scholarly journals Differences in Sleep Disturbance Parameters Between Oncology Outpatients and Their Family Caregivers

2011 ◽  
Vol 29 (8) ◽  
pp. 1001-1006 ◽  
Author(s):  
Sara Carney ◽  
Theresa Koetters ◽  
Maria Cho ◽  
Claudia West ◽  
Steven M. Paul ◽  
...  
Keyword(s):  
Radiation Therapy ◽  
Sleep Disturbance ◽  
Family Caregivers ◽  
Family Caregiver ◽  
Quality Index ◽  
Pittsburgh Sleep Quality Index ◽  
Objective Measures ◽  
Systematic Assessment ◽  
Patients With Cancer ◽  
Clinically Significant

Purpose This study compared the occurrence rates for and severity ratings of sleep disturbance in patient-family caregiver (FC) dyads. Patients and Methods In total, 102 dyads were recruited from two radiation therapy (RT) departments. Patients and their FCs completed the Pittsburgh Sleep Quality Index (PSQI) and the General Sleep Disturbance Scale (GSDS) and wore wrist actigraphs to obtain subjective and objective measures of the occurrence and severity of sleep disturbance at the initiation of RT. Match paired t tests were used to evaluate for dyadic differences. Results No differences were found in the occurrence of clinically significant levels of sleep disturbance between patients and their FCs that ranged between 40% and 50% using subjective and objective measures. Few differences were found in the severity of any of the sleep-wake parameters between patients and FCs using both the subjective and objective measures of sleep disturbance. Conclusion The findings from this study suggest that patients with cancer and their FCs experience similar levels of sleep disturbance and that both groups could benefit from interventions that aim to promote restful sleep. In addition to routine and systematic assessment of sleep disturbance by oncology clinicians, interventions are needed that take into account the specific needs of the patient and the FC as well as the potential for partners' sleep patterns to influence one another.

Sleep Pattern and Predictors of Sleep Disturbance Among Family Caregivers of Terminal Ill Patients With Cancer in Taiwan: A Longitudinal Study

2018 ◽  
Vol 35 (8) ◽  
pp. 1109-1117 ◽  
Author(s):  
Kwo-Chen Lee ◽  
Ya-Ling Hsieh ◽  
Pi-Chu Lin ◽  
Yun-Ping Lin
Keyword(s):  
Longitudinal Study ◽  
Sleep Quality ◽  
Sleep Disturbance ◽  
Family Caregivers ◽  
Terminally Ill ◽  
Patients With Cancer ◽  
Terminally Ill Patients ◽  
Prospective Longitudinal

Background: Sleep disturbance commonly has a negative impact on the well-being of family caregivers (FCs) of terminally ill patients with cancer. The effect of sleep disturbance on FCs has not been explored through long-term follow-up studies in Taiwan. Objective: The purposes of this study were to (1) identify the trajectory of sleep quality of FCs of terminally ill patients with cancer in Taiwan and (2) examine the determinants of sleep disturbance through a longitudinal follow-up until patient death. Methods: A prospective, longitudinal study was conducted among 95 FCs of terminally ill patients with cancer. The FCs’ sleep quality was measured subjectively by using the Pittsburgh Sleep Quality Index and objectively by wearing a wrist actigraphy for 48 hours each month during the 6-month follow-up assessments. The trajectory and determinants of sleep quality were identified using a generalized estimation equation approach. Results: The FCs’ sleep quality significantly decreased as the patient’s death approached. Family caregivers who were women or older, had a relative with a longer survival period after diagnosis, reported higher levels of depression and fatigue, and provided lower levels of assistance to their relatives experienced more sleep disturbance. Conclusion: The sleep quality of Taiwanese FCs significantly deteriorated as the death of the terminally ill patients with cancer approached. Early detection of the FCs’ sleep disturbance, increasing their self-awareness of sleep problems, and providing nonpharmacological interventions and psychosocial support may be helpful for FCs to improve their quantity and quality of sleep.

