Effect of caregiving status on the sleep of older <scp>N</scp>ew <scp>Z</scp>ealanders

Gibson, Rosemary; Gander, Philippa H.; Alpass, Fiona; Stephens, Christine

doi:10.1111/ajag.12161

Cited by 17 publications

(16 citation statements)

References 21 publications

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“…In contrast to a previous study which failed to find gender differences in the impact of caregiving upon sleeping problems, 50 we found significant interactions between gender and informal caring in relation to sleep disturbance, specifically similar levels of sleep disturbance in men providing no caregiving and up to 5 hours of caregiving and much higher sleep disturbance among men providing more than 5 hours of care. Women had higher levels of sleep disturbance overall; differences among women by caregiving status were smaller than among men.…”

Section: Discussioncontrasting

confidence: 99%

“…48 , 49 Studies have shown that provision of nighttime care is associated with poorer self-reported sleep, 49 as is (albeit inconsistently) when carers and care recipients are coresident. 50–52 It might be expected that providing relatively low intensity of informal care (up to 5 hours a week) would be associated with better sleep through the mechanism of role enhancement. However, in this Swedish working sample, even low intensity caregiving was associated with self-reported sleep disturbance, suggesting that in-work carers may be experiencing stress generated by role overload in managing the competing commitments of paid work and informal caregiving.…”

Section: Discussionmentioning

confidence: 99%

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Informal Care and Sleep Disturbance Among Caregivers in Paid Work: Longitudinal Analyses From a Large Community-Based Swedish Cohort Study

Sacco

Leineweber

Platts

2017

Sleep

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Study ObjectivesTo examine cross-sectionally and prospectively whether informal caregiving is related to sleep disturbance among caregivers in paid work.MethodsParticipants (N = 21604) in paid work from the Swedish Longitudinal Occupational Survey of Health. Sleeping problems were measured with a validated scale of sleep disturbance (Karolinska Sleep Questionnaire). Random-effects modeling was used to examine the cross-sectional association between informal caregiving (self-reports: none, up to 5 hours per week, over 5 hours per week) and sleep disturbance. Potential sociodemographic and health confounders were controlled for and interactions between caregiving and gender included. Longitudinal random-effects modeling of the effects of changes in reported informal caregiving upon sleep disturbance and change in sleep disturbance was performed.ResultsIn multivariate analyses controlling for sociodemographics, health factors, and work hours, informal caregiving was associated cross-sectionally with sleep disturbance in a dose–response relationship (compared with no caregiving, up to 5 hours of caregiving: β = 0.03; 95% CI: 0.01, 0.06, and over 5 hours: β = 0.08; 95% CI: 0.02, 0.13), results which varied by gender. Cessation of caregiving was associated with reductions in sleep disturbance (β = −0.08; 95% CI: −0.13, −0.04).ConclusionsThis study provides evidence for a causal association of provision of informal care upon self-reported sleep disturbance. Even low-intensity care provision was related to sleep disturbance among this sample of carers in paid work. The results highlight the importance of addressing sleep disturbance in caregivers.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Informal Care and Sleep Disturbance Among Caregivers in Paid Work: Longitudinal Analyses From a Large Community-Based Swedish Cohort Study

Sacco

Leineweber

Platts

2017

Sleep

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“…Sleep problems are among the most disruptive behavioural symptoms of dementia and have been associated with the neurophysiological pathology of the disease, exacerbated primary sleep disorders, a reduction in exposure to time cues, changes to psychosocial context as well as the impact of comorbidities and medications. Dementia-related sleep problems have been identified as exacerbating the waking symptoms of dementia (Bliwise, 2004; McCurry & Ancoli-Israel, 2003), as well as contributing to poorer sleep, reduced vitality and quality of life among family carers (Gehrman et al., 2018; Gibson, Gander, Alpass, & Stephens, 2015; Hope et al., 1998; Maun et al., 2018; McCurry et al., 2015). In a psychosocial model, sleep disturbances have been identified as a secondary stressor to those primarily related to caregiving.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with the sleep of carers: A survey of New Zealanders supporting a family member with cognitive impairment or dementia

Gibson

Gander

2020

Dementia

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Sleep is important for healthy ageing. Data are limited concerning the sleep and health of New Zealand families affected by cognitive impairment or dementia. This postal survey asked about the sleep of 526 family carers and explored predictors of, and outcomes associated with poorer sleep. Linear and binominal logistic regression were used to identify independent predictors and outcomes of carers’ sleep status. Using the Insomnia Severity Index, 23.5% of carers scored in the moderate–severe range and 43.0% in the mild range for sleep disturbance. More than a quarter indicated that their family member had difficulties falling asleep, getting up during the night, or waking too early. Over half of care recipients were considered to sleep too much during the day. Independent predictors for carers’ reporting greater sleep disturbance included being female, caregiving at night, poorer self-rated health, and the care recipient having more disturbed sleep. Moderate–severe sleep disturbance was independently associated with poorer self-rated health and living standards, use of sleeping medications, as well as considering transitioning their family member into formal care within the year. These findings have implications for the wellbeing and trajectory of family carers as well as for health and aged care services.

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“…However, this finding is not consistent across all studies. For instance, Gibson et al (2015) found no significant association between care-giving status and sleep in analysis of nationally representative data of older people from New Zealand, though care-givers were significantly more likely to report feeling tired all the time. These two studies compared all care-givers to non-care-givers, however, more often particular characteristics of care-giving or the care-giver have been linked to poor sleep.…”

Section: Introductionmentioning

confidence: 99%

Co-resident care-giving and problematic sleep among older people: evidence from the UK Household Longitudinal Study

2019

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In light of current pressures within formal social care services, informal carers assume an important role in meeting the care needs of a growing number of older people. Research suggests relationships between care-giving and health are complex and not yet fully understood. Recently, wide-ranging associations between sleep and health have been identified, however, our understanding of the links between care-giving and sleep is limited at present. This study assesses longitudinal patterns in co-resident care-giving and problematic sleep among older people in the United Kingdom. Our sample included 2,470 adults aged 65 years and older from the UK Household Longitudinal Study. Problematic sleep was defined as two or more problems in going to sleep, staying asleep or sleep quality. Using logistic regression models, we assessed how co-resident care-giving status, intensity and transitions influence the likelihood of problematic sleep in the following year, adjusting for potential confounding factors. Adjusted analyses found co-resident care-givers were 1.49 (95% confidence interval = 1.06–2.08) times more likely to report problematic sleep in the following year, relative to those not providing care. Care-giving over 20 hours per week and continuous co-resident care-giving also significantly increased the odds of problematic sleep. This suggests older co-resident care-givers may be at greater risk of incurring sleep problems than non-care-givers. Further longitudinal research is needed to investigate care-giver-specific consequences of poor sleep.

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Effect of caregiving status on the sleep of older New Zealanders

Abstract: Carers are at increased risk of feeling tired in the daytime. Early recognition and management of underlying sleep problems are particularly important for older people providing care at home.

Cited by 17 publications

References 21 publications

Informal Care and Sleep Disturbance Among Caregivers in Paid Work: Longitudinal Analyses From a Large Community-Based Swedish Cohort Study

Informal Care and Sleep Disturbance Among Caregivers in Paid Work: Longitudinal Analyses From a Large Community-Based Swedish Cohort Study

Factors associated with the sleep of carers: A survey of New Zealanders supporting a family member with cognitive impairment or dementia

Co-resident care-giving and problematic sleep among older people: evidence from the UK Household Longitudinal Study

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