Sleep, anxiety, and depression associated with the quality of life of older adults: a cross-sectional study

Authors

  • Bianca Pereira de Assis Universidade Cesumar – UNICESUMAR, Maringá, Brazil.  https://orcid.org/0009-0004-2905-2426
    • Conceptualization
    • Data Curation
    • Formal Analysis
    • Writing – Original Draft Preparation
    • Writing – Review & Editing
    • Methodology
    • Supervision
    • Validation
  • Laura Cavalaro Universidade Cesumar – UNICESUMAR, Maringá, Brazil. 
    • Conceptualization
    • Data Curation
    • Formal Analysis
    • Methodology
    • Supervision
    • Validation
    • Writing – Original Draft Preparation
    • Writing – Review & Editing
  • Bruno Bomfim Fernandes Universidade Cesumar – UNICESUMAR, Maringá, Brazil. 
    • Conceptualization
    • Data Curation
    • Formal Analysis
    • Methodology
    • Supervision
    • Validation
    • Writing – Original Draft Preparation
    • Writing – Review & Editing
  • Camila Juliana Ferreira Molina Universidade Cesumar – UNICESUMAR, Maringá, Brazil. 
    • Data Curation
    • Supervision
    • Validation
  • Raiane Caroline Garcia Universidade Cesumar – UNICESUMAR, Maringá, Brazil. 
    • Conceptualization
    • Data Curation
    • Formal Analysis
    • Methodology
    • Supervision
    • Validation
    • Writing – Original Draft Preparation
    • Writing – Review & Editing
  • Aliny de Lima Santos Health Sciences Center, Department of Nursing, Universidade Estadual de Maringá (UEM), Maringá, Brazil. https://orcid.org/0000-0002-4392-4452
    • Conceptualization
    • Data Curation
    • Formal Analysis
    • Methodology
    • Supervision
    • Validation
    • Writing – Original Draft Preparation
    • Writing – Review & Editing

DOI:

https://doi.org/10.15649/cuidarte.5327

Keywords:

Anxiety, Depression, Sleep, Quality of Life, Aging

Abstract

Highlights

  • A negative correlation was observed between sleep quality and the domains and facets of quality of life.
  • Elevated levels of anxiety and depression symptoms have been associated with a poorer quality of life.
  • Domains and facets of quality of life showed a negative correlation with the variables analyzed, particularly physical and psychological aspects, and social participation.
  • Strategies aimed at preserving the independence and autonomy of older adults become essential to promoting overall well-being and a better perception of quality of life.

Introduction: As individuals age, various factors can affect their quality of life, such as changes in sleep patterns and the presence of symptoms of anxiety and depression. Objective: To analyze the correlation between quality of life and changes in sleep patterns, symptoms of anxiety, and depression in elderly individuals assisted at a Health Unit. Materials and Methods: This is a quantitative, cross-sectional study conducted with 307 older adults assisted by a Health Unit in southern Brazil. The instruments used were the WHOQOL-BREF and WHOQOL-OLD; the Pittsburgh Sleep Quality Index; and the Hospital Anxiety and Depression Scale. Data collection was conducted at the participants' homes between May and August 2024. Spearman's correlation coefficient was used to analyze the relationships among variables. Results: A weak correlation was observed between quality of life and sleep quality (r = -0.28 and r = -0.35). In contrast, the correlations with anxiety symptoms (r = -0.47 and r = -0.40) and depression symptoms (r = -0.61 and r = -0.55) were negative and moderate.  Discussion: Domains and facets of quality of life showed negative correlations with the variables analyzed, especially physical and psychological aspects, as well as social participation. Conclusions: The findings confirm that poor sleep quality and the presence of anxiety and depression symptoms are associated with worse quality of life in older adults, highlighting the importance of continuous monitoring and effective strategies to promote overall well-being.

How to cite this article: Assis, Bianca Pereira de; Cavalaro, Laura; Fernandes, Bruno Bomfim; Molina, Camila Juliana Ferreira; Garcia, Raiane Caroline; Santos, Aliny de Lima. Sleep, anxiety and depression associated with the quality of life of older adults: a cross-sectional study. Revista Cuidarte. 2026;17(2):e5327.  https://doi.org/10.15649/cuidarte.5327

Author Biographies

  • Bianca Pereira de Assis, Universidade Cesumar – UNICESUMAR, Maringá, Brazil. 

    Universidade Cesumar – UNICESUMAR, Maringá, Brazil. 

  • Laura Cavalaro, Universidade Cesumar – UNICESUMAR, Maringá, Brazil. 

    Universidade Cesumar – UNICESUMAR, Maringá, Brazil. 

  • Bruno Bomfim Fernandes, Universidade Cesumar – UNICESUMAR, Maringá, Brazil. 

    Universidade Cesumar – UNICESUMAR, Maringá, Brazil. 

  • Camila Juliana Ferreira Molina, Universidade Cesumar – UNICESUMAR, Maringá, Brazil. 

    Universidade Cesumar – UNICESUMAR, Maringá, Brazil. 

  • Raiane Caroline Garcia, Universidade Cesumar – UNICESUMAR, Maringá, Brazil. 

    Universidade Cesumar – UNICESUMAR, Maringá, Brazil. 

  • Aliny de Lima Santos, Health Sciences Center, Department of Nursing, Universidade Estadual de Maringá (UEM), Maringá, Brazil.

    Health Sciences Center, Department of Nursing, Universidade Estadual de Maringá (UEM), Maringá, Brazil.

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Published

2026-05-25

How to Cite

1.
Assis BP de, Cavalaro L, Fernandes BB, Molina CJF, Garcia RC, Santos A de L. Sleep, anxiety, and depression associated with the quality of life of older adults: a cross-sectional study. Revista Cuidarte [Internet]. 2026 May 25 [cited 2026 May 25];17(2). Available from: https://revistas.udes.edu.co/cuidarte/article/view/5327

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