Prevalence and Predictors of Poor Sleep Quality in Mild Cognitive Impairment

McKinnon, A., Terpening, Z., Hickie, I. B., Batchelor, J., Grunstein, R., Lewis, S. J., Naismith, S. L.

Journal of Geriatric Psychiatry and Neurology

Published online on March 31, 2014

Abstract

Aims:

To investigate the prevalence of and contributors to poor sleep quality in patients with mild cognitive impairment (MCI).

Methods:

Data were collected for 158 patients meeting the criteria for MCI. Measures included the Pittsburgh Sleep Quality Index, Geriatric Depression Scale, and Mini-Mental State Examination. Demographic, lifestyle, medication, and substance use data were also collected.

Results:

A total of 63% of patients with MCI demonstrated sleep disturbance, a significantly higher rate than that of the controls (44%; chi-square = 8.77; P = .003). Depressive symptoms, cognition, antidepressant usage, alcohol consumption, age, and education were identified as significant predictors of self-reported sleep quality in patients with MCI (R ²= .327, F _6,145 = 11.729, P < .0001).

Conclusions:

Sleep disturbance occurs in around two-thirds of patients with MCI. Interventions addressing depression, cognition, and substance and medication use may improve sleep quality in MCI.