{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T04:12:50Z","timestamp":1787371970960,"version":"build-2736575974"},"reference-count":46,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,12,18]],"date-time":"2023-12-18T00:00:00Z","timestamp":1702857600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004663","name":"Ministry of Science and Technology, Taiwan","doi-asserted-by":"publisher","award":["MOST\u2010110\u20102314\u2010B\u2010002\u2010096\u2010MY3"],"award-info":[{"award-number":["MOST\u2010110\u20102314\u2010B\u2010002\u2010096\u2010MY3"]}],"id":[{"id":"10.13039\/501100004663","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004663","name":"Ministry of Science and Technology, Taiwan","doi-asserted-by":"publisher","award":["MOST\u2010108\u20102314\u2010B\u2010002\u2010110\u2010MY2"],"award-info":[{"award-number":["MOST\u2010108\u20102314\u2010B\u2010002\u2010110\u2010MY2"]}],"id":[{"id":"10.13039\/501100004663","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychogeriatrics"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The association between nighttime sleep disturbance and daytime sleepiness remains unclear. This study aimed to examine the relationships between various domains of nighttime sleep disturbance, daytime sleepiness, and their specific dimensions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a community\u2010based cross\u2010sectional study. The participants were adults aged 65\u2009years and older from Yilan City, Taiwan. Daytime sleepiness (DS) was defined using the Epworth Sleepiness Scale (ESS) with scores\u2009\u2265\u200911. The ESS dimensions were further examined using exploratory factor analysis. The highest 15% factor scores for each factor were defined as factor\u2010specific DS. Various domains of nighttime sleep disturbance were assessed using the Pittsburgh Sleep Quality Index. Logistic regression analysis was used to examine the independent relationships among various nighttime sleep disturbances, ESS, and its dimensions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 2585 participants, a total of 59.0% were women. Two factors were identified by exploratory factor analysis and were designated as \u2018passive factor\u2019 and \u2018active factor\u2019. Multiple logistic regression analyses elucidated that short sleep duration was a common risk indicator for ESS\u2010defined (odds ratio (OR): 2.01; 95% confidence interval (CI): 1.43\u20132.83), passive factor\u2010defined (OR: 2.23, 95% CI: 1.65\u20133.00), and active factor\u2010defined DS (OR: 1.47, 95% CI: 1.07\u20132.00). Hypnotic use was associated with a lower risk of both ESS\u2010defined (OR: 0.66, 95% CI: 0.47\u20130.92) and passive factor\u2010defined DS (OR:0.69, 95% CI: 0.52\u20130.92). Bathroom use (OR: 1.41, 95% CI: 1.04\u20131.91), coughing or snoring (OR: 2.14, 95% CI: 1.01\u20134.56), and sleep efficiency (OR: 0.42; 95% CI: 0.31\u20130.57) were uniquely associated with active factor\u2010defined DS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Two factors were identified in the ESS, revealing factor\u2010specific correlates of DS. Specifically, ESS\u2010 and passive factor\u2010defined DS shared similar correlates. In contrast, some correlates seem unique to active\u2010factor\u2010defined DS.<\/jats:p><\/jats:sec>","DOI":"10.1111\/psyg.13063","type":"journal-article","created":{"date-parts":[[2023,12,19]],"date-time":"2023-12-19T09:18:48Z","timestamp":1702977528000},"page":"212-222","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The differential pattern of associations between nighttime sleep disturbances with dimensions of daytime sleepiness in community\u2010dwelling older adults, the Yilan study, Taiwan"],"prefix":"10.1111","volume":"24","author":[{"given":"Ching","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Medical Education National Taiwan University Hospital  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1679-6122","authenticated-orcid":false,"given":"Nai\u2010Wei","family":"Hsu","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Internal Medicine &amp; 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