Frequency and characteristics of drowsiness, somnolence, or daytime sleepiness in patients with advanced cancer

2018 ◽  
Vol 17 (04) ◽  
pp. 459-463 ◽  
Author(s):  
Sriram Yennurajalingam ◽  
Srikanth Reddy Barla ◽  
Joseph Arthur ◽  
Gary B. Chisholm ◽  
Eduardo Bruera
Keyword(s):  
Quality Index ◽  
Pittsburgh Sleep Quality Index ◽  
Depression Scale ◽  
Well Being ◽  
Severity Index ◽  
Hospital Anxiety ◽  
Hospital Anxiety Depression Scale ◽  
Clinically Significant ◽  
Anxiety Depression ◽  
Insomnia Severity

AbstractIntroductionCancer-related drowsiness (CRD) is a distressing symptom in advanced cancer patients (ACP). The aim of this study was to determine the frequency and factors associated with severity of CRD. We also evaluated the screening performance of Edmonton Symptom Assessment Scale-drowsiness (ESAS-D) item against the Epworth Sedation Scale (ESS).MethodWe prospectively assessed 180 consecutive ACP at a tertiary cancer hospital. Patients were surveyed using ESAS, ESS, Pittsburgh Sleep Quality Index, Insomnia Severity Index, and Hospital Anxiety Depression Scale.ResultNinety of 150 evaluable patients had clinically significant CRD (ESS); median (interquartile ratio): ESS. 11 (7–14); ESAS-D. 5 (2–6); Pittsburgh Sleep Quality Index. 8 (5–11); Insomnia Severity Index. 13 (5–19); Stop Bang Scoring 3 (2–4), and Hospital Anxiety Depression Scale-D 6 (3–10). ESAS-D was associated with ESAS (r, p) sleep (0.38, <0.0001); pain (0.3, <0.0001); fatigue (0.51, <0.0001); depression (0.39, <0.0001); anxiety (0.44, <0.0001); shortness of breath (0.32, <0.0001); anorexia (0.36, <0.0001), feeling of well-being [(0.41, <0.0001), ESS (0.24, 0.001), and opioid daily dose (0.19, 0.01). Multivariate-analysis showed ESAS-D was associated with fatigue (odds ratio [OR] = 9.08, p < 0.0001), anxiety (3.0, p = 0.009); feeling of well-being (OR = 2.27, p = 0.04), and insomnia (OR = 2.35; p = 0.036). Insomnia (OR = 2.35; p = 0.036) cutoff score ≥3 (of 10) resulted in a sensitivity of 81% and 32% and specificity of 70% and 44% in the training and validation samples, respectively.Significance of resultsClinically significant CRD is frequent and seen in 50% of ACP. CRD was associated with severity of insomnia, fatigue, anxiety, and worse feeling of well-being. An ESAS-D score of ≥3 is likely to identify most of the ACP with significant CRD.

scholarly journals Assessment of sleep disturbance using the Pittsburgh Sleep Quality Index in patients with dizziness

2014 ◽  
Vol 73 (6) ◽  
pp. 502-511 ◽  
Author(s):  
Ujimoto Konomi ◽  
Mamoru Suzuki ◽  
Yasuo Ogawa ◽  
Koji Otsuka ◽  
Akira Hagiwara ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Sleep Disturbance ◽  
Quality Index ◽  
Pittsburgh Sleep Quality Index

Prevalence, Severity, and Impact of Symptoms on Female Family Caregivers of Patients at the Initiation of Radiation Therapy for Prostate Cancer

2008 ◽  
Vol 26 (4) ◽  
pp. 599-605 ◽  
Author(s):  
Barbara Swore Fletcher ◽  
Steven M. Paul ◽  
Marylin J. Dodd ◽  
Karen Schumacher ◽  
Claudia West ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Radiation Therapy ◽  
Sleep Disturbance ◽  
Functional Status ◽  
Family Caregivers ◽  
State Anxiety ◽  
Negative Impact ◽  
Self Report ◽  
Severity Of Depression

Purpose In a sample of family caregivers (FCs) of patients with prostate cancer who were to begin radiation therapy (RT), the purposes were to determine the prevalence and severity of depression, anxiety, pain, sleep disturbance, and fatigue; determine the relationships among these symptoms and between these symptoms and functional status and quality of life (QOL); evaluate for differences in functional status and QOL between FCs with low and high levels of these symptoms; and determine which factors predicted FCs’ functional status and QOL. Patients and Methods FCs were recruited before patients initiated RT and completed self-report questionnaires that evaluated demographic characteristics, symptoms, functional status, and QOL. Results Sixty female FCs participated in the study. On the basis of established cut point scores for each symptom questionnaire, 12.2% of the FCs had clinically meaningful levels of depression, 40.7% anxiety, 15.0% pain, 36.7% sleep disturbance, 33.3% morning fatigue, and 30.0% evening fatigue. FCs who were older and who had lower levels of state anxiety and higher levels of depression, morning fatigue, and pain reported significantly poorer functional status (R2 = 38.7%). FCs who were younger, had more years of education, were working, and who had higher levels of depression, morning fatigue, sleep disturbance, and lower levels of evening fatigue reported significantly lower QOL scores (R2 = 70.1%). Conclusion A high percentage of FCs experienced clinically meaningful levels of a variety of symptoms. These symptoms have a negative impact on the FCs’ functional status and QOL.

