Assessing the Quality of Sleep in Greek Primary Caregivers of Patients With Secondary Progressive Multiple Sclerosis: A Cross-Sectional Study

Karanasios, Panagiotis; Assimakopoulos, Konstantinos; Iconomou, Gregoris; Makridou, Alexandra; Giannakopoulou, Foteini; Makris, Nicolaos

doi:10.1016/j.jpainsymman.2011.01.005

Cited by 15 publications

(8 citation statements)

References 28 publications

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“…An alternative hypothesis is that these are somatic concerns that mark psychological burden. 28 Despite the fact that male care partners were not found to express significant emotional distress in this study, other studies have shown clinically significant psychopathology in male MS care partners. 29,30 However, because the present study did not use a standardized measure of mood symptoms, it is plausible that the male MS care partners in the present study had clinically significant mood symptoms that contributed to the reported burden that we did not capture.…”

Section: Care Partner Socioeconomic Burdencontrasting

confidence: 71%

Care Partners and Multiple Sclerosis

Mckenzie

Quig

Tyry

et al. 2015

International Journal of MS Care

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Background: Caring for someone with multiple sclerosis (MS) can be a stressful experience that requires clinical attention. We investigated the impact of caregiver stress on the emotional well-being and physical health of the MS care partner using the North American Research Committee on Multiple Sclerosis (NARCOMS) Registry. Methods: Care partners of NARCOMS participants were invited to complete an online questionnaire that captured demographic characteristics, health status, caregiver burden as measured by the Zarit Caregiver Burden Interview, and impact of caregiving on employment. Results: Of 1446 care partners who agreed to participate, 1333 had complete data. Most were men (n = 825, 61.9%), with a mean (SD) age of 51.1 (11.2) years. The mean (SD) Zarit total score was 24.6 (15.1), placing the overall group in the mild caregiver burden range. Compared with male care partners, female care partners reported higher levels of burden and stress and more medication use for stress/anxiety and mood disorders. Male care partners were more likely to report physical concerns. Care partners of people with primary progressive MS reported greater perceived burden than did partners of people with secondary progressive MS and relapsing-remitting MS. More than 40% of care partners (559 of 1288) had missed work during the past year owing to caregiving responsibilities. Conclusions: Care partners of people with MS have substantial physical and psychological health concerns and experience an adverse impact on employment. Future research should evaluate how to mitigate the adverse effects of caregiving and evaluate positive aspects of the role.

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Section: Care Partner Socioeconomic Burdencontrasting

confidence: 71%

Care Partners and Multiple Sclerosis

Mckenzie

Quig

Tyry

et al. 2015

International Journal of MS Care

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“…The authors concluded that the caregivers were psychologically burdened to a significant degree that consequently deteriorated their QoL. In another report, Argyriou et al [36] described deterioration of quality of sleep in the same study group using the Pittsburgh Sleep Quality Index (PSQI). PSQI scoring demonstrated that 54% of caregivers had poor sleep quality.…”

Section: Burden and Quality Of Life Of Caregiversmentioning

confidence: 99%

Burden and quality of life in caregivers of persons with multiple sclerosis

Opara

Jaracz

Brola

2012

Neurologia i Neurochirurgia Polska

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Multiple sclerosis (MS) is the second most common cause of disability among nervous system diseases. This disease causes reduced quality of life of patients and those caring for them. Quality of life (QoL) measures consist of at least three broad domains: physical, mental and social. In the field of medicine, researchers have often used the concept of health-related quality of life, which specifically focuses on the impact of an illness and/or treatment on patients' perception of their status of health and on subjective well-being or satisfaction with life. Subjective factors of QoL in MS patients include perception of symptoms, level of fitness, self-image, satisfaction with family life, work, the economic situation, interaction with other people, social support and life in general. Objective factors include the clinical picture of disease, social status, social and living conditions and the number and intensity of social contacts. While many generic and specific questionnaires have been developed to assess QoL in patients with MS, including general fatigue, there is a lack of specific questionnaires assessing QoL of caregivers. In this paper, a review of selected studies on QoL and caregiver burden in MS and a summary of the most popular questionnaires measuring burden and QoL are presented. Special attention is paid to the first questionnaire specific for QoL of carers of persons with MS, CAREQOL-MS by Benito-León et al.

