This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by McCurry, S. M. Articles by Larson, E. B. Search for Related Content PubMed PubMed Citation Articles by McCurry, S. M. Articles by Larson, E. B. Social Bookmarking                         What's this?

Characteristics of Sleep Disturbance in Community-Dwelling Alzheimer's Disease Patients

Rebecca G. Logsdon, PhD

Linda Teri, PhD

Laura E. Gibbons, PhD

Walter A. Kukull, PhD

James D. Bowen, MD

Wayne C. McCormick, MD

Eric B. Larson, MD, MPH

This study examined the frequency, predictors, and impact of sleep problems in a population-based sample of 205 Alzheimer's disease (AD) patients. Sleeping more than usual and early morning awakenings were the most common sleep problems reported but were the least disturbing behaviors for caregivers. Night-time awakenings were less common but were most disturbing to caregivers. Using logistic regression analyses, the factors most strongly asso ciated with night awakenings among patients were male gender, greater memory problems, and decreased functional status. Patient depression increased the risk for caregivers to rate patient sleep problems as more disturbing over all. Cluster analyses revealed three characteristic groups of patients who awakened caregivers: one group was inactive during the day but had few other behavior problems; one group had increased levels of fearfulness, fid geting, and occasional sadness; and the third group had multiple behavior problems, including frequent episodes of sadness, fearfulness, inactivity, fidgeting, and hallucinations. These findings indicate that the nature of sleep problems in AD is multifaceted; future research on the occurrence and treatment of sleep disturbance in dementia patients should consider the patterns of individual differences that may influence its development. (J Geriatr Psychiatry Neurol 1999; 12:53-59).

Journal of Geriatric Psychiatry and Neurology, Vol. 12, No. 2, 53-59 (1999)
DOI: 10.1177/089198879901200203


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				S. Ancoli-Israel and L. Ayalon Diagnosis and Treatment of Sleep Disorders in Older Adults Focus, January 1, 2009; 7(1): 98 - 105. [Abstract] [Full Text] [PDF]

				L. H. P. Eggermont and E. J. A. Scherder Ambulatory but Sedentary: Impact on Cognition and the Rest-Activity Rhythm in Nursing Home Residents With Dementia J. Gerontol. B. Psychol. Sci. Soc. Sci., September 1, 2008; 63(5): P279 - P287. [Abstract] [Full Text] [PDF]

				C. A. Wall, T. A. Rummans, A. J. Aksamit, L. E. Krahn, and V. S. Pankratz Psychiatric Manifestations of Creutzfeldt-Jakob Disease: A 25-Year Analysis J Neuropsychiatry Clin Neurosci, November 1, 2005; 17(4): 489 - 495. [Abstract] [Full Text] [PDF]