UM  > Faculty of Health Sciences
Insomnia in older adults with chronic obstructive pulmonary disease (COPD) in Hong Kong: A case-control study
Xiang Y.-T.1; Wong T.-S.1; Tsoh J.1; Ungvari G.S.3; Correll C.U.6; Ko F.W.S.4; Hui D.S.C.4; Chiu H.F.K.1
2014
Source PublicationCOPD: Journal of Chronic Obstructive Pulmonary Disease
ISSN15412563 15412555
Volume11Issue:3Pages:319-324
Abstract

This study aimed to determine the frequency and sociodemographic/clinical correlates of insomnia in Chinese patients aged ≥60 years suffering from chronic obstructive pulmonary disease (COPD). In this case-control study of 142 outpatients with COPD and 218 sex- and age-matched control subjects, COPD patients were recruited from a prospective study sample hospitalized in Hong Kong for acute COPD exacerbation (≥2 major COPD symptoms or >1 major+minor COPD symptoms for ≥2 consecutive days). Controls were recruited from social centres in Hong Kong. Activity of daily living was assessed with the Instrumental Activities of Daily Living Scale, life events were evaluated using the Life Event Scale, depressive symptoms were ascertained with the Geriatric Depression Scale, and quality of life was measured using the Medical Outcomes Study Short Form-12. Early, middle and late insomnia were measured using items 4, 5 and 6 of the Hamilton Rating Scale for Depression. The frequency of ≥1 type of insomnia was 47.2% in patients and 25.7% in controls; frequencies of early, middle and late insomnia in patients were 24.6%, 31.0%, and 26.1%, respectively, compared to 14.7%, 14.7% and 11.9% in controls. Group differences were non-significant after controlling for relevant covariates. However, in multiple logistic regression analysis, more physical illnesses (p = 0.02, OR = 1.3, 95% CI = 1.1-1.7) and more severe depressive symptoms (p = 0.009, OR = 1.1, 95% CI = 1.03-1.3) were independently associated with any type of insomnia in COPD patients, accounting for 21.3% of the variance. A significant proportion of older adult Chinese COPD patients suffer from insomnia that warrants more attention in clinical practice. © 2014 Informa Healthcare USA, Inc.

KeywordChina Chronic Obstructive Pulmonary Disease Depression Elderly Insomnia
DOI10.3109/15412555.2013.858314
URLView the original
Indexed BySCIE
Language英语
WOS Research AreaRespiratory System
WOS SubjectRespiratory System
WOS IDWOS:000336507800009
Fulltext Access
Citation statistics
Cited Times [WOS]:6   [WOS Record]     [Related Records in WOS]
Document TypeJournal article
CollectionFaculty of Health Sciences
Affiliation1.Tai Po Hospital
2.Beijing An Ding Hospital, Capital Medical University
3.University of Western Australia
4.Chinese University of Hong Kong
5.University of Notre Dame Australia
6.The Zucker Hillside Hospital
Recommended Citation
GB/T 7714
Xiang Y.-T.,Wong T.-S.,Tsoh J.,et al. Insomnia in older adults with chronic obstructive pulmonary disease (COPD) in Hong Kong: A case-control study[J]. COPD: Journal of Chronic Obstructive Pulmonary Disease,2014,11(3):319-324.
APA Xiang Y.-T.,Wong T.-S.,Tsoh J.,Ungvari G.S.,Correll C.U.,Ko F.W.S.,Hui D.S.C.,&Chiu H.F.K..(2014).Insomnia in older adults with chronic obstructive pulmonary disease (COPD) in Hong Kong: A case-control study.COPD: Journal of Chronic Obstructive Pulmonary Disease,11(3),319-324.
MLA Xiang Y.-T.,et al."Insomnia in older adults with chronic obstructive pulmonary disease (COPD) in Hong Kong: A case-control study".COPD: Journal of Chronic Obstructive Pulmonary Disease 11.3(2014):319-324.
Files in This Item:
There are no files associated with this item.
Related Services
Recommend this item
Bookmark
Usage statistics
Export to Endnote
Google Scholar
Similar articles in Google Scholar
[Xiang Y.-T.]'s Articles
[Wong T.-S.]'s Articles
[Tsoh J.]'s Articles
Baidu academic
Similar articles in Baidu academic
[Xiang Y.-T.]'s Articles
[Wong T.-S.]'s Articles
[Tsoh J.]'s Articles
Bing Scholar
Similar articles in Bing Scholar
[Xiang Y.-T.]'s Articles
[Wong T.-S.]'s Articles
[Tsoh J.]'s Articles
Terms of Use
No data!
Social Bookmark/Share
All comments (0)
No comment.
 

Items in the repository are protected by copyright, with all rights reserved, unless otherwise indicated.