Depression and sleep quality in older adults
DOI: https://doi.org/10.33024/minh.v9i2.2209
Depression Elderly Geriatric Health Sleep Quality
Abstract
Background: Aging causes physiological and psychological changes that increase elderly vulnerability to depression and sleep disturbances, negatively impacting quality of life.
Purpose: To analyze the relationship between depression and sleep quality among the elderly at Garut residential care facility for the elderly.
Method: A quantitative cross-sectional study was conducted using purposive sampling (n=53). Instruments included the Geriatric Depression Scale (GDS) and the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using univariate and bivariate methods.
Results: Univariate analysis showed that 79.2% of respondents had poor sleep quality, and 47.2% experienced depression (35.8% mild, 5.7% moderate, 5.7% severe). Bivariate analysis revealed a statistically significant, positive, but weak correlation between depression and sleep quality (r=0.303; p=0.028).
Conclusion: This study reveals a weak yet significant link between depression and sleep quality among elderly residents, with other emotional, social, physical, and environmental factors also contributing. The findings highlight the need to address both mental health and environmental conditions to improve overall quality of life.
Downloads
References
Alvaro, P. K., Roberts, R. M., & Harris, J. K. (2013). A Systematic Review Assessing Bidirectionality between Sleep Disturbances, Anxiety, and Depression. National Library of Medicine, 36(7), 1059–1068.
Ardian, J. (2022). Merawat Luka Batin. Gramedia Pustaka Utama. Retrieved from: https://books.google.co.id/books?id=gKVwEAAAQBAJ
Ati, N. C., & Setiawan, A., B. (2020). Pengaruh Tingkat Depresi terhadap Kualitas Tidur dan Pengaruh Depresi terhadap Kejadian Insomnia pada Lanjut Usia. Jurnal Kedokteran, 3.
Ayuningtias, I., & Burhanto, B. (2021). Pengaruh Aromaterapi Lavender Terhadap Kualitas Tidur Lansia: Literature Review. Borneo Studies and Research, 2(3), 1699-1704.
Boucaud-Maitre, D., Amieva, H., Pic, O., Letchimy, L., Simo, N., Dartigues, J. F., & Tabué-Teguo, M. (2025). Poor adjustment to nursing homes and 1-year mortality: a secondary analysis of the KASEHPAD cohort study. BMJ open, 15(12), e106682.
Brouwer, A., van de Ven, P. M., Kok, A., Snoek, F. J., Beekman, A. T., & Bremmer, M. A. (2022). Symptoms of depression and insomnia in older age: A within‐individual analysis over 20 years. Journal of the American Geriatrics Society, 70(7), 2051-2059.
Budiman, B., Susanty, S., Hasan, F., & Apriliyasari, R. W. (2024). Comparative insomnia prevalence between geriatrics lived in urban and rural areas: a multicenter nationwide study analysis. BMC Public Health, 24(1), 2385.
Fang, H., Tu, S., Sheng, J., & Shao, A. (2019). Depression in sleep disturbance: a review on a bidirectional relationship, mechanisms and treatment. Journal of cellular and molecular medicine, 23(4), 2324-2332.
Fauzi, A., Ahmedy, F., & Rosidah, R. (2024). Cross-culture Adaptation and Validation of Indonesian Language Version of Pittsburgh Sleep Quality Index. International Journal of Public Health Science (IJPHS), 13(4), 1672–1678. Retrieved from: https://ijphs.iaescore.com/index.php/IJPHS/article/view/23439
Hadrianti, D., Saherna, J., Arji, A., Pratama, Z., Putri, A., & Khaliza, N. (2024). Geriatric Depression Scale (GDS) sebagai pengkajian status psikologis pada lansia. Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM), 7(3), 1236-1246.
Handajani, Y. S., Schröder-Butterfill, E., Hogervorst, E., Turana, Y., & Hengky, A. (2022). Depression among older adults in Indonesia: Prevalence, role of chronic conditions and other associated factors. Clinical Practice and Epidemiology in Mental Health: CP & EMH, 18, e174501792207010.
Irwin, M. R., Boyle, C. C., Cho, J. H., Piber, D., Sadeghi, N., Castillo, D., & Olmstead, R. (2025). Inflammatory Exposure and Depression in Older Adults With Insomnia: A Randomized Clinical Trial. JAMA psychiatry, 82(9), 859-867.
Jepisa, T., Riasmini, N. M., & Guslinda, G. (2020). Karakteristik, Tingkat Depresi dan Faktor Lingkungan Fisik Dengan Kualitas Tidur Lansia yang Tinggal di PSTW Prov Sumbar. JIK Jurnal Ilmu Kesehatan, 4(2), 152-159.
