{"title":"Tossing and Turning Together: A Cross-Lagged Panel Analysis of Sleep Interdependence Among Care Dyads.","authors":"Dexia Kong, Chihua Li, Xiaoling Xiang, Peiyi Lu","doi":"10.1080/07317115.2025.2541763","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>Care recipients and caregivers share similar stressors and living environments and may thus present concordance in health-related outcomes, yet their sleep interdependence remains understudied. This study examined sleep interdependence among care dyads.</p><p><strong>Methods: </strong>Longitudinal data from the National Health and Aging Trends Study and National Study of Caregiving were analyzed, including 2,204 dyads (2015 baseline; 2017 follow-up). Sleep disruptions were assessed as trouble falling back asleep. Cross-lagged panel models examined concurrent/longitudinal sleep interdependence; multiple group analyses ascertained whether the relationships differed by caregiving contexts (dementia/non-dementia) and living arrangements (co-residing/living apart).</p><p><strong>Results: </strong>A stable actor effect emerged: Care recipients' and caregivers' sleep disruptions in 2015 predicted their own sleep disruptions in 2017. No cross-lagged partner effects were significant (<i>p</i> > .05). There was a significant synchronous partner effect in 2017 (β = 0.118, 95% CI = 0.048, 0.187). These relationships remained significant for dementia-care and co-residing dyads but not for non-dementia or living-apart care dyads.</p><p><strong>Conclusions: </strong>This first longitudinal dyadic study identified sleep interdependence among care dyads, highlighting the importance of early intervention to reduce sleep disruptions. Targeted support for dementia caregivers and co-residing dyads is critical.</p><p><strong>Clinical implications: </strong>Sleep hygiene interventions should leverage the interconnectedness of sleep within caregiving relationships.</p>","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-12"},"PeriodicalIF":2.4000,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Gerontologist","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/07317115.2025.2541763","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives: Care recipients and caregivers share similar stressors and living environments and may thus present concordance in health-related outcomes, yet their sleep interdependence remains understudied. This study examined sleep interdependence among care dyads.
Methods: Longitudinal data from the National Health and Aging Trends Study and National Study of Caregiving were analyzed, including 2,204 dyads (2015 baseline; 2017 follow-up). Sleep disruptions were assessed as trouble falling back asleep. Cross-lagged panel models examined concurrent/longitudinal sleep interdependence; multiple group analyses ascertained whether the relationships differed by caregiving contexts (dementia/non-dementia) and living arrangements (co-residing/living apart).
Results: A stable actor effect emerged: Care recipients' and caregivers' sleep disruptions in 2015 predicted their own sleep disruptions in 2017. No cross-lagged partner effects were significant (p > .05). There was a significant synchronous partner effect in 2017 (β = 0.118, 95% CI = 0.048, 0.187). These relationships remained significant for dementia-care and co-residing dyads but not for non-dementia or living-apart care dyads.
Conclusions: This first longitudinal dyadic study identified sleep interdependence among care dyads, highlighting the importance of early intervention to reduce sleep disruptions. Targeted support for dementia caregivers and co-residing dyads is critical.
Clinical implications: Sleep hygiene interventions should leverage the interconnectedness of sleep within caregiving relationships.
期刊介绍：
Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including:
-adjustments to changing roles-
issues related to diversity and aging-
family caregiving-
spirituality-
cognitive and psychosocial assessment-
depression, anxiety, and PTSD-
Alzheimer’s disease and other neurocognitive disorders-
long term care-
behavioral medicine in aging-
rehabilitation and education for older adults.
Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.
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