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Insomnia in Long-Term Care Facilities: A Comparison of Seven European Countries and Israel: The Services and Health for Elderly in Long TERm care Study
- Source :
- Gindin, J, Shochat, T, Chetrit, A, Epstein, S, Ben Israel, Y, Levi, S, Onder, G, Carpenter, I, Finne-Soveri, H, van Hout, H P J, Henrard, J C, Nikolaus, T, Topinkova, E, Fialova, D & Bernabei, R 2014, ' Insomnia in Long-Term Care Facilities: A Comparison of Seven European Countries and Israel: The Services and Health for Elderly in Long TERm care Study ', Journal of the American Geriatrics Society, vol. 62, no. 11, pp. 2033-2039 . https://doi.org/10.1111/jgs.13099, Journal of the American Geriatrics Society, 62(11), 2033-2039. Wiley-Blackwell
- Publication Year :
- 2014
- Publisher :
- Wiley, 2014.
-
Abstract
- Objectives: To assess insomnia and its correlates as part of the Services and Health for Elderly in Long TERm care (SHELTER) study, funded by the 7th Framework Programme of the European Union. Design: Cross-cultural investigation. Setting: Long-term care facilities (LTCFs) in eight European countries (Czech Republic, France, Finland, Germany, England, the Netherlands, Italy) and one non-European country (Israel). Participants: Elderly residents (N = 4,156) of 57 LTCFs. Measurements: Information on insomnia, age, sex, activities of daily living (ADLs), cognitive status, depression, major stressful life events, physical activity, fatigue, pain, and sleep medication use was extracted from the International Resident Assessment Instrument (interRAI)LTCF instrument. Rates of insomnia and its correlates were analyzed. Multivariate logistic regression was used to assess factors associated with insomnia, controlling for demographic variables. Results: The prevalence of insomnia was 24% (range 13–30%), with significant differences between countries (P < .001). More insomnia complaints were reported in older than younger residents (P < .001). Higher rates of insomnia were associated with hypnosedatives and depression in all countries (P < .001) and with stressful life events, fatigue, and pain in most countries (P < .001). No associations were found between insomnia and ADLs, physical activity, or cognitive status. Age, depression, stressful life events, fatigue, pain and hypnosedatives were independent significant predictors of insomnia, controlling for all other variables and for country. Conclusion: Hypnosedatives and depression were strong predictors of insomnia beyond cultural differences. Overall, psychosocial variables were more strongly related to insomnia than functional and mental capacities.
- Subjects :
- Cross-Cultural Comparison
Male
Gerontology
Activities of daily living
Logistic regression
Risk Factors
Sleep Initiation and Maintenance Disorders
Cultural diversity
mental disorders
Insomnia
medicine
Homes for the Aged
Humans
media_common.cataloged_instance
Longitudinal Studies
Israel
European union
Nursing Assessment
Depression (differential diagnoses)
Aged
media_common
Aged, 80 and over
business.industry
Long-Term Care
Nursing Homes
Europe
Long-term care
Cross-Sectional Studies
Female
Geriatrics and Gerontology
medicine.symptom
business
Psychosocial
Subjects
Details
- ISSN :
- 00028614
- Volume :
- 62
- Database :
- OpenAIRE
- Journal :
- Journal of the American Geriatrics Society
- Accession number :
- edsair.doi.dedup.....2a98614a8cdb726db7a7233d52187e4e