Sleep Depression, and Psychosocial Risk Factors in Caregivers

护理人员的睡眠抑郁和心理社会风险因素

• 批准号: 8208135
• 负责人: Lisa J Meltzer
• 金额: $ 13.78万
• 依托单位: NATIONAL JEWISH HEALTH
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-02-07 至 2013-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8208135
• 关键词: Address; Adult; Age; Anger; Anxiety; Caregiver Burden; Caregivers; Caring; Centers for Disease Control and Prevention (U.S.); Child; Child Psychology; Childhood; Chronic; Chronic Disease; Clinical; Clinical Research; Cognitive Therapy; Dementia; Development; Employment; Ensure; Ethical Issues; Evaluation; Family; Family Caregiver; Family member; Fatigue; Feeling; Foundations; Frequencies; Goals; Health; Healthcare Systems; Home environment; Hour; Intervention; Intervention Studies; K-Series Research Career Programs; Knowledge; Literature; Measurement; Measures; Mediator of activation protein; Medical; Medicine; Mental Depression; Mental Health; Mental disorders; Mentors; Middle Insomnia; Modeling; Moods; Night Nurse; Occupations; Parents; Patients; Pattern; Personal Satisfaction; Population; Positioning Attribute; Prevalence; Psychologist; Public Health; Qualifying; Reading; Reporting; Research; Research Personnel; Research Training; Risk; Risk Factors; Role; Services; Sleep; Sleep Deprivation; Sleep disturbances; Social support; Stress; Testing; Time; Training; Unemployment; United States National Center for Health Statistics; Ventilator; Woman; Work; actigraphy; brief intervention; career development; caregiving; depressive symptoms; design; disability; disturbance in affect; executive function; experience; improved; literature survey; loved ones; meetings; physical conditioning; programs; psychologic; psychosocial; research study; resilience; skills; sleep onset; therapy design

The objective of this career development award is to provide Dr. Lisa Meltzer with the experience and knowledge necessary to become an independent clinical researcher, bridging the fields of pediatric psychology and sleep medicine. Dr. Meltzer, a clinical psychologist, will accomplish this goal through a combination of directed reading, seminars, coursework, and mentored research. A highly qualified team of mentors will supervise her training and research, ensuring that she meets her goals. Dr. Meltzer will be examining sleep, depression, and psychosocial risk factors in pediatric caregivers. The specific aims of this proposal are:1) to characterize sleep patterns and daytime functioning (mood disturbances, fatigue, and executive functioning) in caregivers of ventilator-dependent children (VDC) and caregivers of healthy children, 2) to identify risk and protective factors related to caregiver burden and depressive symptoms in caregivers, 3) to examine sleep as a mediator of the relationship between caregiver burden and depressive symptoms in caregivers, and 4) to develop and evaluate a brief intervention designed to improve caregiver sleep, with the indirect benefit of improving symptoms of depression and fatigue. These aims will be accomplished with two studies: Study 1 is an evaluation of sleep, depressive symptoms, andpsychosocial risk factors in caregivers of children who are ventilator-dependent and caregivers of healthy control children. Study 2 is a pilot intervention to improve sleep quality and quantity in caregivers. This project will address gaps in the scientific literature related to the empirical measurement of caregiver burden for parents of children with chronic physical or mental health disorders, the impact of caregiving on mood, fatigue, and executive functioning, and how chronic sleep disruption is related to caregiver daytime functioning. In addition, this project will provide the applicant with expertise in the design, implementation, and analysis of clinical research and intervention studies, the use of actigraphy as an objective measure of sleep, and specialized training in sleep deprivation, sleep and depression, and ethical issues related to research with families of children with chronic physical or mental health disorders. The proposed study and career development activities will provide Dr. Meltzer with the skills to develop into an independent investigator with a program of research focusing on caregivers of pediatric populations. Relevance to Public Health: While the services of people who care for loved ones are estimated to be worth $257 billion, caregivers often put their own health and well-being at risk. Approximately 8% of children have a chronic condition that transforms parents into caregivers. This 24-hour a day job often results in elevated symptoms of depression. Sleep loss due to caregiving or stress may result in increased rates of negative functioning (e.g., mood and fatigue). This study will examine the relationship between sleep, depressive symptoms, and caregiver burden in pediatric caregivers, and develop ways to improve caregiver sleep.

