Long-Term Effects of Mindfulness-Based Stress Reduction on Sleep Quality in Family Caregivers of People With Alzheimer's Disease: The Mediating Role of Anxiety.

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Clinical Gerontologist Pub Date : 2025-08-19 DOI:10.1080/07317115.2025.2544933

Jia-Hui Nie, Yu-Jia Xu, Qian-Yu Liu, Chao Yan

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引用次数: 0

Abstract

Objectives: The present study aimed to examine the immediate and long-term effects of mindfulness-based stress reduction (MBSR) on sleep problems and emotional health (depression and anxiety) of family caregivers of people with Alzheimer's disease (AD), along with the mediating role of improvements in emotional health resulting from the intervention.

Methods: A randomized controlled trial was conducted to allocate 80 family caregivers with sleep problems from a Shanghai community to either an 8-week MBSR (n = 40) or usual care (n = 40). Sleep quality, fatigue, depression, and anxiety were assessed at the baseline after the intervention and at 25-weeks follow-up.

Results: All symptoms were better in the MBSR group than in controls immediately after the intervention and at the follow-up. Mediation analysis suggested that anxiety rather than depression mediated the effect of MBSR on sleep quality.

Conclusions: These findings validated the long-term effects of MBSR on the sleep quality of family caregivers for individuals with AD and demonstrated that MBSR improved sleep quality by alleviating anxiety.

Clinical implications: MBSR could be integrated into targeted intervention programs for family caregivers for individuals with AD to enhance their sleep quality and emotional well-being.

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正念减压对阿尔茨海默病患者家庭照护者睡眠质量的长期影响：焦虑的中介作用

目的：本研究旨在探讨正念减压（MBSR）对阿尔茨海默病（AD）患者家庭照顾者睡眠问题和情绪健康（抑郁和焦虑）的即时和长期影响，以及干预对情绪健康改善的中介作用。方法：采用随机对照试验方法，将来自上海某社区的80名有睡眠问题的家庭照顾者分为8周MBSR （n = 40）和常规护理（n = 40）两组。在干预后和25周的随访中，在基线时评估睡眠质量、疲劳、抑郁和焦虑。结果：干预后和随访时，正念减压组的所有症状均优于对照组。中介分析表明，正念减压对睡眠质量的影响是由焦虑而非抑郁介导的。结论：这些发现证实了正念减压疗法对AD患者家庭照顾者睡眠质量的长期影响，并证明正念减压疗法通过减轻焦虑来改善睡眠质量。临床意义：正念减压疗法可以整合到针对AD患者的家庭护理人员的针对性干预计划中，以提高他们的睡眠质量和情绪健康。

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

Clinical Gerontologist GERIATRICS & GERONTOLOGY-PSYCHIATRY

CiteScore

6.20

自引率

25.00%

发文量

审稿时长

>12 weeks

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.