• Top
• Background
• Materials and methods
• Results
• Conclusions
• Acknowledgements
• References

This article is part of the supplement: International Society on Brain and Behaviour: 3rd International Congress on Brain and Behaviour

Poster presentation

Objectively measured sleep quality and functional impairment in family caregivers of older adults with memory disorders

Adam Spira¹, Leah Friedman^2,4, Laura Haagenson^2,4, Javaid Sheikh^2,3,4 and Jerome Yesavage^2,3,4

¹Division of Geriatrics and Department of Psychiatry, University of California, San Francisco, USA

²Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, CA, USA

³Veterans Affairs Palo Alto Health Care System, CA, USA

⁴Department of Veterans Affairs Sierra Pacific Mental Illness Research, Education, and Clinical Center (MIRECC)

corresponding author email

from International Society on Brain and Behaviour: 3rd International Congress on Brain and Behaviour
Thessaloniki, Greece. 28 November – 2 December 2007

Annals of General Psychiatry 2008, 7(Suppl 1):S246doi:10.1186/1744-859X-7-S1-S246

The electronic version of this abstract is the complete one and can be found online at: http://www.annals-general-psychiatry.com/content/7/S1/S246

Published:

17 April 2008

© 2008 Spira et al.; licensee BioMed Central Ltd.

Background

Poor sleep quality has been linked to functional impairment in several populations [1-4] but this association has not been investigated widely in family caregivers of older adults with memory disorders. We investigated the association between objectively measured sleep and functional status in a sample of family caregivers.

Materials and methods

Participants were 42 caregiver-patient dyads. Caregivers completed the Beck Depression Inventory (BDI-II) [5] and the Medical Outcomes Study SF-36 [6]. The “physical function” subscale of the SF-36 measures difficulty lifting groceries, climbing stairs, etc. Scores range from 1 to 100; higher scores indicate better function. Caregivers completed 1 week of actigraphy–an objective means of measuring sleep by recording movement. We calculated their total sleep time (TST; mean time asleep while in bed) and sleep efficiency (SE; mean percentage of time asleep while in bed).

Results

Caregivers' mean age was 69.4 ±13.6 years. Patients' mean age was 79.8 ±7.6 years; their mean Mini-Mental State Exam [7] score was 21.3 ± 4.9. Caregivers' mean physical function score was 72.6 ±23.2. In regression analyses (adjusted for age, self-rated health, and BDI-II), each 1-hour increase in TST was associated with a 5.7-point increase in physical function (Beta=5.71, p=.001, R-squared=.75), and each 10% increase in SE predicted a 3.8-point increase in physical function (Beta=3.79, p=.02, R-squared=.69).

Conclusions

In family caregivers, greater TST and SE were independently associated with better physical function after controlling for potential confounders. Future, longitudinal studies are needed to establish the directions of these relationships and to evaluate whether poor sleep might be a preventable cause of disability in caregivers.

Acknowledgements

Research supported by the Medical Research Service of the Palo Alto Veterans Affairs Health Care System, by the Department of Verterans Affairs Sierra Pacific MIRECC, and by AG21134.

References

1. Byles JE, Mishra GD, Harris MA, Nair K: The problems of sleep for older women: Changes in health outcomes.

   Age and Ageing 2003, 32:154-163. Publisher Full Text

2. Motivala SJ, Levin MJ, Oxman MN, Irwin MR: Impairments in health functioning and sleep quality in older adults with a history of depression.

   J Am Geriatr Soc 2006, 54(8):1184-1191. PubMed Abstract | Publisher Full Text

3. Newman AB, Enright PL, Manolio TA, Haponik EF, Wahl PW: Sleep disturbance, psychosocial correlates, and cardiovascular disease in 5201 older adults: the Cardiovascular Health Study.

   J Am Geriatr Soc 1997, 45(1):1-7. PubMed Abstract

4. Ohayon MM, Vecchierini MF: Normative sleep data, cognitive function and daily living activities in older adults in the community.

   Sleep 2005, 28(8):981-989. PubMed Abstract

5. Beck A, Steer R, Brown G: Beck Depression Inventory - II. San Antonio.

   TX: Harcourt Brace & Company 1996.

6. Ware JE Jr, Sherbourne CD: The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection.

   Med Care 1992, 30(6):473-483. PubMed Abstract | Publisher Full Text

7. Folstein MF, Folstein SE, McHugh PR: Mini-mental state: A practical method for grading the cognitive state of patients for the clinician.

   Journal of Psychiatric Research 1975, 12(3):189-198. PubMed Abstract | Publisher Full Text

Have something to say? Post a comment on this article!