The Role of Caregivers’ Sleep Problems in the Association between Behavioral Symptoms of Dementia and Caregiving Depression and Anxiety

Jiménez‐Gonzalo, Lucía; Romero‐Moreno, Rosa; Pedroso-Chaparro, María Del Sequeros; Fernandes‐Pires, Jose; Barrera‐Caballero, Samara; Olazarán, Javier; Losada, Andrés

doi:10.1080/15402002.2020.1835662

Cited by 10 publications

(9 citation statements)

References 45 publications

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“…Apart from discomfort, the second most disruptive factor for caregivers in our study was patient behavior. This finding agrees with the previous literature in adult community-dwelling caregivers, which has found patients' behavioral symptoms to be an important disruptive factor for caregivers' sleep 21,43 . As can be expected, no differences were found between single and shared rooms regarding sleep disruption caused by sleep surface or patient behavior, even though patients in shared rooms were older.…”

Section: Discussionsupporting

confidence: 92%

“…Other factors associated with caregiver sleep quality outside the hospital setting are caregiver burden 22 and care recipients' disruptive behaviors. 21,43 Nevertheless, in our study, the level of functional dependence of care recipients was not associated with insomnia symptoms. This lack of significance could be related to the functioning of the hospital.…”

Section: Discussioncontrasting

confidence: 71%

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Hospital Environmental Disruptors and Caregiver Sleep During Hospitalization

Fernández-Puerta,

Prados,

Quiñoz-Gallardo

et al. 2023

Clin Nurse Spec

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Purpose Caregivers must cope with a poor sleep environment when caring for someone admitted to the hospital. The aim was to study the environmental factors associated with a sleep disruption pattern in caregivers during hospitalization and to test their association with caregivers' insomnia symptoms. Design This was a cross-sectional study. Methods One hundred twenty-three caregivers completed the study. The effect of environmental stimuli on sleep disruption was measured on a scale from 1 to 10 (1 = no disruption, 10 = significant disruption). Type of room (single vs shared), insomnia symptoms, anxiety and depression, and patients' dependence (Barthel Index) were assessed as well. Caregiver and patient characteristics as well as identified hospital disruptors were compared with Student t test, χ 2 test, and Fisher exact test according to the caregivers' type of room. A linear regression model using main caregiver and patient sociodemographic variables, questionnaires, and the sum of all hospital disruptors determined the factors associated with caregivers' insomnia symptoms. Results Of the caregivers and their care recipients, 51.2% shared a room with 1 to 2 other patients. Higher self-reported levels of sleep disruption due to environmental stimuli were found in shared rooms when compared with single rooms (eg, nursing care, noise, and light) (P < .05). Hospital sleep disruptors (adjusted regression coefficient, 0.15; 95% confidence interval, 0.06–0.24) and caregiver anxiety (adjusted regression coefficient, 0.57; 95% confidence interval, 0.33–0.81) were predictors for insomnia (P < .01). However, caregivers' type of room was not associated with insomnia severity symptoms (P > .05). Conclusions Interventions are urgent to implement, such as relieving caregivers from patient needs during the night, providing them with single rooms, and conducting multiple nursing tasks in 1 visit to minimize night hospital noise.

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Section: Discussionsupporting

confidence: 92%

Section: Discussioncontrasting

confidence: 71%

Hospital Environmental Disruptors and Caregiver Sleep During Hospitalization

Fernández-Puerta,

Prados,

Quiñoz-Gallardo

et al. 2023

Clin Nurse Spec

View full text Add to dashboard Cite

show abstract

“…Studies have shown that most caregivers were women and family members, mainly spouses and adult children 6 , 8 , 12 , 14 – 17 , 22 , 29 , 31 , 33 , 34 , usually living with the care recipient 12 , 17 , 18 , 22 , 25 , 31 ( Table 2 ).…”

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%

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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“…The progressive cognitive and functional decline and associated neuropsychiatric symptoms places a large burden on family members providing care (Connors et al, 2020) and the demands are associated with increased psychological and physical morbidity and mortality (Gilhooly et al, 2016; Karg et al, 2018; Koyama et al, 2017). The mechanism of action for negative physiologic changes are attributed to the emotional demands of caregiving, sustained vigilance, poor sleep, and inability to attend to the care partner’s health promoting behaviors (Jiménez-Gonzalo et al, 2021). Sources of psychological strain are due to role changes within the family, competing demands at home and the work setting, and insufficient information sharing and engagement in decision-making with health care providers (Rowe et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

An exploration of the cultural appropriateness of the family-centered function-focused care intervention

BeLue,

Kuzmik,

Dix

et al. 2023

Dementia

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The Family-centered Function Focused Care (Fam-FFC) intervention, is a nurse-family care partnership model aimed to improve the physical and cognitive recovery in hospitalized persons living with Alzheimer’s Disease Related Dementias (ADRD) while improving the care partner’s experiences. Discussions of patients’ needs and preferences between nurses and the patient’s close family members have been found to be useful in preventing excessive stress in persons with dementia, while lessening the anxiety of care partners. However, the efficacy of dementia-specific interventions is influenced in part by the degree to which the interventions are flexible and sensitive to the patient’s and care-partner’s condition, needs, and preferences, including cultural preferences. Therefore, the purpose of this study is to assess the cultural appropriateness of Fam-FFC using the Ecological Validity Model (EVM). This qualitative, descriptive study included 28 consented care partners drawn from a sample of 455 dyads enrolled in the Fam-FFC intervention. An interview guide was created based on the EVM. Participants provided demographic data. Thematic analysis was conducted to analyze transcribed interviews. The majority of the sample was female (79%), Non-Hispanic (96%) and half were married. One-half of the sample represented Black care partners and one-half were White. Seventy-nine percent lived with their family member with ADRD. Three major themes were identified from the thematic analysis including Care Partner Identity, Care Partner Preferences, and Goals of Care for functional recovery of their family member living with dementia. In this study care partners wanted more social services as well as home care that supported not just physical needs but also social and recreational needs. Findings from the study offer guidance on improving the Fam-FFC intervention including strengthening education and resources on partner self-care.

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The Role of Caregivers’ Sleep Problems in the Association between Behavioral Symptoms of Dementia and Caregiving Depression and Anxiety

Cited by 10 publications

References 45 publications

Hospital Environmental Disruptors and Caregiver Sleep During Hospitalization

Hospital Environmental Disruptors and Caregiver Sleep During Hospitalization

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

An exploration of the cultural appropriateness of the family-centered function-focused care intervention

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