Maulani, F. A., Prabowo, E., & Rabia, R. (2023). Hubungan antara Kualitas Tidur dan Depresi pada Komunitas Lansia Wanita di Dahlia Senja Limo Depok. Wiraraja Medika: Jurnal Kesehatan, 13(1), 26-33.
Ministry of Health of the Republic of Indonesia (2024). Profil Kesehatan Indonesia 2024. Kementerian Kesehatan Republik Indonesia. Retrieved from: https://kemkes.go.id/id/profil-kesehatan-indonesia-2024
Mujiadi, M., & Rachmah, S. (2022). Buku Ajar Keperawatan Gerontik. Penerbit STIKES Majapahit Mojokerto. Retrieved from: https://ejournal.stikesmajapahit.ac.id/index.php/EBook/article/view/804
Ninef, V. I., Kartinah, K., Putra, A. S., Rahmawati, E., Purwanti, N. S., & Rohimah, A. (2025). Bunga Rampai Kesehatan Mental Lansia. Nuansa Fajar Cemerlang Jakarta.
Pinilih, S. S., Astuti, R. T., & Rini, D. R. (2018). Hubungan antara Lifestyle dengan Fungsi Kognitif pada Lansia. Journal of Holistic Nursing Science, 5(1), 25-35.
Pradana, A. A., Wantonoro, W., & Ruhyana, R. (2024). Hubungan tingkat depresi dengan kualitas tidur pada pasien Chronic Kidney Disease (CKD) di RS PKU Muhammadiyah. In Prosiding Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat LPPM Universitas' Aisyiyah Yogyakarta (Vol. 2, pp. 175-184).
Putri, S. A. P., Mufarokhah, H., & Fani, R. A. (2025). Hubungan tingkat stres dengan kualitas tidur pada lansia: Relationship between stress levels and sleep quality in elderly. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 11(1), 146-153.
Rachmadina, A., Zahra, I. S., Ritonga, R., Pratama, N. A., & Nayla, Y. (2025). Hubungan antara pola tidur dan resiko penyakit kronis pada lansia. Inovasi Kesehatan Global, 2(1), 87-94.
Rahman, F. F., Lin, K. Y., & Lin, K. H. (2024). Sleep Disturbance and Associated Factors in Older Adults Using Data from the Indonesian Family Life Survey. International Journal of Gerontology, 18(3), 184-190.
Rusiana, H. P., Istiana, I., Purqoti, D. N., & Syafitri, R. P. (2021). Peningkatan kualitas tidur lansia melalui latihan relaksasi progresif di lingkungan sekarbela mataram. GEMASSIKA: Jurnal Pengabdian Kepada Masyarakat, 5(2), 116-124.
Saroinsong, F., Kundre, R. M., & Toar, J. M. (2023). Hubungan Tingkat Stres Dengan Kualitas Tidur Pada Lanjut Usia Di Desa Tiniawangko Kecamatan Sinonsayang Kabupaten Minahasa Selatan. Mapalus Nursing Science Journal, 1(1), 39-45.
Statistics Indonesia, West Java Provincial Office. (2025). Profil Penduduk Lanjut Usia Provinsi Jawa Barat 2024. Badan Pusat Statistik Indonesia. Retrieved from: https://jabar.bps.go.id/id/publication/2025/05/23/db055b2f3428b1667f68ce8e/profil-penduduk-lanjut-usia-provinsi-jawa-barat-2024.html
Suswanti, I., Rahesi, I. D., & Sahara, K. (2025). Hubungan antara kualitas tidur dan depresi pada remaja: studi cross sectional Indonesian Family Life Survey 5. Damianus Journal of Medicine, 24(2), 155-166.
Tanjung, D. (2024). Gambaran Insomnia Pada Lansia di Kepala Satuan Pelayanan Sosial Griya Lansia Garut (Doctoral dissertation, STIKes Karsa Husada Garut).
Wibowo, D. A., Tanoto, W., & Heni, S. (2022). Asuhan Keperawatan pada Lansia dengan Masalah Insomnia. Lembaga Omega Medika.
World Health Organization. (2025). Ageing and Health. WHO. Retrieved from: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
Yang, P., Tian, L., Xia, Y., Hu, M., Xiao, X., Leng, Y., & Gong, L. (2025). Association of sleep quality and its change with the risk of depression in middle-aged and elderly people: a 10-year cohort study from England. Journal of affective disorders, 373, 245-252.
Zhou, R. J., Bailey, B., & Strunk, D. R. (2024). Testing the reciprocal relationship between depressive symptoms and insomnia. Journal of Clinical Psychology, 80(6), 1391-1404.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Nafisa Siti Ghaida, Lisna Anisa Fitriana, Tirta Adikusuma Suparto

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.