Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Typ-2-Diabetes und Adipositas Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Häufige urologisch-sexualmedizinische Themen in der Praxis sind das Thema des MMW-Webinars am 5. Juni von 17.30 bis 19 Uhr. Konkret geht es um die Frage, wann bei Harnwegsinfektionen auf Antibiotika verzichtet werden kann, und um ein Update zur Therapie von Libido- und Potenzstörungen des Mannes. Der dritte Vortrag behandelt sexuell übertragbare Krankheiten. Stellen Sie Ihre Fragen an die Experten und sammeln Sie 2 CME-Punkte. Jetzt gleich anmelden!
Erweiterte Suche
Anmelden
nach oben
Current Sleep Medicine Reports
Erschienen in: Current Sleep Medicine Reports 4/2016

01.12.2016 | Women and Sleep (A Wolfson and K Sharkey, Section Editors)

How Adult Caregiving Impacts Sleep: a Systematic Review

verfasst von: Eeeseung Byun, Anners Lerdal, Caryl L. Gay, Kathryn A. Lee

Erschienen in: Current Sleep Medicine Reports | Ausgabe 4/2016

Einloggen, um Zugang zu erhalten

Abstract

Sleep disturbance can contribute to negative health outcomes. However, sleep complaints have been under-recognized and undertreated in caregivers of ill family members. This systematic review describes the impact of family caregiving on sleep and summarizes factors associated with sleep disturbance in caregivers. A literature search using PubMed, MEDLINE, PsycINFO, and CINAHL databases yielded 22 relevant research articles on family caregivers of ill adults. Analyses revealed that up to 76 % of caregivers reported poor sleep quality, and the proportion is considerably higher for female caregivers compared to male caregivers. Sleep measures indicated short sleep duration and frequent night awakenings. Characteristics of the care recipient, such as health status, and the caregiver’s own health status and symptoms, such as depression, fatigue, and anxiety, were associated with sleep disturbance in caregivers. These factors may help clinicians identify caregivers at highest risk for developing sleep disturbance and guide the family toward additional support.
Literatur
1.
2.
Byun E, Evans LK. Concept analysis of burden in caregivers of stroke survivors during the early poststroke period. Clin Nurs Res. 2015;24(5):468–86.CrossRefPubMed
3.
Joling KJ, van Marwijk HWJ, Veldhuijzen AE, van der Horst HE, Scheltens P, Smit F, et al. The two-year incidence of depression and anxiety disorders in spousal caregivers of persons with dementia: who is at the greatest risk? Am J Geriatr Psychiatry. 2015;23(3):293–303.CrossRefPubMed
4.
Schulz R, Beach SR. Caregiving as a risk factor for mortality: the Caregiver Health Effects Study. JAMA. 1999;282(23):2215–9.CrossRefPubMed
5.
Haley WE, Roth DL, Howard G, Safford MM. Caregiving strain and estimated risk for stroke and coronary heart disease among spouse caregivers: differential effects by race and sex. Stroke. 2010;41(2):331–6.CrossRefPubMedPubMedCentral
6.
•• Peng HL, Chang YP. Sleep disturbance in family caregivers of individuals with dementia: a review of the literature. Perspect Psychiatr Care. 2013;49(2):135–46. 12p. This article reviewed 18 articles regarding health outcomes and factors associated with sleep disturbance in caregivers of individuals with dementia. Factors associated with sleep disturbance were caregiver’s depression, psychological distress, demographic factors (e.g., age), and care recipient’s conditions and behaviors. Health outcomes related to sleep disturbance included poor mental and physical health, reduced quality of life, and elevated coagulation and inflammation levels.
7.
•• Kotronoulas G, Wengstrom Y, Kearney N. Sleep patterns and sleep-impairing factors of persons providing informal care for people with cancer: a critical review of the literature. Cancer Nurs. 2013;36(1):E1–15. This article reviewed 17 articles that addressed sleep in caregivers of persons with cancer. Sleep problems included short sleep duration, nocturnal awakenings, wakefulness after sleep onset, and daytime dysfunction.
8.
Carter PA. Caregivers’ descriptions of sleep changes and depressive symptoms. Oncol Nurs Forum. 2002;29(9):1277–83.CrossRefPubMed
9.
Avsar U, Avsar UZ, Cansever Z, Set T, Cankaya E, Kaya A, et al. Psychological and emotional status, and caregiver burden in caregivers of patients with peritoneal dialysis compared with caregivers of patients with renal transplantation. Transplant Proc. 2013;45(3):883–6.CrossRefPubMed
10.
