ArticlePsychosomatic medicine
Avoidant Coping and Poor Sleep Efficiency in Dementia Caregivers.
Article in Psychosomatic medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.
- Correlates of Sleep Disturbance Experienced by Informal Caregivers of Persons Living with Dementia: A Systematic Review.Clinical gerontologistPooled it
- Exploring the Association Between Psychological Inflexibility, Experiential Avoidance and Sleep-Related Problems Among Adolescents: The EHDLA Study.Healthcare (Basel, Switzerland) · 2026Article
- Characterizing Stressors and Coping Strategies Among Caregivers of Patients with Severe Acute Brain Injury by Level of Distress.Neurocritical care · 2026Article
- Association Between Chronic Pain, Coping Strategies, and Sleep Quality in Rural Chinese Older Adults: A Cross-Sectional Study.Clinical interventions in aging · 2025Observational
- A Comprehensive Assessment of Bedtime Routines and Strategies to Aid Sleep Onset in College Students: A Web-Based Survey.Clocks & sleep · 2024Article
- The role of objective sleep in implicit and explicit affect regulation: A comprehensive review.Neurobiology of stress · 2024Article
- Exploration of family caregivers' experiences on coping in dementia care in Ghana: a phenomenological study.BMC psychology · 2024Article
- Assessing a Sleep Interviewing Chatbot to Improve Subjective and Objective Sleep: Protocol for an Observational Feasibility Study.JMIR research protocols · 2023Article
- Sleep Deficiency in the Elderly.Clinics in chest medicine · 2022Review
- Coping Patterns Among Primary Informal Dementia Caregivers in Singapore and Its Impact on Caregivers-Implications of a Latent Class Analysis.The Gerontologist · 2021Article
- Article
- Effectiveness of Respite Care via Short-Stay Services to Support Sleep in Family Caregivers.International journal of environmental research and public health · 2020Article
- Predictors of psychological distress and sleep quality in former family caregivers of people with dementia.Aging & mental health · 2020Article
- Health coaching to improve self-care of informal caregivers of adults with chronic heart failure - iCare4Me: Study protocol for a randomized controlled trial.Contemporary clinical trials · 2019Article
- When Distress Becomes Somatic: Dementia Family Caregivers' Distress and Genetic Vulnerability to Pain and Sleep Problems.The Gerontologist · 2019Article
- Telephone-based mindfulness training to reduce stress in women with myocardial infarction: Rationale and design of a multicenter randomized controlled trial.American heart journal · 2018Article
- Rest-activity rhythm and sleep characteristics associated with depression symptom severity in strained dementia caregivers.Journal of sleep research · 2017Article
- The Impact of Dementia on Family Caregivers: What Is Research Teaching Us?Current neurology and neuroscience reports · 2016Review
- Sleep Disruption Due to Stress in Women Veterans: A Comparison between Caregivers and Noncaregivers.Behavioral sleep medicineArticle
- "We Don't Take Care of Ourselves": A Qualitative Study on Self-Management Challenges and Health Needs Among Older Family Care Partners of Persons With Heart Failure.Research in gerontological nursingArticle
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
objectivesCaring for a spouse with dementia is a source of chronic stress and is associated with a heightened prevalence of self-reported sleep problems. Styles and strategies for coping with stress have been associated with objective measures of sleep in non-caregiver populations. The current study evaluated relationships between caregiver coping style and sleep disturbance using in-home polysomnography.
methodsSixty spousal caregivers (mean [standard deviation] age = 73.31 [7.05] years; 81.7% female) completed the Brief Cope, the Hamilton Rating Scale for Depression, and three nights of in-home polysomnography. Participants were categorized into two groups based on the presence or absence of clinically significant low sleep efficiency (<80%). A factor analysis of the Brief Cope yielded higher-order factors that included approach coping and avoidant coping (explained variance, 27.2% and 16.9%, respectively). Coping factors were entered into a binary logistic regression predicting sleep efficiency group while controlling for sleep apnea, medication use, and depression, as measured by the Hamilton Rating Scale for Depression.
resultsIn fully adjusted models, for each unit increase on the avoidant coping factor, participants were 3.4 times more likely to be classified in the low sleep efficiency group (B = 1.224, χ2(1) = 4.967, p = .026, exp(B) = 3.401, 95% confidence interval = 1.159-9.981). Approach coping was unrelated to sleep efficiency in both adjusted and unadjusted models.
conclusionsThese findings highlight the importance of coping among caregivers and indicate that avoidant coping may be a modifiable predictor of sleep disturbance in conditions of chronic stress.
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