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RESEARCH PRODUCT

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

Ana Belén Parra-díazAntonio Martínez-amatJosé Daniel Jiménez-garcíaAgustín Aibar-almazánFidel Hita-contrerasFrancisco ÁLvarez-salvago

subject

Leadership and ManagementSalud de la mujerTrail Making TestHealth InformaticsHospital Anxiety and Depression ScaleArticlePittsburgh Sleep Quality IndexHealth Information ManagementDepresiónPruebas neuropsicológicasMedicineVerbal fluency testEffects of sleep deprivation on cognitive performancecognitive performancecognitive performance; verbal fluency; executive function; sleep quality; anxiety; depression; womenbusiness.industryHealth PolicyRverbal fluencyMontreal Cognitive Assessmentsleep qualityExecutive functionsanxietySueñoPsicologíaexecutive functiondepressionAnxietyMedicinewomenmedicine.symptombusinessNeuropsicologíaClinical psychology

description

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. 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. 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). 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. Keywords: anxiety; cognitive performance; depression; executive function; sleep quality; verbal fluency; women. This work was partly supported by project 1260735 from the 2014–2020 Operational Programme FEDER in Andalusia. 3.160 JCR (2021) Q2, 50/109 Health Care Sciences & Services 0.533 SJR (2021) Q2, 115/273 Health Policy No data IDR 2021 UEV

yearjournalcountryeditionlanguage
2021-11-21
10.3390/healthcare9111599https://hdl.handle.net/11268/10545