ArticleHealth psychology : official journal of the Division of Health Psychology, American Psychological Association2016
Sleep duration and the cortisol awakening response in dementia caregivers utilizing adult day services.
Article in Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.
- Associations between childhood maltreatment and behavioral sleep disturbances across the lifespan: A systematic review.Sleep medicine reviews · 2022Pooled it
- Sleep Duration and Sleep Quality in Caregivers of Patients With Dementia: A Systematic Review and Meta-analysis.JAMA network open · 2019Pooled it
- Dementia and communication comorbidities within the context of caregiver support systems: a scoping review.BMC geriatrics · 2025Article
- Daily Sleep and Anxious and Depressive Symptoms Among Dementia Caregivers-The Mediation of Cortisol Total Output on High- and Low-Stress Days.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022Article
- Sleep Quality in Young Adult Informal Caregivers: Understanding Psychological and Biological Processes.International journal of behavioral medicine · 2021Article
- "I've learned to just go with the flow": Family caregivers' strategies for managing behavioral and psychological symptoms of dementia.Dementia (London, England) · 2020Article
- "It's Been a Hard Day's Night": Sleep Problems in Caregivers for Older Adults.Current sleep medicine reports · 2020Article
- Modeling Cortisol Daily Rhythms of Family Caregivers of Individuals With Dementia: Daily Stressors and Adult Day Services Use.The journals of gerontology. Series B, Psychological sciences and social sciences · 2018Article
- In Their Own Words: How Family Carers of People with Dementia Understand Resilience.Behavioral sciences (Basel, Switzerland) · 2017Article
- Care Transitions and Adult Day Services Moderate the Longitudinal Links between Stress Biomarkers and Family Caregivers' Functional Health.Gerontology · 2017Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveSleep complaints are common among caregivers and are associated with detriments in mental and physical health. Cortisol, a biomarker of the stress process, may link sleep with subsequent health changes in caregivers. The current study examines whether sleep duration is directly associated with the cortisol awakening response (CAR), or whether it is moderated by Adult Day Services (ADS) use, an intervention found previously to influence daily CAR by reducing stressor exposure.
methodAssociations were examined in caregivers (N = 158) of individuals with dementia (IWD) on days when IWDs attended ADS and days when IWDs did not attend ADS. Data were gathered over 8 consecutive days. Caregivers were primarily female (87.3%) with a mean age of 61.59. A multilevel growth curve model tested the association of an interaction of today's ADS use and last night's sleep duration with today's CAR as the outcome.
resultsThe interaction between ADS use and within-person sleep duration was significant such that when an individual sleeps longer than their average but does not use ADS, they have a smaller or blunted CAR. On the other hand when an individual sleeps longer than their average and uses ADS, they have a higher but nonsignificant CAR. Sleeping shorter than usual was associated with a dynamic rise regardless of ADS use.
conclusionsFindings indicate that ADS use moderates the association between sleep duration and CAR such that longer than average sleep is associated with blunted, dysregulated cortisol patterns only on non-ADS days.
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Registered trials
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