scholarly journals Daily Sleep, Well-Being, and Adult Day Services Use Among Dementia Care Dyads

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 816-816
Author(s):  
Yin Liu ◽  
Amanda Leggett ◽  
Kyungmin Kim ◽  
Courtney Polenick ◽  
Susan McCurry ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Sleep Problems ◽  
Well Being ◽  
Dementia Care ◽  
Daytime Functioning ◽  
Wake Time ◽  
Adult Day Services ◽  
Time In Bed ◽  
Day Services ◽  
Nighttime Sleep

Abstract Sleep is critical for health and well-being among both persons with dementia (PwD) and their family caregivers (CG). This study described sleep characteristics for dementia family care dyads, then examined the associations with sleep quality, daytime functioning, and mood in the context of Adult Day Services (ADS) use. Caregivers (n = 173) reported daily bedtime, wake time, and sleep quality for themselves and the persons with dementia across 8 consecutive days (N = 1,359), where PwD attended ADS at least 2 days of the week. They also reported their own fatigue and affect and PwD’s daytime and nighttime sleep and behavior problems on each day. Findings from multilevel models suggested that bedtime was earlier and total time in bed was shorter before an ADS day for the dyad, and also on an ADS day for PwD; wake time was earlier for the dyad on and following an ADS day. Using ADS related to better prior night sleep quality for PwD; it also weakened the association between nighttime sleep problems and higher daytime negative affect for CG. Yesterday’s ADS use buffered the negative impact of shorter total time in bed on CG daytime fatigue; it also buffered the association between nighttime sleep problems and lowered CG daytime positive affect. Regular ADS use may protect against the adverse impact of sleep disturbances on daytime functioning and well-being for dementia care dyads.

scholarly journals Daily Cortisol Total Output Mediated Sleep and Affect Among Dementia Family Caregivers

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 180-180
Author(s):  
Daniel Fleming ◽  
Elizabeth Fauth ◽  
Yin Liu
Keyword(s):  
Family Caregivers ◽  
Quality Care ◽  
High Stress ◽  
Area Under The Curve ◽  
Total Output ◽  
Night Time ◽  
Wake Time ◽  
Adult Day Services ◽  
Time In Bed ◽  
Day Services

Abstract Cortisol is a primary stress hormone associated with sleep. We examined daily cortisol as the potential mechanism linking prior night’s sleep and daily mood among 173 dementia family caregivers (M (SD) age = 61.97 (10.66)) who used adult day services (ADS) at least two days a week. Caregivers self-reported sleep characteristics (bed and wake time, sleep quality, care receiver’s night-time problems) and affect (anxiety, depressive symptoms) across eight consecutive ADS/non-ADS days. Salivary cortisol was collected five times each day. Multilevel mediation analysis suggested that daily cortisol total output (assessed as “area under the curve”) mediated prior nights’ total time in bed and daily anxiety, but only on high-stress (non-ADS) days. Mediation was non-significant on low-stress (ADS) days, and at the between-person level. ADS use is respite from a chronically stressful role. Reducing exposure to stress via respite may protect against harmful processes related to sleep, cortisol reactivity, and daily anxiety.

Daily sleep, well-being, and adult day services use among dementia care dyads

2021 ◽  
pp. 1-9
Author(s):  
Yin Liu ◽  
Amanda N. Leggett ◽  
Kyungmin Kim ◽  
Courtney A. Polenick ◽  
Susan M. McCurry ◽  
...  
Keyword(s):  
Well Being ◽  
Dementia Care ◽  
Adult Day Services ◽  
Day Services ◽  
Services Use

scholarly journals Memory Care and Wellness Services: Efficacy of Specialized Dementia Care in Adult Day Services

2014 ◽  
Vol 56 (2) ◽  
pp. 318-325 ◽  
Author(s):  
Rebecca G. Logsdon ◽  
Kenneth C. Pike ◽  
Lynne Korte ◽  
Candace Goehring
Keyword(s):  
Dementia Care ◽  
Adult Day Services ◽  
Memory Care ◽  
Day Services

scholarly journals Physical Activity Is Associated With Sleep Quality: Results of the ESSE-RF Epidemiological Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Elena Dubinina ◽  
Lyudmila S. Korostovtseva ◽  
Oxana Rotar ◽  
Valeria Amelina ◽  
Maria Boyarinova ◽  
...  
Keyword(s):  
Physical Activity ◽  
Risk Factor ◽  
Sleep Quality ◽  
Leisure Time ◽  
Sleep Problems ◽  
Negative Impact ◽  
Significant Risk ◽  
Well Being ◽  
Physical Load ◽  
Falling Asleep

