Gender, self-reported depressive symptoms, and sleep disturbance among older community-dwelling persons

Kenneth B. Schechtman, Nancy G. Kutner, Robert B. Wallace, David M. Buchner, Marcia G. Ory

Research output: Contribution to journalArticlepeer-review

Abstract

The purposes of this report are: (1) to investigate the association between sleep disturbances and depressive symptomatology in older adults; (2) to evaluate the degree to which gender serves to mediate this relationship; and (3) to determine whether several predefined covariates help to explain the association between sleep disturbance and depressive symptoms. This is a retrospective and cross-sectional analysis of baseline data from 485 elderly adults enrolled in three of the eight clinical sites participating in the Frailty and Injuries: Cooperative Studies of Intervention Techniques (FICSIT) trials. FICSIT was a linked series of randomized clinical trials which evaluated the impact of various exercise interventions on several measures of frailty in older adults. Women reported more depressive symptoms and more sleep disturbances than men. Sleep disturbances were independently associated with depressive symptoms, bodily pain, a history of falling, limited education, being married, and being female. Gender interactions suggest that, although women reported more depressive symptoms and more chronic health conditions than men, both may be more important predictors of sleep disturbance in men. By contrast, being married may be more predictive in women. Finally, the data suggest a stronger relationship between sleep disturbance and depressive symptoms in men than in women.

Original languageEnglish (US)
Pages (from-to)513-527
Number of pages15
JournalJournal of Psychosomatic Research
Volume43
Issue number5
DOIs
StatePublished - Nov 1 1997

Keywords

  • Depression
  • Elderly adults
  • FICSIT trials
  • Gender differences
  • Sleep problems

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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