Evidence map›Paper›PMID 28379498›Full record

ArticleThe journals of gerontology. Series B, Psychological sciences and social sciences2018

Association of Anxiety Symptom Clusters with Sleep Quality and Daytime Sleepiness.

Christine E Gould, Adam P Spira, Victoria Liou-Johnson, Erin Cassidy-Eagle, Makoto Kawai, Nehjla Mashal, Ruth O'Hara, Sherry A Beaudreau

Abstract read
In one paragraph

Article in The journals of gerontology. Series B, Psychological sciences and social sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Discrimination, psychosocial resources, and sleep: A test of the reserve capacity model.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
    Article
  5. Article
  6. Article
  7. A review on anxiety and sleep.Bioinformation · 2025
    Article
  8. Sleep quality and efficiency in adults with post-acute sequelae of COVID-19.Sleep advances : a journal of the Sleep Research Society · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Burnout Syndrome and Sleep Quality in Basic Education Teachers in Mexico.International journal of environmental research and public health · 2023
    Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Sleep Disorders and Psoriasis: An Update.Acta dermato-venereologica · 2022
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Christine E GouldGeriatric Research Education and Clinical Center (GRECC), Veterans Affairs Palo Alto Health Care System, California.
Adam P SpiraDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Victoria Liou-JohnsonPacific Graduate School of Psychology, Palo Alto University, California.
Erin Cassidy-EagleDepartment of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, California.
Makoto KawaiDepartment of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, California.
Nehjla MashalDepartment of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, California.
Ruth O'HaraDepartment of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, California.
Sherry A BeaudreauDepartment of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, California.

Funding

Cortical Hemodynamism and Oxygenation During Sleep and Cognition: Window to Cognitive Impairment and Neurodegeneration in AgingK23AG053465 · NIA · STANFORD UNIVERSITY · PI KAWAI, MAKOTO · 2017 to 2022
$1.1M
Reducing Anxiety and Improving Functioning in Older VeteransIK2RX001478 · VA · VETERANS ADMIN PALO ALTO HEALTH CARE SYS · PI GOULD, CHRISTINE E. · 2015 to 2020
–
NIA NIH HHS K23 AG053465RRD VA IK2 RX001478
6 · The paper itself

Abstract

Objectives: To better understand links between anxiety and sleep disturbances in older adults, we examined the association of different phenotypic presentations of anxiety (i.e., affective, cognitive, and somatic clusters) with global sleep quality and daytime sleepiness. Methods: 109 community-dwelling adults aged 66-92 years old (57% female) completed assessments of global sleep quality (Pittsburgh Sleep Quality Index), daytime sleepiness (Epworth Sleepiness Scale), affective anxiety symptoms (Geriatric Anxiety Scale (GAS) affective subscale), cognitive anxiety symptoms (GAS cognitive subscale), and somatic anxiety symptoms (GAS somatic subscale). Results: In hierarchical regression models adjusted for depressive symptoms and health status, greater affective and somatic anxiety were associated with poorer global sleep quality (affective B = 0.30, p = .01; somatic B = 0.41, p = .01). Somatic and cognitive anxiety were associated with greater daytime sleepiness (somatic B = 0.74, p < .001; cognitive B = 0.30, p = .03), but these associations were attenuated by covariates added to the models. Discussion: These findings indicate that anxiety symptom clusters are differentially associated with specific sleep-related disturbances, underscoring the complex relationship of late-life anxiety to sleep. Results suggest that personalized treatments, such as targeted sleep interventions, may improve specific anxiety-symptom domains, or vice versa.

Indexed as

SleepAgedAged, 80 and overAnxietyFatigueFemaleHumansMalePsychiatric Status Rating ScalesSleep Wake DisordersSurveys and Questionnaires

Identifiers

PMID28379498
PMCPMC6074813

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.