Sleep disturbances and their association with quality of life and depressive symptoms among elderly residents of long-term care facilities: a cross-sectional study

Sleep disturbances and their association with quality of life and depressive symptoms among elderly residents of long-term care facilities: a cross-sectional study. Download PDF Abstract Sleep disturbances are common in later life and may be particularly relevant among residents of long-term care facilities, where multiple clinical and functional factors can affect sleep and well-being. Evidence concerning the relationship between sleep disturbances, depressive symptoms, and quality of life among institutionalized older adults in Central and Eastern Europe remains limited.

This cross-sectional study included 80 residents aged ≥ 60 years from two long-term care facilities in Poland. Sleep was assessed using the Athens Insomnia Scale (AIS), Pittsburgh Sleep Quality Index (PSQI), and Epworth Sleepiness Scale (ESS). Depressive symptoms, functional independence, cognitive functioning, and quality of life were evaluated using the 30-item Geriatric Depression Scale (GDS-30), Barthel Index, Mini-Mental State Examination (MMSE), and WHOQOL-BREF, respectively.

Associations were examined using Spearman’s rank correlations and multivariable regression models accounting for available potential confounders. Insomnia symptoms (AIS ≥ 6) were present in 50 participants (62.5%), poor sleep quality (PSQI > 5) in 42 (52.5%), and increased daytime sleepiness (ESS ≥ 10) in 21 (26.3%). Depressive symptoms above the adopted GDS-30 cut-off were identified in 37 participants (46.3%).

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