A psychological pathway from insomnia to depression among older adults

2013 ◽  
Vol 25 (8) ◽  
pp. 1375-1383 ◽  
Author(s):  
Paul Sadler ◽  
Suzanne McLaren ◽  
Megan Jenkins
Keyword(s):  
Older Adults ◽  
Independent Living ◽  
Community Sample ◽  
Path Model ◽  
Self Report ◽  
Dysfunctional Beliefs ◽  
Psychological Mechanisms ◽  
Obstructive Sleep ◽  
The Relationship ◽  
Dysfunctional Beliefs About Sleep

ABSTRACTBackground: Higher levels of insomnia predict greater depression severity among older adults; however, the psychological mechanisms underlying this relationship are unclear. This study tested a path model that explored whether dysfunctional beliefs about sleep and hopelessness mediated the relationship from insomnia to depression. It was hypothesized that insomnia would predict depression, both directly and indirectly, via dysfunctional beliefs about sleep and hopelessness.Methods: A community sample of 218 independent-living Australian older adults aged from 65 to 96 years completed a self-report questionnaire package. From the initial 218 participants, 171 completed a measure of depression three months later.Results: Path analysis demonstrated that maladaptive sleep beliefs and hopelessness partly explained how insomnia influenced depression, irrespective of the presence of obstructive sleep apnea and/or restless legs syndrome.Conclusions: An older adult's beliefs about sleep and sense of hopelessness were important psychological factors that helped explain how insomnia related to depression.

scholarly journals The Relationship between Adverse Childhood Experiences and Sleep Problems among Adolescent Students: Mediation by Depression or Anxiety

2020 ◽  
Vol 18 (1) ◽  
pp. 236
Author(s):  
E-Jin Park ◽  
Shin-Young Kim ◽  
Yeeun Kim ◽  
Dajung Sung ◽  
Bora Kim ◽  
...  
Keyword(s):  
Adverse Childhood Experiences ◽  
Sleep Problems ◽  
Short Form ◽  
Community Sample ◽  
Mediating Effect ◽  
Self Report ◽  
Depression And Anxiety ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
The Relationship

Adverse childhood experiences (ACEs) are known to be closely related to depression, anxiety and sleep problems. However, it remains unclear whether adolescents with ACEs have sleep problems regardless of depression or anxiety or under a mediating effect from depression or anxiety. Therefore, our aim was to examine whether depression or anxiety mediates the relationship between ACEs and sleep problems in adolescents by using a community sample. The Early Trauma Inventory Self Report–Short Form (ETISR-SF) and List of Threatening Experiences Questionnaire (LTE-Q) were used to assess traumatic ACEs. Ultimately, data from 737 students (M = 448, F = 289, 15.1 ± 1.4 years old) were included in the statistical analysis. A total of 576 (78.1%) participants reported that they had experienced one or more ACEs. Adolescents with ACEs had higher levels of depression, anxiety and sleep problems than did adolescents without ACEs, and boys tended to experience more trauma than girls. Depression and anxiety partially mediated the relationship between ACEs and sleep problems. The results of this study suggest the need for depression and anxiety interventions for adolescents with ACEs to reduce the long-term consequences, including sleep problems and physical health problems.

Mobility among older adults: Deconstructing the effects of motility and movement on wellbeing

Urban Studies ◽  
2019 ◽  
Vol 57 (2) ◽  
pp. 383-401 ◽  
Author(s):  
Timothée Cuignet ◽  
Camille Perchoux ◽  
Geoffrey Caruso ◽  
Olivier Klein ◽  
Sylvain Klein ◽  
...  
Keyword(s):  
Older Adults ◽  
Independent Living ◽  
Structural Equation ◽  
Human Potential ◽  
Daily Mobility ◽  
Complementary Role ◽  
Stratified Sample ◽  
Complex Relationships ◽  
The Relationship ◽  
Eudaimonic Wellbeing

Daily mobility has been shown to contribute to the wellbeing of older adults, as it promotes healthy and independent living. However, very little is known about how the complex relationships between locations, geographic environments and daily mobility relate to wellbeing. In the current paper, we rely on the concept of ‘motility’– defined as potential mobility– and the concept of ‘movement’– defined as actual mobility– to take a step forwards in disentangling the relationship between mobility and wellbeing. We further examine how both motility and movement relate to two complementary definitions of wellbeing: hedonic wellbeing as a measurement of happiness, and eudaimonic wellbeing as the actualisation of an individual’s human potential. To investigate this relationship, we draw up a conceptual framework stressing pathways linking mobility to wellbeing, which we empirically test using structural equation modelling on a stratified sample of 470 older adults. We first quantitatively confirm that motility is defined by access, competences, appropriation and attitudes to modes of transportation. We then observe that motility has direct effects on eudaimonic wellbeing and, to a lesser extent, on hedonic wellbeing. Part of the motility effects on wellbeing are mediated by movement. Separating mobility into motility and movement stresses the independent and complementary role that potential and realised mobility play in shaping older adults’ wellbeing.