Avsar U, Avsar UZ, Cansever Z, Yucel A, Cankaya E, Certez H, et al. Caregiver burden, anxiety, depression, and sleep quality differences in caregivers of hemodialysis patients compared with renal transplant patients. Transplant Proc. 2015;47(5):1388–91.CrossRefPubMed
11.
Chiu YC, Lee YN, Wang PC, Chang TH, Li CL, Hsu WC, et al. Family caregivers’ sleep disturbance and its associations with multilevel stressors when caring for patients with dementia. Aging Ment Health. 2014;18(1):92–101.CrossRefPubMed
12.
Day A, Haj-Bakri S, Lubchansky S, Mehta S. Sleep, anxiety and fatigue in family members of patients admitted to the intensive care unit: a questionnaire study. Crit Care. 2013;17(3):R91.CrossRefPubMedPubMedCentral
13.
Fredman L, Gordon SA, Heeren T, Stuver SO. Positive affect is associated with fewer sleep problems in older caregivers but not noncaregivers. Gerontologist. 2014;54(4):559–69.CrossRefPubMed
14.
• Gibson RH, Gander PH, Jones LM. Understanding the sleep problems of people with dementia and their family caregivers. Dementia (London). 2014;13(3):350–65. This study conducted three focus groups on community-dwelling pairs (patient and family caregiver). The study revealed the types of sleep problems experienced by the patients and their family caregivers. It also described how they view their own sleep and their partner’s sleep and the strategies they used to manage sleep.
15.
• Lee KC, Yiin JJ, Lu SH, Chao YF. The burden of caregiving and sleep disturbance among family caregivers of advanced cancer patients. Cancer Nurs. 2015;38(4):E10–8. This study assessed subjective and objective sleep in caregivers of patients with advanced cancer and identified caregiving burden risk factors for sleep disturbance.
16.
Lerdal A, Gay CL, Saghaug E, Gautvik K, Grov EK, Normann A, et al. Sleep in family caregivers of patients admitted to hospice: a pilot study. Palliat Support Care. 2014;12(6):439–44.CrossRefPubMed
17.
• Martire LM, Keefe FJ, Schulz R, Stephens MAP, Mogle JA. The impact of daily arthritis pain on spouse sleep. Pain. 2013;154(9):1725–31. This study conducted observational in-person interviews over 18 months with patients who had osteoarthritis of the knee and their caregivers. The study indicated that patient knee pain on the previous day was associated with caregiver’s sleep quality and feeling less refreshed after sleep.
18.
Merrilees J, Hubbard E, Mastick J, Miller BL, Dowling GA. Sleep in persons with frontotemporal dementia and their family caregivers. Nurs Res. 2014;63(2):129–36.CrossRefPubMedPubMedCentral
19.
Morris BA, Thorndike FP, Ritterband LM, Glozier N, Dunn J, Chambers SK. Sleep disturbance in cancer patients and caregivers who contact telephone-based help services. Support Care Cancer. 2015;23(4):1113–20. 8p.CrossRefPubMed
20.
Pawl JD, Lee S-Y, Clark PC, Sherwood PR. Sleep characteristics of family caregivers of individuals with a primary malignant brain tumor. Oncol Nurs Forum. 2013;40(2):171–9.CrossRefPubMed
21.
Ross A, Yang L, Klagholz SD, Wehrlen L, Bevans MF. The relationship of health behaviors with sleep and fatigue in transplant caregivers. Psychooncology. 2016;25(5):506–12.CrossRefPubMed
22.
Sakurai S, Onishi J, Hirai M. Impaired autonomic nervous system activity during sleep in family caregivers of ambulatory dementia patients in Japan. Biol Res Nurs. 2015;17(1):21–8.CrossRefPubMed
23.
24.
• Simpson C, Carter P. Dementia caregivers’ lived experience of sleep. Clin Nurse Spec. 2013;27(6):298–306. This qualitative study (phenomenology) explored the causes of poor sleep identified by caregivers of patients with dementia, how caregivers manage sleep and caregiver perceptions of suggestions to improve sleep.
25.
Simpson C, Carter P. The impact of living arrangements on dementia caregiver’s sleep quality. Am J Alzheimers Dis Other Dement. 2015;30(4):352–9.CrossRef
26.
Stenberg U, Cvancarova M, Ekstedt M, Olsson M, Ruland C. Family caregivers of cancer patients: perceived burden and symptoms during the early phases of cancer treatment. Soc Work Health Care. 2014;53(3):289–309.CrossRefPubMed
27.
Tanimukai H, Hirai K, Adachi H, Kishi A. Sleep problems and psychological distress in family members of patients with hematological malignancies in the Japanese population. Ann Hematol. 2014;93(12):2067–75. 9p.CrossRefPubMed
28.
Verceles AC, Corwin DS, Afshar M, Friedman EB, McCurdy MT, Shanholtz C, et al. Half of the family members of critically ill patients experience excessive daytime sleepiness. Intensive Care Med. 2014;40(8):1124–31. 8p.CrossRefPubMedPubMedCentral
29.