Background and hypothesisPhysical activity (PA) is an important behavioral factor associated with the quality of life and healthy longevity. We hypothesize that extremely low and extremely high levels of daily PA (including occupational PA) may have a negative impact on sleep quality and psychological well-being.ObjectiveThe aim of the study is to investigate the association between the level and type of PA and sleep problems in adult population.Materials and methodsThe sample of the study consisted of the participants from the population-based cohort of The Epidemiology of Cardiovascular Risk Factors and Diseases in Regions of the Russian Federation Study (ESSE-RF). The data of three regions (Saint Petersburg, Samara, Orenburg), varying in geographic, climatic, socioeconomic characteristics, was included into analysis. The total sample consisted of 4,800 participants (1,600 from each region; 1,926 males, 2,874 females), aged 25–64. The level of PA was evaluated using three parameters: the type of PA at work, the frequency of an intensive/high PA including sport (times a week), the mean duration of leisure-time walking (minutes a day). The measures of sleep quality were sleep duration and the frequency of difficulty falling asleep, difficulty maintaining sleep, daytime sleepiness, and sleep medication use. PA and sleep characteristics were assessed by interview carried by the trained medical staff.ResultsWhen controlling for gender, age and socioeconomic status (SES) extremely high occupational PA was a significant risk factor for difficulty falling asleep three or more times a week [OR(CI95%) = 1.9(1.2–3.0), p = 0.003] while working in a sitting position or having moderate physical load at work were not associated with sleep characteristics. Having a high physical load six or more times a week was a risk factor for difficulty falling asleep controlling for gender, age and SES [OR(CI95%) = 1.9(1.4–3.4), p = 0.001]. The association between leisure-time walking and sleep characteristics was insignificant. Walking less than an hour a day was associated with increased depression scores (46.5 vs. 41.9%, p = 0.006).ConclusionHigh physical load at work and excessively frequent intensive PA are associated with difficulties initiating sleep and may represent a risk factor for insomnia.

scholarly journals Caregiver Stress: Biomarkers Linked to Disease Risk and the Psychobiology of Stress Reduction

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 179-179
Author(s):  
Janelle Beadle ◽  
Felipe Jain
Keyword(s):  
Cardiovascular Disease ◽  
Stress Reduction ◽  
Disease Risk ◽  
Well Being ◽  
Physical And Mental Health ◽  
Adult Day Services ◽  
Experience Of Stress ◽  
Day Services ◽  
The Relationship

Abstract Caregivers to older adults with chronic diseases frequently experience chronic stress which can negatively affect caregivers’ physical and mental health, and increase disease risk. This interdisciplinary symposium will highlight critical factors influencing caregiver stress, and the role of biomarkers in detecting caregiver disease risk. First, we will discuss the effects of stress and emotional experiences on risk for cardiovascular disease in caregivers of persons with dementia (PWD). In the first talk, Dr. Mausbach will examine relationships among perceived stress, blood glucose and risk of diabetes and cardiovascular disease in caregivers of PWD. Next, Dr. Losada-Baltar will discuss the degree to which caregivers’ ambivalent feelings towards providing care are associated with inflammatory markers of cardiovascular risk. Following this, two talks will investigate critical links between stress and caregiver emotional well-being. Dr. Liu will report relationships among the stress-related hormone cortisol, sleep, and anxiety in the context of adult day services. Dr. Beadle will examine the degree to which caregivers’ affiliative, empathetic interactions with others relate to their experience of stress through cortisol assessments and neuroimaging. The final talk by Dr. Jain will investigate the effects of a Mentalizing Imagery Therapy intervention for family PWD caregivers on stress, evidence for mindfulness as a causal mediator of stress reduction, and the relationship to brain networks associated with emotion regulation. Taken together, this symposium will identify relevant psychosocial and biological factors that contribute to caregiver stress, as well as discuss the psychobiology of amelioration of caregiver stress.

scholarly journals The Economic Consequences of Increasing Sleep among the Urban Poor*

2021 ◽  
Author(s):  
Pedro Bessone ◽  
Gautam Rao ◽  
Frank Schilbach ◽  
Heather Schofield ◽  
Mattie Toma
Keyword(s):  
Low Income ◽  
Urban Poor ◽  
Large Body ◽  
Well Being ◽  
Economic Consequences ◽  
Sleep Research ◽  
Work Time ◽  
Time In Bed ◽  
Nighttime Sleep ◽  
Good Sleep

Abstract The urban poor in developing countries face challenging living environments, which may interfere with good sleep. Using actigraphy to measure sleep objectively, we find that low-income adults in Chennai, India sleep only 5.5 hours per night on average despite spending 8 hours in bed. Their sleep is highly interrupted, with sleep efficiency—sleep per time in bed—comparable to those with disorders such as sleep apnea or insomnia. A randomized three-week treatment providing information, encouragement, and improvements to home sleep environments increased sleep duration by 27 minutes per night by inducing more time in bed. Contrary to expert predictions and a large body of sleep research, increased nighttime sleep had no detectable effects on cognition, productivity, decision-making, or well-being, and led to small decreases in labor supply. In contrast, short afternoon naps at the workplace improved an overall index of outcomes by 0.12 standard deviations, with significant increases in productivity, psychological well-being, and cognition, but a decrease in work time.

scholarly journals Altered sleep patterns in patients with non-functional GHRH receptor

