Perceived sleep quality, coping behavior, and associations with major depression among older adults.

Bergmans RS, Zivin K, Mezuk B. Perceived sleep quality, coping behavior, and associations with major depression among older adults. Journal of Health Psychology. 2021 Sep 1; 26(11):1913-1925.

Related HSR&D Project(s)

• CDA 07-206 – VA Depression Treatments: Practice, Policy and Cost-Effectiveness

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Abstract:

In older adults, we determined (1) the association of perceived sleep quality with stress-coping behaviors (drinking alcohol, smoking tobacco, medication/drug use, overeating, prayer, exercise, social support, and treatment from a health professional) and (2) whether coping behavior mediated the relationship of perceived sleep quality with depression. Data came from the US Health and Retirement Study 2008-2010 (? = 1174). Using logistic regression, poor perceived sleep quality was associated with medication/drug use (odds ratio? = 2.9; 95% confidence interval? = 1.4-6.0) and overeating (odds ratio? = 1.6; 95% confidence interval? = 1.1-2.5). However, using structural equation modeling, coping behavior did not mediate the relationship of perceived sleep quality with depression symptomology (? = 0.14).