A Cross-Sectional Study of Depression, Insomnia, and Quality of Life Level among Community-Dwelling Older Adults

Authors

DOI:

https://doi.org/10.23917/bik.v18i2.8680

Keywords:

Community-Dwelling, Depression, Insomnia, older adult, Quality of Life

Abstract

Older adults with depression and insomnia had increased, which affected their quality of life. This study investigates the correlation between depression and insomnia in older adults and their quality of life (QoL). This study used a quantitative descriptive method with a cross-sectional approach among 215 older adults in Indonesia, utilizing the Geriatric Depression Scale Short Form, insomnia rating scale, and WHO-QoL Bref for QoL assessment. The study was using the Spearman Correlation Test and multiple linear regression. The results show that depression is unrelated to physical, psychological, social, or ecological QoL. Insomnia was related to QoL of physical health (r = 0.138, p = 0.04) and QoL of psychological health (r = 0.140, p = 0.03), but insomnia was not associated with QoL of social health (r = 0.120, p = 0.06) or environmental health (r = 0.05, p = 0.38). Furthermore, the regression hierarchy analysis found that insomnia was the most dominant variable affecting the QoL on physical health (β = 0.17). There is a notable correlation between rates of insomnia and physical and psychological QoL that has essential implications for the health status and well-being of older adults. This finding suggests that nursing intervention may be necessary to address sleep disorders among older persons.

Downloads

Download data is not yet available.

References

Almondes, K. M. de, Castro, E. de A. S., & Paiva, T. (2022). Sleep Habits, Quality of Life and Psychosocial Aspects in the Older Age: Before and During COVID-19. Frontiers in Neuroscience, 16(March), 1–10. https://doi.org/10.3389/fnins.2022.694894

Badan Pusat Statistik Indonesia. (2022). Statistik Penduduk Lanjut Usia 2022. In Badan Pusat Statistik.

Bahtiar, B., Sahar, J., & Wiarsih, S. (2022). Experiences of implementing a coping mechanism for the elderly who face chronic diseases while living with the family: A phenomenology study. Frontiers of Nursing, 9(1), 87–93. https://doi.org/10.2478/fon-2022-0011

Bahtiar, B., Sahar, J., & Widyatuti, W. (2020). Music, dhikr, and deep breathing technique to decrease depression level in older adults: Evidence-based practice in Depok City, Indonesia. ASEAN Journal of Community Engagement, 4(2), 468–484. https://doi.org/10.7454/ajce.v4i2.1093

Berkley, A. S., Carter, P. A., Yoder, L. H., Acton, G., & Holahan, C. K. (2020). The effects of insomnia on older adults’ quality of life and daily functioning: A mixed-methods study. Geriatric Nursing, 41(6), 832–838. https://doi.org/10.1016/j.gerinurse.2020.05.008

Cao, W., Guo, C., Ping, W., Tan, Z., Guo, Y., & Zheng, J. (2016). A community-based study of quality of life and depression among older adults. International Journal of Environmental Research and Public Health, 13(7), 693–713. https://doi.org/10.3390/ijerph13070693

Cheng, G. H. L., Malhotra, R., Chan, A., Østbye, T., & Lo, J. C. (2018). Weak social networks and restless sleep interrelate through depressed mood among elderly. Quality of Life Research, 27(10), 2517–2524. https://doi.org/10.1007/s11136-018-1895-3

Crowley, K. (2011). Sleep and sleep disorders in older adults. Neuropsychology Review, 21(1), 41–53. https://doi.org/10.1007/s11065-010-9154-6

Dorji, N., Dunne, M. P., Seib, C., & Deb, S. (2017). Quality of Life among Senior Citizens in Bhutan: Associations with Adverse Life Experiences, Chronic Diseases, Spirituality, andSocial Connectedness. Asia-Pacific Journal of Public Health, 29(1), 35–46. https://doi.org/10.1177/1010539516685609

Huang, L., Zhang, C., Xu, J., Wang, W., Yu, M., Jiang, F., Yan, L., & Dong, F. (2021). Function of a Psychological Nursing Intervention on Depression, Anxiety, and Quality of Life in Older Adult Patients With Osteoporotic Fracture. Worldviews on Evidence-Based Nursing, 18(4), 290–298. https://doi.org/10.1111/wvn.12518

Kemenkes RI. (2022). Profil Kesehatan Indonesia 2021. In Pusdatin.Kemenkes.Go.Id.

Kim, W. H., Jung, H. Y., Choi, H. Y., Park, C. H., Kim, E. S., Lee, S. J., Ko, S. H., Kim, S. Y., & Joa, K. L. (2017). The associations between insomnia and health-related quality of life in rehabilitation units at 1 month after stroke. Journal of Psychosomatic Research, 96, 10–14. https://doi.org/10.1016/j.jpsychores.2017.02.008

Levasseur, M., St-Cyr Tribble, D., & Desrosiers, J. (2009). Meaning of quality of life for older adults: Importance of human functioning components. Archives of Gerontology and Geriatrics, 49(2), 91–100. https://doi.org/10.1016/j.archger.2008.08.013

Liu, Y., Li, T., Guo, L., Zhang, R., Feng, X., & Liu, K. (2017). The mediating role of sleep quality on the relationship between perceived stress and depression among the elderly in urban communities: a cross-sectional study. Public Health, 149, 21–27. https://doi.org/10.1016/j.puhe.2017.04.006

Lorber, M., Kmetec, S., Davey, A., & Relji, N. M. (2023). Associations between Sleep Quality , Frailty , and Quality of Life among Older Adults in Community and Nursing Home Settings. International Journal of Environmental Research and Public Health, 20(4937), 1–12. https://doi.org/https:// doi.org/10.3390/ijerph20064937

Maness, D. L., & Khan, M. (2015). Nonpharmacologic management of chronic Insomnia. American Family Physician, 92(12), 1058–1064.

Nations, U. (2015). World Population Ageing.

Noguchi, S., Makino, M., Haresaku, S., Shimada, K., & Naito, T. (2017). Insomnia and depression impair oral health-related quality of life in the old-old. Geriatrics and Gerontology International, 17(6), 893–897. https://doi.org/10.1111/ggi.12816

Olfson, M., Wall, M., Liu, S.-M., Morin, C. M., & Blanco, C. (2018). Insomnia and Impaired Quality of Life in the United States. Journal Clinical Psychiatry, 79(5), 1–8. https://doi.org/https://doi.org/10.4088/JCP.17m12020

Paskulin, L., & Molzahn, A. (2007). Quality of life of older adults in Canada and Brazil. Western Journal of Nursing Research, 29(1), 10–26. https://doi.org/10.1177/0193945906292550

Paskulin, L., Vianna, L., & Molzahn, A. (2009). Factors associated with quality of life of Brazilian older adults. International Nursing Review, 56(1), 109–115. https://doi.org/10.1111/j.1466-7657.2008.00671.x

Sarıarslan, H. A., Gulhan, Y. B., Unalan, D., Basturk, M., & Delibas, S. (2015). The relationship of sleep problems to life quality and depression. Neurosciences, 20(3), 236–242. https://doi.org/10.17712/nsj.2015.3.20150157

Scogin, F., Morthland, M., Dinapoli, E. A., Larocca, M., & Chaplin, W. (2016). Pleasant Events, Hopelessness, and Quality of Life in Rural Older Adults. Journal of Rural Health, 32(1), 102–109. https://doi.org/10.1111/jrh.12130

Shafazand, S., Wallace, D. M., Arheart, K. L., Vargas, S., Luca, C. C., Moore, H., Katzen, H., Levin, B., & Singer, C. (2017). Insomnia, sleep quality, and quality of life in mild to moderate parkinson’s disease. Annals of the American Thoracic Society, 14(3), 412–419. https://doi.org/10.1513/AnnalsATS.201608-625OC

Shrestha, K., Ojha, S. P., Dhungana, S., & Shrestha, S. (2020). Depression and its association with quality of life among elderly: An elderly home- cross sectional study. Neurology Psychiatry and Brain Research, 38(June), 1–4. https://doi.org/10.1016/j.npbr.2020.08.003

Sok, S. R. (2008). Sleep patterns and Insomnia management in Korean-American older adult immigrants. Journal of Clinical Nursing, 17(1), 135–143. https://doi.org/10.1111/j.1365-2702.2006.01869.x

Stein, M. B., Belik, S. L., Jacobi, F., & Sareen, J. (2008). Impairment associated with sleep problems in the community: Relationship to physical and mental health comorbidity. Psychosomatic Medicine, 70(8), 913–919. https://doi.org/10.1097/PSY.0b013e3181871405

Sun, Y., Zhang, D., Yang, Y., Wu, M., Xie, H., Zhang, J., Jia, J., & Su, Y. (2016). Social Support Moderates the Effects of Self-esteem and Depression on Quality of Life Among Chinese Rural Elderly in Nursing Homes. Archives of Psychiatric Nursing, 31(2), 197–204. https://doi.org/10.1016/j.apnu.2016.09.015

Tang, W. K., Lau, C. G., Mok, V., Ungvari, G. S., & Wong, K. S. (2015). Insomnia and health-related quality of life in stroke. Topics in Stroke Rehabilitation, 22(3), 201–207. https://doi.org/10.1179/1074935714Z.0000000026

Tsaras, K., Tsiantoula, M., Papagiannis, D., Papathanasiou, I. V., Chatzi, M., Kelesi, M., Kaba, E., & Fradelos, E. C. (2022). The Effect of Depressive and Insomnia Symptoms in Quality of Life among Community-Dwelling Older Adults. International Journal of Environmental Research and Public Health, 19(20), 1–11. https://doi.org/10.3390/ijerph192013704

Tsaras, K., Tsiantoula, M., Papathanasiou, I. V, Papagiannis, D., Chatzi, M., & Fradelos, E. C. (2021). Predictors of Depression and Insomnia in Community-Dwelling Elderly People: A Cross-Sectional Evidence of Their Bidirectional Relationship. Cureus, 13(3), 1–11. https://doi.org/10.7759/cureus.13965

Tuomilehto, H., Saramies, J., Va, S., Tuomilehto, J., Uusitalo, H., Hussi, E., Martikainen, J., & Keina, S. (2013). The health-related quality-of-life impact of nocturnal awakenings in the middle-aged and older Finnish population. Quality of Life Research, 22(10), 2737–2748. https://doi.org/10.1007/s11136-013-0404-y

Uchmanowicz, I., Markiewicz, K., Uchmanowicz, B., Kołtuniuk, A., & Rosińczuk, J. (2019). The relationship between sleep disturbances and quality of life in elderly patients with hypertension. Clinical Interventions in Aging, 14, 155–165. https://doi.org/10.2147/CIA.S188499

Uddin, M. A., Soivong, P., Lasuka, D., & Juntasopeepun, P. (2017). Factors related to quality of life among older adults in Bangladesh: A cross sectional survey. Nursing and Health Sciences, 19(4), 518–524. https://doi.org/10.1111/nhs.12385

Vinjamury, S. P., Vinjamury, M., Der Martirosian, C., & Miller, J. (2014). Ayurvedic therapy (Shirodhara) for Insomnia: A Case Series. Global Advances in Health and Medicine, 3(1), 75–80. https://doi.org/10.7453/gahmj.2012.086

WHO. (2016). World Health Statistic Report.

Xu, X., Li, W., Zou, S., Li, Y., Wang, H., Yan, X., Du, X., Zhang, L., Zhang, Q., Cheung, T., Ungvari, G. S., & Xiang, Y. T. (2022). Sleep Disturbances and Their Association With Quality of Life in Older Psychiatric Patients During the COVID-19 Pandemic. Journal of Geriatric Psychiatry and Neurology, 35(2), 229–236. https://doi.org/10.1177/08919887221078565

Zeitlhofer, J., Schmeiser-Rieder, A., Tribl, G., Rosenberger, A., Bolitschek, J., Kapfhammer, G., Saletu, B., Katschnig, H., Holzinger, B., Popovic, R., & Kunze, M. (2000). Sleep and quality of life in the Austrian population. Acta Neurologica Scandinavica, 102(4), 249–257.

Zhang, H., Xing, Y., Zhang, Y., Sheng, S., Zhang, L., Dong, Z., Gao, Q., Cai, W., Mou, Z., & Jing, Q. (2023). Association between depression and quality of life in older adults with type 2 diabetes: A moderated mediation of cognitive impairment and sleep quality. Journal of Affective Disorders, 340(7166), 17–24. https://doi.org/10.1016/j.jad.2023.07.105

Downloads

Submitted

2025-02-14

Accepted

2025-05-19

Published

2025-07-23

How to Cite

Bahtiar, B., Nopriyanto, D., Muda, I., Fitriani, N., & Hasan, M. K. C. (2025). A Cross-Sectional Study of Depression, Insomnia, and Quality of Life Level among Community-Dwelling Older Adults . Jurnal Berita Ilmu Keperawatan, 18(2), 257–266. https://doi.org/10.23917/bik.v18i2.8680

Issue

Section

Articles

Similar Articles

1 2 3 4 5 6 > >> 

You may also start an advanced similarity search for this article.