2017 ◽  
Vol 177 (1) ◽  
pp. 51-57 ◽  
Author(s):  
Francielle T Oliveira ◽  
Roberto Salvatori ◽  
José Marcondes ◽  
Larissa B Macena ◽  
Alecia A Oliveira-Santos ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Rem Sleep ◽  
Sleep Problems ◽  
Receptor Gene ◽  
Subjective Evaluation ◽  
Sleep Onset ◽  
Wake Time ◽  
Ghrh Receptor ◽  
Objective Reduction

ObjectivesGH-releasing hormone (GHRH) exerts hypnotic actions increasing the non-rapid eye movement (NREM) sleep. Conversely, GH stimulates the REM sleep. GH deficiency (GHD) often leads to sleep problems, daytime fatigue and reduced quality of life (QoL). GHD may be due to lack of hypothalamic GHRH or destruction of somatotroph cells. We have described a cohort with isolated GHD (IGHD) due to GHRH resistance caused by a homozygousnullmutation (c.57 + 1G > A) in the GHRH receptor gene. They have normal QoL and no obvious complaints of chronic tiredness. The aim of this study was to determine the sleep quality in these subjects.MethodsA cross-sectional study was carried out in 21 adult IGHD subjects, and 21 age- and gender-matched controls. Objective sleep assessment included polygraphic records of the awake, stages NREM [N1 (drowsiness), N2 and N3 (already sleeping)] and REM (R). Subjective evaluation included the Pittsburgh Sleep Quality Index, the Insomnia Severity Index and the Epworth Sleepiness Scale.ResultsIGHD subjects showed a reduction in sleep efficiency (P = 0.007), total sleep time (P = 0.028), duration of N2 and R in minutes (P = 0.026 andP = 0.046 respectively), but had increased duration and percentage of N1 stage (P = 0.029 andP = 0.022 respectively), wake (P = 0.007) and wake-time after sleep onset (P = 0.017). There was no difference in N3 or in sleep quality questionnaire scores.ConclusionPatients with IGHD due to GHRH resistance exhibit objective reduction in the sleep quality, with changes in NREM and REM sleep, with no detectable subjective consequences. GHRH resistance seems to have a preponderant role over GHD in the sleep quality of these subjects.

scholarly journals NATURE-BASED DEMENTIA CARE: INNOVATIVE ADULT DAY SERVICES FOR PEOPLE WITH DEMENTIA IN THE NETHERLANDS

2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 372-373
Author(s):  
S R de Bruin ◽  
Y Buist ◽  
L Vaandrager ◽  
J Hassink
Keyword(s):  
The Netherlands ◽  
Dementia Care ◽  
Adult Day Services ◽  
People With Dementia ◽  
Day Services

scholarly journals 755 A Novel Modularized Intervention to Improve Sleep in Older Hospitalized Veterans

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A294-A294
Author(s):  
Yihan Li ◽  
Megan Miller ◽  
Nicole Torrence
Keyword(s):  
Depressive Symptoms ◽  
Global Health ◽  
Sleep Quality ◽  
Sleep Problems ◽  
Intervention Group ◽  
Well Being ◽  
Post Intervention ◽  
Hospitalization Period ◽  
Two Samples ◽  
The Impact

Abstract Introduction Disturbed sleep in hospitalized patient populations is a highly prevalent phenomenon, with patients commonly reporting problems with shorter sleep duration, more frequent awakenings, and overall poorer sleep quality during hospital stay compared to at home. Sleep disturbance during hospitalization is especially problematic as sleep is associated with both physical and psychological well-being. Poorer sleep has been found to impact recovery outcomes in a number of patient populations including mild traumatic brain injury, chronic pain, and most recently, in hospitalized COVID-19 patients. The current analyses examined pilot data from a novel brief modularized sleep intervention implemented with older adult Veterans living on a subacute rehabilitation unit. Methods Participants were screened for sleep problems upon admission to the unit. Veterans who screened positive were invited to participate in the sleep intervention. Components of the intervention were selected based on screener responses and included group sleep hygiene psychoeducation, environmental accommodations (e.g. ear plugs, eye mask, soothing music), and CPAP use education. Measures completed at pre- and post- intervention assessed sleep quality (Pittsburgh Sleep Quality Index, PSQI), global health functioning (PROMIS Global Health Scale), and depressive symptoms (Patient Health Questionnaire, PHQ-9). Pre- and post- scores were compared using paired sample t-tests. Two samples t-tests compared change scores in PHQ-9 between groups. Results A total of 33 Veterans were included in the analyses (Mage = 69.6, 3 female, intervention group n = 21). Participants showed a trend toward decreased PHQ-9 scores following the intervention (t(16) = 1.58, p = 0.100). There were no significant effects of the intervention on sleep quality or global health. Compared to the non-intervention group, the intervention group showed greater decrease in PHQ-9 scores at the time of post-intervention (t(25) = .828, p = .025). Conclusion Preliminary data suggests that a brief modularized sleep intervention may benefit depressive symptoms for older adults during hospitalization. Additional research is needed to better understand the impact of a brief intervention on self-reported sleep quality during the hospitalization period. Support (if any) This project was funded by a VISN 20 Seed Grant as a Whole Health promotion in alignment with the National VA Office of Patient Centered Care & Cultural Transformation.

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