The Relationship Between Objectively Measured Sleep Disturbance and Dementia Family Caregiver Distress and Burden

Beaudreau, Sherry A.; Spira, Adam P.; Gray, Heather; Depp, Colin A.; Long, James R.; Rothkopf, Mark; Gallagher‐Thompson, Dolores

doi:10.1177/0891988708316857

Cited by 60 publications

(58 citation statements)

References 30 publications

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“…Since previous findings suggested influences of depressive symptoms on sleep quality, 6, 10, 30 we created hierarchical linear regression models for each objective sleep quality outcome that differed significantly between the groups to determine the proportion of variance accounted for by depressive symptoms beyond the variance accounted for by age and group membership. Age was entered in the first step, group membership was entered in the second step, and depressive symptoms score from CESD-10 was entered in the last step.…”

Section: Methodsmentioning

confidence: 99%

Assessing Sleep Architecture in Dementia Caregivers at Home Using an Ambulatory Polysomnographic System

Fonareva

Amen

Zajdel

et al. 2011

J Geriatr Psychiatry Neurol

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Findings from previous research assessing sleep quality in caregivers are inconsistent due to differences in sleep assessment methods. This study evaluated sleep in dementia caregivers using a comprehensive sleep assessment utilizing an ambulatory polysomnography (PSG) device. Twenty caregivers and twenty non-caregivers rated their perceived sleep quality, stress, and depressive symptoms; provided samples of cortisol and inflammatory biomarkers; and completed an objective sleep assessment using a portable PSG device. Caregivers reported greater perceived stress than non-caregivers. Next, the groups had different sleep architecture: caregivers spent less proportion of their sleep in restorative sleep stages compared to non-caregivers. Further, levels of C-reactive protein and awakening salivary cortisol were greater in caregivers than in non-caregivers, and these measures were related to sleep quality. Our findings indicate that sleep disruption is a significant concomitant of caregiving and may affect caregiver’s health. Sleep quality of caregivers might be a useful target for a clinical intervention.

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Section: Methodsmentioning

confidence: 99%

Assessing Sleep Architecture in Dementia Caregivers at Home Using an Ambulatory Polysomnographic System

Fonareva

Amen

Zajdel

et al. 2011

J Geriatr Psychiatry Neurol

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“…Caregivers' experiences of the stresses and burdens of care are well known. Depression, anxiety, fatigue, sleep disturbances and lack of time for pleasurable activities have been well documented as effects of the caregiving burden [8][9][10]. The stressors can briefly be described as physical, emotional and economic burdens [11].…”

Section: Introductionmentioning

confidence: 99%

Relatives’ experiences of everyday life when receiving day care services for persons with dementia living at home

Myren¹,

Enmarker²,

Saur³

2013

Health

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Relatives often become involved in the care of people with dementia who are living at home. The caregivers' burdens are extensively described in several studies, and one of the most common, unmet needs of the caregivers is the opportunity for daytime activities. The aim in this qualitative study is therefore to explore the everyday lives of eight relatives of people with dementia who are receiving day care services. A content analysis is used, and three major themes emerge and are discussed: 1) when life becomes chaotic; 2) rebuilding a new, everyday life; and 3) the agonies of choice. The findings indicate that day care service offers respite care, and, at the same time, it gives both the relatives and those with dementia a meaningful day. These findings can also be described as relatives traveling a route from a situation characterized by chaos and suffering to a new life situation that has meaning through day care services. It is important to note that despite this new meaning in the relatives' lives, the relatives continue to struggle with decisions about the futures of their loves ones in regard to the dilemma of placing them in an institution versus aging in place.

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“…Healthcare providers, service organizations, and care providers lack awareness regarding DS and sleep interventions for both PWD and for their sleep-deprived caregivers [14]. Although nonpharmacological sleep interventions (NPSIs) are effective for improving restorative sleep among older persons [15, 16], the inaccurate belief that reduced hours of sleep and decreased ability to sleep well in old age are “normal” aspects of aging is pervasive [17].…”

Section: Introductionmentioning

confidence: 99%

Healthcare Providers’ Knowledge of Disordered Sleep, Sleep Assessment Tools, and Nonpharmacological Sleep Interventions for Persons Living with Dementia: A National Survey

et al. 2014

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A large proportion of persons with dementia will also experience disordered sleep. Disordered sleep in dementia is a common reason for institutionalization and affects cognition, fall risk, agitation, self-care ability, and overall health and quality of life. This report presents findings of a survey of healthcare providers' awareness of sleep issues, assessment practices, and nonpharmacological sleep interventions for persons with dementia. There were 1846 participants, with the majority being from nursing and rehabilitation. One-third worked in long-term care settings and one-third in acute care. Few reported working in the community. Findings revealed that participants understated the incidence of sleep deficiencies in persons with dementia and generally lacked awareness of the relationship between disordered sleep and dementia. Their knowledge of sleep assessment tools was limited to caregiver reports, self-reports, and sleep diaries, with few using standardized tools or other assessment methods. The relationship between disordered sleep and comorbid conditions was not well understood. The three most common nonpharmacological sleep interventions participants identified using were a regular bedtime routine, increased daytime activity, and restricted caffeine. Awareness of other evidence-based interventions was low. These findings will guide evidence-informed research to develop and test more targeted and contextualized sleep and dementia knowledge translation strategies.

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The Relationship Between Objectively Measured Sleep Disturbance and Dementia Family Caregiver Distress and Burden

Cited by 60 publications

References 30 publications

Assessing Sleep Architecture in Dementia Caregivers at Home Using an Ambulatory Polysomnographic System

Assessing Sleep Architecture in Dementia Caregivers at Home Using an Ambulatory Polysomnographic System

Relatives’ experiences of everyday life when receiving day care services for persons with dementia living at home

Healthcare Providers’ Knowledge of Disordered Sleep, Sleep Assessment Tools, and Nonpharmacological Sleep Interventions for Persons Living with Dementia: A National Survey

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