Sleep Disturbance and Strain Among Caregivers of Persons Living With Dementia

Osakwe, Zainab Toteh; Senteio, Charles; Bubu, Omonigho Michael; Obioha, Chinedu U.; Turner, Arlener D.; Thawani, Sujata; Calixte, Rose; Jean‐Louis, Girardin

doi:10.3389/fnagi.2021.734382

Cited by 6 publications

(10 citation statements)

References 52 publications

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“…Eighteen studies investigated the association between caregiver burden and self-reported sleep quality. Fourteen of these studies found a significant correlation between greater caregiving burden and worse sleep quality ( 26 , 31–43 ), whereas the remaining 4 studies showed that caregiver burden was not significantly correlated with subjective sleep quality measures ( 28 , 29 , 44 , 45 ). Of the 14 studies that measured overall sleep quality using the PSQI, 12 studies found a significant correlation between caregiving burden and overall sleep quality, while 2 did not ( 28 , 44 ).…”

Section: Resultsmentioning

confidence: 99%

Sleep and Caregiver Burden Among Caregivers of Persons Living With Dementia: A Scoping Review

Mattos,

Bernacchi,

Shaffer

et al. 2024

Innovation in Aging

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Background and Objectives Caregivers of persons with dementia report worse sleep when compared to the general population. The objective of this review was to synthesize evidence regarding the link between caregiver burden and dementia caregivers’ sleep. Research Design and Methods We conducted a scoping review using a systematic search for pertinent literature in PubMed, CINAHL, and Web of Science through March 2022. Keywords included content areas of dementia, caregiver burden, and sleep. Inclusion criteria were informal caregivers of persons living with dementia, a measured relationship between informal dementia caregiver sleep and subjective caregiver burden variables, and original research. Non-English studies were excluded. Extracted data were organized in tables, compared, and synthesized. Results The search yielded 540 non-duplicate articles screened by title and abstract; 118 full-text articles were reviewed; 24 were included. Most studies were cross-sectional, with variable sample sizes. Dementia caregivers had significantly poorer overall perceived sleep than non-caregivers across four studies that examined self-reported sleep measures. Eighteen studies investigated the association between caregiver burden and self-reported sleep quality, with 14 reporting a significant positive association between caregiver burden, and four found null results. Only two of the four studies reporting the association between caregiver burden and objective sleep parameters (i.e., actigraphy and polysomnography) reported a significant positive association for at least one sleep subdomain. Discussion and Implications While subjective sleep quality is commonly impacted by dementia caregiving burden, there is a lack of corresponding evidence on the relationship between burden and objective sleep metrics. Healthcare providers should consider the dementia caregiver burden’s impact on sleep and regularly assess caregivers' sleep difficulties. Future studies should focus on consistently measuring caregiver burden and sleep to promote dementia caregiver health and well-being.

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Section: Resultsmentioning

confidence: 99%

Sleep and Caregiver Burden Among Caregivers of Persons Living With Dementia: A Scoping Review

Mattos,

Bernacchi,

Shaffer

et al. 2024

Innovation in Aging

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“…Caregivers usually spend 14.3 hours per day in care tasks 13 , 18 , 19 , 22 , 33 , being responsible for the PLwD for nearly 5.7 years 1 , 14 , 17 , 22 , 25 , 31 , 32 , 33 . The mean age of caregivers in the selected studies was 60.3 years.…”

Section: Resultsmentioning

confidence: 99%

“…Caregivers of PLwD tend to spend less than 7 hours in bed, having high amounts of wake, impacting not only sleep quantity but also sleep quality 6 . Studies have found negative impacts in sleep latency 1 , 7 , 18 , 27 , 32 , sleep fragmentation 13 , 18 , 19 , 26 , shorter sleep duration 3 , 18 , and low subjective sleep quality 1 , 2 , 33 . In smaller proportions, they found insomnia 8 , use of medication 1 , 29 , daytime dysfunction 3 , and low sleep efficiency 1 , 6 ( Table 3 ).…”

