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

RichHTML

2

PDF (PC)

185

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
1 吴江 . 神经病学[M]. 北京: 人民卫生出版社, 2005.doi:10.3760/j:issn:0376-2491.2002.24.007 .
doi: 10.3760/j:issn:0376-2491.2002.24.007
2 何婷, 沈珊珊, 褚娇娇, 等 . 老年人抑郁症状与功能状态和衰弱的相关性研究[J]. 中华老年医学杂志, 2017, 36(6): 613-617. doi:10.3760/cma.j.issn.0254-9026.2017.06.003 .
doi: 10.3760/cma.j.issn.0254-9026.2017.06.003
HE Ting , SHEN Shanshan , CHU Jiaojiao , et al . The associations of depressive symptoms with cognitive and physical functions and frailty in elderly outpatients[J]. Chinese Journal of Geriatrics, 2017, 36(6): 613-617. doi:10.3760/cma.j.issn.0254-9026.2017.06.003 .
doi: 10.3760/cma.j.issn.0254-9026.2017.06.003
3 戴悦, 张宝泉, 李映兰, 等 . 中国老年人睡眠质量与抑郁、焦虑相关性的Meta分析[J]. 中华护理杂志, 2016, 51(4): 488-493. doi:10.3761/j.issn.0254-1769.2016.022 .
doi: 10.3761/j.issn.0254-1769.2016.022
DAI Yue , ZHANG Baoquan , LI Yinglan , et al . Correlation between sleep quality and depression, anxiety of Chinese aged: a meta-analysis[J]. Chinese Journal of Nursing, 2016, 51(4): 488-493. doi:10.3761/j.issn.0254-1769.2016.022 .
doi: 10.3761/j.issn.0254-1769.2016.022
4 Bech P , Csillag C , Hellström L , et al . The time has come to stop rotations for the identification of structures in the Hamilton Depression Scale (HAM-D₁₇)[J]. Braz J Psychiatry, 2013, 35(4): 360-363. doi:10.1590/1516-4446-2013-1116 .
doi: 10.1590/1516-4446-2013-1116
5 刘贤臣, 唐茂芹 . 匹兹堡睡眠质量指数的信度和效度研究[J]. 中华精神科杂志, 1996, 29(2): 103-107. doi: 10.1007/BF02951625 .
doi: 10.1007/BF0-2951625
LIU Xianchen , TANG Maoqin . Reliability and validity of the Pittsburgh sleep quality index[J]. Chinese Journal of Psychiatry, 1996, 29(2): 103-107. doi: 10.1007/BF0-2951625 .
doi: 10.1007/BF0-2951625
6 Taylor W D ．Clinical practice. Depression in the elderly[J]. New England Journal of Medicine, 2014, 371(13): 1228-1231. doi: 10.1056/NEJMcp1402180 .
doi: 10.1056/NEJMcp1402180
7 陶慧文, 张晓, 汪圳, 等 . 我国东中西部地区的农村老年人抑郁状况及影响因素[J]. 中华疾病控制杂志, 2018, 22(7): 696-699. doi:10.16462/j.cnki.zhjbkz.2018.07.010 .
doi: 10.16462/j.cnki.zhjbkz.2018.07.010
TAO Huiwen , ZHANG Xiao , WANG Zhen , et al . The eastern-middle-western depression and the determinants among Chinese rural elderly[J]. Chinese Journal of Disease Control & Prevention, 2018, 22(7): 696-699. doi:10.16462/j.cnki.zhjbkz.2018.07.010 .
doi: 10.16462/j.cnki.zhjbkz.2018.07.010
8 Sivertsen B , Krokstad S , Øverland S , et al . The epidemiology of insomnia: associations with physical and mental health. The HUNT-2 study[J]. J Psychosom Res, 2009, 67(2): 109-116. doi:10.1016/j.jpsychores.2009.05.001 .
doi: 10.1016/j.jpsychores.2009.05.001
9 顾鑫, 顾平, 刘义晗, 等 . 慢性失眠患者焦虑、抑郁情绪及交感神经皮肤反应的相关性[J]. 中华神经科杂志, 2017, 50(9): 665-670. doi:10.3760/cma.j.issn.1006-7876.2017.09.006 .
doi: 10.3760/cma.j.issn.1006-7876.2017.09.006
GU Xin , GU Ping , LIU Yihan , et al . Correlation of sleep quality, anxiety, depression and sympathetic skin response in chronic insomnia[J]. Chinese Journal of Neurology, 2017, 50(9): 665-670. doi:10.3760/cma.j.issn.1006-7876.2017.09.006 .
