Mental health in the peri-hospital period of older patients: the roles of physical symptoms burden and sleep quality.
Background Anxiety and depressive mood are common among older adults at the peri-hospital period, impacting independence and well-being. Hospital factors such as physical symptoms burden (PSB) and sleep quality (SQ), may impact mood trajectories. This study aims to explore changes in anxiety and dep...
| Publicado en: | Age & Ageing Vol. 55; no. 4; pp. 1 - 12 |
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| Autores principales: | , , |
| Formato: | Artículo |
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Oxford University Press / USA
Apr2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=193500074&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 193500074 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Apr2026 vid: 55 iid: 4 pid: 622 pub: Oxford University Press / USA artinfo: ui: 193500074 10.1093/ageing/afag076 ppf: 1 ppct: 11 formats: tig: atl: Mental health in the peri-hospital period of older patients: the roles of physical symptoms burden and sleep quality. aug: au: Smichenko, Juliana Zisberg, Anna Shochat, Tamar affil: University of Haifa - Faculty of Social Welfare and Health Sciences, The Cheryl Spencer Department of Nursing, Haifa, Haifa District, 3498838, IsraelClalit Research Institute, Innovation Division, Clalit Health Services, Tel-Aviv, Tel-Aviv District, 6209804, IsraelUniversity of Haifa - The Center of Research and Study of Aging, Haifa, Haifa District, 3498838, Israel University of Haifa - Faculty of Social Welfare and Health Sciences, The Cheryl Spencer Department of Nursing, Haifa, Haifa District, 3498838, IsraelUniversity of Haifa - The Center of Research and Study of Aging, Haifa, Haifa District, 3498838, IsraelUniversity of Haifa - ADVANCE Azrieli Advanced Nursing Center, Haifa, Haifa District, 3498838, Israel University of Haifa - Faculty of Social Welfare and Health Sciences, The Cheryl Spencer Department of Nursing, Haifa, Haifa District, 3498838, Israel su: Competency assessment (Law) Patients Hospital admission & discharge Patient care Anxiety Hospital care of older people Affect (Psychology) Psychological tests Old age Pearson correlation (Statistics) Repeated measures design Research funding Scientific observation Questionnaires Discharge planning Symptom burden Descriptive statistics Longitudinal method Research Sleep quality Data analysis software Confidence intervals sug: subj: Competency assessment (Law) Patients Hospital admission & discharge Patient care Anxiety Hospital care of older people Affect (Psychology) Psychological tests Old age Offices of Mental Health Practitioners (except Physicians) Pearson correlation (Statistics) Repeated measures design Research funding Scientific observation Questionnaires Discharge planning Symptom burden Descriptive statistics Longitudinal method Research Sleep quality Data analysis software Confidence intervals keyword: anxiety copyrightHolder:British Geriatrics Society copyrightYear:2026 depressive mood https://dx.doi.org/10.1093/ageing/afag076 inLanguage:en medication use older people publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/41967034/ anxiety copyrightHolder:British Geriatrics Society copyrightYear:2026 depressive mood https://dx.doi.org/10.1093/ageing/afag076 inLanguage:en medication use older people publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/41967034/ ab: Background Anxiety and depressive mood are common among older adults at the peri-hospital period, impacting independence and well-being. Hospital factors such as physical symptoms burden (PSB) and sleep quality (SQ), may impact mood trajectories. This study aims to explore changes in anxiety and depressive mood from admission to discharge and one-month post-discharge, assessing the role of SQ, PSB and sedative-hypnotic medications (SHM) burden across timepoints. Methods This is a prospective study of older patients (65+) hospitalized in acute medical units. Interviews were conducted at admission, discharge and one-month post-discharge. A two-stage modelling approach was applied, separating in-hospital and peri-hospital trajectories of anxiety and depressive mood. Mixed-models analyses examined contributions of SQ and PSB, controlling for SHM burden, demographic and baseline characteristics. Results Of 683 (male: 54.9%; age 77.31 ± 6.67), 643 completed discharge interviews and 545 completed one-month post-discharge interviews. Anxiety and depressive mood worsened over time. Poor SQ, greater PSB (B = .39, P <.001; B = .25, P = <.001), and higher SHM burden (B =.55, P <.01) significantly predicted worse mental outcomes throughout hospitalization and post-discharge. SQ effects varied by timepoints: poor SQ was associated with heightened anxiety post-discharge (F = 7.52, P <.001) and worsened depressive mood during hospitalization (F = 7.99, P <.001). Higher SHM burden correlated with depressive mood at discharge (F = 4.80, P <.01). Conclusion Findings highlight the need to address anxiety and depressive mood in hospitalized older adults through improved sleep, symptoms relief, and cautious SHM use. Further research should explore long-term interventions to support mental health during and after hospitalization. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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