Johansson, PeterRiegel, BarbaraSvensson, ErlandBroström, AndersAlehagen, UrbanDahlström, UlfJaarsma, Tiny2023-05-232023-05-232012-11-022018-08-20https://repository.upenn.edu/handle/20.500.14332/41641Background: The aim of this study was to explore the associations between physical symptoms, sleep disturbances, and depressive symptoms in community-dwelling elderly individuals, comparing persons with and without heart failure (HF). Methods: A total of 613 older adults (mean age 78 years) underwent clinical and echocardiographic examinations. Questionnaires were used to evaluate sleep disturbances and depressive symptoms. A model was developed in those with HF (n = 107) and compared with those without HF (n = 506). Results: Cardiopulmonary symptoms (ie, dyspnea and nighttime palpitations) and pain had significant direct associations with sleep disturbances, which indirectly affected depressive symptoms. The model was essentially the same in those with and without HF except that the effect of sleep disturbances on depressive symptoms was stronger in those with HF (β = 0.64 vs β = 0.45, P = .006). Conclusion: In community-dwelling older adults, regardless of their diagnosis, physical symptoms had a direct effect on sleep disturbances and an indirect effect on depressive symptoms.Johansson, P., Riegel, B., Svensson, E., Broström, A., Alehagen, U., Dahlström, U., Jaarsma, T., The Contribution of Heart Failure to Sleep Disturbances and Depressive Symptoms in Older Adults, Journal of Geriatric Psychiatry and Neruology 25, no. 3: pp. 179-187. Copyright © 2012 SAGE. Reprinted by permission of SAGE Publications. This is a pre-publication version. The final version is available at: http://dx.doi.org/10.1177/0891988712458366elderlychronic heart failuresleep disturbancedepressive symptomsCardiologyCardiovascular DiseasesCirculatory and Respiratory PhysiologyGeriatricsMedical HumanitiesMedicine and Health SciencesNeurologyNeurosciencesNursingPsychiatry and PsychologySleep MedicineReport