Associations of Sleep Quality, Anxiety, and Depression with Cognitive and Executive Functions among Community-Dwelling Women Aged ≥ 65 Years: A Cross-Sectional Study

Healthcare

José Daniel Jiménez-García¹  Ana Belén Parra-Díaz¹  Agustín Aibar-Almazán¹  Fidel Hita-Contreras¹  Antonio Martínez-Amat¹  Francisco Álvarez-Salvago² 

[1] Department of Health Sciences, Faculty of Health Sciences, University of Jaén, 23071 Jaén, Spain;Department of Physiotherapy, Faculty of Health Sciences, European University of Valencia, 46112 Valencia, Spain;

关键词: cognitive performance;    verbal fluency;    executive function;    sleep quality;    anxiety;    depression;   

DOI  :  10.3390/healthcare9111599

来源: DOAJ

【 摘 要 】

(1) Background: The objective of this study was to evaluate the associations of sleep quality, anxiety, and depression with cognitive performance, executive functions, and verbal fluency among women aged ≥ 65 years; (2) Methods: A cross-sectional study was conducted on 241 women (72.52 ± 3.93 years). Cognitive performance (Mini-Mental State Examination) and impairment (Montreal Cognitive Assessment), verbal fluency (Isaacs test) and executive function (Trail Making Test), Sleep quality (Pittsburgh Sleep quality Index) and anxiety and depression (Hospital Anxiety and Depression Scale) were determined; (3) Results: The linear regression analysis indicated that anxiety, depression and age, were related to lower Mini-Mental State Examination score (adjusted R² = 0.306), and age, anxiety and daytime dysfunction were linked to reduced Montreal Cognitive Assessment score (adjusted R² = 0.248). Age and daytime dysfunction were associated with worse verbal fluency (adjusted R² = 0.094). Finally, sleep latency, sleep disturbances, the Pittsburgh Sleep quality Index total score were associated with longer times in TMT-A (adjusted R² = 0.758) and TMT-B (adjusted R² = 0.508); (4) Conclusions: Sleep quality was associated with cognitive performance, verbal fluency and executive functions. Besides, both anxiety and depression were related with cognitive performance, while only anxiety was linked to executive functions. As for confounders, age was associated with cognitive performance and verbal fluency.

【 授权许可】

Unknown