doi: 10.3760/cma.j.issn.1006-7876.2017.09.006
10 Li D , Zhang DJ , Shao JJ , et al . A meta-analysis of the prevalence of depressive symptoms in Chinese older adults[J]. Arch Gerontol Geriatr, 2014, 58(1): 1-9. doi:10.1016/j.archger.2013.07.016 .
doi: 10.1016/j.archger.2013.07.016
11 Chung S . Residential status and depression among Korean elderly people: a comparison between residents of nursing home and those based in the community[J]. Health Soc Care Community, 2008, 16(4): 370-377. doi:10.1111/j.1365-2524.2007.00747.x .
doi: 10.1111/j.1365-2524.2007.00747.x
12 李甲森, 马文军, LI Jia-sen , 等 . 中国中老年人抑郁症状现状及影响因素分析[J]. 中国公共卫生, 2017, 33(2): 177-181. doi:10.11847/zgggws2017-33-02-02 .
doi: 10.11847/zgggws2017-33-02-02
LI Jiasen , MA Wenjun , LI Jiasen , et al . Prevalence and influencing factors of depression symptom among middle-aged and elderly people in China[J]. Chinese Journal of Public Health, 2017, 33(2): 177-181. doi:10.11847/zgggws2017-33-02-02 .
doi: 10.11847/zgggws2017-33-02-02
13 王廷玉, 潘朝霞, 何秀贞, 等 . 老年人睡眠障碍的相关心理因素分析 [J]. 当代医学, 2012, 18(23): 74-76. doi:10.3969/j.issn.1009-4393.2012.23.053 .
doi: 10.3969/j.issn.1009-4393.2012.23.053
14 Staner L . Comorbidity of insomnia and depression[J]. Sleep Med Rev, 2010, 14(1): 35-46. doi:10.1016/j.smrv.2009.09.003 .
doi: 10.1016/j.smrv.2009.09.003
15 李雪丽, 张斌 . 睡眠障碍与焦虑抑郁障碍的联系[J]. 中国临床医生杂志, 2018, 46(2): 131-133. doi:10.3969/j.issn.2095-8552.2018.02.002 .
doi: 10.3969/j.issn.2095-8552.2018.02.002
16 Manber R , Chambers AS . Insomnia and depression: a multifaceted interplay[J]. Curr Psychiatry Rep, 2009, 11(6): 437-442. doi: 10.1007/s11920-009-0066-1 .
doi: 10.1007/s11920-009-0066-1
17 Ichimori A , Tsukasaki K , Koyama E . Illuminance, subjective sleep quality, and psychosomatic health in elderly individuals requiring care: a survey of japan's hokuriku region in winter[J]. J Community Health Nurs, 2015, 32(2): 104-114. doi:10.1080/07370016.2015.1026158 .
doi: 10.1080/07370016.2015.1026158
18 Chung KH , Li CY , Kuo SY , et al . Risk of psychiatric disorders in patients with chronic insomnia and sedative-hypnotic prescription: a nationwide population-based follow-up study[J]. J Clin Sleep Med, 2015, 11(5): 543-551. doi:10.5664/jcsm.4700 .
doi: 10.5664/jcsm.4700
19 Wang TY , Li SM , Jiang GH , et al . Regional homogeneity changes in patients with primary insomnia[J]. Eur Radiol, 2016, 26(5): 1292-1300. doi:10.1007/s00330-015-3960-4 .
doi: 10.1007/s00330-015-3960-4
20 唐丹, 陈章明 . 相同生活背景下老年人心理健康的性别差异及年龄相关变化[J]. 中国老年学杂志, 2011, 31(1): 118-121. doi:10.3969/j.issn.1005-9202.2011.01.051 .
doi: 10.3969/j.issn.1005-9202.2011.01.051
21 马跃, 苏莹莹, 杨光, 等 . 长春市成年居民一般心理健康状况及其影响因素分析[J]. 中华疾病控制杂志, 2016, 20(7): 663-666. doi:10.16462/j.cnki.zhjbkz.2016.07.005 .
doi: 10.16462/j.cnki.zhjbkz.2016.07.005
MA Yue , SU Yingying , YANG Guang , et al . The general mental health status and analysis on its related factors in adults of Changchun City[J]. Chinese Journal of Disease Control & Prevention, 2016, 20(7): 663-666. doi:10.16462/j.cnki.zhjbkz.2016.07.005 .