该职业发展奖的目的是为丽莎梅尔泽博士提供经验， 成为独立的临床研究人员所需的知识，桥接儿科领域 心理学和睡眠医学梅尔策博士是一名临床心理学家，他将通过一项 结合指导性阅读、研讨会、课程作业和指导性研究。高素质的团队， 导师将监督她的培训和研究，确保她实现自己的目标。梅尔策医生会 研究儿童看护者的睡眠、抑郁和心理社会危险因素。具体目标是 建议是：1）表征睡眠模式和日间功能（情绪障碍，疲劳， 呼吸机依赖儿童（VDC）的照顾者和健康儿童的照顾者的执行功能） 儿童，2）确定与照顾者负担和抑郁症状相关的风险和保护因素， 3）研究睡眠作为照顾者负担与抑郁之间关系的中介 症状的照顾者，和4）制定和评估一个简短的干预措施，旨在改善照顾者 睡眠，具有改善抑郁和疲劳症状的间接益处。这些目标将是 通过两项研究完成：研究1是对睡眠，抑郁症状和心理社会的评估。 呼吸机依赖儿童的照顾者和健康对照儿童的照顾者的危险因素。 研究2是一项改善护理人员睡眠质量和数量的试点干预措施。该项目将解决 科学文献中关于对儿童父母照顾者负担的经验性测量的空白 患有慢性身心健康障碍的儿童，运动对情绪、疲劳和 执行功能，以及慢性睡眠中断与照顾者白天功能的关系。在 此外，该项目将为申请人提供设计，实施和分析的专业知识， 临床研究和干预研究，使用体动计作为睡眠的客观测量，以及 睡眠剥夺，睡眠和抑郁症，以及与研究相关的伦理问题的专门培训， 患有慢性身心健康疾病的儿童的家庭。建议的学习和职业 发展活动将为Meltzer博士提供发展成为独立研究者的技能， 一个以儿科护理人员为重点的研究项目。与公共卫生的相关性： 照顾亲人的人的服务估计价值2570亿美元，照顾者经常把 他们自己的健康和幸福处于危险之中。大约8%的儿童患有慢性疾病， 把父母变成照顾者这种一天24小时的工作往往会导致抑郁症的症状加重。 由于睡眠不足或压力导致的睡眠不足可能会导致负功能的增加（例如，情绪和 疲劳）。本研究将探讨睡眠，抑郁症状和照顾者之间的关系 儿童看护者的负担，并开发改善看护者睡眠的方法。

项目成果

Prevalence of diagnosed sleep disorders in pediatric primary care practices.

• DOI: 10.1542/peds.2009-2725
• 发表时间: 2010-06
• 期刊: Pediatrics
• 影响因子: 8
• 作者: Meltzer LJ;Johnson C;Crosette J;Ramos M;Mindell JA
• 通讯作者: Mindell JA

Evaluation of an Ecologically Valid Group Intervention to Address Sleep Health in Families of Children With Allergic Diseases.

对解决过敏性疾病儿童家庭睡眠健康问题的生态有效团体干预措施的评估。

• DOI: 10.1037/cpp0000136
• 发表时间: 2016
• 期刊: Clinical practice in pediatric psychology
• 影响因子: 1.1
• 作者: Meltzer,LisaJ;Booster,GeneryD
• 通讯作者: Booster,GeneryD

Sleep duration, sleep hygiene, and insomnia in adolescents with asthma.

• DOI: 10.1016/j.jaip.2014.02.005
• 发表时间: 2014-09
• 期刊: JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE
• 影响因子: 9.4
• 作者: Meltzer, Lisa J.;Ullrich, Maureen;Szefler, Stanley J.
• 通讯作者: Szefler, Stanley J.

Start Later, Sleep Later: School Start Times and Adolescent Sleep in Homeschool Versus Public/Private School Students.

• DOI: 10.1080/15402002.2014.963584
• 发表时间: 2016
• 期刊: Behavioral sleep medicine
• 影响因子: 3.1
• 作者: Meltzer LJ;Shaheed K;Ambler D
• 通讯作者: Ambler D

The Children's Report of Sleep Patterns--Sleepiness Scale: a self-report measure for school-aged children.

• DOI: 10.1016/j.sleep.2011.12.004
• 发表时间: 2012-04
• 期刊: SLEEP MEDICINE
• 影响因子: 4.8
• 作者: Meltzer, Lisa J.;Biggs, Sarah;Reynolds, Amy;Avis, Kristin T.;Crabtree, Valerie McLaughlin;Bevans, Katherine B.
• 通讯作者: Bevans, Katherine B.