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“…Similar associations between mental health outcomes and sleep duration have been observed in other studies of caregivers. 19 , 25 For example, in a sample of male and female caregivers, sleep duration was significantly associated with higher levels of depression using the Hospital Anxiety and Depression Scale. 25 It is important to note that the association between sleep and depression is multifaceted and is impacted not only by changes in sleep features, such as shortened sleep duration, but also by changes in social and environmental factors.…”

Section: Discussionmentioning

confidence: 99%

“… 19 , 25 For example, in a sample of male and female caregivers, sleep duration was significantly associated with higher levels of depression using the Hospital Anxiety and Depression Scale. 25 It is important to note that the association between sleep and depression is multifaceted and is impacted not only by changes in sleep features, such as shortened sleep duration, but also by changes in social and environmental factors. 45 , 46 Interestingly, in a study among young adult women, perceived stress was associated with poorer subjective sleep quality but not with actigraphic (objective) sleep measures.…”

Section: Discussionmentioning

confidence: 99%

“…Caregivers report poorer sleep outcomes, greater anxiety, and greater depression when compared to noncaregivers, 19 , 25 – 28 and caregiver focus groups report that poor sleep has had negative impacts on health. 20 , 29 Caregivers of children with chronic health conditions show greater depressive symptoms compared to caregivers of children without chronic health conditions.…”

Section: Introductionmentioning

confidence: 99%

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Associations of self-reported and objectively measured sleep disturbances with depression among primary caregivers of children with disabilities

Orta¹,

Barbosa²,

Vélez

et al. 2016

NSS

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ObjectiveThe objective of this study was to determine the association between sleep and depression using both self-reported (subjective) and actigraphic (objective) sleep traits.MethodsA cross-sectional study was conducted among 175 female primary caregivers of children with disabilities receiving care at a rehabilitation center in Punta Arenas, Chile. The eight-item Patient Health Questionnaire was used to ascertain participants’ depression status. The Pittsburgh Sleep Quality Index was used to define subjective, or perceived, sleep quality. Wrist-worn actigraph monitors, worn for seven consecutive nights, were used to characterize objective sleep quality and disturbances. Interviewer-administered questionnaires were used to collect information on sociodemographic and lifestyle factors. Linear regression models were fit using continuous sleep parameters as the dependent variables and depression status as the independent variable. Multivariable models were adjusted for body mass index, marital status, smoking status, education level, and children’s disabilities.ResultsUsing an eight-item Patient Health Questionnaire score ≥10, 26.3% of participants presented with depression. Depressed women were more likely to self-report overall poorer (subjective) sleep compared to non-depressed women; however, differences in sleep were not consistently noted using actigraphic (objective) sleep traits. Among the depressed, both sleep duration and total time in bed were significantly underestimated. In multivariable models, depression was negatively associated with sleep duration using both subjective (β=−0.71, standard error [SE] =0.25; P=0.006) and objective sleep (β=−0.42, SE =0.19; P=0.026).ConclusionThe association between sleep and depression differed comparing subjective and objective methods of assessment. Research strategies allowing for the integration of both perceived and objective measures of sleep traits are encouraged.

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Assessing the Quality of Sleep in Greek Primary Caregivers of Patients With Secondary Progressive Multiple Sclerosis: A Cross-Sectional Study

Abstract: A significant proportion of primary caregivers of MS patients experience poor sleep quality. The degree of their emotional distress appears to significantly influence their quality of sleep. Appropriate psychopharmacological interventions may be required for those individuals.

Cited by 15 publications

References 28 publications

Care Partners and Multiple Sclerosis

Care Partners and Multiple Sclerosis

Burden and quality of life in caregivers of persons with multiple sclerosis

Associations of self-reported and objectively measured sleep disturbances with depression among primary caregivers of children with disabilities

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