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Sleep and sleep-wake disturbances in care recipient-caregiver dyads in the context of a chronic illness: a critical review of the literature
School of Nursing & Midwifery, University of Dundee, Dundee, United Kingdom.
School of Nursing & Midwifery, University of Dundee, Dundee, United Kingdom; Division of Nursing, Department of Neurobiology, Care Science and Society, Karolinska Institutet, Huddinge, Sweden.
School of Nursing & Midwifery, University of Dundee, Dundee, United Kingdom.
2013 (English)In: Journal of Pain and Symptom Management, ISSN 0885-3924, E-ISSN 1873-6513, Vol. 45, no 3, 579-594 p.Article in journal (Refereed) Published
Abstract [en]

Context. Alterations in sleep-wake patterns of care recipients and their informal caregivers are common in the context of a chronic illness. Given the current notion that sleep may be regulated within and affected by close human relationships, concurrent and interrelated sleep problems may be present in care recipient-caregiver dyads. Objectives. To critically analyze evidence regarding concurrent sleep patterns or changes in care recipient-caregiver dyads in the context of a chronic illness and address methodological and research gaps. Methods. Using a wide range of key terms and synonyms, three electronic databases (Medline, CINAHL, and Embase) were systematically searched for the period between January 1990 and July 2011. Results. Ten studies met prespecified selection criteria and were included for analysis. Study quality was fair to good on average. Seven studies were conducted in the context of dementia or Parkinson's disease, two in the context of cancer, and one study included a group of community elders with mixed related comorbidities and their informal caregivers. Bidirectional associations in the sleep of care recipient-caregiver dyads seem to exist. Concurrent and comparable nocturnal sleep disruptions also may be evident. Yet, inconsistencies in the methods implemented, and the samples included, as well as uncertainty regarding factors coaffecting sleep, still preclude safe conclusions to be drawn on. Conclusion. The dyadic investigation of sleep is a promising approach to the development of truly effective interventions to improve sleep quality of care recipients and their caregivers. Nevertheless, more systematic, longitudinal dyadic research is warranted to augment our understanding of co-occurrence and over time changes of sleep problems in care recipient-caregiver dyads, as well as to clarify covariates/factors that appear to contribute to these problems within the dyad and across time and context of illness. J Pain Symptom Manage 2013;45:579-594. (C) 2013 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.

Place, publisher, year, edition, pages
2013. Vol. 45, no 3, 579-594 p.
Keyword [en]
chronic illness, critical review, dyadic approach, informal caregiving, patient-caregiver dyad, Sleep, sleep-wake disturbances
National Category
Nursing
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:oru:diva-36305DOI: 10.1016/j.jpainsymman.2012.03.013ISI: 000317412000013PubMedID: 22926086Scopus ID: 2-s2.0-84875214119OAI: oai:DiVA.org:oru-36305DiVA: diva2:746910
Available from: 2014-09-15 Created: 2014-09-02 Last updated: 2017-10-17Bibliographically approved

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