Section: Resultsmentioning

confidence: 99%

“…Sleep disorders affect 50 to 70% of caregivers of PLwD 14 , resulting in long sleep onset latency, wake-after sleep onset, short sleep duration, low sleep efficiency 15 , 16 , changes in central stress, low sleep quality 17 , daytime sleepiness, poor self-rated sleep 18 , and sleep fragmentation 19 . These disturbances can negatively impact the immune system, elevate stress hormones, and increase the risk for cardiovascular diseases 20 , and the correlation between sleep and depressive symptoms predicts increased body mass index 21 , elevated coagulation, and inflammatory levels 22 .…”

Section: Introductionmentioning

confidence: 99%

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The relationship between burden and caregiver’s sleep disturbances in dementia: a systematic review

Monteiro,

Santos,

Nogueira

et al. 2023

Dement. neuropsychol.

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Caregivers of people living with dementia (PLwD) have a high burden degree that leads to health issues, including sleep. Objective: This study aimed to analyze the impacts of the caregiving burden on caregiver’s sleep disturbances. Methods: This systematic review involved a qualitative analysis of publications on Web of Science and Pubmed/Medline databases published between February 2018 and August 2022. Results: A total of 27 studies were identified and analyzed. Caregiver’s sleep presents impairments in sleep latency, sleep fragmentation, sleep duration, subjective sleep quality, daytime dysfunction, and insomnia. Caregiver’s distress and depressive symptoms have a dual relationship with sleep problems. Conclusion: Sleep disturbances presented by caregivers are correlated with higher burden levels and lead to more vulnerability to psychiatric symptoms and health issues.

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“…8 As a result, long-term stress and reduced sleep quality lead to caregivers having an increased risk of health problems, such as heart disease and cognitive decline. 5,9 Caregiver stress also contributes to worsening neuropsychiatric symptoms in people with dementia from the negative emotions of caregivers that can result in frustration, irritation, and anger. 10 Thus, helping caregivers to manage their stress benefits not only their own health and sleep but also improves their interactions with family members with dementia.…”

mentioning

confidence: 99%

Integrative Stress Reduction Program for Family Caregivers of Persons With Advanced Dementia: A Randomized-Controlled Trial

Sanprakhon,

Chaimongkol,

Lach

2023

West J Nurs Res

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Background: Older adults with advanced dementia require significant care, leading to high stress levels in caregivers. Objectives: The current study aimed to evaluate the effects of an Integrative Stress Reduction Program on Thai caregiver’s outcomes of stress, sleep quality, and caregiver-assessed neuropsychiatric symptoms of persons with dementia. Methods: A single-blind randomized-controlled trial was conducted. A sample of family caregivers of people with dementia was recruited from memory clinics at outpatient community health centers in Thailand and randomly assigned to the experimental and control groups. Participants in the experimental group were enrolled in 5 intervention sessions over 4 weeks, while the control group received usual care. Outcome variables were collected at baseline, 4 weeks postintervention, and 8 weeks of follow-up. Results: Compared with the control group, caregivers in the experimental group (n = 27) had significantly decreased stress ( p < .01) and better sleep quality ( p < .01), and caregivers reported that their family members with dementia (n = 27) had decreased neuropsychiatric symptoms ( p < .01) after the intervention (week 4) and at the 8-week follow-up. Conclusions: The Integrative Stress Reduction Program improved outcomes for caregivers and decreased neuropsychiatric symptoms in people with dementia.

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Sleep Disturbance and Strain Among Caregivers of Persons Living With Dementia

Cited by 6 publications

References 52 publications

Sleep and Caregiver Burden Among Caregivers of Persons Living With Dementia: A Scoping Review

Sleep and Caregiver Burden Among Caregivers of Persons Living With Dementia: A Scoping Review

The relationship between burden and caregiver’s sleep disturbances in dementia: a systematic review

Integrative Stress Reduction Program for Family Caregivers of Persons With Advanced Dementia: A Randomized-Controlled Trial

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