Treatment for Insomnia Symptoms is Associated with Reduced Depression Among Older Adults: A Propensity Score Matching Approach.

IF 2.6 3区医学 Q3 GERIATRICS & GERONTOLOGY Clinical Gerontologist Pub Date : 2024-05-01 Epub Date: 2023-05-08 DOI:10.1080/07317115.2023.2208582

T Muhammad, Shobhit Srivastava, K Muneera, Manish Kumar, Uma Kelekar

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Abstract

Objectives: The study aimed to investigate the effect of utilization of treatment for insomnia symptoms on the prevalence of major depressive disorder among older adults in India.

Methods: We used the data from the Longitudinal Ageing Study in India (LASI), 2017-18. The sample included 10,911 older individuals who reported insomnia symptoms. The propensity score matching (PSM) approach was used to compare the depressive disorder among those who received vs. not received treatment.

Results: Only 5.7% of older adults reporting insomnia symptoms received treatment. On average, prevalence of depressive disorder among men and women who received treatment for insomnia symptoms was lesser by 0.79 and 0.33 points, respectively, than those who did not receive treatment. In the matched sample, treatment for insomnia symptoms was significantly associated with lesser prevalence of depression for both older men (β= -0.68, p < .001) and older women (β= -0.62, p < .001).

Conclusions: The current findings suggest that treatment for insomnia symptoms can reduce the risk of depressive disorder among older adults and the effects are higher among older men than women.

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治疗失眠症状与减少老年人抑郁有关：倾向得分匹配法

研究目的本研究旨在调查印度老年人利用失眠症状治疗对重度抑郁症患病率的影响：我们使用了 2017-18 年印度老龄化纵向研究（LASI）的数据。样本包括10911名报告有失眠症状的老年人。采用倾向得分匹配（PSM）方法比较了接受治疗与未接受治疗者的抑郁障碍情况：结果：在报告有失眠症状的老年人中，只有 5.7% 接受了治疗。平均而言，接受失眠症状治疗的男性和女性抑郁症患病率分别比未接受治疗者低 0.79 和 0.33 个百分点。在配对样本中，失眠症状治疗与老年男性和老年女性抑郁患病率的降低有显著相关性（β= -0.68，p p 结论：在配对样本中，失眠症状治疗与老年男性和老年女性抑郁患病率的降低有显著相关性（β= -0.68，p p）：目前的研究结果表明，治疗失眠症状可降低老年人患抑郁症的风险，而且对老年男性的影响高于女性。

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来源期刊

Clinical Gerontologist GERIATRICS & GERONTOLOGY-PSYCHIATRY

CiteScore

6.20

自引率

25.00%

发文量

审稿时长

>12 weeks

期刊介绍： Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including: -adjustments to changing roles- issues related to diversity and aging- family caregiving- spirituality- cognitive and psychosocial assessment- depression, anxiety, and PTSD- Alzheimer’s disease and other neurocognitive disorders- long term care- behavioral medicine in aging- rehabilitation and education for older adults. Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.