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阿尔茨海默病患者的睡眠行为:与照料者睡眠和情绪的关联。

Sleep Behaviors in Persons With Alzheimer's Disease: Associations With Caregiver Sleep and Affect.

机构信息

University of Massachusetts Amherst, USA.

出版信息

J Appl Gerontol. 2022 Jan;41(1):295-305. doi: 10.1177/0733464820979244. Epub 2020 Dec 22.

Abstract

Poor sleep in persons with Alzheimer's disease (AD) is a common stressor for family caregivers. Retrospective reports support associations between sleep disturbance in persons with AD and worse caregiver mood; however, prospective associations between sleep in persons with AD and caregiver outcomes have not been studied. The current study determined associations between affect and sleep of persons with AD and their caregivers using daily diary data. Multilevel mediation models indicated that sleep in persons with AD is linked to caregiver affect; furthermore, these associations are mediated by sleep characteristics in caregivers and affect in persons with AD. Daily fluctuations in sleep behaviors in persons with AD-rather than average values-were most strongly associated with caregiver outcomes. Interventions to improve sleep in persons with AD may decrease their negative affect and improve caregiver mood.

摘要

阿尔茨海默病(AD)患者的睡眠质量差是其家庭照料者常见的应激源。回顾性报告支持 AD 患者的睡眠障碍与照料者情绪恶化之间存在关联;然而,AD 患者的睡眠与照料者结局之间的前瞻性关联尚未得到研究。本研究使用日常日记数据确定了 AD 患者及其照料者的情感和睡眠之间的关联。多层次中介模型表明,AD 患者的睡眠与照料者的情绪有关;此外,这些关联是由照料者的睡眠特征和 AD 患者的情绪中介的。AD 患者睡眠行为的日常波动——而不是平均值——与照料者的结局最密切相关。改善 AD 患者睡眠的干预措施可能会降低其负面情绪,改善照料者的情绪。

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