Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2019, Vol. 33 ›› Issue (5): 116-120.doi: 10.6040/j.issn.1673-3770.0.2019.188

• Original Article • Previous Articles    

The correlation between sleep disorders and depression in the aging population in a rural area of Shandong province

Xiaobing JIANG,Yifeng DU()   

  1. Department of Neurology, Provincial Hospital Affiliated to Shandong University, Jinan 250021, Shandong, China
  • Received:2019-04-15 Revised:2019-06-17 Online:2019-09-20 Published:2019-10-15
  • Contact: Yifeng DU E-mail:duyifengpmd2000@yahoo.com.cn

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Abstract: Objective

To investigate the correlation between sleep disorders and depression among the elderly population in a rural area of Yangu county in Shandong Province.

Methods

From August 2014 to November 2014, a cross-sectional survey was conducted in elderly patients aged 65~85 years in Yanlou Town of Yanggu County in Shandong Province. The study population was assessed for sleep impairment using the Pittsburgh Sleep Quality Index Scale (PSQI) and the Hamilton Depression Rating Scale (HAMD) was used to evaluate depression.

 Results

1. A total of 145 elderly patients were found to have depression, an incidence of 20.4%. 2. Women and people with low level education were more easily depressed. 3. There was a significant difference in PSQI score between the non-depressed group and the possible or positive depression group (P<0.05). 4. Sleep disorder is a risk factor for depression among the elderly population.

 Conclusion

Sleep disorder is a risk factor for depression among the elderly population in a rural area of Shandong Province. We should take active measures to intervene against sleep disorders.

Key words: Rural population, Aged, Depression, Sleep disorders, Pittsburgh sleep quality index, Hamilton depression scale.

CLC Number: 

  • R741

Table 2

Univariate analysis of data between different depressive states"

变量

总人群

（n=711）

正常

（n=563）

可能有或肯定有

抑郁症

（n=148）

 Τ/χ2 P
性别[例(%)]
男 258（36.3） 226（40.1） 32（21.6）
女 453（63.7） 337（59.9） 116（78.4） 142.93 ＜0.001
年龄（ x ˉ ± s ） 71.17±5.14 71.15±5.08 71.25±5.44 -0.210 0.834
职业[例(%)]
务农 668（94.0） 527（93.6） 141（95.3）
非务农 43（6.0） 36（6.4） 7（4.7） 0.573 0.452
婚姻[例(%)]
已婚 518（72.9） 411（73.0） 107（72.3）
未婚/离异/丧偶等 193（27.1） 152（27.0） 41（27.7） 0.032 0.864
受教育水平[例(%)]
小学文化程度及以下 619（87.1） 480（85.3） 139（93.9）
小学文化程度以上 92（12.9） 83（14.7） 9（6.1） 7.773 0.005
PSQI（ x ˉ ± s ） 6.9±4.2 6.4±4.0 8.5±4.7 -5.472 0.003
HAMD（ x ˉ ± s ） 4.8±4.0 3.2±2.1 10.9±3.8 -32.722 ＜0.001

Table 1

Baseline data of cross-sectional survey population[n(%)]"

变量

总人群

(n=711)

男性

（n=258）

女性

（n=453）

 t/χ2 P
年龄（ x ˉ ± s ） 71.17±5.144 71.3±5.1 71.1±5.2 0.392
小学文化程度及以下 619(87.1) 186（72.1） 433（95.6） 134.923 ＜0.001
已婚 518（72.9） 209（81.0） 309（68.2） 23.253 ＜0.001
务农 668(94.0) 221(85.7) 447(98.7) 10.762 ＜0.001
高血压 319（44.9） 97（37.7） 222(49.0) 8.651 0.004
高血脂 138(19.6) 37(14.5) 101(22.4) 6.653 0.011
糖尿病 70(9.9) 24(9.3) 46(10.2) 0.842 0.705
脑梗死 71(10.0) 34(13.2) 37(8.2) 4.594 0.033

Table 3

Logistic regression was used to demonstrate the effect of sleep disorder on depression"

变量 未调整1# 调整后2*
OR值 95% CI of OR P OR值 95% CI of OR P
PSQI 1.125 1.077 1.174 ＜0.001 1.116 1.068 1.166 ＜0.001
年龄 1.004 0.969 1.040 0.826 1.012 0.974 1.051 0.540
性别 3.431 1.588 3.723 ＜0.001 2.027 1.286 3.194 0.002
婚姻 1.036 0.691 1.554 0.864 0.904 0.578 1.412 0.657
受教育程度 0.374 0.183 0.764 0.007 0.555 0.261 1.179 0.126
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