Cognitive performance and sleep quality in the elderly suffering from chronic insomnia
Journal of Psychosomatic ResearchPublished 30 December 2002
Célyne Bastien, Émilie Fortier-Brochu, Isabelle Rioux, Mélanie LeBlanc, Meagan Daley, Charles M. Morin
Citations166
SJR quartileQ1
SJR score1.31
SNIP1.10
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Daytime performance and sleep quality are related, but differently so for a good sleeper, an insomnia sufferer without treatment, or one using BZs to alleviate sleep difficulties.
Abstract
Daytime performance and sleep quality are related, but differently so for a good sleeper, an insomnia sufferer without treatment, or one using BZs to alleviate sleep difficulties.
Keywords
PsychologyNeuroscience
Encyclopedia of Social WorkDiagnostic and Statistical Manual of Mental Disorders
109,983 Citations2013Janet B. W. Williams, Michael B. First
Journal of Psychiatric Research“Mini-mental state”
86,858 Citations1975Marshal F. Folstein, Susan E. Folstein +1 more
A simplified, scored form of the cognitive mental status examination, the “Mini-Mental State” (MMS) which includes eleven questions, requires only 5-10 min to administer, and is therefore practical to use serially and routinely.
Clinical Psychology ReviewPsychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation
11,814 Citations1988Aaron T. Beck, Robert A. Steer +1 more
Sleep MedicineValidation of the Insomnia Severity Index as an outcome measure for insomnia research
7,967 Citations2001Célyne Bastien
The clinical validation of the Insomnia Severity Index (ISI) indicates that the ISI is a reliable and valid instrument to quantify perceived insomnia severity and is likely to be a clinically useful tool as a screening device or as an outcome measure in insomnia treatment research.
JAMAEpidemiologic study of sleep disturbances and psychiatric disorders. An opportunity for prevention?
2,453 Citations1989Daniel E. Ford
Medical Entomology and ZoologyInsomnia: Psychological Assessment and Management
2,354 Citations1993Charles M. Morin
JAMAEpidemiologic Study of Sleep Disturbances and Psychiatric Disorders
2,251 Citations1989Daniel E. Ford
As part of the National Institute of Mental Health Epidemiologic Catchment Area study, 7954 respondents were questioned at baseline and 1 year later about sleep complaints and psychiatric symptoms using the Diagnostic Interview Schedule.
Archives of General PsychiatryInsomnia and Its Treatment
1,065 Citations1985Glen D. Mellinger
The survey found that insomnia afflicts 35% of all adults during the course of a year; about half of these persons experience the problem as serious; the majority of serious insomniacs were untreated by either prescribed or over-the-counter medications.
Sleep Medicine ReviewsHyperarousal and insomnia
358 Citations1997Michael H. Bonnet, Donna L. Arand
Evidence is presented which supports the contention that primary insomniacs suffer from a disorder of hyperarousal and that the elevated arousal produces the poor sleep and other symptoms reported by patients.
Postgraduate MedicineInsomnia and its treatment
293 Citations1984Robert Malcolm, John A. Gross
Symptomatic treatment of transient insomnias is advisable, for without treatment these sleep disorders may become persistent and the drugs of choice are the benzodiazepine hypnotics, which have minimal side effects when used for short periods in properly selected patients.
PubMedEffect of benzodiazepine hypnotics on all-night sleep EEG spectra.
233 Citations1985Alexander A. Borbély, P Mattmann +3 more
The results demonstrate that benzodiazepine hypnotics induce specific changes in the EEG spectra which reflect the immediate and residual drug effects more sensitively than conventional sleep scores.
BMJPrevalence, frequency, and duration of hypnotic drug use among the elderly living at home
205 Citations1988Kevin Morgan, Helen Dallosso +3 more
It is suggested that for most elderly users of hypnotic drugs, patterns of consumption encourage the development of cumulative effects and benzodiazepine dependence.
Treatment of Late-Life Insomnia
205 Citations2000Kenneth L. Lichstein, Charles M. Morin
Insomnia in Dementia and in Residential Care, Characteristics of Older Adults with Insomnia, and Special TREATMENT TOPICS.
SLEEPSleep in the Laboratory and Sleep at Home: Comparisons of Older Insomniacs and Normal Sleepers
197 Citations1997Jack D. Edinger, Ana I. Fins +8 more
Overall, results suggest FNEs are a concern mainly when using LPSG, and HPSG may be more sensitive than L PSG for documenting sleep differences between normal sleepers and insomniacs.
Psychological MedicineCognitive impairment in long-term benzodiazepine users
168 Citations1988Susan Golombok, Parimala Moodley +1 more
It was found that patients taking high doses of benzodiazepines for long periods of time perform poorly on tasks involving visual-spatial ability and sustained attention, consistent with deficits in posterior cortical cognitive function.
Psychiatry ResearchThe experience of insomnia and daytime and nightime functioning
165 Citations1984Wallace B. Mendelson, Debra Garnett +2 more
Ten insomniacs and matched control subjects, in whom major physiologic disorders such as sleep apnea and nocturnal myoclonus were ruled out, underwent studies of sleep, temperature, motor activity, cognitive performance, and perception of depth of sleep.