783 Early Life Adversity and Central Symptoms of Sleep Disturbance: A Network Analysis

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A304-A305
Author(s):  
Francisco Marquez ◽  
Andrea Decker ◽  
Jennifer Taber ◽  
Mengya Xia ◽  
Matthew Cribbet
Keyword(s):  
Network Analysis ◽  
Sleep Quality ◽  
Health Outcomes ◽  
Sleep Disturbance ◽  
Early Life ◽  
Quality Index ◽  
Pittsburgh Sleep Quality Index ◽  
Early Life Adversity ◽  
Adverse Health ◽  
Adverse Health Outcomes

Abstract Introduction Individuals with early life adversity (ELA) experience a greater likelihood of sleep disturbance. Sleep disturbance is a hypothesized mechanism underlying the association between ELA and adverse health outcomes. However, it is unclear whether sleep disturbance presents differently in individuals with ELA when compared to individuals without ELA. Network analysis provides an analytic framework to examine the relationships and magnitudes of association between symptoms of sleep disturbance. Using a network framework, we investigated the differences in sleep disturbance symptoms between individuals with ELA and individuals without ELA. Methods College students (N=507; age=18±1, Female=72%) completed demographic measures, the Childhood Trauma Questionnaire (CTQ), and the Pittsburgh Sleep Quality Index using an online data collection platform from March-December 2020. Using clinical cutoffs, individuals with ELA were separated from individuals without ELA. Using the Pittsburgh Sleep Quality Index (PSQI; alpha=0.79), sleep disturbance was assessed. Two 7-node ELA-specific networks were generated using raw values for the 7 components of the PSQI. To assess network accuracy, stability coefficients were estimated using the ‘bootnet’ and ‘qgraph’ packages in R. The strength of association between each component and all other components of sleep disturbance were estimated using expected influence (EI). Network structures and measures of EI were examined for differences between exposure groups. Results Overall, the average global PSQI score was 7.50±3.37. Individuals with ELA had larger global PSQI scores when compared to individuals without ELA (8.18 versus 6.97, t=3.8, p<0.001, d=0.37). For individuals with ELA, sleep quality, duration, and efficiency were most associated with other symptoms of sleep disturbance. For individuals without ELA, subjective sleep quality, sleep latency, and daytime dysfunction were most related to other symptoms of sleep disturbance. Individuals with ELA demonstrated a more interrelated network structure, with greater raw measures of EI in most components of the PSQI. Conclusion For individuals with ELA, duration and efficiency strongly underly sleep disturbance. Moreover, most symptoms had greater measures of EI in individuals with ELA when compared to individuals without ELA, suggesting that symptoms of sleep disturbance may be more likely to co-occur in individuals with ELA. Future research may explore the utility of these symptoms in predicting adverse health outcomes. Support (if any):

scholarly journals Experiences of Family Caregivers’ Involvement in Treatment Related- Decision-Making in Triadic Health Encounters

2020 ◽  
Vol 1 (2) ◽  
pp. 57-74
Author(s):  
Enaam Al-Ananbeh ◽  
Abeer Al-Wahadneh
Keyword(s):  
Decision Making ◽  
Family Caregivers ◽  
Chronic Diseases ◽  
Family Caregiver ◽  
Healthcare Providers ◽  
Family Members ◽  
Vital Role ◽  
Systematic Assessment ◽  
Health Decision Making ◽  
Health Decision

Purpose: To explore the experiences of family caregiver in health decision-making for patients with chronic diseases. Study Design: Qualitative Descriptive Design. Subjects and Methods: A descriptive qualitative approach was used. A purposive sample of fifteen family caregiver for patients with chronic diseases were interviewed in Amman, Jordan; fifteen caregivers; males (n= 2), females (n= 13). Average of age = 40 years old. Data were generated through phone messages voice records over a period of two months (March & April 2020) in Amman, Jordan. Data were analyzed using a five–step technique proposed by Giorgi (1985). Results: The findings of the study revealed that three major themes related to family caregivers’ experiences in health decision-making for patients with chronic diseases: 1) The patient has the right to decide about his health, 2) Healthcare providers know better, and 3) Roles of family caregivers in the decision making process. Conclusion: The vital role of the family members in taking decisions for patients with chronic diseases is well-recognized by healthcare providers. Continuous systematic assessment of family members’ preferences and needs is crucial to provide the needed support for their patients in decision-making.

scholarly journals Time use by family caregivers of elderly with dementia: an integrative review

