一起辗转反侧：一个交叉滞后的面板分析睡眠相互依赖的护理夫妇。

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY

Clinical Gerontologist Pub Date : 2025-08-05 DOI:10.1080/07317115.2025.2541763

Dexia Kong, Chihua Li, Xiaoling Xiang, Peiyi Lu

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引用次数: 0

摘要

目的：被照护者和照护者有着相似的压力源和生活环境，因此可能在健康相关的结果中表现出一致性，但他们的睡眠依赖关系仍未得到充分研究。这项研究考察了照顾者之间的睡眠相互依赖性。方法：对全国健康与老龄化趋势研究和全国护理研究的纵向数据进行分析，包括2204对(2015年基线；2017后续)。睡眠中断被评估为难以重新入睡。交叉滞后面板模型检验了并发/纵向睡眠的相互依赖性；多组分析确定了护理环境（痴呆症/非痴呆症）和生活安排（共同居住/分开居住）是否存在关系差异。结果：出现了稳定的行动者效应：2015年被照顾者和照顾者的睡眠中断预测了他们自己2017年的睡眠中断。无显著的交叉滞后伴侣效应（p < 0.05）。2017年存在显著的同步伴侣效应（β = 0.118, 95% CI = 0.048, 0.187）。这些关系在痴呆症护理和共同居住的夫妇中仍然显著，但在非痴呆症或分开居住的夫妇中则不显著。结论：这是第一项纵向双元研究，确定了护理双元之间的睡眠相互依赖性，强调了早期干预以减少睡眠中断的重要性。对痴呆症护理人员和共同居住的二人组提供有针对性的支持至关重要。临床意义：睡眠卫生干预应在护理关系中利用睡眠的相互联系。

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Tossing and Turning Together: A Cross-Lagged Panel Analysis of Sleep Interdependence Among Care Dyads.

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.

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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.