Cognitive Therapy and Research

, Volume 36, Issue 2, pp 156–164 | Cite as

Habitual Sleep, Reasoning, and Processing Speed in Older Adults with Sleep Complaints

  • Christina S. McCrae
  • Karlyn E. Vatthauer
  • Joseph M. Dzierzewski
  • Michael Marsiske
Original Article

Abstract

The relationship between habitual sleep and cognition in older adults with sleep complaints is poorly understood, because research has focused on younger adults, used experimental or retrospective quasi-experimental designs, and generally produced equivocal results. Prospective studies using sleep diaries are rare, but may provide important insights into this relationship as they offer greater ecological validity and allow for examination of the impact of night-to-night variability in sleep (an often overlooked aspect of sleep) on cognitive performance. Seventy-two older adults (Mage = 70.18 years, SDage = 7.09 years) completed fourteen consecutive days of sleep diaries and paper/pencil self-administered cognitive tasks, including measures of processing speed (Symbol Digit) and reasoning (Letter Series). Regression analyses revealed increased average total wake time (TWT) during the night was associated with higher Symbol Digit scores, β = 0.45, P < 0.05. Night-to-night variability in either total sleep time (TST) or TWT was not associated with either cognitive measure. Implications and potential explanations for these initially counterintuitive findings are discussed.

Keywords

Older adults Sleep complaints Cognitive performance Variability Reasoning Processing speed 

