{"title":"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","authors":"Jia-Hui Nie, Yu-Jia Xu, Qian-Yu Liu, Chao Yan","doi":"10.1080/07317115.2025.2544933","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>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.</p><p><strong>Methods: </strong>A randomized controlled trial was conducted to allocate 80 family caregivers with sleep problems from a Shanghai community to either an 8-week MBSR (<i>n</i> = 40) or usual care (<i>n</i> = 40). Sleep quality, fatigue, depression, and anxiety were assessed at the baseline after the intervention and at 25-weeks follow-up.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p><p><strong>Clinical implications: </strong>MBSR could be integrated into targeted intervention programs for family caregivers for individuals with AD to enhance their sleep quality and emotional well-being.</p>","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-15"},"PeriodicalIF":2.4000,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"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.\",\"authors\":\"Jia-Hui Nie, Yu-Jia Xu, Qian-Yu Liu, Chao Yan\",\"doi\":\"10.1080/07317115.2025.2544933\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>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.</p><p><strong>Methods: </strong>A randomized controlled trial was conducted to allocate 80 family caregivers with sleep problems from a Shanghai community to either an 8-week MBSR (<i>n</i> = 40) or usual care (<i>n</i> = 40). Sleep quality, fatigue, depression, and anxiety were assessed at the baseline after the intervention and at 25-weeks follow-up.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p><p><strong>Clinical implications: </strong>MBSR could be integrated into targeted intervention programs for family caregivers for individuals with AD to enhance their sleep quality and emotional well-being.</p>\",\"PeriodicalId\":10376,\"journal\":{\"name\":\"Clinical Gerontologist\",\"volume\":\" \",\"pages\":\"1-15\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-08-19\",\"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/10.1080/07317115.2025.2544933\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"GERIATRICS & GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Gerontologist","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/07317115.2025.2544933","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
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.
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.
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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