Faculty of Medicine of Tunis, Tunis El Manar University , Tunis, Tunisia.
Department of Psychiatry Ibn Omrane, Razi Hospital , Manouba, Tunisia.
Clin Gerontol. 2020 Oct-Dec;43(5):533-544. doi: 10.1080/07317115.2019.1680588. Epub 2019 Oct 23.
Prior literature has documented the global burden of serious mental illnesses. The present study aimed to compare the sleep quality in caregivers of older patients with schizophrenia spectrum and bipolar disorders with control participants who did not serve as caregivers.
We performed a case-controlled, cross-sectional study among family caregivers of older patients with psychotic disorders in Razi Hospital, Tunisia. Subjective sleep quality was assessed using the Pittsburgh Sleep Quality Index Scale (PSQI).
Fifty caregivers of older patients (≥ 60 years) with schizophrenia spectrum and bipolar disorders, and 50 matched controls were enrolled. The three sub-dimensions of the PSQI, namely subjective sleep quality, sleep duration, and sleep efficiency, as well as overall PSQI scores, were worse for caregiver participants. Hierarchical multiple regression analyses predicting PSQI scores revealed that caregivers' age and marital status were the only significant predictors in the final model.
Older adults with severe mental disorders constitute a vulnerable population which generates a significant burden of care, and impacts their caregivers' subjective sleep quality.
Family interventions, including sleep interventions, should be considered as an integral component of treatment for serious mental illnesses. When promoting sleep quality, older and single caregivers should be targeted.
已有文献记录了严重精神疾病的全球负担。本研究旨在比较照料精神分裂症谱系和双相情感障碍老年患者的照料者与未担任照料者的对照组参与者的睡眠质量。
我们在突尼斯的 Razi 医院进行了一项病例对照、横断面研究，纳入了精神分裂症谱系和双相情感障碍老年患者的家庭照料者。使用匹兹堡睡眠质量指数量表（PSQI）评估主观睡眠质量。
纳入了 50 名照料者（年龄≥60 岁）和 50 名匹配对照者。照料者的 PSQI 的三个亚维度，即主观睡眠质量、睡眠时间和睡眠效率，以及总体 PSQI 评分较差。预测 PSQI 评分的分层多元回归分析显示，照料者的年龄和婚姻状况是最终模型中的唯一显著预测因素。
患有严重精神疾病的老年人构成了一个弱势群体，他们承担着巨大的护理负担，影响了他们照料者的主观睡眠质量。
家庭干预，包括睡眠干预，应被视为严重精神疾病治疗的一个组成部分。在促进睡眠质量时，应针对年龄较大和单身的照料者。
