A feasibility study of a two-session home-based cognitive behavioral therapy–insomnia intervention for bereaved family caregivers

Carter, Patricia A.; Mikan, Sabrina Q.; Simpson, Cherie E

doi:10.1017/s147895150900025x

Cited by 25 publications

(22 citation statements)

References 21 publications

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“…Poor sleep may contribute to difficulties actually executing daily caregiving tasks and to increased caregiver burden . It has also been linked to anxiety, depression, and worse physical health in caregivers, as well as interference with the grieving process and difficulty returning to pre‐caregiving responsibilities after the patient's death …”

Section: Introductionmentioning

confidence: 99%

Dyadic effects of distress on sleep duration in advanced cancer patients and spouse caregivers

et al. 2019

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Objective Short sleep duration is a common problem for both advanced cancer patients and their spouse caregivers. Sleep and distress have been shown to be interdependent in patient‐caregiver and spouse dyads, yet virtually, no work has explored the dyadic effects of psychological distress on sleep in advanced cancer patients and spouse caregivers. The goal of the present study was to examine the dyadic impact of anxiety and depression on sleep duration in a sample of advanced cancer patients and their spouse caregivers. It was hypothesized that, for both patients and caregivers, anxiety and depression in individuals would be associated with sleep duration in both themselves (actor effects) and in their spouses (partner effects). Method Advanced cancer patients and their spouse caregivers (N = 87 dyads) completed cross‐sectional questionnaires assessing demographic variables, subjective health, subjective sleep duration, and anxiety and depression symptoms. Results Controlling for sex, age, and subjective health, individuals' anxiety was negatively associated with their own and their partner's sleep duration. No significant actor or partner effects were found for depression. Conclusions Results provided partial support for hypotheses. Although past work has demonstrated links between subjective sleep disturbance and anxiety/psychological distress, this is one of the first studies to examine partner effects of distress on sleep disturbance in advanced cancer patients and spouse caregivers.

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Section: Introductionmentioning

confidence: 99%

Dyadic effects of distress on sleep duration in advanced cancer patients and spouse caregivers

et al. 2019

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“…Prolonged poor sleep patterns and habits can also lead to chronic insomnia, create ongoing health issues, and may potentially prolong grief (Carter, 2005;Carter et al, 2009, Monk et al, 2010.…”

Section: Introductionmentioning

confidence: 99%

Sleep disturbances in caregivers of patients with advanced cancer: A systematic review.

et al. 2017

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“…Parents of children with cancer commonly report sleep disturbances 22 and are more likely to experience sleep problems compared with their noncaregiving counterparts. 23 Interventions focused on sleep behavior are feasible and may improve sleep quality in caregivers; 24–26 such interventions should be tested among parents of children with cancer or chronic conditions. Negative social interactions may also contribute to stress and lead to worse parental health and greater anxiety and depression.…”

Section: Discussionmentioning

confidence: 99%

Correlates of Physiological and Psychological Stress Among Parents of Childhood Cancer and Brain Tumor Survivors

Pollock

Litzelman

Wisk

et al. 2013

Academic Pediatrics

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Objectives First, we sought to determine if parents of children with cancer or a brain tumor had greater stress compared to parents of healthy children, and to evaluate the correlates of stress among parents of children with cancer or brain tumors. Second, we sought to examine the relationship between perceived stress and symptoms of stress, and how that relationship may differ for parents of children with cancer. Methods In-person interviewer-assisted surveys were administered to 73 case dyads (children with cancer or a brain tumor and their parents) and 133 comparison dyads (children without health problems and their parents from a community sample). Descriptive analyses and multivariable logistic regressions were performed for case-comparison and case-only analyses to distinguish correlates of parental stress. Results Parents of children with cancer exhibited higher levels of physiological symptoms of stress than parents of healthy children. Poor sleep quality and greater social stress (negative social interactions) were significant correlates of increased levels of stress in parents of children with cancer (odds ratio 4.23, 95% confidence interval 1.15–15.60; and odds ratio 1.07, 95% confidence interval 1.00–1.14, respectively). A subset of parents reported symptoms of stress but not perceived stress, and this discordance was more pronounced among cancer caregivers. Conclusions Implementation of screening tools that include symptoms of stress may help clinicians to comprehensively identify parents of children with cancer who are in need of additional services. Targeted stress-reduction interventions that address sleep quality and negative social interactions may mitigate the deleterious effects of caregiving, improving the psychosocial well-being of both parents and children with cancer.

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A feasibility study of a two-session home-based cognitive behavioral therapy–insomnia intervention for bereaved family caregivers

Abstract: The results of this pilot study suggest that the intervention is feasible and acceptable and produces promising effects on insomnia and depressive symptoms in bereaved family caregivers.

Cited by 25 publications

References 21 publications

Dyadic effects of distress on sleep duration in advanced cancer patients and spouse caregivers

Dyadic effects of distress on sleep duration in advanced cancer patients and spouse caregivers

Sleep disturbances in caregivers of patients with advanced cancer: A systematic review.

Correlates of Physiological and Psychological Stress Among Parents of Childhood Cancer and Brain Tumor Survivors

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