The interdependence of depressive symptoms and sleep in dyads affected by cancer.

IF 3.1 2区心理学 Q1 PSYCHOLOGY

Health Psychology Pub Date : 2024-11-25 DOI:10.1037/hea0001449

George N Diamantis, Youngmee Kim, Zoe Ofori-Atta, LaNita Devine, Michael H Antoni, Vincent Reyes, Jonas Johnson, Gauri Kiefer, Yu Jiang, Dan P Zandberg, Marci Nilsen, Samer Tohme, David A Geller, Jennifer L Steel

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引用次数: 0

Abstract

Objective: To examine the rates as well as the interdependence of depressive symptoms and sleep problems in patients with cancer and their intimate partner family caregivers.

Method: Patients diagnosed with cancer (69.3 years old, 56.9% male) and their intimate family caregivers (63.8 years old, 30.7% male) were enrolled in the study (n = 188 dyads). Both patients and intimate partner family caregivers completed the Center for Epidemiological Studies-Depression and the Pittsburgh Sleep Quality Index. Descriptive statistics and Actor-Partner Interdependence Modeling were used to test the hypotheses.

Results: The rates of depressive symptoms in the clinical range were 39% for patients and 33% in intimate partner family caregivers. A mean of 6.3 (SD = 1.9) and 6.5 (SD = 1.5) hours of sleep was reported by patients with cancer and intimate partner family caregivers. The mean sleep efficiency (76.6% and 81.3%) and sleep quality (8.25 and 7.2) were poor for both partners. After covarying for age, sex, body mass index, smoking status, pain, and cancer stage, patients' depressive symptoms were associated with their own shorter sleep duration. Patient depressive symptoms were associated with their own and their partners' f poorer sleep efficiency and poorer sleep quality. Caregivers' depressive symptoms were also associated with their own poorer sleep quality.

Conclusions: The mood of both partners affect on sleep, and potentially health, was underscored by the findings. The development of dyadic interventions is warranted to improve both mood and sleep in both the patient and caregivers in the context of cancer. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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受癌症影响的夫妇中抑郁症状与睡眠的相互依存关系。

目的研究癌症患者及其亲密伴侣家庭照顾者抑郁症状和睡眠问题的发生率及其相互依存关系：研究对象包括确诊为癌症的患者（69.3 岁，56.9% 为男性）及其亲密家庭照顾者（63.8 岁，30.7% 为男性）（n = 188 对）。患者和亲密伴侣家庭照顾者均填写了流行病学研究中心抑郁和匹兹堡睡眠质量指数。研究采用了描述性统计和行为者-伴侣相互依赖模型来检验假设：患者和亲密伴侣家庭照顾者中，抑郁症状达到临床范围的比例分别为 39% 和 33%。癌症患者和亲密伴侣家庭照顾者的平均睡眠时间分别为 6.3 小时（SD = 1.9）和 6.5 小时（SD = 1.5）。双方的平均睡眠效率（76.6% 和 81.3%）和睡眠质量（8.25 和 7.2）均较差。在对年龄、性别、体重指数、吸烟状况、疼痛和癌症分期进行协变量分析后，患者的抑郁症状与自身较短的睡眠时间相关。患者的抑郁症状与患者及其伴侣较低的睡眠效率和较差的睡眠质量有关。护理人员的抑郁症状也与自身较差的睡眠质量有关：结论：研究结果表明，伴侣双方的情绪都会影响睡眠，并可能影响健康。在癌症的背景下，有必要制定夫妻双方的干预措施，以改善患者和照顾者的情绪和睡眠。(PsycInfo Database Record (c) 2024 APA，保留所有权利）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Psychology 医学-心理学

CiteScore

4.90

自引率

2.40%

发文量

170

审稿时长

4-8 weeks

期刊介绍： Health Psychology publishes articles on psychological, biobehavioral, social, and environmental factors in physical health and medical illness, and other issues in health psychology.