Factors associated with Insomnia Severity Index among elderly participants
DOI:
https://doi.org/10.47203/IJCH.2023.v35i03.003Keywords:
Insomnia, Depression, Elderly, CommunityAbstract
Background: Amongst various psychiatric disorders in the elderly, insomnia is one of the major challenges. Aims & Objectives: To assess the prevalence of insomnia and the factors associated with it among the elderly. Material & Methods: This cross-sectional study was conducted in a rural and an urban area of Delhi taking 115 participants from each area using systematic random sampling. A semi-structured questionnaire was to collect the data. Results: Out of 230 participants, 121 (52.6%) were females and 109 (47.4 %) were males. Insomnia was more prevalent in the elderly participants of rural area (95%) while just 5% were in the urban population. Out of the 230 participants, 113 (49.1%) had scores of 0-7 whereas 117 (50.9%) had scores between 8-28 which meant they had some degree of insomnia. Insomnia was significantly associated with the locality of the participants (p-value <0.05). Conclusion: In the present study, around half of the elderly persons were suffering from Insomnia. As the cause of insomnia is multi-factorial, it needs a multi-pronged approach to prevention which can be achieved by creating awareness, management, and prevention. Further, screening elderly persons for insomnia and health education regarding the importance of sleep hygiene practices should be started.
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References
Lohr KN, Ph D. Medicare: A Strategy for Quality Assurance. J Healthc Qual. 1991 13(1):10–3.
Central Statistics Office. Ministry of Statistics and Programme Implementation. Youth in India 2017. Gov India.
Center for Substance Abuse and Treatment. Substance Abuse Among Older Adults. 1998.
Prakash O, Kukreti P. State of geriatric mental health in India. Curr Transl Geriatr Exp Gerontol Rep. 2013;2(1):1–6.
Abad VC, Guilleminault C. Insomnia in Elderly Patients?: Recommendations for Pharmacological Management. Drugs Aging [Internet]. 35(1):791–817. Available from: https://doi.org/10.1007/s40266-018-0569-8. (Last accessed on 25/09/2023)
Seby K, Chaudhury S, Chakraborty R. Prevalence of psychiatric and physical morbidity in an urban geriatric population. Indian J Psychiatry. 2011;53:121–7
Gambhir IS, Chakrabarti SS, Sharma AR, Saran DP. Insomnia in the elderly - A hospital-based study from North India. J Clin Gerontol Geriatr [Internet]. 2014;5(4):117–21. Available from: http://dx.doi.org/10.1016/j.jcgg.2014.05.005. (Last accessed on 25/09/2023)
National Sleep Foundation. Sleep in America Poll. 2003.
Sanjay T V, Jahnavi R, Gangaboraiah B, Lakshmi P, Jayanthi S. Prevalence and factors influencing depression among elderly living in the urban poor locality of Bengaluru city. Int J Allied Heal Sci. 2014;3(2):105–9.
Dahale AB, Jaisoorya TS, Manoj L, Kumar GS, Gokul GR, Radhakrishnan R, et al. Insomnia Among Elderly Primary Care Patients in India. Prim care companion CNS Disord. 2020;22(3):1–10.
Bhat AI, Singh M, Arora R, Babber S, Jasrotia R. Prevalence of Insomnia among Elderly Patients attending Tertiary Care Hospital. Indian J Behav Sci. 2022;25(1):35–9.
Iyer L, Yesodharan R, Nayak AK. Prevalence of insomnia, and sleep hygiene techniques practiced among elderly residing in selected old age homes of Udupi and dakshina kannada district, Karnataka. Indian J Public Heal Res Dev. 2019;10(9):462–7.
Ahmad E, Ansari A, Khan R. Prevalence of Bekhwabi (Insomnia) among the Elderly Patients Attending Nium Hospital, Bangalore, India. J Community Med Health Educ. 2016;06(05):1–5.
Sakamoto R, Okumiya K, Norboo T, Tsering N, Yamaguchi T, Nose M, et al. Sleep quality among elderly high-altitude dwellers in Ladakh. Psychiatry Res [Internet]. 2017 (June 2016) ;24951–7. Available from: http://dx.doi.org/10.1016/j.psychres.2016.12.043. (Last accessed on 25/09/2023)
Rani MA, Palani G, Sathiyasekaran B. MORBIDITY PROFILE OF ELDERS IN OLD AGE HOMES IN CHENNAI. Natl J Community Med. 2012;3(3):458–64.
Suri J, Hospital S, Ojha U, Adhikari T, Delhi N. Epidemiology of sleep disorders in the elderly – A questionnaire survey. Indian J Sleep Med. 2009;4(1):12–8.
Dangol M, Shrestha S, Rai Koirala SK. Insomnia and its associated factors among older people of the selected ward of Banepa municipality, Nepal. Nurs Open. 2020;7(1):355–63.
Ayoub AI, Attia M, El Kady HM, Ashour A. Insomnia among community dwelling elderly in Alexandria, Egypt. J Egypt Public Health Assoc. 2014 ;89(3):136–42.
Foley DJ, Monjan A, Brown SL, Simonsick EM, Wallace B, Blazer DG. Sleep Complaints Among Elderly Persons?: An Epidemiologic Study of Three Communities. Sleep. 1995;18(6):425–32.
Yang JJ, Cai H, Xia L, Nie W, Zhang Y, Wang S, et al. The Prevalence of Depressive and Insomnia Symptoms, and Their Association With Quality of Life Among Older Adults in Rural Areas in China. Front Psychiatry. 2021;12:1–8.
Newman A, Spiekerman C, Enright P, Lefkowitz D, Manolio T, Reynolds C. Daytime sleepiness predicts mortality and cardiovascular disease in older adults. The Cardiovascular Health Study Research Group. J Am Geriatr Soc. 2000;48(2):115-23
Rao D, Hegde S, Joseph A, Sahu A, Gomez G, Kasthuri A. Prevalence of Insomnia Among Elderly Residents in A Rural Area in Bangalore, Karnataka. Indian J Sleep Med. 2012;7(1):14–8.
Budhiraja R, Roth T, Hudgel D, Budhiraja P, Drake C. Prevalence and Polysomnographic Correlates of Insomnia Comorbid with Medical Disorders. Sleep. 2011;34(7):859–67
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Copyright (c) 2023 Manasi Panda, Chirag Sandooja, Vinod Kumar, Jugal Kishore
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