Associations of Sleep Quality, Anxiety, and Depression with Cognitive and Executive Functions among Community-Dwelling Women Aged ≥ 65 Years: A Cross-Sectional Study

(1) Background: The objective of this study was to evaluate the associations of sleep quality, anxiety, and depression with cognitive performance, executive functions, and verbal fluency among women aged ≥ 65 years; (2) Methods: A cross-sectional study was conducted on 241 women (72.52 ± 3.93 years)...

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Autores principales:	Ana Belén Parra-Díaz, Agustín Aibar-Almazán, Antonio Martínez-Amat, José Daniel Jiménez-García, Francisco Álvarez-Salvago, Fidel Hita-Contreras
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	cognitive performance verbal fluency executive function sleep quality anxiety depression Medicine R
Acceso en línea:	https://doaj.org/article/b68a9044899347c8b912df9de03b968b
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spelling	oai:doaj.org-article:b68a9044899347c8b912df9de03b968b2021-11-25T17:46:49ZAssociations of Sleep Quality, Anxiety, and Depression with Cognitive and Executive Functions among Community-Dwelling Women Aged ≥ 65 Years: A Cross-Sectional Study10.3390/healthcare91115992227-9032https://doaj.org/article/b68a9044899347c8b912df9de03b968b2021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9032/9/11/1599https://doaj.org/toc/2227-9032(1) Background: The objective of this study was to evaluate the associations of sleep quality, anxiety, and depression with cognitive performance, executive functions, and verbal fluency among women aged ≥ 65 years; (2) Methods: A cross-sectional study was conducted on 241 women (72.52 ± 3.93 years). Cognitive performance (Mini-Mental State Examination) and impairment (Montreal Cognitive Assessment), verbal fluency (Isaacs test) and executive function (Trail Making Test), Sleep quality (Pittsburgh Sleep quality Index) and anxiety and depression (Hospital Anxiety and Depression Scale) were determined; (3) Results: The linear regression analysis indicated that anxiety, depression and age, were related to lower Mini-Mental State Examination score (adjusted R<sup>2</sup> = 0.306), and age, anxiety and daytime dysfunction were linked to reduced Montreal Cognitive Assessment score (adjusted R<sup>2</sup> = 0.248). Age and daytime dysfunction were associated with worse verbal fluency (adjusted R<sup>2</sup> = 0.094). Finally, sleep latency, sleep disturbances, the Pittsburgh Sleep quality Index total score were associated with longer times in TMT-A (adjusted R<sup>2</sup> = 0.758) and TMT-B (adjusted R<sup>2</sup> = 0.508); (4) Conclusions: Sleep quality was associated with cognitive performance, verbal fluency and executive functions. Besides, both anxiety and depression were related with cognitive performance, while only anxiety was linked to executive functions. As for confounders, age was associated with cognitive performance and verbal fluency.Ana Belén Parra-DíazAgustín Aibar-AlmazánAntonio Martínez-AmatJosé Daniel Jiménez-GarcíaFrancisco Álvarez-SalvagoFidel Hita-ContrerasMDPI AGarticlecognitive performanceverbal fluencyexecutive functionsleep qualityanxietydepressionMedicineRENHealthcare, Vol 9, Iss 1599, p 1599 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cognitive performance verbal fluency executive function sleep quality anxiety depression Medicine R
spellingShingle	cognitive performance verbal fluency executive function sleep quality anxiety depression Medicine R Ana Belén Parra-Díaz Agustín Aibar-Almazán Antonio Martínez-Amat José Daniel Jiménez-García Francisco Álvarez-Salvago Fidel Hita-Contreras Associations of Sleep Quality, Anxiety, and Depression with Cognitive and Executive Functions among Community-Dwelling Women Aged ≥ 65 Years: A Cross-Sectional Study
description	(1) Background: The objective of this study was to evaluate the associations of sleep quality, anxiety, and depression with cognitive performance, executive functions, and verbal fluency among women aged ≥ 65 years; (2) Methods: A cross-sectional study was conducted on 241 women (72.52 ± 3.93 years). Cognitive performance (Mini-Mental State Examination) and impairment (Montreal Cognitive Assessment), verbal fluency (Isaacs test) and executive function (Trail Making Test), Sleep quality (Pittsburgh Sleep quality Index) and anxiety and depression (Hospital Anxiety and Depression Scale) were determined; (3) Results: The linear regression analysis indicated that anxiety, depression and age, were related to lower Mini-Mental State Examination score (adjusted R<sup>2</sup> = 0.306), and age, anxiety and daytime dysfunction were linked to reduced Montreal Cognitive Assessment score (adjusted R<sup>2</sup> = 0.248). Age and daytime dysfunction were associated with worse verbal fluency (adjusted R<sup>2</sup> = 0.094). Finally, sleep latency, sleep disturbances, the Pittsburgh Sleep quality Index total score were associated with longer times in TMT-A (adjusted R<sup>2</sup> = 0.758) and TMT-B (adjusted R<sup>2</sup> = 0.508); (4) Conclusions: Sleep quality was associated with cognitive performance, verbal fluency and executive functions. Besides, both anxiety and depression were related with cognitive performance, while only anxiety was linked to executive functions. As for confounders, age was associated with cognitive performance and verbal fluency.
format	article
author	Ana Belén Parra-Díaz Agustín Aibar-Almazán Antonio Martínez-Amat José Daniel Jiménez-García Francisco Álvarez-Salvago Fidel Hita-Contreras
author_facet	Ana Belén Parra-Díaz Agustín Aibar-Almazán Antonio Martínez-Amat José Daniel Jiménez-García Francisco Álvarez-Salvago Fidel Hita-Contreras
author_sort	Ana Belén Parra-Díaz
title	Associations of Sleep Quality, Anxiety, and Depression with Cognitive and Executive Functions among Community-Dwelling Women Aged ≥ 65 Years: A Cross-Sectional Study
title_short	Associations of Sleep Quality, Anxiety, and Depression with Cognitive and Executive Functions among Community-Dwelling Women Aged ≥ 65 Years: A Cross-Sectional Study
title_full	Associations of Sleep Quality, Anxiety, and Depression with Cognitive and Executive Functions among Community-Dwelling Women Aged ≥ 65 Years: A Cross-Sectional Study
title_fullStr	Associations of Sleep Quality, Anxiety, and Depression with Cognitive and Executive Functions among Community-Dwelling Women Aged ≥ 65 Years: A Cross-Sectional Study
title_full_unstemmed	Associations of Sleep Quality, Anxiety, and Depression with Cognitive and Executive Functions among Community-Dwelling Women Aged ≥ 65 Years: A Cross-Sectional Study
title_sort	associations of sleep quality, anxiety, and depression with cognitive and executive functions among community-dwelling women aged ≥ 65 years: a cross-sectional study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/b68a9044899347c8b912df9de03b968b
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Associations of Sleep Quality, Anxiety, and Depression with Cognitive and Executive Functions among Community-Dwelling Women Aged ≥ 65 Years: A Cross-Sectional Study

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