References

  1. Allaire, J. C., & Marsiske, M. (2005). Intraindividual variability may not always indicate vulnerability in elders’ cognitive performance. Psychology and Aging, 20, 390–401.PubMedCrossRefGoogle Scholar
  2. Altena, E., Van Der Werf, Y. D., Strijers, R. L. M., & Van Someren, E. J. W. (2008a). Sleep loss affects vigilance: Effects of chronic insomnia and sleep therapy. Journal of Sleep Research, 17(3), 335–343.PubMedCrossRefGoogle Scholar
  3. Altena, E., Werf, Y. D. V. D., Sanz-Arigita, E. J., Voorn, T. A., Rombouts, S. A. R. B., Kuijer, J. P. A., et al. (2008b). Prefrontal hypoactivation and recovery in insomnia. Sleep: Journal of Sleep Research & Sleep Medicine, 31(9), 1271–1276.Google Scholar
  4. Altena, E., Ramautar, J. R., Van Der Werf, Y. D., & Van Someren, E. J. (2010). Do sleep complaints contribute to age-related cognitive decline? Progress in Brain Research, 185, 181–205.PubMedCrossRefGoogle Scholar
  5. Bastien, C. H., Fortier-Brochu, E., Rioux, I., LeBlanc, M., Daley, M., Morin, C. M., et al. (2003). Cognitive performance and sleep quality in the elderly suffering from chronic insomnia. Relationship between objective and subjective measures. Journal of Psychosomatic Research, 54(1), 39–49.PubMedCrossRefGoogle Scholar
  6. Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck depression inventory-II (2nd ed.). San Antonio, TX: Psychological Corporation.Google Scholar
  7. Binks, P. G., Waters, W. F., & Hurry, M. (1999). Short-term total sleep deprivations does not selectively impair higher cortical functioning. Sleep, 22(3), 328–334.PubMedGoogle Scholar
  8. Bixler, E. O., Kales, A., Jacoby, J. A., Soldatos, C. R., & Vela-Bueno, A. (1984). Nocturnal sleep and wakefulness: Effects of age and sex in normal sleepers. International Journal of Neuroscience, 23(1), 33–42.PubMedCrossRefGoogle Scholar
  9. Bonnet, M. H., & Arand, D. L. (2010). Hyperarousal and insomnia: State of the science. Sleep Medicine Reviews, 14(1), 9–15.PubMedCrossRefGoogle Scholar
  10. Brezinova, V. (1975). The number and duration of the episodes of the various EEG stages of sleep in young and older people. Electroencephalogr Clin Neurophysiol, 39(3), 273–278.PubMedCrossRefGoogle Scholar
  11. Cain, S. W., Silva, E. J., Chang, A. M., Ronda, J. M., & Duffy, J. F. (2011). One night of sleep deprivation affects reaction time, but not interference or facilitation in a Stroop task. Brain and Cognition, 76(1), 37–42.PubMedCrossRefGoogle Scholar
  12. Carskadon, M. A., Brown, E. D., & Dement, W. C. (1982). Sleep fragmentation in the elderly: Relationship to daytime sleep tendency. Neurobiology of Aging, 3(4), 321–327.PubMedCrossRefGoogle Scholar
  13. Chambers, M. J., & Keller, B. (1993). Alert insomniacs: Are they really sleep deprived? Clinical Psychology Review, 13(7), 649–666.CrossRefGoogle Scholar
  14. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, New Jersey: Lawrence Erlbaum.Google Scholar
  15. Drake, C. L., Roehrs, T. A., Burduvali, E., Bonahoom, A., Rosekind, M., & Roth, T. (2001). Effects of rapids versus slow accumulation of eight hours of sleep loss. Psychophysiologu, 38, 979–987.CrossRefGoogle Scholar
  16. Drummond, S. P., Brown, G. G., Stricker, J. L., Buxton, R. B., Wong, E. C., & Gillin, J. C. (1999). Sleep deprivation-induced reduction in cortical functional response to serial subtraction. Neuroreport, 10(18), 3745–3748.PubMedCrossRefGoogle Scholar
  17. Drummond, S. P., Brown, G. G., Gillin, J. C., Stricker, J. L., Wong, E. C., & Buxton, R. B. (2000). Altered brain response to verbal learning following sleep deprivation. Nature, 403(6770), 655–657.PubMedCrossRefGoogle Scholar
  18. Edinger, J. D., Marsh, G. R., Mccall, W. V., Erwin, C. W., Lininger, A. W., & Assoc, A. S. D. (1991). Sleep variability across consecutive nights of home monitoring in older mixed dims patients. Sleep, 14(1), 13–17.PubMedGoogle Scholar
  19. Espie, C. A. (1991). The psychological treatment of insomnia. Chichesster, UK: J. Wiley and Sons.Google Scholar
  20. Foley, D. J., Monjan, A. A., Brown, S. L., Simonsick, E. M., Wallace, R. B., & Blazer, D. G. (1995). Sleep complaints among elderly persons: An epidemiologic study of three communities. Sleep, 18(6), 425–432.PubMedGoogle Scholar
  21. Folstein, M. F., Folstein, S. E., & Mchugh, P. R. (1975). Mini-mental state—practical method for grading cognitive state of patients for clinician. Journal of Psychiatric Research, 12(3), 189–198.PubMedCrossRefGoogle Scholar
  22. Gillin, J. C., Duncan, W. C., Murphy, D. L., Post, R. M., Wehr, T. A., Goodwin, F. K., et al. (1981). Age-related changes in sleep in depressed and normal subjects. Psychiatry Research, 4(1), 73–78.PubMedCrossRefGoogle Scholar
  23. Harrison, Y., & Horne, J. A. (1997). Sleep deprivation affects speech. Sleep, 20(10), 871–877.PubMedGoogle Scholar
  24. Harrison, Y., & Horne, J. A. (1999). One night of sleep loss impairs innovative thinking and flexible decision making. Organizational Behavior and Human Decision Processes, 78(2), 128–145.PubMedCrossRefGoogle Scholar
  25. Harrison, Y., & Horne, J. A. (2000). The impact of sleep deprivation on decision making: A review. Journal of Experimental Psychology, 6, 236–249.PubMedGoogle Scholar
  26. Horne, J. A. (1988). Sleep loss and “divergent” thinking ability. Sleep, 11(6), 528–536.PubMedGoogle Scholar
  27. Howden, L. M. & Meyer, J. A. (2011). Age and sex composition: 2010 census briefs. U.S. department of commerce, economics and statistics administration, U.S. Census Bureau.Google Scholar
  28. Jones, K., & Harrison, Y. (2001). Frontal lobe function, sleep loss and fragmented sleep. Sleep Medicine Reviews, 5, 463–475.PubMedCrossRefGoogle Scholar