doi: 10.16462/j.cnki.zhjbkz.2016.07.005
22 黄芳, 郑智娟, 谢磊 . 突发性聋患者焦虑、抑郁与病情阶段的关系及影响因素分析[J]. 山东大学耳鼻喉眼学报, 2018, 32(4): 1-6. doi:10.6040/j.issn.1673-3770.0.2017.449 .
doi: 10.6040/j.issn.1673-3770.0.2017.449
HUANG Fang , ZHENG Zhijuan , XIE Lei . Relationship of anxiety and depression with illness stage in patients with sudden hearing loss and its influencing factors[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(4): 1-6. doi:10.6040/j.issn.1673-3770.0.2017.449 .
doi: 10.6040/j.issn.1673-3770.0.2017.449
[1] Jiejie XU. Physiological characteristics of voice and care of vocal health in the elderly [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(3): 14-18.
[2] ZHU Wenyan, JIN Xin, SHE Wandong, MA Yongchi. Assessment of psychopathological characteristics in 30 patients with sudden sensorineural hearing loss [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 50-52.
[3] CHEN Wei, HU Zhongnan, TONG Zhaojun, LI Xiangyu, LIU Wenjun. Characteristics of auditory brainstem response to high-frequency stimulus in young and middle-aged patients with sudden deafness and no history of vertigo or cardiocerebrovascular disease [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 45-49.
[4] CHEN Wangxing, ZHAO Xue, LIU Yan, LIU Yue, JIN Chunshun. Psychological status of patients with deviated nasal septum or chronic sinusitis with nasal polyps [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 24-27.
[5] HUANG Fang, ZHENG Zhijuan, XIE Lei. Relationship of anxiety and depression with illness stage in patients with sudden hearing loss and its influencing factors [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 1-6.
[6] SHANG Wei. Interpretation of “The Third Edition of the International Classification of Sleep Disorders(ICSD)”. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(5): 18-20.
[7] LI Jufen, MU Chao, WANG Yan, LI Yanzhong. An investigation on the test of bone mineral density in middle-aged men with obstructive sleep apnea hypopnea syndrome [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(5): 14-18.
[8] HE Ying-xue, CONG Lin, DU Yi-feng. Clinical investigation of sleep disorders and related factors in Alzheimer's disease [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(2): 1-8.
[9] XIA Chun-peng1, LIN Yan-hui2, LI Yan1, LI Ke-yi1, ZHANG Bin2. Effect of oral appliance therapy on psychological state of patients with obstructive sleep apnea-hypopnea syndrome [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(2): 29-32.
[10] BO Ming-xiang1， ZHANG Ying-ying2， ZHANG Li-gui2. Effects of psychological intervention on botulinum toxin for  Belepharospasm and Hemifacial spasm [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(2): 69-70.
[11] SONG Li-hua. Small incision non-phacoemulsification extracapsular cataract extraction in 700 cases [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2012, 26(5): 93-94.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd