Abstract
It has been proposed that satisfaction with one’s sleep is more clinically relevant than objective measures of sleep parameters. Quantifying self-reports of sleep can be done using subjective scales, for instance, the Pittsburgh Sleep Quality Index. This measure is a validated scale which measures global satisfaction with sleep, as well as taking subjective measures of seven different domains of sleep quality, e.g. sleep latency, habitual sleep efficiency. We employed the Pittsburgh Sleep Quality Index within a cohort of 624 community dwelling older Irish adults, who participated in the Technology Research for Independent Living (TRIL) clinical assessment between 2007 and 2010. This project is now at a longitudinal stage. We report cross-sectional findings from baseline detailing relationships between subjective sleep quality and various biopsychosocial measures. The analyses are divided into two domains; sleep as it relates to autonomic functioning, and sleep as it relates to psychological and social factors. We found that self-reported very poor sleep is associated with delayed recovery at orthostasis, age and pain. In the psychosocial domain, we found that poor sleep is associated with neuroticism, depression, and anxiety. Loneliness related to subjective sleep quality, and perceived stress related to daytime dysfunction. Based on these analyses, it was apparent that the different aspects of sleep quality relate to different psychosocial factors. Considering the clinical relevance of self-reports of sleep quality, future research investigating the efficacy of personalised psychosocial evaluations in the diagnosis and treatment of sleep problems is investigated.