TY - JOUR
T1 - Pain inconsistency and sleep in mid to late-life
T2 - the role of depression
AU - Ravyts, Scott G.
AU - Dzierzewski, Joseph M.
AU - Grah, Stephanie C.
AU - Buman, Matthew
AU - Aiken-Morgan, Adrienne T.
AU - Giacobb, Peter R.
AU - Roberts, Beverly L.
AU - Marsiske, Michael
AU - McCrae, Christina S.
N1 - Funding Information:
This work was supported by the National Institute on Aging (1R36AG029664-01, PI: Aiken-Morgan; T32AG020499, PI: Dzierzewski; F31AG032802, PI: Dzierzewski; 1K23AG049955, PI: Dzierzewski) and University of Florida (Age Network research award, PI: McCrae).
Publisher Copyright:
© 2018, © 2018 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2019/9/2
Y1 - 2019/9/2
N2 - Objectives: Inconsistency in pain may lead to depression, which may then influence sleep. Thus, the purpose of this study was to examine whether depression mediates the relationship between day-to-day inconsistency in pain and sleep in middle aged to older adults. Methods: Baseline measures from the Active Adult Mentoring Project were used for secondary data analysis. Participants included 82 adults in mid- to late-life. Pain was assessed for seven consecutive days on an 11-point Likert-scale, with pain inconsistency defined as the seven-day individual standard deviation. A self-report daily diary was used to assess sleep efficiency (SE), total wake time (TWT), total sleep time (TST), and sleep quality (SQ), and depression was assessed using the BDI-II. Results: Mediation analyses revealed that depression partially mediated the relationship between pain inconsistency and SE, TWT, and SQ but not TST. Conclusions: Results indicate that depression may be an important factor through which pain inconsistency influences sleep. Although further research is warranted, these preliminary findings suggest that intervening on both pain inconsistency and depression may be one way to improve sleep in older adults.
AB - Objectives: Inconsistency in pain may lead to depression, which may then influence sleep. Thus, the purpose of this study was to examine whether depression mediates the relationship between day-to-day inconsistency in pain and sleep in middle aged to older adults. Methods: Baseline measures from the Active Adult Mentoring Project were used for secondary data analysis. Participants included 82 adults in mid- to late-life. Pain was assessed for seven consecutive days on an 11-point Likert-scale, with pain inconsistency defined as the seven-day individual standard deviation. A self-report daily diary was used to assess sleep efficiency (SE), total wake time (TWT), total sleep time (TST), and sleep quality (SQ), and depression was assessed using the BDI-II. Results: Mediation analyses revealed that depression partially mediated the relationship between pain inconsistency and SE, TWT, and SQ but not TST. Conclusions: Results indicate that depression may be an important factor through which pain inconsistency influences sleep. Although further research is warranted, these preliminary findings suggest that intervening on both pain inconsistency and depression may be one way to improve sleep in older adults.
KW - Pain inconsistency
KW - depression
KW - pain
KW - sleep
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U2 - 10.1080/13607863.2018.1481929
DO - 10.1080/13607863.2018.1481929
M3 - Article
C2 - 30215277
AN - SCOPUS:85053468570
SN - 1360-7863
VL - 23
SP - 1174
EP - 1179
JO - Aging and Mental Health
JF - Aging and Mental Health
IS - 9
ER -