Journal article
Caregiver outcomes related to sleep disturbances in persons living with cognitive impairment
Geriatric nursing (New York), v 68, 103869
Mar 2026
PMID: 41576571
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Sleep disturbances in persons living with cognitive impairment (PLWCI) may impose a great burden on caregivers. We examined the association between sleep (objective sleep quality and quantity; subjective sleep impairment, quality, and daytime sleepiness) in PLWCI and caregiver depression, mastery, and burden via secondary analysis of Healthy Patterns baseline data (n = 209). Objective sleep variables included total sleep time and sleep efficiency derived from PLWCI using 3 nights of actigraphy. Subjective sleep measures included PROMIS Sleep Related Impairment, Pittsburgh Sleep Quality Index, and Epworth Sleepiness Scale, filled out by the caregiver describing the PLWCI sleep. Caregiver measures included Center for Epidemiological Studies Depression Scale, Caregiver Mastery Scale and Zarit Burden Interview. PLWCI were primarily female (66.5%) and Black (64%), with a mean age of 73.6 ± 8.6. Caregivers were mainly female (81%) and family caregivers (67%), with a mean age of 56.6 ± 14.7. After controlling for PLWCI cognition, age, and gender, poorer PLWCI sleep quality was significantly associated with more caregiver depression (β = 0.387, p = 0.029); worse PLWCI sleep impairment was associated with worse mastery (β = 0.104, p = 0.004). Poor PLWCI sleep quality was associated with lower caregiver mastery; the effect was larger for females than males. PLWCI being less sleepy during the day (β = 0.104, p = 0.055) and having worse sleep impairment (β =-0.163, p = 0.039) were both associated with more caregiver burden. There is a critical need to address the effects of PLWCI sleep disruption on caregivers in dementia care services.
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Details
- Title
- Caregiver outcomes related to sleep disturbances in persons living with cognitive impairment
- Creators
- Miranda V McPhillips (Corresponding Author) - Villanova UniversityErin Donnelly - Villanova UniversityFanghong Dong - Washington University in St. LouisDarina V Petrovsky - Duke UniversityJustine S Sefcik - Drexel UniversityGlenna S Brewster - Emory UniversityJunxin Li - Johns Hopkins UniversityNalaka S Gooneratne - University of PennsylvaniaNancy A Hodgson - University of Pennsylvania
- Publication Details
- Geriatric nursing (New York), v 68, 103869
- Publisher
- Elsevier
- Number of pages
- 7
- Grant note
- NINR: R01NR015226 NIH/NINR/NIA: K23NR018487, R00NR016484, K23NR018673
This project was supported primarily by funding from NINR (R01NR015226 to NAH) and funding from NIH/NINR/NIA (K23NR018487 to MVM; R00NR016484 to JL; K23NR018673 to JSS). The funding source had no role in the design, data collection, analysis, or interpretation of findings.
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Doctoral Nursing
- Web of Science ID
- WOS:001677139600001
- Scopus ID
- 2-s2.0-105028103941
- Other Identifier
- 991022155773004721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Geriatrics & Gerontology
- Gerontology
- Nursing