Yeonsu Song1,2, Donna L Washington2,3, Elizabeth M Yano3,4, Susan M McCurry5, Constance H Fung1,2, Joseph M Dzierzewski6, Juan Carlos Rodriguez1,7, Stella Jouldjian1, Michael N Mitchell1, Cathy A Alessi1,2, Jennifer L Martin1,2. 1. a Geriatric Research , Education and Clinical Center, VA Greater Los Angeles Healthcare System , Los Angeles , California. 2. b David Geffen School of Medicine , University of California , Los Angeles , California. 3. c VA Health Services Research & Development Center for the Study of Healthcare Innovation , Implementation, and Policy, VA Greater Los Angeles Healthcare System , Los Angeles , California. 4. d Fielding School of Public Health , University of California , Los Angeles , California. 5. e Department of Psychosocial and Community Health , University of Washington, School of Nursing , Seattle , Washington. 6. f Department of Psychology , Virginia Commonwealth University , Richmond , Virginia. 7. g Department of Medicine , Pontificia Universidad Catolica de Chile , Santiago , Chile.
Abstract
OBJECTIVE/ BACKGROUND: To identify caregiving-related sleep problems and their relationship to mental health and daytime function in female Veterans. PARTICIPANTS: Female Veterans (N = 1,477) from cross-sectional, nationwide, postal survey data. METHODS: The survey respondent characteristics included demographics, comorbidity, physical activity, health, use of sleep medications, and history of sleep apnea. They self-identified caregiving- related sleep problems (i.e., those who had trouble sleeping because of caring for a sick adult, an infant/child, or other respondents). Patient Health Questionnaire (PHQ-4) was used to assess mental health, and daytime function was measured using 11 items of International Classification of Sleep Disorders-2 (ICSD-2). RESULTS: Female Veterans with self-identified sleep problems due to caring for a sick adult (n = 59) experienced significantly more symptoms of depression and anxiety (p < 0.001) and impairment in daytime function (e.g., fatigue, daytime sleepiness, loss of concentration, p < 0.001) than those with self-identified sleep problems due to caring for an infant or child (n = 95) or all other respondents (n = 1,323) after controlling for the respondent characteristics. CONCLUSIONS: Healthcare providers should pay attention to assessing sleep characteristics of female Veterans with caregiving responsibilities, particularly those caregiving for a sick adult.
OBJECTIVE/ BACKGROUND: To identify caregiving-related sleep problems and their relationship to mental health and daytime function in female Veterans. PARTICIPANTS: Female Veterans (N = 1,477) from cross-sectional, nationwide, postal survey data. METHODS: The survey respondent characteristics included demographics, comorbidity, physical activity, health, use of sleep medications, and history of sleep apnea. They self-identified caregiving- related sleep problems (i.e., those who had trouble sleeping because of caring for a sick adult, an infant/child, or other respondents). Patient Health Questionnaire (PHQ-4) was used to assess mental health, and daytime function was measured using 11 items of International Classification of Sleep Disorders-2 (ICSD-2). RESULTS: Female Veterans with self-identified sleep problems due to caring for a sick adult (n = 59) experienced significantly more symptoms of depression and anxiety (p < 0.001) and impairment in daytime function (e.g., fatigue, daytime sleepiness, loss of concentration, p < 0.001) than those with self-identified sleep problems due to caring for an infant or child (n = 95) or all other respondents (n = 1,323) after controlling for the respondent characteristics. CONCLUSIONS: Healthcare providers should pay attention to assessing sleep characteristics of female Veterans with caregiving responsibilities, particularly those caregiving for a sick adult.
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