scholarly journals BROODING MODERATES THE RELATIONSHIP BETWEEN CEREBROVASCULAR BURDEN AND VASCULAR DEPRESSION

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S877-S878
Author(s):  
Manuel Herrera Legon ◽  
Daniel Paulson
Keyword(s):  
Older Adults ◽  
Depressive Symptomatology ◽  
Depression Scale ◽  
Late Life ◽  
Community Dwelling ◽  
Self Report ◽  
Future Research ◽  
Late Life Depression ◽  
Vascular Depression ◽  
The Relationship

Abstract Objective: The vascular depression hypothesis posits that cerebrovascular burden confers risk for late-life depression. Though neuroanatomical correlates of vascular depression (prefrontal white matter hyperintensities) are well established, little is known about cognitive correlates; the identification of which may suggest therapeutic targets. Aims of this study are to examine the hypothesis that the relationship between cerebrovascular burden and depressive symptoms is moderated by brooding, a type of rumination. Method: A sample of 52 community-dwelling, stroke-free, individuals over the age of 70, without history of severe mental illness or dementia completed the Ruminative Responses Scale, and provided self-report (cardiac disease, hypertension, diabetes, high cholesterol) CVB data. The Geriatric Depression Scale was used to assess depressive symptomatology. Results: Results of a bootstrapped model were that self-reported measures of CVB predicted depressive symptomatology. This relationship was significantly moderated by brooding. Among older adults, those who self-reported high CVB and medium to elevated levels of rumination experienced disproportionately more depressive symptomatology. Conclusions: These findings suggest that brooding rumination may be one correlate of the vascular depression syndrome. Future research should examine neuroanatomical correlates of rumination among older adults, and further explore brooding as a therapeutic target for those with late-life depression.

scholarly journals Food Insecurity and Eating Pathology in Adolescents

2021 ◽  
Vol 18 (17) ◽  
pp. 9155
Author(s):  
Brittany H. Kim ◽  
Lisa Ranzenhofer ◽  
Jill Stadterman ◽  
Yvette G. Karvay ◽  
Natasha L. Burke
Keyword(s):  
Binge Eating ◽  
Food Insecurity ◽  
Clinical Sample ◽  
Community Sample ◽  
Eating Pathology ◽  
Self Report ◽  
Significant Relationships ◽  
Episode Frequency ◽  
Ecological Momentary ◽  
The Relationship

Adolescence is a critical period for the emergence of eating disorders, and food insecurity may be related to eating pathology and weight, as evidenced in adults. However, little is known about food insecurity and eating pathology during this developmental period, and associations between food insecurity and body mass index (BMI) are mixed. Therefore, we examined associations between food insecurity and BMI percentile, self-reported eating-related pathology and binge eating, and subgroup differences by race/ethnicity. In a subset, we examined the relationship between food insecurity and real-world hunger, food craving, and loss-of-control eating using ecological momentary assessment (EMA). Fifty-eight adolescents at two sites (clinical sample, n = 38, BMI percentile ≥ 70th; community sample, n = 20, all BMI strata) completed self-report questionnaires. Adolescents were 15.2 ± 2.1 years old, 62% female, 50% Black, 34.5% Hispanic, with BMI percentile = 80.5 ± 25.8 (range 4–99). In the full sample, food insecurity was associated with greater BMI (p < 0.01), higher shape/weight overvaluation (p = 0.04), and greater number of binge eating episodes among those reporting at least one binge episode (p < 0.01), with significant relationships for BMI percentile, shape/weight overvaluation, body dissatisfaction, and binge episode frequency among Hispanic adolescents only (each p < 0.01). As in adults, food insecurity may be a risk factor for eating pathology, particularly for Hispanic teens.

scholarly journals Associations between inattention and impulsivity ADHD symptoms and disordered eating risk in a community sample of young adults

2020 ◽  
pp. 1-10
Author(s):  
E. Martin ◽  
C. T. Dourish ◽  
R. Hook ◽  
S. R. Chamberlain ◽  
S. Higgs
Keyword(s):  
Young Adults ◽  
Disordered Eating ◽  
Risk Model ◽  
Community Sample ◽  
Self Report ◽  
Adhd Symptoms ◽  
Cross Sectional ◽  
The Third ◽  
Trait Impulsivity ◽  
The Relationship

