Elsevier

Behavior Therapy

Volume 22, Issue 4, Autumn 1991, Pages 531-548
Behavior Therapy

Older adults objective self-recording of sleep in the home*

https://doi.org/10.1016/S0005-7894(05)80344-2Get rights and content

A convenient, objective source of sleep data in the natural environment can play an important role in evaluating older persons' sleep complaints. The present study tested the utility of such an instrument. Self-report (SR) sleep estimates were contrasted against sleep records derived from tape-recorded verbal responses to fixed interval tones presented throughout the night (sleep assessment device, SAD) with three groups of older women: 18 noninsomniacs, 18 insomniacs using sleep medication, and 20 nonmedicated insomniacs. Subjects collected 2 weeks on SR data and, in addition, the SAD was employed for 1 of those weeks. Sleep deterioration occurred upon introduction of the SAD, though this first night effect quickly dissipated. No differences were found between the 2 weeks of the SR data, one of which included the SAD, and subjects rated the SAD as not disturbing, both indications of unobtrusiveness. Though these subjects required more instruction time than younger subjects, they were able to effectively operate the SAD. As is often the case, SR estimates revealed greater sleep disturbance than did the objective measure, SAD, but both methods also found sleep equivalence between groups on some measures. Insomniacs were distinguished from noninsomniacs more by sleep dissatisfaction than by sleep pattern. Overall, the SAD proved to be a useful source of objective sleep data in the home for older people. Theoretical and clinical implications of these data, as well as limitations on conclusions, are discussed.

References (44)

  • CarskadonM.A. et al.

    Self-reports versus sleep laboratory findings in 122 drug-free subjects with complaints of chronic insomnia

    American Journal of Psychiatry

    (1976)
  • ChristensenA. et al.

    Reactive effects during naturalistic observation of families

    Behavioral Assessment

    (1983)
  • CoatesT.J. et al.

    Estimating sleep parameters: A multitrait-multimethod analysis

    Journal of Consulting and Clinical Psychology

    (1982)
  • ConeJ.D. et al.

    Direct observation in clinical psychology

  • EspieC.A. et al.

    Use of the sleep assessment device (Kelley and Lichstein, 1980) to validate insomniacs' self-report of sleep pattern

    Journal of Psychopathology and Behavioral Assessment

    (1989)
  • EydeD.R. et al.

    Psychological distress in aging: A family management model

    (1983)
  • FrankelB.L. et al.

    Recorded and reported sleep in chronic primary insomnia

    Archives of General Psychiatry

    (1976)
  • HarrisR.J.

    A primer of multivariate statistics

    (1985)
  • HartmanE.

    The sleeping pill

    (1978)
  • HauriP. et al.

    What is the moment of sleep onset for insomniacs?

    Sleep

    (1983)
  • HayashiY. et al.

    All-night sleep polygraphic recordings of healthy aged persons: REM and slow-wave sleep

    Sleep

    (1982)
  • HaynesS.N. et al.

    Reactivity in behavioral observation: A review

    Behavioral Assessment

    (1982)
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    *

    This research was supported in part by grant #1-R15-AG07626-01 from the National Institute on Aging, and by the Department of Psychology's Center for Applied Psychological Research, part of the State of Tennessee's Center of Excellence Grant program. The development of this manuscript greatly profited from the helpful suggestions of the associate editor, Dr. Lizette Peterson.

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