• von Känel R, Mausbach BT, Ancoli-Israel S, Mills PJ, Dimsdale JE, Patterson TL, et al. Positive affect and sleep in spousal Alzheimer caregivers: a longitudinal study. Behav Sleep Med. 2014;12(5):358–72. This study was longitudinal (lasting up to 4 years) with caregivers of individuals with Alzheimer’s disease. The study examined the relationship between positive affect and subjective and objective (using actigraphy) sleep and revealed that increased positive affect was associated with better sleep.
30.
Zhang Q, Yao D, Yang J, Zhou Y. Factors influencing sleep disturbances among spouse caregivers of cancer patients in Northeast China. PLoS ONE. 2014;9(9):e108614.CrossRefPubMedPubMedCentral
31.
Buysse DJ, Reynolds 3rd CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213.CrossRefPubMed
32.
Lee KA. Self-reported sleep disturbances in employed women. Sleep. 1992;15(6):493–8.PubMed
33.
Johns MW. Reliability and factor analysis of the Epworth Sleepiness Scale. Sleep. 1992;15(4):376–81.PubMed
34.
Weaver TE, Laizner AM, Evans LK, Maislin G, Chugh DK, Lyon K, et al. An instrument to measure functional status outcomes for disorders of excessive sleepiness. Sleep. 1997;20(10):835–43.PubMed
35.
Morin CM. Insomnia: psychological assessment and management. New York: Guilford Press; 1993.
36.
Bastien CH, Vallieres A, Morin CM. Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Med. 2001;2(4):297–307.CrossRefPubMed
37.
Derogatis LR, Lipman RS, Rickels K, Uhlenhuth EH, Covi L. The Hopkins Symptom Checklist (HSCL). A measure of primary symptom dimensions. Mod Probl Pharmacopsychiatry. 1974;7:79–110.CrossRefPubMed
38.
Aslan O, Sanisoglu Y, Akyol M, Yetkin S. Quality of sleep in Turkish family caregivers of cancer patients. Cancer Nurs. 2009;32(5):370–7.CrossRefPubMed
39.
von Kanel R, Mausbach BT, Ancoli-Israel S, Dimsdale JE, Mills PJ, Patterson TL, et al. Sleep in spousal Alzheimer caregivers: a longitudinal study with a focus on the effects of major patient transitions on sleep. Sleep. 2012;35(2):247–55.
40.
Castro CM, Lee KA, Bliwise DL, Urizar GG, Woodward SH, King AC. Sleep patterns and sleep-related factors between caregiving and non-caregiving women. Behav Sleep Med. 2009;7(3):164–79.CrossRefPubMed
41.
Byun E, Kim J, Riegel B. Associations of subjective sleep quality and daytime sleepiness with cognitive impairment in adults and elders with heart failure. Behav Sleep Med. 2016;26:1–16.CrossRef
42.
Byun E, Gay CL, Lee KA. Sleep, fatigue, and problems with cognitive function in adults living with HIV. J Assoc Nurses AIDS Care. 2016;27(1):5–16.CrossRefPubMed
43.
Gay C, Portillo CJ, Kelly R, Coggins T, Davis H, Aouizerat BE, et al. Self-reported medication adherence and symptom experience in adults with HIV. J Assoc Nurses AIDS Care. 2011;22(4):257–68.CrossRefPubMedPubMedCentral
44.
Illi J, Miaskowski C, Cooper B, Levine JD, Dunn L, West C, et al. Association between pro- and anti-inflammatory cytokine genes and a symptom cluster of pain, fatigue, sleep disturbance, and depression. Cytokine. 2012;58(3):437–47.CrossRefPubMedPubMedCentral
45.
Northouse LL, Mood DW, Schafenacker A, Kalemkerian G, Zalupski M, LoRusso P, et al. Randomized clinical trial of a brief and extensive dyadic intervention for advanced cancer patients and their family caregivers. Psychooncology. 2013;22(3):555–63.CrossRefPubMed
46.
Ancoli-Israel S, Clopton P, Klauber MR, Fell R, Mason W. Use of wrist activity for monitoring sleep/wake in demented nursing-home patients. Sleep. 1997;20(1):24–7.PubMedPubMedCentral
47.
Cole RJ, Kripke DF, Gruen W, Mullaney DJ, Gillin JC. Automatic sleep/wake identification from wrist activity. Sleep. 1992;15(5):461–9.PubMed
48.
Lichstein KL, Stone KC, Donaldson J, Nau SD, Soeffing JP, Murray D, et al. Actigraphy validation with insomnia. Sleep. 2006;29(2):232–9.PubMed
49.
von Kanel R, Dimsdale JE, Ancoli-Israel S, Mills PJ, Patterson TL, McKibbin CL, et al. Poor sleep is associated with higher plasma proinflammatory cytokine interleukin-6 and procoagulant marker fibrin D-dimer in older caregivers of people with Alzheimer’s disease. J Am Geriatr Soc. 2006;54(3):431–7.CrossRef
50.
Fonareva I, Amen AM, Zajdel DP, Ellingson RM, Oken BS. Assessing sleep architecture in dementia caregivers at home using an ambulatory polysomnographic system. J Geriatr Psychiatry Neurol. 2011;24(1):50–9.CrossRefPubMedPubMedCentral
Metadaten
Titel
How Adult Caregiving Impacts Sleep: a Systematic Review
verfasst von
Eeeseung Byun
Anners Lerdal
Caryl L. Gay
Kathryn A. Lee
Publikationsdatum
01.12.2016
Verlag
Springer International Publishing
Erschienen in
Current Sleep Medicine Reports / Ausgabe 4/2016
Elektronische ISSN: 2198-6401
DOI
https://doi.org/10.1007/s40675-016-0058-8