  29. Kronholm, E., Sallinen, M., Suutama, T., Sulkava, R., Era, P., & Partonen, T. (2009). Self-reported sleep duration and cognitive functioning in the general population. Journal of Sleep Research, 18(4), 436–446.PubMedCrossRefGoogle Scholar
  30. Lezak, M. D. (1995). Neuropsychological assessment (3rd ed.). New York: Oxford University Press.Google Scholar
  31. Lichstein, K. L., Riedel, B. W., Lester, K. W., & Aguillard, R. N. (1999a). Occult sleep apnea in a recruited sample of older adults with insomnia. Journal of Consulting and Clinical Psychology, 67(3), 405–410.PubMedCrossRefGoogle Scholar
  32. Lichstein, K. L., Riedel, B. W., & Means, M. K. (1999b). Psychological treatment of late-life insomnia. In R. Schulz, G. Maddox, & M. P. Lawton (Eds.), Annual review of gerontology and geriatrics. Focus on interventions research with older adults (Vol. 18). New York: Springer.Google Scholar
  33. Lichstein, K. L., Wilson, N. M., Noe, S. L., Aguillard, R. N., & Bellur, S. N. (1994). Daytime sleepiness in insomnia: Behavioral, biological and subjective indices. Sleep: Journal of Sleep Research & Sleep Medicine, 17, 693–702.Google Scholar
  34. May, J., & Kline, P. (1987). Measuring the effects upon cognitive-abilities of sleep loss during continuous operations. British Journal of Psychology, 78, 443–455.PubMedCrossRefGoogle Scholar
  35. McCoy, K. J. M. (2004). Understanding the transition from normal cognitive aging to mild cognitive impairment: Comparing the intraindividual variability in cognitive function. Doctoral dissertation, clinical and health psychology, University of Florida.Google Scholar
  36. Mccrae, C. S., Mcnamara, J. P. H., Rowe, M. A., Dzierzewski, J. M., Dirk, J., Marsiske, M., et al. (2008). Sleep and affect in older adults: using multilevel modeling to examine daily associations. Journal of Sleep Research, 17(1), 42–53.PubMedCrossRefGoogle Scholar
  37. Naismith, S. L., Rogers, N. L., Makcenzie, J., Norrie, L. M., & Lewis, S. J. G. (2010). Sleep well, think well: Sleep-wake disturbances in mild cognitive impairment. Journal of Geriatric Psychiatry and Neurology, 23(2), 123–130.PubMedCrossRefGoogle Scholar
  38. Nebes, R. D., Buysse, D. J., Halligan, E. M., Houck, P. R., & Monk, T. H. (2009). Self-reported sleep quality predicts poor cognitive performance in healthy older adults. Journals of Gerontology Series B-Psychological Sciences and Social Sciences, 64(2), 180–187.CrossRefGoogle Scholar
  39. Oosterman, J. M., van Someren, E. J. W., Vogels, R. L. C., van Harten, B., & Scherder, E. J. A. (2009). Fragmentation of the rest-activity rhythm correlates with age-related cognitive deficits. Journal of Sleep Research, 18(1), 129–135.PubMedCrossRefGoogle Scholar
  40. Pace-Schott, E. F., Hutcherson, C. A., Bemporad, B., Morgan, A., Kumar, A., Hobson, J. A., et al. (2009). Failure to find executive function deficits following one night’s total sleep deprivation in university students under naturalistic conditions. Behavioral Sleep Medicine, 7(3), 136–163.PubMedCrossRefGoogle Scholar
  41. Pilcher, J. J., Band, D., Odle-Dusseau, H. N., & Muth, E. R. (2007). Human performance under sustained operations and acute sleep deprivation conditions: Toward a model of controlled attention. Aviation Space and Environmental Medicine, 78, B15–B24.Google Scholar
  42. Ram, N., & Gerstorf, D. (2009). Time-structured and net intraindividual variability: Tools for examining the development of dynamic characteristics and processes. Psychology and Aging, 24, 778–791.PubMedCrossRefGoogle Scholar
  43. Riedel, B. W., & Lichstein, K. L. (2000). Insomnia and daytime functioning. Sleep Medicine Reviews, 4(3), 277–298.PubMedCrossRefGoogle Scholar
  44. Rodriguez-Artalejo, F., Faubel, R., Lopez-Garcia, E., Guallar-Castillon, P., Graciani, A., & Banegas, J. R. (2009). Usual sleep duration and cognitive function in older adults in Spain. Journal of Sleep Research, 18(4), 427–435.PubMedCrossRefGoogle Scholar
  45. Roth, T., & Ancoli-Israel, S. (1999). Daytime consequences and correlates of insomnia in the United States: Results of the 1991 National Sleep Foundation Survey, II. Sleep, 22(2), S354–S358.Google Scholar
  46. Smith, A. (1982). Symbol digit modalities test—revised: Manual. Los Angeles: Western Psychological Services.Google Scholar
  47. Thurstone, T. G. (1962). Primary mental ability for Grades 9–12 (Revised ed.). Chicago, IL: Science Research Associates.Google Scholar
  48. Tworoger, S. S., Lee, S., Schernhammer, E. S., & Grodstein, F. (2006). The association of self-reported sleep duration, difficulty sleeping, and snoring with cognitive function in older women. Alzheimer Disease and Associated Disorders, 20(1), 41–48.PubMedCrossRefGoogle Scholar
  49. Vance, D. E., Keltner, N. L., McGuinness, N. L., Umlauf, M. G., & Yuan, Y. Y. (2010). The future of cognitive remediation training in older adults. Journal of neuroscience in nursing, 42(5), 255–264.CrossRefGoogle Scholar
  50. Webb, W. B. (1985). A further analysis of age and sleep deprivation effects. Psychophysiology, 22(2), 156–161.PubMedCrossRefGoogle Scholar
  51. Webb, W. B., & Levy, C. M. (1982). Age, sleep-deprivation, and performance. Psychophysiology, 19(3), 272–276.PubMedCrossRefGoogle Scholar
  52. Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., et al. (1982). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17(1), 37–49.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Christina S. McCrae
    • 1
  • Karlyn E. Vatthauer
    • 1
  • Joseph M. Dzierzewski
    • 1
  • Michael Marsiske
    • 1
  1. 1.Department of Clinical and Health PsychologyUniversity of FloridaGainesvilleUSA

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