ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2017
Changes in Caregiving Status and Intensity and Sleep Characteristics Among High and Low Stressed Older Women.
Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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Who cites it
7 citing papers in PubMed, 10 citations in OpenAlex.
- Unsupervised Learning Identifies Sleep Disturbance Subtypes Among Dementia Caregivers.Nursing research · 2026Article
- Characterization of sleep efficiency transitions in family caregivers.Journal of behavioral medicine · 2024Article
- Insomnia Severity and Daytime Sleepiness in Caregivers of Advanced Age.Frontiers in sleep · 2024Article
- Use of prescription benzodiazepines and related drugs in family caregivers: a nation-wide register-based study.Age and ageing · 2022Article
- "It's Been a Hard Day's Night": Sleep Problems in Caregivers for Older Adults.Current sleep medicine reports · 2020Article
- Multidimensional Sleep and Self-Rated Physical Health and Depressive Symptoms Among Retired Older Adults: A Sex-Stratified Analysis.Behavioral sleep medicineArticle
- Sleep Disruption Due to Stress in Women Veterans: A Comparison between Caregivers and Noncaregivers.Behavioral sleep medicineArticle
Corrections and comments
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Authors and funding
7 authors at 5 institutions in 1 country.
Funding
Abstract
STUDY
objectivesTo examine whether change in caregiving status and intensity among community-dwelling older women was associated with sleep characteristics at follow-up, and whether perceived stress modified these associations.
methodsThe sample included 800 women aged 65 years or older who completed baseline and second follow-up interviews in the Caregiver-Study of Osteoporotic Fractures (Caregiver-SOF). Respondents were categorized into four groups based on change in caregiving status and intensity between the two time points: continuous noncaregivers, ceased caregivers, low-intensity caregivers (continuous caregivers with low/decreased intensity), and high-intensity caregivers (continuous caregivers with high/increased intensity or new caregivers). Perceived Stress Scale scores at the second follow-up were dichotomized into high versus low stress. Sleep outcomes at SOF Visit 8 (which overlapped with Caregiver-SOF second follow-up) included the Pittsburgh Sleep Quality Index total score; and actigraphy-measured total sleep time, sleep efficiency, wake after sleep onset, and sleep latency.
resultsMultivariate-adjusted sleep characteristics did not differ significantly across caregiving groups. Among high-intensity caregivers, however, those with high stress levels had significantly longer wake after sleep onset (mean 82.3 minutes, 95% confidence interval = 70.9-93.7) than those with low stress levels (mean 65.4 minutes, 95% confidence interval = 55.2-75.7). No other sleep outcomes were modified by stress levels. Further, higher stress was significantly associated with worse Pittsburgh Sleep Quality Index scores, regardless of the caregiving group.
conclusionsOverall, sleep characteristics did not differ among noncaregivers, ceased caregivers, or those with high-/low-intensity caregiving among older women. However, subgroups of caregivers may be vulnerable to developing sleep problems, particularly those with high stress levels.
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Registered trials
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