Family caregivers' sleep loss and depression over time
Family caregivers' sleep loss and depression over time
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DOI：
10.1097/00002820-200308000-00001
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发表时间：
2003-08-01
期刊：
影响因子：
2.6
通讯作者：
Carter, PA
中科院分区：
文献类型：
--
作者：
Carter, PA
当家庭成员被诊断患有癌症时，抑郁是一种正常反应。然而，这种反应可能会因其他因素而加剧，例如需要干预的慢性睡眠不足。这项试点研究描述了护理人员随时间的睡眠和抑郁模式，并探讨了数据收集方法和仪器的可行性。拉撒路和福克曼的压力和应对框架指导了这项研究。这项为期 10 周的试点研究采用了描述性相关设计。从肿瘤门诊招募了十名成年癌症患者家庭护理人员。每周测量睡眠质量和抑郁程度。在第 1、5 和 10 周期间佩戴活动记录仪 72 小时。生成个人睡眠质量和抑郁评分。生成活动记录仪延迟、持续时间和效率分数。比较活动记录仪和睡眠质量评分。个体护理人员的睡眠和抑郁图随着时间的推移显示出很大的差异。 Actigraph 与睡眠质量潜伏期、持续时间和效率评分之间存在差异。睡眠和抑郁症状随着时间的推移波动很大。因此，护理人员问题的准确评估和治疗需要反复评估。睡眠和抑郁的自我报告似乎低估了问题，必须在这种背景下仔细评估。
Depression is a normal response when a family member receives a diagnosis of cancer. However, this response may be exacerbated by other factors such as chronic sleep loss that are amenable to intervention. This pilot study described caregiver sleep and depression patterns over time and explored the feasibility of data collection methods and instruments. The stress and coping framework of Lazarus and Folkman guided this study. A descriptive correlational design was used for this 10-week pilot study. Ten adult family caregivers, of patients with cancer were recruited from outpatient oncology clinics. Sleep quality and depression were measured weekly. Actigraphs were worn for 72 hours during weeks 1, 5, and 10. Individual sleep quality and depression scores were generated. Actigraph latency, duration, and efficiency scores were generated. Actigraph and sleep quality scores were compared. Individual caregiver sleep and depression plots show large variance over time. Discrepancies were noted between Actigraph and sleep quality latency, duration, and efficiency scores. Sleep and depressive symptoms fluctuate widely over time. Therefore, accurate assessment and treatment of caregiver problems require repeated assessments. Self-reports of sleep and depression appear to underestimate problems and must be evaluated carefully within this context.