The Effect of Depressive and Insomnia Symptoms in Quality of Life among Community-Dwelling Older Adults

Konstantinos Tsaras (), Maria Tsiantoula, Dimitrios Papagiannis, Ioanna V. Papathanasiou, Maria Chatzi, Martha Kelesi, Evridiki Kaba and Evangelos C. Fradelos
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Konstantinos Tsaras: Public Health & Vaccines Laboratory, Faculty of Nursing, School of Health Sciences, University of Thessaly, 41500 Larissa, Greece
Maria Tsiantoula: Department of Welfare, Municipality of Larissa, 41222 Larissa, Greece
Dimitrios Papagiannis: Public Health & Vaccines Laboratory, Faculty of Nursing, School of Health Sciences, University of Thessaly, 41500 Larissa, Greece
Ioanna V. Papathanasiou: Community Nursing Laboratory, Faculty of Nursing, School of Health Sciences, University of Thessaly, 41500 Larissa, Greece
Maria Chatzi: Department of Infections, University Hospital of Larissa, 41110 Larissa, Greece
Martha Kelesi: Department of Nursing, School of Health and Care Sciences, University of West Attica, 12243 Athens, Greece
Evridiki Kaba: Department of Nursing, School of Health and Care Sciences, University of West Attica, 12243 Athens, Greece
Evangelos C. Fradelos: Community Nursing Laboratory, Faculty of Nursing, School of Health Sciences, University of Thessaly, 41500 Larissa, Greece

IJERPH, 2022, vol. 19, issue 20, 1-11

Abstract: The purpose of this study was to investigate the effects of depressive symptoms, insomnia symptoms, and comorbid depressive and insomnia symptoms on the quality of life among community-dwelling older adults in an urban area of central Greece. A cross-sectional study was conducted on 200 older adults (aged ≥ 60) collected from five Open Care Centers for Elderly People of the Municipality of Larissa, Greece. Data were obtained through a questionnaire that included demographic, socioeconomic, and health-related characteristics; the World Health Organization Quality of Life (WHOQoL)-Bref questionnaire; the Geriatric Depression Scale; and the Athens Insomnia Scale. The prevalences of depression, insomnia, and comorbid depression and insomnia were 28% (95% confidence interval (95% CI): 21.8–34.2%), 40.5% (95% CI: 33.7–47.3%), and 19% (95% CI: 13.5–24.5%), respectively. The mean WHOQoL-Bref score for all domains was approximately 14.50, with the highest mean value observed for psychological health (14.79 ± 2.60), followed by the physical health (14.49 ± 2.66), social relationships (14.39 ± 2.03), and environmental domains (14.32 ± 1.90). All WHOQoL-Bref domains were negatively correlated with depression and insomnia. Older adults with depressive symptoms, insomnia symptoms, and comorbid depressive and insomnia symptoms had lower scores in all quality of life dimensions compared with those without.

Keywords: depression; insomnia; quality of life; older adults; community; Greece (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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