The relationship between objectively measured sleep disturbance and dementia family caregiver distress and burden

The relationship between objectively measured sleep disturbance and dementia family caregiver distress and burden
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DOI:
10.1177/0891988708316857
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发表时间:
2008-09-01
影响因子:
2.6
通讯作者:
Gallagher-Thompson, Dolores
Gallagher-Thompson, Dolores
中科院分区:
医学4区
文献类型:
--
作者:
Beaudreau, Sherry A.;Spira, Adam P.;Gallagher-Thompson, Dolores

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这项研究的目的是确定痛苦和负担是否与痴呆症照顾者睡眠障碍的客观测量有关。使用腕部活动记录仪,对60名女性高加索痴呆症家庭照顾者(平均年龄64.8岁)的睡眠进行了测量。照顾者完成了关于人口统计学、健康、抑郁、照看持续时间和照顾者夜间行为的问卷调查。护理对象完成了一项精神状态检查。我们调查了这些测量是否与动态睡眠参数有关。照顾者的抑郁症状越严重,睡眠效率越差。年龄较大的照顾者和较差的自我评估健康与较长的卧床时间有关。睡眠障碍在痴呆症照顾者中很常见,可能是照顾者痛苦(即抑郁)的重要指标,但可能与负担无关(基于照顾者的一般认知障碍或夜间醒来)。
The aim of this study was to determine whether distress and burden were associated with objective measures of sleep disturbance in dementia caregivers. Using wrist actigraphy, sleep was measured in 60 female, Caucasian dementia family caregivers (mean age, 64.8 years). Caregivers completed questionnaires about demographics, health, depression, duration of caregiving and care recipient nighttime behavior. Care recipients completed a mental status exam. We investigated whether these measures were associated with actigraphic sleep parameters. Greater depressive symptoms among caregivers were associated with poorer sleep efficiency. Older caregiver age and poorer self-rated health were associated with longer time in bed. Sleep disturbance, which is common among dementia caregivers, might be an important index of caregiver distress (ie, depression) but might not be associated with burden (based on the care recipient's general cognitive impairment or nighttime awakenings.).