Weitere Artikel der Ausgabe 4/2016

Current Sleep Medicine Reports 4/2016 Zur Ausgabe

Invited Commentary

A Quarter Century of Research Progress Leads to Answers and New Questions for Women’s Sleep Health

Sleep and Psychological Disorders (DT Plante, Section Editor)

Understanding Recent Insights in Sleep and Posttraumatic Stress Disorder from a Research Domain Criteria (RDoC) Framework

Women and Sleep (A Wolfson and K Sharkey, Section Editors)

Sleep-Disordered Breathing in Pregnancy

Sleep and Psychological Disorders (DT Plante, Section Editor)

The Relationship of Suicidal Thoughts and Behaviors to Sleep Disturbance: a Review of Recent Findings

Women and Sleep (A Wolfson and K Sharkey, Section Editors)

Sleep Medications and Women: a Review of Issues to Consider for Optimizing the Care of Women with Sleep Disorders

Women and Sleep (A Wolfson and K Sharkey, Section Editors)

Sleep, Circadian Rhythms, and Fertility

Leitlinien kompakt für die Neurologie

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Kostenlos registrieren

Neu im Fachgebiet Neurologie

Nicht Creutzfeldt Jakob, sondern Abführtee-Vergiftung

29.05.2024 Hyponatriämie Nachrichten

Eine ältere Frau trinkt regelmäßig Sennesblättertee gegen ihre Verstopfung. Der scheint plötzlich gut zu wirken. Auf Durchfall und Erbrechen folgt allerdings eine Hyponatriämie. Nach deren Korrektur kommt es plötzlich zu progredienten Kognitions- und Verhaltensstörungen.

Schutz der Synapsen bei Alzheimer

29.05.2024 Morbus Alzheimer Nachrichten

Mit einem Neurotrophin-Rezeptor-Modulator lässt sich möglicherweise eine bestehende Alzheimerdemenz etwas abschwächen: Erste Phase-2-Daten deuten auf einen verbesserten Synapsenschutz.

Sozialer Aufstieg verringert Demenzgefahr

24.05.2024 Demenz Nachrichten

Ein hohes soziales Niveau ist mit die beste Versicherung gegen eine Demenz. Noch geringer ist das Demenzrisiko für Menschen, die sozial aufsteigen: Sie gewinnen fast zwei demenzfreie Lebensjahre. Umgekehrt steigt die Demenzgefahr beim sozialen Abstieg.

Hirnblutung unter DOAK und VKA ähnlich bedrohlich

17.05.2024 Direkte orale Antikoagulanzien Nachrichten

Kommt es zu einer nichttraumatischen Hirnblutung, spielt es keine große Rolle, ob die Betroffenen zuvor direkt wirksame orale Antikoagulanzien oder Marcumar bekommen haben: Die Prognose ist ähnlich schlecht.

Update Neurologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise