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Padjadjaran of Nursing Journal

Review

Vol. 11 No. 3 (2023): Jurnal Keperawatan Padjadjaran

Factors related to sleep in family caregivers of people with dementia: A systematic review

DOI
https://doi.org/10.24198/jkp.v11i3.2356
Submitted
August 14, 2023
Published
2023-12-01

Abstract

Background: Family caregivers (FCGs) face many problems when taking care of people with dementia.

Purpose: This study wanted to explore the factors related to FCGs’ sleep in people with dementia.

Methods: The study used a systematic review approach based on PRISMA. The study focused on FCGs for people with dementia in the home setting. A narrative synthesis was employed.

Results: The result showed that the sleep problem and severity of a patient with dementia have an essential role in their state. Those indirectly impact the FCGs’ condition. The majority of the study’s sleep problems were related to physical fatigue that influenced the FCGs’ distress. Coping mechanisms have an essential role in the caregiver situation. A maladaptive coping mechanism would increase the stress of the caregiver and lead to a sleep problem.

Conclusion: The consequences of those are burden and depression. Therefore, FCGs should be supported by families, friends, and healthcare workers. Community online groups of the FCGs might be helpful to support each other.

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References

  1. Algase, D. L., Moore, D. H., Vandeweerd, C., & Gavin-Dreschnack, D. J. (2007). Mapping the maze of terms and definitions in dementia-related wandering. Aging Ment Health, 11(6), 686-698. https://doi.org/10.1080/13607860701366434
  2. Algase, D. L., Son, G. R., Beattie, E., Song, J. A., Leitsch, S., & Yao, L. (2004). The interrelatedness of wandering and wayfinding in a community sample of persons with dementia. Dement Geriatr Cogn Disord, 17(3), 231-239. https://doi.org/10.1159/000076361
  3. Almutairi, R. R. (2022). Sleep disturbance in informal caregivers of persons with dementia: Systematic review. International Journal of Caring Sciences, 15(2), 1533-1544.
  4. Alzheimer's Association. (2017). 2017 Alzheimer's disease facts and figures. Alzheimer's & Dementia, 13(4), 325-373. https://doi.org/10.1016/j.jalz.2017.02.001
  5. Alzheimer’s Association. (2018). 2018 Alzheimer's disease facts and figures. Alzheimer's & Dementia, 14(3), 367-429. https://doi.org/10.1016/j.jalz.2018.02.001
  6. Chaobankrang, C., Anothaisintawee, T., Kittichai, K., & Boongird, C. (2019). Predictors of Depression among Thai Family Caregivers of Dementia Patients in Primary Care. Int J Gerontol Geriatr Res, 3, 7.
  7. Chiu, Y.-C., Lee, Y.-N., Wang, P.-C., Chang, T.-H., Li, C.-L., Hsu, W.-C., & Lee, S.-H. (2014). Family caregivers’ sleep disturbance and its associations with multilevel stressors when caring for patients with dementia. Aging & Mental Health, 18(1), 92-101. https://doi.org/10.1080/13607863.2013.837141
  8. Christakis, N. A., & Allison, P. D. (2006). Mortality after the hospitalization of a spouse. N Engl J Med, 354(7), 719-730. https://doi.org/10.1056/NEJMsa050196
  9. Cipriani, G., Lucetti, C., Nuti, A., & Danti, S. (2014). Wandering and dementia. Psychogeriatrics, 14(2), 135-142. https://doi.org/10.1111/psyg.12044
  10. Japan Ministry of Health Labour and Welfare. (2015). Comprehensive Strategy for Promotion of Dementia Measures (New Orange Plan). Retrieved May 6 from https://www.mhlw.go.jp/file/06-Seisakujouhou-12300000-Roukenkyoku/kaitei_orangeplan.pdf
  11. Knodel, J., & Nguyen, M. D. (2015). Grandparents and grandchildren: care and support in Myanmar, Thailand and Vietnam. Ageing & Society, 35(9), 1960-1988. https://doi.org/10.1017/S0144686X14000786
  12. Leggett, A., Polenick, C. A., Maust, D. T., & Kales, H. C. (2018). “What Hath Night to Do with Sleep?”: The caregiving context and dementia caregivers’ nighttime awakenings. Clinical gerontologist, 41(2), 158-166. https://doi.org/10.1080/07317115.2017.1352057
  13. Matsushita, M., Pai, M.-C., Jhou, C.-Y., Koyama, A., & Ikeda, M. (2016). Cross-cultural study of caregiver burden for Alzheimer's disease in Japan and Taiwan: result from Dementia Research in Kumamoto and Tainan (DeReKaT). International psychogeriatrics, 28(7), 1125-1132. https://doi.org/10.1017/S104161021600003X
  14. Mills, P. J., Ancoli-Israel, S., von Kanel, R., Mausbach, B. T., Aschbacher, K., Patterson, T. L., Ziegler, M. G., Dimsdale, J. E., & Grant, I. (2009). Effects of gender and dementia severity on Alzheimer's disease caregivers' sleep and biomarkers of coagulation and inflammation. Brain Behav Immun, 23(5), 605-610. https://doi.org/10.1016/j.bbi.2008.09.014
  15. Montgomery, W., Goren, A., Kahle-Wrobleski, K., Nakamura, T., & Ueda, K. (2018). Alzheimer's disease severity and its association with patient and caregiver quality of life in Japan: results of a community-based survey. BMC Geriatr, 18(1), 141. https://doi.org/10.1186/s12877-018-0831-2
  16. Okuda, S., Tetsuka, J., Takahashi, K., Toda, Y., Kubo, T., & Tokita, S. (2019). Association between sleep disturbance in Alzheimer’s disease patients and burden on and health status of their caregivers. Journal of neurology, 266(6), 1490-1500. https://doi.org/10.1007/s00415-019-09286-0
  17. Pai, M. C., & Lee, C. C. (2016). The Incidence and Recurrence of Getting Lost in Community-Dwelling People with Alzheimer's Disease: A Two and a Half-Year Follow-Up. PLoS One, 11(5), e0155480. https://doi.org/10.1371/journal.pone.0155480
  18. Peng, H. L., Lorenz, R. A., & Chang, Y. P. (2019). Factors associated with sleep in family caregivers of individuals with dementia. Perspect Psychiatr Care, 55(1), 95-102. https://doi.org/10.1111/ppc.12307
  19. Peng, L. M., Chiu, Y. C., Liang, J., & Chang, T. H. (2018). Risky wandering behaviors of persons with dementia predict family caregivers' health outcomes. Aging Ment Health, 22(12), 1650-1657. https://doi.org/10.1080/13607863.2017.1387764
  20. Perkins, M., Howard, V. J., Wadley, V. G., Crowe, M., Safford, M. M., Haley, W. E., Howard, G., & Roth, D. L. (2013). Caregiving strain and all-cause mortality: evidence from the REGARDS study. J Gerontol B Psychol Sci Soc Sci, 68(4), 504-512. https://doi.org/10.1093/geronb/gbs084
  21. Polenick, C. A., Leggett, A. N., Maust, D. T., & Kales, H. C. (2018). Medical care tasks among spousal dementia caregivers: links to care-related sleep disturbances. The American Journal of Geriatric Psychiatry, 26(5), 589-597. https://doi.org/10.1016/j.jagp.2018.01.206
  22. Rowe, M. A., & Bennett, V. (2003). A look at deaths occurring in persons with dementia lost in the community. Am J Alzheimers Dis Other Demen, 18(6), 343-348. https://doi.org/10.1177/153331750301800612
  23. Shikimoto, R., Sado, M., Ninomiya, A., Yoshimura, K., Ikeda, B., Baba, T., & Mimura, M. (2018). Predictive factors associated with psychological distress of caregivers of people with dementia in Japan: a cross-sectional study. International psychogeriatrics, 30(8), 1089-1098. https://doi.org/10.1017/S1041610217002289
  24. Simpson, C., & Carter, P. (2013). Dementia behavioural and psychiatric symptoms: effect on caregiver's sleep. J Clin Nurs, 22(21-22), 3042-3052. https://doi.org/10.1111/jocn.12127
  25. Simpson, C., & Carter, P. (2015). The Impact of Living Arrangements on Dementia Caregiver's Sleep Quality. American Journal of Alzheimers Disease and Other Dementias, 30(4), 352-359. https://doi.org/10.1177/1533317514559828
  26. Tamdee, D., Tamdee, P., Greiner, C., Boonchiang, W., Okamoto, N., & Isowa, T. (2019). Conditions of caring for the elderly and family caregiver stress in Chiang Mai, Thailand. Journal of Health Research. https://doi.org/ 10.1108/JHR-07-2018-0053
  27. Taylor, B. J., Irish, L. A., Martire, L. M., Siegle, G. J., Krafty, R. T., Schulz, R., & Hall, M. H. (2015). Avoidant Coping and Poor Sleep Efficiency in Dementia Caregivers. Psychosomatic Medicine, 77(9), 1050-1057. https://doi.org/10.1097/PSY.0000000000000237
  28. von Kanel, R., Mausbach, B. T., Ancoli-Israel, S., Dimsdale, J. E., Mills, P. J., Patterson, T. L., Ziegler, M. G., Roepke, S. K., Chattillion, E. A., Allison, M., & Grant, I. (2012). Sleep in Spousal Alzheimer Caregivers: A Longitudinal Study with a Focus on the Effects of Major Patient Transitions on Sleep. Sleep, 35(2), 247-255. https://doi.org/10.5665/sleep.1632
  29. von Kanel, R., Mausbach, B. T., Ancoli-Israel, S., Mills, P. J., Dimsdale, J. E., Patterson, T. L., & Grant, I. (2014). Positive Affect and Sleep in Spousal Alzheimer Caregivers: A Longitudinal Study. Behavioral Sleep Medicine, 12(5), 358-372. https://doi.org/10.1080/15402002.2013.819470
  30. Wang, P.-C., Yip, P.-K., & Chang, Y. (2016). Self-Efficacy and Sleep Quality as Mediators of Perceived Stress and Memory and Behavior Problems in the link to Dementia Caregivers’ Depression in Taiwan. Clinical Gerontologist, 39(3), 222-239. https://doi.org/10.1080/07317115.2015.1128503
  31. Wilson, S. J., Padin, A. C., Birmingham, D. J., Malarkey, W. B., & Kiecolt-Glaser, J. K. (2019). When Distress Becomes Somatic: Dementia Family Caregivers’ Distress and Genetic Vulnerability to Pain and Sleep Problems. The Gerontologist, 59(5), e451-e460. https://doi.org/https://doi.org/10.1093/geront/gny150