Evidence map›Paper›PMID 28954595›Full record

ArticleJournal of geriatric psychiatry and neurology2017

Subjective-Objective Sleep Discrepancy in Older Adults With MCI and Subsyndromal Depression.

Elizabeth A DiNapoli, Marie Anne Gebara, Terry Kho, Meryl A Butters, Ariel G Gildengers, Steven M Albert, Mary Amanda Dew, Kirk I Erickson, Charles F Reynolds, Jordan F Karp

Open access · greenAbstract read
In one paragraph

Article in Journal of geriatric psychiatry and neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% of its field
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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Bypassing the blues: Insomnia in the depressed post-CABG population.Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists · 2020
    Trial
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  14. Brain health clinics - An evolving clinical pathway?The journal of prevention of Alzheimer's disease · 2025
    Observational
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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

10 authors at 2 institutions in 1 country.

Elizabeth A DiNapoli1 VISN 4 Mental Illness Research, Education and Clinical Center (MIRECC), VA Pittsburgh Healthcare System, Pittsburgh, PA, USA.
Marie Anne Gebara1 VISN 4 Mental Illness Research, Education and Clinical Center (MIRECC), VA Pittsburgh Healthcare System, Pittsburgh, PA, USA.
Terry Kho3 University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Meryl A Butters2 Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Ariel G Gildengers2 Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Steven M Albert4 Department of Behavioral and Community Health Sciences, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, USA.
Mary Amanda Dew2 Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Kirk I Erickson5 Department of Psychology, University of Pittsburgh, Pittsburgh, PA, USA.
Charles F Reynolds2 Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Jordan F Karp2 Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
University of Pittsburgh · USMental Illness Research, Education and Clinical Centers · US

Funding

TREATMENT OF DEPRESSION IN ALZHEIMER'S DISEASEP50AG005133 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KAMBOH, M. ILYAS · 1985 to 2019
$43.0M
RESEARCH METHODS COREP30MH090333 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REYNOLDS, CHARLES F. · 2011 to 2015
$8.3M
NIA NIH HHS P50 AG005133NIMH NIH HHS P30 MH090333
6 · The paper itself

Abstract

BACKGROUND/

objectivesWe investigated the prevalence and correlates of discrepancies between self-reported sleep quality (Pittsburgh Sleep Quality Index) and objective sleep efficiency (actigraphy) in older adults with mild cognitive impairment (MCI) and subsyndromal depression.

methodsThis was a secondary analysis of a clincial trial with 59 adults aged 60 years and older with MCI and subsyndromal depression. We included baseline data on participants' subjective sleep quality, objective sleep efficiency, depressive symptoms, insomnia diagnosis, and cognitive functioning.

resultsPittsburgh Sleep Quality Index subjective sleep quality and actigraphy-measured sleep efficiency were not significantly correlated ( r = -.06; P = .64), with 61% of participants having subjective-objective sleep discrepancies. Correlates of subjective-objective sleep discrepancy included the presence of an insomnia diagnosis and impaired memory, particularly delayed memory.

conclusionThese findings are important because subjective underestimation of symptoms in older adults with memory impairments may result in sleep disturbances going unrecognized in clinical practice; on the other hand, an insomnia disorder may be a possible remediable contribution to subjective overestimation of sleep disturbances.

Indexed as

AgedDepressionFemaleHumansMaleSleep Wake DisordersdepressionMCIolder adultssleep

Identifiers

PMID28954595
PMCPMC5916761
OpenAlexW2757505356

What OpenQuestion holds

Textmetadata
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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.