Characteristics and Predictors of Sleep Among Spousal Care Dyads Living With Chronic Conditions
Open accessAbstract
Objectives: Poor sleep is common among older adults with chronic health conditions and their spousal caregivers. However, dyadic sleep patterns among spouses are underexplored within the literature. This study examines dyadic sleep characteristics and associated contextual factors among spousal care dyads. Methods: Participants included 462 older adult spousal care dyads from the 2015 National Health and Aging Trends Study and National Study of Caregiving (mean ages of care recipients/caregivers = 79 and 76 years, respectively; 22% of dyads were living with dementia). Self-reported sleep included frequency of (a) trouble falling back asleep among dyads, (b) care-related sleep disturbances among caregivers, and (c) trouble initiating sleep among care recipients. Predictors included between-dyad characteristics such as whether respondents had dementia, care burden and support, relationship quality, neighborhood cohesion, and within-dyad characteristics such as demographics, depression, and positive affect. We conducted multilevel dyadic analysis and actor–partner interdependence modeling. Results: Sleep was correlated more among dyads living with dementia than those with other chronic conditions. Care dyads had poorer sleep if caregivers reported higher care burden; however, better relationship quality marginally ameliorated the association. Depressive symptoms had a partner effect on poorer sleep among care dyads, whereas positive emotions and older age only had an actor effect on better sleep for care recipients and spousal caregivers. Neighborhood cohesion, care support, and other demographic characteristics were not associated with dyadic sleep outcomes. Discussion: Addressing both care recipient- and caregiver-related factors may improve sleep health for both members of the care dyad living with chronic conditions.
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The distress associated with caring for a relative with Alzheimer's or another dementia has been shown to negatively influence the quality of family caregivers' sleep.
“The distress associated with caring for a relative with Alzheimer's or another dementia has also been shown to negatively influence the quality of family caregivers’ sleep. 553 , 554 , 555 , 556”
From 2024 Alzheimer's disease facts and figures (2024) · cites this paper as [555]
The Results (Main-Effect Associations With Dyadic Sleep, p. 7) associate higher caregiver-reported burden with poorer sleep in both caregivers and care recipients. But the study examined spousal dyads living with dementia or other chronic conditions, and it reports an association rather than showing that dementia-care distress causes poorer sleep across family caregivers generally. (LLM, conf=0.86)
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2024 Alzheimer's disease facts and figures
(2024) · Alzheimer's & Dementia · doi:10.1002/alz.13809 · Cited by 2,536 · see citing works
- Authors
- Liu, Y., Song, Y., Johnson, F. U., Lei, L., Choi, S.-W. E., Antonucci, T. C., & Robinson-Lane, S. G.
- Affiliations
- Utah State University (US)
- University of California, Los Angeles (US)
- University of Michigan (US)
- Texas Tech University (US)
- Department of Systems, Populations, and Leadership, School of Nursing, University of Michigan , Ann Arbor, Michigan , USA
- ORCID
- Venue
- The Journals of Gerontology: Series B
- Publisher
- Oxford University Press (OUP)
- Published
- 2022-09-16
- Volume
- 78
- Issue
- Supplement_1
- Pages
- S38-S47
- ISSN
- 1079-5014 (ISSN-L)
- 1758-5368
- PMC
- PMC10010479
- OpenAlex
- W4296023812
- Cited by
- 18
- References
- 40
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 5 · 2023: 2 · 2022: 1
- FWCI
- 2.99
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- The Journals of Gerontology Series B (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institute on Aging (U01AG032947, R01AG054004)
- National Institutes of Health
- Michigan Center for Contextual Factors in Alzheimer’s Diesease (P30AG059300, K01AG065420, K23AG055668)
- Johns Hopkins Bloomberg School of Public Health
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- spousal caregivers, older adults, chronic disease, dementia, caregiver burden, relationship quality, depressive symptoms, positive affect, sleep disorders, neighborhood cohesion, care support, actor-partner interdependence
- MeSH terms
- Aged, Chronic Disease, Dementia, Humans, Quality of Life, Sleep, Caregivers, Spouses
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