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Measuring sleep quality in older adults: a comparison using subjective and objective methods

Overview of attention for article published in Frontiers in Aging Neuroscience, September 2015
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Title
Measuring sleep quality in older adults: a comparison using subjective and objective methods
Published in
Frontiers in Aging Neuroscience, September 2015
DOI 10.3389/fnagi.2015.00166
Pubmed ID
Authors

Glenn J. Landry, John R. Best, Teresa Liu-Ambrose

Abstract

Sleep quality decreases with aging and thus sleep complaints are prevalent in older adults, particularly for those with cognitive impairment and dementia. For older adults, emerging evidence suggests poor sleep quality increases risk of developing cognitive impairment and dementia. Given the aging population-and the impending economic burden associated with increasing numbers of dementia patients-there is pressing need to improve sleep quality among older adults. As such, research efforts have increased focus on investigating the association between age-related sleep changes and cognitive decline in older adults. Sleep quality is a complex construct to evaluate empirically, and yet the Pittsburg Sleep Quality Index (PSQI) is commonly used in studies as their only measure of sleep quality. Furthermore, the PSQI may not be the best sleep quality measure for older adults, due to its reliance on the cognitive capacity to reflect on the past month. Further study is needed to determine the PSQI's validity among older adults. Thus, the current study examined sleep quality for 78 community dwelling adults 55+ to determine the PSQI's predictive validity for objective sleep quality (as measured by actigraphy). We compared two subjective measures of sleep quality-the PSQI and Consensus Sleep Diary (CSD)-with actigraphy (MotionWatch 8©; camntech). Our results suggest perceived sleep quality is quite different from objective reality, at least for adults 55+. Importantly, we show this difference is unrelated to age, gender, education, or cognitive status (assessed using standard screens). Previous studies have shown the PSQI to be a valuable tool for assessing subjective sleep quality; however, our findings indicate for older adults the PSQI should not be used as a substitute for actigraphy, or vice versa. Hence, we conclude best practice is to include both subjective and objective measures when examining sleep quality in older adults (i.e., the PSQI, CSD, and actigraphy).

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The data shown below were collected from the profiles of 3 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 579 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 <1%
India 1 <1%
United States 1 <1%
Canada 1 <1%
Unknown 575 99%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 102 18%
Student > Master 95 16%
Student > Ph. D. Student 62 11%
Researcher 54 9%
Student > Postgraduate 25 4%
Other 86 15%
Unknown 155 27%
Readers by discipline Count As %
Psychology 92 16%
Medicine and Dentistry 88 15%
Nursing and Health Professions 60 10%
Neuroscience 37 6%
Engineering 19 3%
Other 102 18%
Unknown 181 31%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 07 September 2015.
All research outputs
#14,175,104
of 22,826,360 outputs
Outputs from Frontiers in Aging Neuroscience
#3,180
of 4,778 outputs
Outputs of similar age
#137,410
of 267,706 outputs
Outputs of similar age from Frontiers in Aging Neuroscience
#36
of 59 outputs
Altmetric has tracked 22,826,360 research outputs across all sources so far. This one is in the 37th percentile – i.e., 37% of other outputs scored the same or lower than it.
So far Altmetric has tracked 4,778 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 13.1. This one is in the 32nd percentile – i.e., 32% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 267,706 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 48th percentile – i.e., 48% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 59 others from the same source and published within six weeks on either side of this one. This one is in the 37th percentile – i.e., 37% of its contemporaries scored the same or lower than it.