Abstract Background Symptoms of attention deficit hyperactivity disorder (ADHD) and trait impulsivity have been associated with disordered eating but are seldom assessed in community studies, or longitudinally and little is known about the mediating mechanisms. Methods We tested associations between ADHD symptoms and disordered eating cross-sectionally and between trait impulsivity and disordered eating longitudinally. We utilised data from a normative cohort of young adults (642 participants: 65% female, Mage = 23 years). Participants were classified as high risk or low risk for disordered eating using the SCOFF instrument. In the first two steps of both cross-sectional and longitudinal hierarchical logistic regression models, demographics and covariates were entered. For the cross-sectional regression, Adult ADHD self-report scale (ASRS) scores, separated into inattentive and hyperactive/impulsive symptoms, were entered in the third step. In a separate longitudinal model, Barratt impulsivity scale subscales (attentional, motor and non-planning impulsivity) were entered in the third step. Depression, as assessed by the moods and feelings questionnaire (MFQ), was examined as a mediator. Results Cross-sectionally, sex, MFQ score and inattentive symptoms predicted disordered eating risk (model R2 = 20%). Longitudinally, sex, MFQ score and attentional impulsivity predicted disordered eating risk (model R2 = 16%). The relationship between inattentive symptoms and the disordered eating risk was partially mediated by MFQ score, whereas the relationship between attentional impulsivity and the disordered eating risk was fully mediated by MFQ scores. Conclusions These data highlight (1) a specific role for inattentive symptoms of ADHD and (2) the importance of both depression and impulsivity in predicting eating disorder risk.

scholarly journals Vision Impairment and Participation in Cognitively Stimulating Activities: The Health ABC Study

2020 ◽  
Author(s):  
Varshini Varadaraj ◽  
Beatriz Munoz ◽  
Eleanor M Simonsick ◽  
Bonnielin K Swenor
Keyword(s):  
Older Adults ◽  
Visually Impaired ◽  
Statistical Significance ◽  
Self Report ◽  
Longitudinal Models ◽  
Body Composition Study ◽  
Health Aging ◽  
Cognitive Activities ◽  
The Relationship ◽  
Stereo Acuity

Abstract Background Engagement in cognitively stimulating activities is associated with decreased rates of cognitive decline in older adults. However, most cognitively stimulating tasks require good vision, potentially affecting the ability of visually impaired adults to engage in these activities. We examined the relationship between vision and participation in cognitively stimulating activities. Method Data from the Health, Aging, and Body Composition study (1999–2005) were analyzed. Associations between visual function (visual acuity [VA], contrast sensitivity [CS], and stereo acuity [SA] impairments) and annual rates of change in number of cognitively stimulating activities (by self-report) performed at least once a month were examined. Results Analyses included 924 participants aged 75.2 ± 2.8 years. At baseline, impaired CS (27%) and SA (29%) were associated with participation in fewer cognitive activities (β = −0.33, 95% CI = −0.63, −0.03 and β = −0.32, 95% CI = −0.61, −0.03, respectively), while VA (8%) was not (β = −0.34, 95% CI = −0.81, 0.13). In longitudinal models, groups with and without VA, CS, and SA impairments exhibited declines in monthly cognitive activities over time. Annual rates of decline were relatively higher in the VA (β = −0.16, 95% CI = −0.26, −0.05) and CS (β = −0.14, 95% CI = −0.19, −0.09) impaired groups than observed in the respective unimpaired groups (no VA: β = −0.12, 95% CI = −0.15, −0.10; no CS: β = −0.12, 95% CI = −0.15, −0.09), but did not achieve statistical significance. Stereo acuity (β = −0.13, 95% CI = −0.17, −0.09) and no SA (β = −0.13, 95% CI = −0.16, −0.10) groups had similar rates of decline. Conclusions Visually impaired older adults participate in fewer cognitive activities and although participation decline is similar to the non-impaired, lower overall participation indicates a need to identify cognitively stimulating activities accessible to visually impaired older adults.

