The impact of sleep education, light intervention and relaxation on sleep and mood in the elderly
Language English Country England, Great Britain Media print-electronic
Document type Journal Article, Research Support, Non-U.S. Gov't
- Keywords
- Sleep hygiene, actigraph, education, light hygiene, senior sleep,
- MeSH
- Affect * physiology MeSH
- Actigraphy MeSH
- Circadian Rhythm physiology MeSH
- Depression MeSH
- Sleep Quality MeSH
- Middle Aged MeSH
- Humans MeSH
- Relaxation physiology MeSH
- Relaxation Therapy methods MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Sleep * physiology MeSH
- Light MeSH
- Anxiety MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
Sleep and light education (SLE) combined with relaxation is a potential method of addressing sleep and affective problems in older people. 47 participants took part in a four-week sleep education program. SLE was conducted once a week for 60-90 minutes. Participants were instructed on sleep and light hygiene, sleep processes, and practiced relaxation techniques. Participants were wearing actigraphs for 6 weeks, completed daily sleep diaries, and wore blue light-blocking glasses 120 minutes before bedtime. Measures included scores of the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), Insomnia Severity Index (ISS), Beck Depression Inventory-II (BDI-II), State-Trait Anxiety Inventory (STAI) and actigraphy measurements of sleep latency, sleep efficiency, and sleep fragmentation. Sleep quality increased after SLE based on the subjective assessment and in the objective measurement with actigraphy. PSQI scores were statistically reduced indicating better sleep. Scores after the intervention significantly decreased in ESS and ISS. Sleep latency significantly decreased, whereas sleep efficiency and fragmentation index (%), did not improve. Mood significantly improved after SLE, with lower scores on the BDI-II and STAI. SLE combined with relaxation proved to be an effective method to reduce sleep problems and the incidence of depressive and anxiety symptoms.
3rd Faculty of Medicine Charles University Prague Czech Republic
Department of Molecular Biology Umeå University Umeå Sweden
Department of Neurology University Hospital Kralovske Vinohrady Prague Czech Republic
Department of Psychiatry 1st Faculty of Medicine Charles University Prague Czech Republic
Department of Psychology Faculty of Arts Charles University Prague Czech Republic
Sleep and Chronobiology Research Centre National Institute of Mental Health Klecany Czech Republic
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