title: 'Young old' and 'old old' poor sleepers with and without insomnia complaints.
abstract: OBJECTIVE
  Sleep, psychological adjustment, health and insomnia complaints were examined in 277 community-dwelling seniors in order to identify characteristics that distinguish poor sleepers with complaints (likely to seek treatment) and those without complaints (unlikely to seek treatment).
  
  
  METHODS
  Two weeks of sleep diaries and other sleep-related measures were collected. Young old (65-74 years) and old old (75+) participants were categorized as: good sleepers, poor sleepers with complaints (complainers), and poor sleepers without complaints (noncomplainers).
  
  
  RESULTS
  In both age groups, complainers had poorer sleep than noncomplainers. Complainers also reported more depressive symptoms and had poorer health than noncomplainers. The old old slept longer each night, but took longer to fall asleep, napped more, and were more likely to complain of insomnia than the young old; otherwise, the young old/old old distinction did not explain sleep differences among the three types of sleepers.
  
  
  CONCLUSIONS
  Implications for treating late-life insomnia include greater inclusion of the old old in treatment outcome research and more focus on the development of integrated intervention and prevention strategies that target health, depressive symptoms, and sleep.
authors.affiliation: Institute on Aging, University of Florida, McCurty C, Room 502, Gainesville, FL 32611-5911, USA. csmccrae@ul.edu
authors.forename: Christina S
authors.initials: CS
authors.lastname: McCrae
authors.forename: Nancy M
authors.initials: NM
authors.lastname: Wilson
authors.forename: Kenneth L
authors.initials: KL
authors.lastname: Lichstein
authors.forename: H Heith
authors.initials: HH
authors.lastname: Durrence
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Taylor
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Bush
authors.forename: Brant W
authors.initials: BW
authors.lastname: Riedel
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000523:psychology*; D003430:Cross-Sectional Studies; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D007319:Sleep Initiation and Maintenance Disorders / Q000503:physiopathology* / Q000523:psychology