Psychological Reports
Volume 106, Issue 2, 2010, Pages 589-597

Perceived insomnia, anxiety, and depression among older Russian immigrants (Article)

Casimir G.J. , Jean-Louis G.* , Butler S. , Zizi F. , Nunes J. , Brady L.
  • a Brooklyn Research Foundation on Minority Health, Kingsbrook Jewish Medical Center, United States
  • b Brooklyn Research Foundation on Minority Health, Kingsbrook Jewish Medical Center, United States, Brooklyn Health Disparities Center, Department of Medicine, United States, Sleep Disorders Center, Department of Neurology, United States, SUNY Downstate Medical Center, United States
  • c Brooklyn Health Disparities Center, Department of Medicine, United States, SUNY Downstate Medical Center, United States
  • d Brooklyn Research Foundation on Minority Health, Kingsbrook Jewish Medical Center, United States, Brooklyn Health Disparities Center, Department of Medicine, United States, Sleep Disorders Center, Department of Neurology, United States, SUNY Downstate Medical Center, United States
  • e Brooklyn Research Foundation on Minority Health, Kingsbrook Jewish Medical Center, United States, Sophie Davis School of Biomedical Education, College of New York, United States
  • f Brooklyn Research Foundation on Minority Health, Kingsbrook Jewish Medical Center, United States

Abstract

There are few data on the relationships of anxiety and depression to insomnia among immigrants in the United States. Observations of high rates of symptoms of these associated conditions among older Russians indicate the need to focus clinical atention on this population. Relationships of self-reported depression and anxiety to insomnia complaints were investigated in a community-based sample of older Russian immigrants. Volunteers (N = 307) were urban community-residing Russians (ages 50 to 95 years; 54% women). Surveys were conducted in a semistructured environment by bilingual educators in various community centers. 93% reported a major health problem, 83% experienced pain, and 62% had problems engaging in daily activities. Of the sample, 61% reported an insomnia complaint, and 43% considered depression and/or anxiety to be a major impairment. Logistic regression analysis showed that insomnia was the most important predictor of perceived anxiety and depression; the corresponding multivariate-adjusted odds ratio was 4.37. Insomnia complaints and perceptions of depression and anxiety among older Russians may have a synergistic effect. Both patients and primary-care physicians should be beter educated regarding the recognition of barriers limiting access to adequate health care among older Russians. © Psychological Reports 2010.

Author Keywords

[No Keywords available]

Index Keywords

self disclosure Russia perception urban population depression anxiety disorder regression analysis psychological aspect risk human comorbidity middle aged Odds Ratio statistics Aged Depressive Disorder Anxiety Disorders ethnology United States insomnia Humans New York male Emigrants and Immigrants female Aged, 80 and over Sleep Initiation and Maintenance Disorders prevalence Article migration age distribution Russian Federation
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-77952982765&doi=10.2466%2fPR0.106.2.589-597&partnerID=40&md5=191b90cb371801a83f234b780096772a
DOI: 10.2466/PR0.106.2.589-597
ISSN: 00332941
Cited by: 7
Original Language: English