Assessing Sleep Architecture in Dementia Caregivers at Home Using an Ambulatory Polysomnographic System

被引：40

作者：

Fonareva, Irina ^{[1
]}

Amen, Alexandra M. ^{[2
]}

Zajdel, Daniel P. ^{[2
]}

Ellingson, Roger M. ^{[2
]}

Oken, Barry S. ^{[1
]}

机构：

[1] Oregon Hlth & Sci Univ, Dept Behav Neurosci, Portland, OR 97239 USA

[2] Oregon Hlth & Sci Univ, Dept Neurol, Portland, OR 97239 USA

来源：

JOURNAL OF GERIATRIC PSYCHIATRY AND NEUROLOGY | 2011年 / 24卷 / 01期

基金：

美国国家卫生研究院;

关键词：

caregiver; chronic stress; sleep quality; sleep architecture; ambulatory PSG; C-REACTIVE PROTEIN; CONTROLLED-TRIAL; OLDER ADULTS; STRESS; WOMEN; NONCAREGIVERS; INTERLEUKIN-6; DISTURBANCES; INSOMNIA; DISEASE;

D O I：

10.1177/0891988710397548

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Findings from previous research assessing sleep quality in caregivers are inconsistent due to differences in sleep assessment methods. This study evaluated sleep in dementia caregivers using a comprehensive sleep assessment utilizing an ambulatory polysomnography (PSG) device. A total of 20 caregivers and 20 noncaregivers rated their perceived sleep quality, stress, and depressive symptoms; provided samples of cortisol and inflammatory biomarkers; and completed an objective sleep assessment using a portable PSG device. Caregivers reported greater perceived stress than noncaregivers. Next, the groups had different sleep architecture: caregivers spent less proportion of their sleep in restorative sleep stages compared to noncaregivers. Further, levels of C-reactive protein and awakening salivary cortisol were greater in caregivers than in noncaregivers, and these measures were related to sleep quality. Our findings indicate that sleep disruption is a significant concomitant of caregiving and may affect caregiver's health. Sleep quality of caregivers might be a useful target for a clinical intervention.

引用

页码：50 / 59

页数：10

共 40 条

[1]

Aguglia E, 2004, Am J Alzheimers Dis Other Demen, V19, P248, DOI 10.1177/153331750401900403

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