Behavior Research MethodsPortable four-choice reaction time test with magnetic tape memory
153 Citations1975Robert T. Wilkinson, David Houghton
In preliminary performance trials, the four-choice test appeared to reflect fatigue due to continuous repetitive responding in a way similar to classical, nonportable, multiple-choice serial reaction tests, but over a shorter time scale and with greater internal consistency.
PsychopharmacologyThe effects of flurazepam, lorazepam, and triazolam on sleep and memory
135 Citations1980Thomas Roth, Kristyna M. Hartse +3 more
Results indicate that failure of memory consolidation rather than failure of retrieval is the most likely explanation for the morning memory loss and hypnotic drug properties, measured by latency to fall back asleep, affect memory consolidation.
SLEEPTwenty-Four-Hour Sleep-Wake Function and Personality Patterns in Chronic Insomniacs and Healthy Controls
128 Citations1986D Schneider-Helmert
A test for unintentional sleep suggested that poor sleep function in insomniacs is related to deficient sleep-controlling mechanisms, rather than psychological trait and state factors.
The Journals of Gerontology Series BEffects of chronic insomnia and use of benzodiazepines on daytimeperformance in older adults
125 Citations2000A. Vignola, Chastine Lamoureux +2 more
It is suggested that the attention/concentration difficulties experienced by medicated and unmedicated older adults with insomnia may be linked to a state of hyperarousal.
PubMedCognitive deficits in insomnia patients.
122 Citations1997Peter J. Hauri
There were no significant differences in Digit Symbol Substitution, Divided Attention, and Auditory Verbal Learning Tests, suggesting that the pattern of deficiencies in insomnia is different than that in sleep-deprived subjects.
NeuropsychopharmacologyDynamics of Slow-Wave Activity and Spindle Frequency Activity in the Human Sleep EEG: Effect of Midazolam and Zopiclone
115 Citations1994Daniel Aeschbach, Derk‐Jan Dijk +3 more
Although the two drugs reduced SWA and enhanced SFA, their time course across and within sleep cycles as well as their mutual relationship were little affected, providing further evidence that hypnotics acting as BDZ-receptor agonists do not substantially interfere with the homeostatic aspect of sleep regulation.
Acta Psychiatrica ScandinavicaWhy low‐dose benzodiazepine‐dependent insomniacs can't escape their sleeping pills
104 Citations1988D Schneider-Helmert
Comparison with drug‐free insomniacs showed that LBD leads to a complete loss of hypnotic activity and substantial suppression of delta and REM sleep, and these effects play a leading role in the patients’ inability to escape their sleeping pills.
PsychopharmacologyEffects of triazolam (0.5 mg) on sleep, performance, memory, and arousal threshold
101 Citations1982Cheryl L. Spinweber, Laverne C. Johnson
Threshold for arousal from slow wave sleep was elevated during treatment, and triazolam subjects did not show increased sensitivity to the arousing tone over nights as did placebo subjects.
Psychological MedicineLack of cognitive recovery following withdrawal from long-term benzodiazepine use
98 Citations1994Philip Tata, J. Paul Rollings +3 more
No evidence of immediate recovery of cognitive function following BZ withdrawal was found and Modest recovery of certain deficits emerged at 6 months follow-up in the BZ group, but this remained significantly below the equivalent control performance.
Psychological MedicineComputed axial brain tomography in long-term benzodiazepine users
97 Citations1984M Lader, María A. Ron +1 more
There was no significant relationship between CT scan appearances and the duration of benzodiazepine therapy, and the mean ventricular/brain area measured by planimetry was increased over mean values in an age- and sex-matched group of control subjects.
Journal of Clinical PsychologySubjective ratings of the characteristics and sequelae of good and poor sleep in normals
61 Citations1988Gary Zammit
Night-to-night comparisons of subjects' estimates of sleep parameters reveal that poor sleep is associated with longer sleep latency, a greater number of awakenings, less total sleep time, and more difficulty initiating and maintaining sleep than good sleep.
Scandinavian Journal of Behaviour TherapySubjective and Objective Performance in Patients with Persistent Insomnia
53 Citations1992Jan‐Erik Broman, Lars‐Gunnar Lundh +2 more
International Clinical PsychopharmacologyDifferential acute psychomotor and cognitive effects of diazepam on long-term benzodiazepine users
45 Citations1994Clarice Gorenstein, Márcio Bernik +1 more
It is suggested that neuroadaptative mechanisms, other than benzodiazepine receptor set-point shift, occur after long-term use of therapeutic doses of diazepam, and that tolerance to the memory effects never fully develops.
Handbook of Clinical Geropsychology
45 Citations1998Michel Hersen, Vincent B. Van Hasselt
Aging Neuropsychology and CognitionNeuropsychological performance in elderly insomnia patients
34 Citations1995Robert P. Hart, Charles M. Morin +1 more
The relationship of subjective sleep disturbance to neuropsychological function suggests that sleep perception and nonspecific psychological factors are important determinants of daytime performance in elderly insomniacs.
Sleep Disturbances in Late Life
6 Citations1998Charles M. Morin, France Blais +1 more
Although not all changes in sleep patterns are noticeable or produce distress, severe and persistent sleep disturbances are associated with impaired daytime functioning, increased health care costs, and poorer quality of life for the affected individuals and their families.
