{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T01:07:46Z","timestamp":1773623266158,"version":"3.50.1"},"reference-count":56,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,10,28]],"date-time":"2013-10-28T00:00:00Z","timestamp":1382918400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychogeriatrics"],"published-print":{"date-parts":[[2013,12]]},"abstract":"Abstract<\/jats:title>Background<\/jats:title>The aim of this study was to investigate the relationship between social engagement and daytime sleepiness among aged residents of a veterans' housing facility in T<\/jats:styled-content>aiwan.<\/jats:p><\/jats:sec>Methods<\/jats:title>A total of 597 men were enrolled in this cross\u2010sectional study. Each subject was assessed with the R<\/jats:styled-content>esident A<\/jats:styled-content>ssessment I<\/jats:styled-content>nstrument\u2010M<\/jats:styled-content>inimum D<\/jats:styled-content>ata S<\/jats:styled-content>et, G<\/jats:styled-content>eriatric D<\/jats:styled-content>epression S<\/jats:styled-content>cale, P<\/jats:styled-content>ittsburgh S<\/jats:styled-content>leep Q<\/jats:styled-content>uality I<\/jats:styled-content>ndex, and M<\/jats:styled-content>ini\u2010M<\/jats:styled-content>ental S<\/jats:styled-content>tate E<\/jats:styled-content>xamination. Social engagement was measured with the I<\/jats:styled-content>ndex of S<\/jats:styled-content>ocial E<\/jats:styled-content>ngagement (ISE<\/jats:styled-content>), and daytime sleepiness was defined according to the relevant P<\/jats:styled-content>ittsburgh S<\/jats:styled-content>leep Q<\/jats:styled-content>uality I<\/jats:styled-content>ndex subcomponent. Subjects were divided into two groups according to their ISE<\/jats:styled-content> levels. A multivariate logistic regression model was used to examine the association between ISE<\/jats:styled-content> and other variables.<\/jats:p><\/jats:sec>Results<\/jats:title>The sample's mean age was 80.8\u2009\u00b1\u20095.0 years (range: 65\u201399 years). Mean ISE<\/jats:styled-content> score was 1.5\u2009\u00b1\u20091.3 (range 0\u20135), with 52% of participants reporting poor social engagement (ISE<\/jats:styled-content>\u2009=\u20090\u20131). Mean P<\/jats:styled-content>ittsburgh S<\/jats:styled-content>leep Q<\/jats:styled-content>uality I<\/jats:styled-content>ndex global score was 5.6\u2009\u00b1\u20093.6 (range: 0\u201318), and 31% of participants reported daytime sleepiness. The analysis was adjusted for level of depression, cognitive impairment, dependence in activities of daily life, unsettled relationships, and illiteracy. After adjustment, daytime sleepiness was found to be independently associated with subjects' level of social engagement (odds ratio:\u20092.5; 95% confidence interval: 1.7\u20133.8; P<\/jats:styled-content><\/jats:italic>\u2009<\u20090.001).<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Daytime sleepiness and poor social engagement are common among aged residents of a veterans' housing facility. Subjects experiencing daytime sleepiness but not poor general sleep quality were at increased risk of poor social engagement. The clinical care of older residents must focus on improving daytime sleepiness to enhance their social engagement.<\/jats:p><\/jats:sec>","DOI":"10.1111\/psyg.12020","type":"journal-article","created":{"date-parts":[[2013,10,28]],"date-time":"2013-10-28T09:04:48Z","timestamp":1382951088000},"page":"213-220","source":"Crossref","is-referenced-by-count":19,"title":["Daytime sleepiness: a risk factor for poor social engagement among the elderly"],"prefix":"10.1111","volume":"13","author":[{"given":"Yao\u2010Tung","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Psychiatry Taipei Veterans General Hospital New Taipei City Taiwan"},{"name":"Department of Psychiatry Shuang Ho Hospital New Taipei City Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chia\u2010Fen","family":"Tsai","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Taipei Veterans General Hospital New Taipei City Taiwan"},{"name":"Center for Geriatrics and 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