ABSTRACT

Objectives

Behavioral problems in people with dementia are a source of depression and anxiety for caregivers, who experience high levels of sleep problems. The present study aims to explore the role of sleep problems on the relationship between behavioral problems associated with dementias – considering its different dimensions – and family caregivers’ depressive and anxious symptoms.

Method

264 family caregivers participated in the study. Through face-to-face interviews, sociodemographic and health variables, caregivers’ depressive and anxious symptoms were measured, as well as their sleep problems. Data related to people with dementia symptoms and their level of independence in daily life activities were also collected. Data analysis consisted of simple mediational models using the PROCESS method for SPSS.

Results

the test for the indirect effect of disruptive behaviors on depression through sleep problems was statistically significant, as it was for disruptive behaviors on anxiety through sleep problems. The effect of sleep problems in the association between depressive and memory problems in the person with dementia, and caregivers’ depression and anxiety were not statistically significant.

Conclusions

Sleep problems are significantly and positively associated with care-recipients’ disruptive behaviors, but not with depressive and memory problems. The indirect effect of disruptive behaviors on caregivers’ mood through sleep problems suggests that disruptive behaviors seem to play an important role for understanding caregivers’ sleep problems.

中文翻译：

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看护者睡眠问题在痴呆症行为症状与看护抑郁和焦虑之间关系中的作用

摘要

目标

痴呆症患者的行为问题是护理人员抑郁和焦虑的根源，他们会遇到严重的睡眠问题。本研究旨在探讨睡眠问题在与痴呆症相关的行为问题（考虑到其不同的维度）与家庭照顾者的抑郁和焦虑症状之间的关系中的作用。

方法

264 名家庭照顾者参与了这项研究。通过面对面访谈、社会人口统计和健康变量，测量了看护人的抑郁和焦虑症状，以及他们的睡眠问题。还收集了与痴呆症患者及其日常生活活动独立程度相关的数据。数据分析由简单的中介模型组成，使用 SPSS 的 PROCESS 方法。

结果

通过睡眠问题对破坏性行为对抑郁症的间接影响的测试具有统计学意义，因为它对通过睡眠问题导致焦虑的破坏性行为的影响具有统计学意义。睡眠问题对痴呆症患者的抑郁和记忆问题以及看护人的抑郁和焦虑之间的关联的影响没有统计学意义。

结论

睡眠问题与接受护理者的破坏性行为显着正相关，但与抑郁和记忆问题无关。破坏性行为通过睡眠问题对照顾者情绪的间接影响表明破坏性行为似乎对理解照顾者的睡眠问题起着重要作用。