![]() ![]() A meta-analysis of older people in Europe and North America illustrated a lifetime prevalence of major depression of 16.5% ( 3). Sleep disturbance, depressive and anxiety disorders are relatively prevalent psychiatric conditions in late life. China is already amongst the aging societies and the burden of diseases has subsequently risen as a result ( 2). Consequently, healthcare providers might consider involving dyads when designing programs to reduce insomnia and improve psychological distress for family caregivers.Ĭhina bears a heavy burden of disease due to its large population of older adults aged 65 or more, which accounts for 13.5% of the total population ( 1). However, the caregivers' depression and anxiety were not associated with older adults' insomnia symptoms in the APIM analyses.Ĭonclusions: Older adults and their caregivers had an interrelationship between psychological distress and insomnia. Actor effects were also found between anxiety and insomnia symptoms in both older adults and caregivers (B = 0.825, P < 0.001 B = 0.751, P < 0.001, respectively), with one significant partner effects (B = 0.097, P = 0.004). Actor effects were found between depression and insomnia symptoms in both older adults and caregivers (B = 0.695, P < 0.001 B = 0.547, P < 0.001, respectively), with one significant partner effects (B = 0.080, P = 0.007). Results: Older adults' and caregivers' depression and anxiety had significant positive correlations with their own and their caregivers' insomnia symptoms (all P < 0.001). ![]() Actor-Partner Interdependence Models (APIM) were used to determine whether anxiety or depression symptoms predicted individual or dyadic insomnia. ![]() The 9-item Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder module 7 (GAD-7), and Insomnia Severity Index (ISI) were used to measure depression, anxiety, and insomnia symptoms. Methods: Data were collected from 1,507 pairs of older adults and their caregivers who were in the Guangdong Mental Health Survey in China. 3Department of Medical Statistics, School of Public Health, Sun Yat-sen University, Guangzhou, ChinaĪims: This study aimed to explore the dyadic effects of depression and anxiety on insomnia symptoms in Chinese older adults and their caregivers living in a community setting.2Department of Psychology, School of Public Health, Southern Medical University, Guangzhou, China.1Guangdong Mental Health Center, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.Kai-Rong Ding 1,2 †, Wen-Qi Xu 1 †, Yong-Yi He 1,2, Jia-Hui Hu 1,2, Wen-Yan Tan 1, Jing Liao 3, Cai-Lan Hou 1, Fu-Jun Jia 1,2 * and Shi-Bin Wang 1 * ![]()
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