ArticleBMJ open2020
Association between poor sleep quality and depression symptoms among the elderly in nursing homes in Hunan province, China: a cross-sectional study.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- Associations among sleep quality, cognitive decline, and Alzheimer's disease pathology in older adults: A longitudinal study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Article
- The impact of ward nighttime noise management under the enhanced recovery after surgery protocol on postoperative sleep quality and mental health in patients with lower extremity fractures: A retrospective, non-randomized, historically controlled study.Pakistan journal of medical sciences · 2026Article
- The cumulative bridge: how long-term physical activity and social engagement gradually enhance sleep health in aging adults.BMC public health · 2026Article
- Prevalence and associated risk factors for depression, anxiety, insomnia, and loneliness among the geriatric population in Bangladesh: a cross-sectional study.BMC psychiatry · 2025Article
- Perceived indoor thermal environment and depressive symptoms among older adults in the Japan Gerontological Evaluation Study.Scientific reports · 2025Article
- Worldwide Prevalence of Poor Sleep Quality in Older Adults: A Systematic Review and Meta-Analysis.Iranian journal of psychiatry · 2025Review
- The impact of social participation on activities of daily living in older adults with knee osteoarthritis: the chain mediating effects of sleep quality and multidimensional frailty.Frontiers in psychology · 2025Article
- Exploring the Feasibility of Estrogen Replacement Therapy as a Treatment for Perimenopausal Depression: A Comprehensive Literature Review.Medicina (Kaunas, Lithuania) · 2024Review
- Article
- Sleep Quality and Subjective Cognitive Decline among Older Adults: The Mediating Role of Anxiety/Depression and Worries.Journal of aging research · 2024Article
- Associations of daytime napping and nighttime sleep quality with depressive symptoms in older Chinese: the Guangzhou biobank cohort study.BMC geriatrics · 2023Article
- Mood and anxiety symptoms following pediatric mild traumatic brain injury: a scoping review.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2023Article
- Article
- Effects of rational emotive behavior therapy on alexithymia, anxiety, depression and sleep quality of older people in nursing homes: a quasi-experimental study.BMC nursing · 2023Article
- Interactive effects of sleep and physical activity on depression among rural university students in China.Frontiers in psychology · 2023Article
- Relationship Between Physical Exercise and Cognitive Impairment Among Older Adults with Type 2 Diabetes: Chain Mediating Roles of Sleep Quality and Depression.Psychology research and behavior management · 2023Article
- Hypertension, sleep quality, depression, and cognitive function in elderly: A cross-sectional study.Frontiers in aging neuroscience · 2023Article
- Effect of living arrangements on cognitive function in Chinese elders: a longitudinal observational study.BMJ open · 2022Observational
- The association between sleep and depressive symptoms in US adults: data from the NHANES (2007-2014).Epidemiology and psychiatric sciences · 2022Article
- Modeling Sleep Quality Depending on Objective Actigraphic Indicators Based on Machine Learning Methods.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo examine the association between the prevalence of poor sleep quality and depression symptoms among the elderly in the nursing homes of Hunan province in China. DESIGN, SETTING AND
participantsThis was a cross-sectional study investigating 817 elderly people from 24 nursing homes in China's Hunan province.
main outcome measuresSleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) such that poor sleep quality was defined as PSQI Score >5. In addition, depression symptoms were assessed using the Geriatric Depression Scale (GDS). Linear regression models and binary logistic regression models were used to analyse the relationship between the prevalence of poor sleep quality and depression symptoms.
resultsThe mean PSQI Score was 8.5±4.9, and the prevalence of poor sleep quality was 67.3%. Additionally, the mean GDS Score was 9.8±7.5, and the prevalence of depression symptoms was 36.0%. Elderly people with poor sleep quality had increased GDS Score (mean difference=2.54, 95% CI 1.66 to 3.42) and increased risk of depression symptoms (OR=3.19, 95% CI 2.04 to 4.98) after controlling for demographics, chronic disease history, lifestyle behaviours, social support, activities of daily living and negative life events.
conclusionsThe prevalence of poor sleep quality was relatively high, and this was associated with increased depression symptoms. Therefore, poor sleep quality could be speculated as a marker of current depression symptoms in the elderly.
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