Some studies showed that older adults with chronic disease and their family caregivers experienced more psychological distress, such as depression, anxiety and sleep problems ( 16– 18). Older adults had a higher risk of COVID-19 infection and mortality rate than other individuals, which can detriment their mental health ( 14, 15). Older adults were required to stay at home, it increases the caregiving load ( 12) and exacerbates generational family conflict with caregivers ( 13). With the COVID-19 pandemic, quarantine was considered as a protective strategy and has a radical impact on older adults' lifestyle ( 11). This brings the multiple burdens to family caregivers, including objective burdens (caregiving-related negative things and changes in physical health and behavior) and subjective burdens (emotional reactions such as anxiety, worry, frustration, and fatigue) ( 10). Family members are main providers of care for the Chinese older adults ( 8, 9). ![]() In China, older adults are generally living with spouse and/or children, which provides material, emotional, and other supports to older adults and promote interaction with family members ( 7). Owing to the Chinese traditional Confucian contexts, China places a great importance on respecting and caring for older adults, as well as an old age of want. Mental health problems not only worsened older adults' quality of life and social function, but also increased caregiver burden. In addition, over half of older adults worldwide experienced trouble sleeping, and 20 to 40% reported insomnia ( 6). According to former findings, the current and lifetime prevalence rates of anxiety disorders among older adults were 14.2 and 30.0%, respectively ( 5). Similarly, a systematic review showed that the point prevalence of late-life mild depression varies from 0 to 18.6% ( 4). A meta-analysis of older people in Europe and North America illustrated a lifetime prevalence of major depression of 16.5% ( 3). Sleep disturbance, depressive and anxiety disorders are relatively prevalent psychiatric conditions in late life. China is already amongst the aging societies and the burden of diseases has subsequently risen as a result ( 2). Consequently, healthcare providers might consider involving dyads when designing programs to reduce insomnia and improve psychological distress for family caregivers.Ĭhina bears a heavy burden of disease due to its large population of older adults aged 65 or more, which accounts for 13.5% of the total population ( 1). However, the caregivers' depression and anxiety were not associated with older adults' insomnia symptoms in the APIM analyses.Ĭonclusions: Older adults and their caregivers had an interrelationship between psychological distress and insomnia. Actor effects were also found between anxiety and insomnia symptoms in both older adults and caregivers (B = 0.825, P < 0.001 B = 0.751, P < 0.001, respectively), with one significant partner effects (B = 0.097, P = 0.004). Actor effects were found between depression and insomnia symptoms in both older adults and caregivers (B = 0.695, P < 0.001 B = 0.547, P < 0.001, respectively), with one significant partner effects (B = 0.080, P = 0.007). Results: Older adults' and caregivers' depression and anxiety had significant positive correlations with their own and their caregivers' insomnia symptoms (all P < 0.001). Actor-Partner Interdependence Models (APIM) were used to determine whether anxiety or depression symptoms predicted individual or dyadic insomnia. ![]() ![]() The 9-item Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder module 7 (GAD-7), and Insomnia Severity Index (ISI) were used to measure depression, anxiety, and insomnia symptoms. Methods: Data were collected from 1,507 pairs of older adults and their caregivers who were in the Guangdong Mental Health Survey in China. 3Department of Medical Statistics, School of Public Health, Sun Yat-sen University, Guangzhou, ChinaĪims: This study aimed to explore the dyadic effects of depression and anxiety on insomnia symptoms in Chinese older adults and their caregivers living in a community setting. ![]() 2Department of Psychology, School of Public Health, Southern Medical University, Guangzhou, China.1Guangdong Mental Health Center, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.Kai-Rong Ding 1,2 †, Wen-Qi Xu 1 †, Yong-Yi He 1,2, Jia-Hui Hu 1,2, Wen-Yan Tan 1, Jing Liao 3, Cai-Lan Hou 1, Fu-Jun Jia 1,2 * and Shi-Bin Wang 1 *
0 Comments
Leave a Reply. |