2018 ◽  
Vol 71 (suppl 2) ◽  
pp. 893-904
Author(s):  
Elcyana Bezerra Carvalho ◽  
Anita Liberalesso Neri
Keyword(s):  
Health Care ◽  
Family Caregivers ◽  
Time Use ◽  
Family Caregiver ◽  
Free Choice ◽  
Well Being ◽  
Integrative Review ◽  
Objective Measures ◽  
Subjective Well Being ◽  
Time Restriction

ABSTRACT Objective: To describe the development of measures used between 1993 and 2016 to evaluate time use by family caregivers of elderly with dementia and to find out the patterns of time use identified in the literature. Method: An integrative review of articles was performed, indexed by the following terms: time use management, family caregiver and elderly. Results: A total of 17 articles were found, of which seven were methodological. Among these seven articles, five were psychometric. The most frequently used measures were self-reporting (matrices, questionnaires and inventories), validated through objective measures of occurrence and duration. Longitudinal, prospective, clinical and correlational studies showed that care time covaries with the receptors’ dependence and that the caregivers’ subjective well-being is more affected by the time restriction to free choice activities than the burden resulting from obligatory activities. Final considerations: Valid self-reporting measures are widely used nowadays and they are considered to be effective to assess the objective and subjective costs of health care for dementia.

scholarly journals Association of Qi-stagnation and Subjective Sleep Characteristics with Mild Cognitive Impairment Among Non-depressed Elderly in Community: A Cross-Sectional Study

2021 ◽  
Author(s):  
Zhizhen Liu ◽  
Jingsong Wu ◽  
Youze He ◽  
Jingnan Tu ◽  
Lei Cao ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Sleep Quality ◽  
Sleep Disturbance ◽  
Quality Index ◽  
Pittsburgh Sleep Quality Index ◽  
Sleep Latency ◽  
Subjective Sleep Quality ◽  
Subjective Sleep ◽  
Qi Stagnation

Abstract Objective: Depression and sleep disturbance is commonly reported in patients with mild cognitive impairment (MCI). However, it remains unclear whether Qi-stagnation is still a risk factor for MCI before the older adults suffer from depression. The purpose of this study was to examine the association between Qi-stagnation and subjective sleep quality with MCI among non-depressed elderly in the Chinese community.Methods: A simple random sampling method was used to abstract research subjects from 34 community elderly day care centers in Fuzhou city based on their electronic health records from March 2019 to December 2020. Intensive face-to-face interviews were conducted using tools such as Montreal cognitive function assessment, AD8 dementia screening questionnaire, Pittsburgh Sleep Quality Index, and TCM constitution assessment scale, among others to analyze the proportion of older adults with MCI who suffer from sleep disturbance and Qi-stagnation in the community. Multi-factor logistical regression was employed to analyze the association among subjective sleep quality, TCM constitution, and MCI.Results: A total of 1,268 subjects were investigated and 1,071 cases were included in this study, among which 314 cases were of MCI patients, with a morbidity of 29.3%. The proportion of individuals having Qi-deficiency (12.4%) and Qi-stagnation (11.1%) was higher in MCI patients than in the controls with normal cognitive function (P<0.05). After adjusting for age, gender, and years of education, the probability of the old with Qi-deficiency and Qi-stagnation suffering from MCI was 1.559 times [95% confidence interval (CI): 1.009–2.407] and 1.706 times (95% CI: 1.078–2.700) higher than that of the older adults without Qi-deficiency and Qi-stagnation, respectively. In the Pittsburgh sleep quality index (PSQI) scale, individuals with MCI had poorer subjective sleep quality (Z=-3.404, P=0.001), longer sleep latency (Z=-3.398, P=0.001), shorter sleep duration (Z=-2.237, P=0.025), and aggravated daytime dysfunction (Z=-3.723, P<0.001) compared with those without MCI. The intergroup differences showed no statistical significance in the three dimensions including habitual sleep efficiency, sleep disturbance, and hypnotics between groups. The results of multi-factor logistical regression showed that sleep latency [odds ratio (OR)=1.168, 95% CI: 1.016–1.342], daytime dysfunction (OR=1.261, 95% CI: 1.087–1.463), and Qi-stagnation (OR=1.449, 95% CI: 1.022–2.055) were the risk factors for MCI; the OR for older adults with sleep disturbance and Qi-stagnation suffering from MCI was 2.581 (95% CI 1.706–3.907).Conclusion: MCI patients have a higher incidence of sleep disorders and Qi-stagnation, and may show specific changes in their daytime and nighttime sleep characteristics, with the specific manifestations such as difficulty in falling asleep, easily waking up at night/ early morning, and daytime dysfunction, among others.