Perceived loneliness among older adults with mild cognitive impairment

2016 ◽  
Vol 28 (10) ◽  
pp. 1681-1685 ◽  
Author(s):  
Junhong Yu ◽  
Charlene L. M. Lam ◽  
Tatia M. C. Lee
Keyword(s):  
Older Adults ◽  
Hong Kong ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Cognitive Impairments ◽  
Community Sample ◽  
Objective Measures ◽  
Subjective Measures ◽  
High Prevalence ◽  
The Relationship

ABSTRACTBackground:The high prevalence of mild cognitive impairment (MCI) in Hong Kong, as previously reported, requires verification. Furthermore, the relationship between loneliness, depression, and cognitive impairment with regards to MCI are unclear. The present study aims to establish the prevalence of MCI in a community sample in Hong Kong and determine if participants with MCI feel significantly lonelier, even after depression has been taken into consideration.Methods:Participants from a community sample (N = 376) were assessed with subjective and objective measures of cognitive impairments to determine whether the criteria had been met for MCI. The MCI cases are then compared with age, sex, and education-matched controls on subjective measures of loneliness and depression.Results:A total of 66 (17.6%) participants were diagnosed with MCI. These participants reported significantly higher levels of perceived loneliness and depression compared to the matched controls. Differences between groups in loneliness remained significant, even after depression levels have been controlled.Conclusions:Loneliness is implicated in MCI. The relationship between loneliness and MCI is, at least, partially independent of depression. The implications of these finding are discussed.

scholarly journals 62 Engaging Older Adults in Co-Creating a Virtual Coaching Assistant (CAPTAIN) to Support Independent Living at Home

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii1-iii16
Author(s):  
Joanne Carroll ◽  
Louise Hopper
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Independent Living ◽  
Design Thinking ◽  
Cognitive Activity ◽  
Self Report ◽  
Technology System ◽  
Production Cycles ◽  
System Requirements

Abstract Background As population age increases (CSO, 2016), the CAPTAIN project aims to prevent premature or unnecessary transfer to long-term residential care by offering a safe environment where older adults can retain their autonomy, dignity and independence. CAPTAIN (Coach Assistant via Projected and Tangible Interface) will develop a virtual eCoaching assistant to facilitate independence in the home using augmented reality projections, voice and speech recognition, artificial intelligence and a user interface designed by older adults with their peers in mind. Methods Using Design Thinking and participatory research principles, older adults (n=10), caregivers (n=3) and healthcare professionals (HCPs) (n=2) co-create the CAPTAIN system with the research team. Co-creation occurs in cycles. Two co-design cycles use participatory workshops to identify older adults’ needs through discussion of typical older adult ‘personas’, examine how technology can support these needs and translate these outputs into system requirements. Four co-production cycles will evaluate CAPTAIN prototypes (hardware and software) to determine the effectiveness of personalised recommendations, usability and acceptability. The evaluation (involves additional caregivers, HCPs and stakeholder groups) combines observed CAPTAIN use, system-generated data, self-report measures, participatory group workshops and one-to-one interviews. Results Participants found the personas helpful in terms of generating conversation in the co-design sessions. They confidently described older adult needs, suggested where technology could provide useful support, and features they thought CAPTAIN should offer. Requirements across seven thematic areas (health, nutrition, physical and cognitive activity, accessibility, social interaction, education and safety) have now been sent to technical developers. Data from each cycle will continue to inform the development of CAPTAIN until system completion. Conclusion Participant contributions have ensured the continued development of an accessible, easy-to-use assistive technology system that will facilitate independent living and support older adults “…to do the things they want to do, when they want to do them”.

scholarly journals A-179 The Relationship Between Self-Rated Everyday Memory and Cognitive Status Among Older Adults

2020 ◽  
Vol 35 (6) ◽  
pp. 974-974
Author(s):  
Vasquez M ◽  
Helphrey J ◽  
Sandlin A ◽  
Bennett-Leleux L ◽  
Donnell R ◽  
...  
Keyword(s):  
Older Adults ◽  
Binary Logistic Regression ◽  
Normal Function ◽  
Cognitive Status ◽  
Self Report ◽  
Everyday Memory ◽  
Everyday Cognition ◽  
Memory Functioning ◽  
Mini Mental Status Exam ◽  
The Relationship

Abstract Objective Neuropsychologists often supplement performance-based measures of cognition with self-report questionnaires. One questionnaire—the Measurement of Everyday Cognition (ECog)—has shown promise in differentiating between impaired and non-impaired populations; however, little research has been done specifically on the memory items from the shortened version: the ECog-12. The purpose of this study was to examine the extent to which the Ecog-12 Memory subscale can predict actual cognitive function as measured by a performance-based screening test. Method Older adults (ages 55–90; n = 74) completed the ECog-12 and were administered the Mini-Mental Status Exam—2nd Edition (MMSE-2), with scores dichotomized into normal function and impaired function. Results Binary logistic regression found that the ECog-12 Memory subscale items explained between 57% and 87% of variance in normal/impaired MMSE-2 scores and accurately classified 79.7% of cases. Conclusion Brief self-report measures of everyday memory functioning are sensitive to cognitive decline among older adults.

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