, Geriatric Depression Scale, and Geriatric Anxiety Inventory were administered at baseline and at 1 year.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>A hundred and eighty-nine subjects (44 men, 145 women; mean age = 69 years, SD = 5.7, range = 60-89) participated. The proportion of participants with good sleep quality had increased from 58.2% to 64.6%. Sleep disturbance was significantly reduced (baseline, 1.04; postintervention, 0.76; mean difference 0.28; P < .01); men experienced greater improvement (P < .001). Improvements were independent of changes in depressive and anxiety symptoms.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Participation in this community program led to positive effects on sleep disturbances after a year. Psychosocial interventions have potential as a nondrug intervention approach for sleep problems, and further research is needed to understand its mediating mechanisms.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28994200</PMID><DateCompleted><Year>2018</Year><Month>10</Month><Day>03</Day></DateCompleted><DateRevised><Year>2019</Year><Month>12</Month><Day>10</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1758-5872</ISSN><JournalIssue CitedMedium="Internet"><Volume>10</Volume><Issue>2</Issue><PubDate><Year>2018</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Asia-Pacific psychiatry : official journal of the Pacific Rim College of Psychiatrists</Title><ISOAbbreviation>Asia Pac Psychiatry</ISOAbbreviation></Journal><ArticleTitle>A nonpharmacological approach to improve sleep quality in older adults.</ArticleTitle><Pagination><MedlinePgn>e12301</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/appy.12301</ELocationID><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">Poor sleep quality is highly prevalent among older adults and is associated with poor quality of life, cognitive and physical decline, depression, and increased mortality. Medication options commonly used are not ideal, and alternative treatment strategies are needed. We evaluate a community-based psychosocial intervention program and its effect on sleep quality in older adults.</AbstractText><AbstractText Label="METHOD" NlmCategory="METHODS">Elderly participants aged 60 and above were included. Those with Geriatric Depression Scale and Geriatric Anxiety Inventory scores above 5 and 10, respectively, were excluded. The community program included tai chi exercise, art therapy, mindfulness awareness practice, and music reminiscence therapy. Pittsburgh Sleep Quality Index, Geriatric Depression Scale, and Geriatric Anxiety Inventory were administered at baseline and at 1 year.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A hundred and eighty-nine subjects (44 men, 145 women; mean age = 69 years, SD = 5.7, range = 60-89) participated. The proportion of participants with good sleep quality had increased from 58.2% to 64.6%. Sleep disturbance was significantly reduced (baseline, 1.04; postintervention, 0.76; mean difference 0.28; P < .01); men experienced greater improvement (P < .001). Improvements were independent of changes in depressive and anxiety symptoms.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Participation in this community program led to positive effects on sleep disturbances after a year. Psychosocial interventions have potential as a nondrug intervention approach for sleep problems, and further research is needed to understand its mediating mechanisms.</AbstractText><CopyrightInformation>© 2017 John Wiley & Sons Australia, Ltd.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Rawtaer</LastName><ForeName>Iris</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Department of Psychological Medicine, National University Hospital, Singapore.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mahendran</LastName><ForeName>Rathi</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Psychological Medicine, National University Hospital, Singapore.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chan</LastName><ForeName>Hui Yu</ForeName><Initials>HY</Initials><AffiliationInfo><Affiliation>Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lei</LastName><ForeName>Feng</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kua</LastName><ForeName>Ee Heok</ForeName><Initials>EH</Initials><AffiliationInfo><Affiliation>Department of Psychological Medicine, National University Hospital, Singapore.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>10</Month><Day>10</Day></ArticleDate></Article><MedlineJournalInfo><Country>Australia</Country><MedlineTA>Asia Pac Psychiatry</MedlineTA><NlmUniqueID>101506757</NlmUniqueID><ISSNLinking>1758-5864</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000375" MajorTopicYN="N">Aging</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001155" MajorTopicYN="N">Art Therapy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D064866" MajorTopicYN="N">Mindfulness</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009147" MajorTopicYN="N">Music Therapy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017063" MajorTopicYN="Y">Outcome Assessment, Health Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012893" MajorTopicYN="N">Sleep Wake 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PubStatus="pubmed"><Year>2017</Year><Month>10</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>10</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>10</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28994200</ArticleId><ArticleId IdType="doi">10.1111/appy.12301</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Singapour</li></country><orgName><li>Université nationale de Singapour</li></orgName></list><tree><country name="Singapour"><noRegion><name sortKey="Rawtaer, Iris" sort="Rawtaer, Iris" uniqKey="Rawtaer I" first="Iris" last="Rawtaer">Iris Rawtaer</name></noRegion><name sortKey="Chan, Hui Yu" sort="Chan, Hui Yu" uniqKey="Chan H" first="Hui Yu" last="Chan">Hui Yu Chan</name><name sortKey="Kua, Ee Heok" sort="Kua, Ee Heok" uniqKey="Kua E" first="Ee Heok" last="Kua">Ee Heok Kua</name><name sortKey="Kua, Ee Heok" sort="Kua, Ee Heok" uniqKey="Kua E" first="Ee Heok" last="Kua">Ee Heok Kua</name><name sortKey="Lei, Feng" sort="Lei, Feng" uniqKey="Lei F" first="Feng" last="Lei">Feng Lei</name><name sortKey="Mahendran, Rathi" sort="Mahendran, Rathi" uniqKey="Mahendran R" first="Rathi" last="Mahendran">Rathi Mahendran</name><name sortKey="Mahendran, Rathi" sort="Mahendran, Rathi" uniqKey="Mahendran R" first="Rathi" last="Mahendran">Rathi Mahendran</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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