scholarly journals Association of Vitamin-D levels with Sleep Disturbances

Esculapio ◽  
2021 ◽  
Vol 16 (4 (oct 2020 - dec 2020)) ◽  
Author(s):  
Samina Fida ◽  
Saba Saif ◽  
Hala Mansoor ◽  
Javed Iqbal
Keyword(s):  
Vitamin D ◽  
Sleep Quality ◽  
Sleep Disturbance ◽  
Quality Index ◽  
Sleep Disturbances ◽  
Pittsburgh Sleep Quality Index ◽  
Vitamin D Insufficiency ◽  
P Value ◽  
Chi Square ◽  
Vitamin D Levels

Objective: Vitamin-D insufficiency and sleep disturbance, both are common problems worldwide and much more common in our part of world. Two problems are associated with each other, which make the situation worse especially locally where over the counter use of even sedatives is common. Vitamin D levels and sleep quality index has been measured and association recorded in our study. Methods: This cross-sectional analytic study was conducted in Division of Medicine, CMH Lahore from 5th April 2019 to 5th Sep 2019. A total of 106 patients presenting to medicine OPD with symptoms of Vitamin-D insufficiency& low Vitamin-D levels were included in the study. PSQI score was calculated. Post treatment follow up Vitamin-D levels and Pittsburgh Sleep Quality Index score were recorded. Data was entered and analyzed by using spss software version 20. Results: Following 106 patients presenting to medical OPDs with Vitamin-D insufficiency, Mean Vitamin-D levels at first visit were ±20.30 with standard deviation of ±13.14 (CI 95%) , PSQI score in first visit was 7(SD±2.66, CI 95%) Mean Vitamin-D levels in second visit after treatment was 83.5(SD±20, CI 95%). PSQI score mean 3.1(SD 1.8, CI 95%). Odds ratio of 3.9(95% CI: 1.20, 12.7), Chi-Square 5.62 with p value .018 was found in first visit and 8.3 (95% CI: 3.15, 22.0) ,Chi-Square 20.9 with p value <.001 for second visit indicating significant association of Vitamin-D deficiency with poor sleep score. Conclusion: Sleep disturbance is associated with low Vitamin-D levels depicting as high Pittsburgh score whereas score decreases with increasing Vitamin-D levels. Key Words: Pittsburgh Sleep Quality Index (PSQI), Vitamin D levels (Vitamin-D level), Sleep disturbances How to Cite: Fida S, Saif S, Mansoor H, Iqbal J. Association of Vitamins D level with Sleep disturbances. Esculapio.2021;16(1):105-109.

scholarly journals Effect of handholding on heart rate variability in both patients with cancer and their family caregivers: a randomized crossover study

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Hiroko Sakuma ◽  
Hideaki Hasuo ◽  
Mikihiko Fukunaga
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Family Caregivers ◽  
Family Caregiver ◽  
Time Course ◽  
Self Care ◽  
Autonomic Functions ◽  
Patients With Cancer ◽  
The Family ◽  
Randomized Crossover Study

Abstract Background Many family caregivers of patients with cancer feel guilty about self-care. A meaningful relationship with patients reduces such negative feelings and functions as self-care for family caregivers. Moreover, handholding improves autonomic functions in non-cancer patients. However, the effects of handholding on both patients with cancer and family caregivers remain unknown. Methods We evaluated the effects of handholding on heart rate variability (HRV) in patients with cancer and their family caregivers. This randomized crossover study divided patients with cancer and their family caregivers into two trial groups: Handholding trial (the family caregiver holds the patient’s hand for five minutes) and Beside trial (the family caregiver stays beside the patient without holding their hand). The study included 37 pairs of patients with cancer who received treatment in the cancer department of a university hospital in Japan and their family caregivers (n = 74). The primary end-point was the change in HRV before and during the intervention. Results The median performance status of the patients was 3. An interaction was observed between trials in the standard deviation of the normal-to-normal interval (SDNN) of HRV for family caregivers (F = 7.669; p = 0.006), and a significant difference in time course was observed between the trials (before p = 0.351; during p = 0.003). No interaction was observed between trials in the SDNN for patients (F = 0.331; p = 0.566). Only a main effect in time course (F = 6.254; p = 0.014) was observed. SDNN increased significantly during the intervention in both trials (Handholding trial: p = 0.002, Beside trial: p = 0.049). Conclusions Handholding improves autonomic functions of family caregivers and may function as self-care for family caregivers. Trial registration UMIN000020557. Registered on January 15, 2016.

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