Dyadic associations between psychological distress and sleep disturbance among Chinese patients with cancer and their spouses

Chan, Joanna; Yu, Nancy Xiaonan; Chow, Amy; Chan, Cecilia L. W.; Chung, Ka Fai; Ho, Rainbow Tin Hung; Ng, Siu-Man; Yuen, Lai-Ping

doi:10.1002/pon.4240

Cited by 12 publications

(10 citation statements)

References 40 publications

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“…2 , 3 Physical discomfort, fatigue, sleep problems, overload, and mental distress are the main problems reported by patients with cancer and their family caregivers. 4 , 5 In addition, primary caregivers are frustrated by the high caregiving burden, lack of independence and freedom, and the need, at times, to hide their depression symptoms. 6 Negative emotions are infectious to make cancer dyads suffer more.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness and moderators of cancer patient-caregiver dyad interventions in improving psychological distress: A systematic review and meta-analysis

Pang

Jin

Wang

2022

Asia-Pacific Journal of Oncology Nursing

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Section: Introductionmentioning

confidence: 99%

Effectiveness and moderators of cancer patient-caregiver dyad interventions in improving psychological distress: A systematic review and meta-analysis

Pang

Jin

Wang

2022

Asia-Pacific Journal of Oncology Nursing

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“…In fact, 25% to 35% of adult cancer patients and their sleep-partner caregivers have reported sleep disturbances because of their bed-partner's disturbed sleep (16). Furthermore, psychological distress in patients with cancer has been associated with not only their own but also their sleep-partner caregivers' shorter sleep duration, and vice versa (55,56). Although existing studies indicate interindividual relations between cancer-related distress and sleep, specific dyadic associations between cancer-related PTSS and sleep markers remain understudied.…”

Section: Cancer Experience As a Dyadic Phenomenonmentioning

confidence: 99%

Dyadic Investigation of Posttraumatic Stress Symptoms and Daily Sleep Health in Patients With Cancer and Their Caregivers

Tsai,

Mitchell,

Zeitzer

et al. 2024

Psychosom Med

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Objective Cancer can be a traumatic experience affecting multidimensional aspects of sleep among patients and caregivers. This study examined the differential associations of cancer-related post-traumatic stress symptoms (PTSS) with various sleep markers in this population. Methods Patients newly diagnosed with colorectal cancer (n = 138, mean age = 56.93 years, 31.88% female, 60.14% Hispanic, 6.53 months post-diagnosis) and their sleep-partner caregivers (n = 138, mean age = 55.32 years, 68.12% female, 57.97% Hispanic) completed questionnaires assessing the four PTSS clusters (intrusion, avoidance, alterations in arousal and reactivity, negative alterations in cognitions and mood). Participants also completed daily sleep diaries for 14 consecutive days, from which sleep onset latency (SOL), wake after sleep onset (WASO), and sleep duration were derived. Results Actor-partner interdependence model revealed that caregivers’ greater alterations in arousal and reactivity were associated with their own longer SOL (b = 14.54, p < .001) and their patients’ longer sleep duration (b = 0.47, p = .040), whereas patients’ arousal and reactivity were associated with their caregivers’ shorter SOL (b = -8.34, p = .047) and WASO (b = -8.12, p = .019). Patients’ and caregivers’ greater negative alterations in cognitions and mood were associated with patients’ longer SOL (b = 8.89, p = .016) and shorter sleep duration (b = -0.40, p = .038), respectively. Caregivers’ greater intrusion was related to their own shorter SOL (b = -10.92, p = .002). Conclusions The four PTSS clusters, particularly arousal and reactivity and negative cognitions and mood, have distinct associations with sleep markers individually and dyadically in patients and caregivers affected by cancer. Investigations of psychosocial and biobehavioral pathways underlying these relations are warranted. Tailored trauma treatments and sleep interventions may improve the well-being of this population.

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“…For example, the personalities of people with close relationships affect not only their own depression but also that of their counterparts (Novak et al, 2017;Zayas et al, 2002). Due to the culture of attaching importance to family cohesiveness, Chinese patients and caregivers are considered to have a higher level of interdependence (Chan et al, 2017). Furthermore, to the best of our knowledge, only a few studies have explored the relationship between neuroticism and depression among patients with chronic diseases such as type 2 diabetes and coronary heart disease from the perspective of dyads (Novak et al, 2017;Ruiz et al, 2006).…”

Section: Personality Traits and Depressionmentioning

confidence: 99%

The dyadic effects of personality traits on depression in advanced lung cancer patients and caregivers: The mediating role of acceptance of illness

Wang

Sun

Yang

et al. 2021

European J Cancer Care

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Objective: This study aimed to explore the intrapersonal and interpersonal effects of three personality traits-neuroticism, extraversion and conscientiousness-on depression and examine whether acceptance of illness mediates the actor and partner effects in advanced lung cancer patients and caregivers using the Actor-Partner Interdependence Mediation Model (APIMeM).Methods: A total of 304 dyads of advanced lung cancer patients and caregivers were studied. Personality traits, acceptance of illness and depression were measured using 44-item Big Five Inventory, the Acceptance of Illness (AIS) scale and the Patient Health Questionnaire (PHQ-9). Results:The APIMeMs suggested that there were significant actor-actor effects of the three personality traits on depression through their own acceptance of illness.Additionally, significant actor-partner effects of neuroticism and extraversion on depression were also found. Specifically, patients' neuroticism was negatively related to their own acceptance of illness, which increased caregivers' depression, and caregivers' higher extraversion was related to their own higher acceptance of illness, which reduced patients' depression. Furthermore, a significant partner-actor effect was only found in the neuroticism model. Patients' neuroticism was negatively related to caregivers' acceptance of illness, which increased caregivers' depression. Conclusion:The three personality traits had both interpersonal and intrapersonal effects on depression in advanced lung cancer patient-caregiver dyads, and acceptance of illness played an important mediating role in these relationships.

show abstract

Dyadic associations between psychological distress and sleep disturbance among Chinese patients with cancer and their spouses

Abstract: Clinicians and health care providers are suggested to integrate depression management as a component of sleep therapies and involve both patients and their spouses in treatment programs.

Cited by 12 publications

References 40 publications

Effectiveness and moderators of cancer patient-caregiver dyad interventions in improving psychological distress: A systematic review and meta-analysis

Effectiveness and moderators of cancer patient-caregiver dyad interventions in improving psychological distress: A systematic review and meta-analysis

Dyadic Investigation of Posttraumatic Stress Symptoms and Daily Sleep Health in Patients With Cancer and Their Caregivers

The dyadic effects of personality traits on depression in advanced lung cancer patients and caregivers: The mediating role of acceptance of illness

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