在社区居住的老年人中,对睡眠质量,认知功能和抑郁症状的网络分析
1Department of Psychiatry, School of Mental Health, Bengbu Medical University, Bengbu, China.
Frontiers in psychiatry
|March 4, 2026
概括
主观睡眠质量是老年人认知功能的核心,抑郁症作为关键桥梁. 改善睡眠和情绪的干预措施可以提高老年人的认知和心理健康.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
背景情况:
- 人口快速老龄化带来了挑战,特别是在中国.
- 抑郁症状和睡眠障碍与中年和老年人的认知障碍有关.
研究的目的:
- 研究老年人睡眠,抑郁和认知功能之间的相互关系.
- 在网络模型中识别关键的症状相互作用.
主要方法:
- 对457名老年人 (≥60岁) 的横截面研究.
- 使用了迷你精神状态检查 (MMSE),匹兹堡睡眠质量指数 (PSQI) 和老年抑郁量表 (GDS).
- 使用了网络分析和桥梁中心性计算.
主要成果:
- 主观睡眠质量 (SSQ) 成为MMSE,GDS和PSQI网络的核心症状.
- "老年抑郁量表" (GDS) 显示出最高的桥梁中心性.
- 在PSQI中",习惯性睡眠效率" (HSE) 和"使用睡眠药物" (USM) 之间,在MMSE中"注意力和计算" (AC) 和"注册" (RG) 之间观察到最强的边缘权重.
结论:
- 主观睡眠质量起着关键作用,抑郁症在认知-睡眠-情绪网络中起着至关重要的桥梁作用.
- 针对睡眠质量和抑郁症状的干预措施可能有利于认知功能和心理健康.
- 基于网络的方法有助于优先考虑老年人评估和干预策略.
相关概念视频
Understanding Sleep
Sleep, an essential biological state, involves significant reductions in physical activity, sensory awareness, and interaction with the environment. This complex physiological process is primarily regulated by specific brain regions, notably the hypothalamus and pons, which govern the sleep-wake cycle or circadian rhythm.
The circadian rhythm, a nearly 24-hour cycle, is deeply influenced by environmental light cues. Light exposure directly affects the hypothalamus, which in turn regulates...
The circadian rhythm, a nearly 24-hour cycle, is deeply influenced by environmental light cues. Light exposure directly affects the hypothalamus, which in turn regulates...
Insufficient Sleep and Sleep Deprivation
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
Insomnia
Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
Multiple factors contribute...


