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Sleep Disruption Due to Stress in Women Veterans: A Comparison between Caregivers and Noncaregivers.

Abstract：

:Objective/Background: Sleep problems are common in women and caregiving for an adult is a common role among women. However, the effects of caregiving on sleep and related daytime impairment are poorly understood among women veterans. This study compared stress-related sleep disturbances, insomnia symptoms, and sleep-related daytime impairment between women veterans who were caregivers and those who did not have a caregiving role. Participants: Of 12,225 women veterans who received care in one Veterans Administration Healthcare System, 1,457 completed data on a postal survey (mean age = 51.7 ± 15.9 years). Two hundred forty three (17%) respondents (mean age 53.8 ± 12.7 years) were caregivers for an adult, predominantly for a parent, providing transportation. Methods: The survey included items that addressed insomnia symptoms, total sleep time, sleep-related daytime impairments, caregiving characteristics, self-rated health, pain, stress, body mass index, and demographic information. Results: In adjusted analyses, caregiver status did not directly predict sleep complaints alone. However, in multiple regression analyses, being a caregiver (odds ratio 1.7, p = .001) significantly predicted stress-related sleep disturbance, even after adjusting for age, pain, self-rated health, and other characteristics. Furthermore, being a caregiver (β = 3.9, p = .031) significantly predicted more symptoms of sleep-related daytime impairment after adjusting for age, pain, self-rated health, and other factors. Conclusions: Compared to noncaregivers, women veterans who were caregivers for an adult were more likely to report stress causing poor sleep, and more daytime impairment due to poor sleep. These findings suggest the need to target stress and other factors when addressing sleep disturbance among women veterans who are caregivers.

journal_name

Behav Sleep Med

journal_title

Behavioral sleep medicine

authors

Song Y,Carlson GC,McGowan SK,Fung CH,Josephson KR,Mitchell MN,McCurry SM,Teng E,Irwin MR,Alessi CA,Martin JL

doi

10.1080/15402002.2020.1732981

subject

Has Abstract

pub_date

2021-03-01 00:00:00

pages

243-254

issue

eissn

1540-2002

issn

1540-2010

journal_volume

pub_type

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Sleep Disruption Due to Stress in Women Veterans: A Comparison between Caregivers and Noncaregivers.