ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2015
Patterns and predictors of sleep quality before, during, and after hospitalization in older adults.
Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02076165 (A Patient-Focused Approach to Insomnia Treatment for Women Veterans), which is not on this map. Cited by 11 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Patient-Focused Approach to Insomnia Treatment for Women Veterans
Who cites it
11 citing papers in PubMed.
- Are physical activity, sleep, and joint pain associated with physical function and quality of life in individuals with multimorbidity? A cross-sectional analysis of the MOBILIZE trial.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Article
- Joint association of sleep quality and physical activity with hypertension: a cross-sectional population study in agricultural workers.Frontiers in cardiovascular medicine · 2025Article
- "The Days Are Long But the Nights Are Even Longer": A Mixed-Method Study of Sleep Disturbances Among Patients in an Inpatient Rehabilitation Program.Archives of rehabilitation research and clinical translation · 2023Article
- Sleep quality moderates the association between family bereavement and heart rate variability.Journal of behavioral medicine · 2023Article
- Sleep Quality Should Be Assessed in Inpatient Rehabilitation Settings: A Preliminary Study.Brain sciences · 2023Article
- Mobile Phone Addiction and Sleep Quality among Older People: The Mediating Roles of Depression and Loneliness.Behavioral sciences (Basel, Switzerland) · 2023Article
- Modeling Sleep Quality Depending on Objective Actigraphic Indicators Based on Machine Learning Methods.International journal of environmental research and public health · 2022Article
- Sex Specific Sleep Parameters Among People With Substance Use Disorder.Frontiers in psychiatry · 2022Article
- Article
- Sour sleep, sweet revenge? Aggressive pleasure as a potential mechanism underlying poor sleep quality's link to aggression.Emotion (Washington, D.C.) · 2020Article
- Depression and quality of life in older adults: Mediation effect of sleep quality.International journal of clinical and health psychology : IJCHPArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
STUDY
objectivesThe impact of hospitalization on sleep in late-life is underexplored. The current study examined patterns of sleep quality before, during, and following hospitalization, investigated predictors of sleep quality patterns, and examined predictors of classification discordance between two suggested clinical cutoffs used to demarcate poor/good sleep.
methodsThis study included older adults (n = 163; mean age 79.7 ± 6.9 years, 31% female) undergoing inpatient post-acute rehabilitation. Upon admission to inpatient post-acute rehabilitation, patients completed the Pittsburgh Sleep Quality Index (PSQI) retrospectively regarding their sleep prior to hospitalization. They subsequently completed the PSQI at discharge, and 3 months, 6 months, 9 months, and 1 year post discharge. Patient demographic and clinical characteristics (pain, depression, cognition, comorbidity) were collected upon admission.
resultsUsing latent class analysis methods, older adults could be classified into (1) Consistently Good Sleepers and (2) Chronically Poor Sleepers based on patterns of self-reported sleep quality pre-illness, during, and up to 1 year following inpatient rehabilitation. This pattern was maintained regardless of the clinical cutoff employed (> 5 or > 8). Logistic regression analyses indicated that higher pain and depressive symptoms were consistently associated with an increased likelihood of being classified as a chronic poor sleeper. While there was substantial classification discordance based on clinical cutoff employed, no significant predictors of this discordance emerged.
conclusionsClinicians should exercise caution in assessing sleep quality in inpatient settings. Alterations in the cutoffs employed may result in discordant clinical classifications of older adults. Pain and depression warrant detailed considerations when working with older adults on inpatient units when poor sleep is a concern.
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