Abell, Jessica G and Shipley, Martin J and Ferrie, Jane E and Kivimäki, Mika and Kumari, Meena (2016) Association of chronic insomnia symptoms and recurrent extreme sleep duration over 10 years with well-being in older adults: a cohort study. BMJ Open, 6 (2). e009501-e009501. DOI https://doi.org/10.1136/bmjopen-2015-009501
Abell, Jessica G and Shipley, Martin J and Ferrie, Jane E and Kivimäki, Mika and Kumari, Meena (2016) Association of chronic insomnia symptoms and recurrent extreme sleep duration over 10 years with well-being in older adults: a cohort study. BMJ Open, 6 (2). e009501-e009501. DOI https://doi.org/10.1136/bmjopen-2015-009501
Abell, Jessica G and Shipley, Martin J and Ferrie, Jane E and Kivimäki, Mika and Kumari, Meena (2016) Association of chronic insomnia symptoms and recurrent extreme sleep duration over 10 years with well-being in older adults: a cohort study. BMJ Open, 6 (2). e009501-e009501. DOI https://doi.org/10.1136/bmjopen-2015-009501
Abstract
Objectives: The extent to which aspects of sleep affect well-being in the long-term remains unclear. This longitudinal study examines the association between chronic insomnia symptoms, recurrent sleep duration and well-being at older ages. Setting: A prospective cohort of UK civil servants (the Whitehall II study). Participants: 4491 women and men (25.2% women) with sleep measured 3 times over 10 years and wellbeing once at age 55-79 years. Insomnia symptoms and sleep duration were assessed through self-reports in 1997-1999, 2003-2004 and 2007-2009. Primary outcome measures: Indicators of wellbeing, measured in 2007-2009, were the Control, Autonomy, Self-realisation and Pleasure measure (CASP-19) of overall well-being (range 0-57) and the physical and mental well-being component scores (range 0-100) of the Short Form Health Survey (SF-36). Results: In maximally adjusted analyses, chronic insomnia symptoms were associated with poorer overall well-being (difference between insomnia at 3 assessments vs none -7.0 (SE=0.4) p<0.001), mental well-being (difference -6.9 (SE=0.4), p<0.001) and physical well-being (difference -2.8 (SE=0.4), p<0.001) independently of the other sleep measures. There was a suggestion of a dose-response pattern in these associations. In addition, recurrent short sleep (difference between ≤5 h sleep reported at 3 assessments vs none -1.7 (SE=0.7), p<0.05) and recurrent long sleep (difference between >9 h reported at 2 or 3 assessments vs none -3.5 (SE=0.9), p<0.001) were associated with poorer physical well-being. Conclusions: We conclude that in older people, chronic insomnia symptoms are negatively associated with all aspects of well-being, whereas recurrent long and short sleep is only associated with reduced physical well-being.
Item Type: | Article |
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Uncontrolled Keywords: | Humans; Sleep Initiation and Maintenance Disorders; Chronic Disease; Recurrence; Longitudinal Studies; Mental Health; Sleep; Health Status; Time Factors; Aged; Middle Aged; Female; Male |
Subjects: | R Medicine > R Medicine (General) |
Divisions: | Faculty of Social Sciences Faculty of Social Sciences > Institute for Social and Economic Research |
SWORD Depositor: | Unnamed user with email elements@essex.ac.uk |
Depositing User: | Unnamed user with email elements@essex.ac.uk |
Date Deposited: | 20 Oct 2016 16:11 |
Last Modified: | 18 Aug 2022 11:09 |
URI: | http://repository.essex.ac.uk/id/eprint/17819 |
Available files
Filename: BMJ Open-2016-Abell-.pdf
Licence: Creative Commons: Attribution 3.0