title: Subclinical anxiety symptoms, sleep, and daytime dysfunction in older adults with primary insomnia.
abstract: "Both Insomnia complaints and anxiety-related distress are common in older adults, and are associated with poor daytime functioning. We investigated whether subclinical levels of anxiety were associated with sleep disturbance and daytime functioning in older adults who met diagnostic criteria for primary insomnia, and therefore but did not meet criteria for depression or an anxiety disorder. After adjustment for depressive symptoms, elevated state anxiety was associated with higher levels of wake after sleep onset (measured by both actigraphy and sleep log) and shorter sleep sleep onset latency (measured by sleep log). Higher levels of trait anxiety were associated with greater wake after sleep onset (measured by sleep log). Elevated state and trait anxiety were associated with worse and social functioning, and higher levels of trait anxiety were associated with worse role functioning. Thus, subclinical anxiety symptoms may be an important target for clinical intervention to improve sleep and functioning in older adults with primary insomnia."
authors.affiliation: University of California, San Francisco, Department of Medicine, Division of Geriatrics, San Francisco, CA, USA. adam.spira@ucsf.edu
authors.forename: Adam P
authors.initials: AP
authors.lastname: Spira
authors.forename: Leah
authors.initials: L
authors.lastname: Friedman
authors.forename: Jasdeep S
authors.initials: JS
authors.lastname: Aulakh
authors.forename: Tina
authors.initials: T
authors.lastname: Lee
authors.forename: Javaid I
authors.initials: JI
authors.lastname: Sheikh
authors.forename: Jerome A
authors.initials: JA
authors.lastname: Yesavage
mesh_terms: D000368:Aged; D001008:Anxiety Disorders / Q000175:diagnosis* / Q000453:epidemiology*; D003863:Depression / Q000175:diagnosis* / Q000453:epidemiology*; D004594:Electrophysiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012720:Severity of Illness Index; D012890:Sleep; D007319:Sleep Initiation and Maintenance Disorders / Q000175:diagnosis* / Q000453:epidemiology*; D011795:Surveys and Questionnaires