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Co-resident care-giving and problematic sleep among older people: evidence from the UK Household Longitudinal Study

Published online by Cambridge University Press:  15 January 2019

Emma Maun Open the ORCID record for Emma Maun [Opens in a new window] ,
Karen Glaser  and
Laurie Corna
Emma Maun*
Affiliation:
Institute of Gerontology, King's College London, London, UK
Karen Glaser
Affiliation:
Institute of Gerontology, King's College London, London, UK
Laurie Corna
Affiliation:
Institute of Gerontology, King's College London, London, UK
*
*Corresponding author. Email: emma.maun@kcl.ac.uk
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Abstract

In light of current pressures within formal social care services, informal carers assume an important role in meeting the care needs of a growing number of older people. Research suggests relationships between care-giving and health are complex and not yet fully understood. Recently, wide-ranging associations between sleep and health have been identified, however, our understanding of the links between care-giving and sleep is limited at present. This study assesses longitudinal patterns in co-resident care-giving and problematic sleep among older people in the United Kingdom. Our sample included 2,470 adults aged 65 years and older from the UK Household Longitudinal Study. Problematic sleep was defined as two or more problems in going to sleep, staying asleep or sleep quality. Using logistic regression models, we assessed how co-resident care-giving status, intensity and transitions influence the likelihood of problematic sleep in the following year, adjusting for potential confounding factors. Adjusted analyses found co-resident care-givers were 1.49 (95% confidence interval = 1.06–2.08) times more likely to report problematic sleep in the following year, relative to those not providing care. Care-giving over 20 hours per week and continuous co-resident care-giving also significantly increased the odds of problematic sleep. This suggests older co-resident care-givers may be at greater risk of incurring sleep problems than non-care-givers. Further longitudinal research is needed to investigate care-giver-specific consequences of poor sleep.

Keywords

sleepcare-givingco-resident care-givingcarerslongitudinalquantitativeolder adults
Type
Article
Information
Ageing & Society , Volume 40 , Issue 6 , June 2020 , pp. 1195 - 1222
Copyright
Copyright © Cambridge University Press 2019

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References

Afram, B, Stephan, A, Verbeek, H, Bleijlevens, MHC, Suhonen, R, Sutcliffe, C, Raamat, K, Cabrera, E, Soto, ME, Hallberg, IR, Meyer, G, Hamers, JPH and RightTimePlaceCare Consortium (2014) Reasons for institutionalization of people with dementia: informal caregiver reports from 8 European countries. Journal of the American Medical Directors Association 15, 108–116.CrossRefGoogle ScholarPubMed
Arber, S and Meadows, R (2011 a) Sociology of sleep: caregiving, gender and sleep problems. Finnish Journal of Social Medicine 48, 100–113.Google Scholar
Arber, S and Meadows, R (2011 b) Social and health patterning of sleep quality and duration. In McFall, SL and Garrington, C (eds), Understanding Society: Early Findings from the First Wave of the UK's Household Longitudinal Study. Colchester, UK: Institute for Social and Economic Research, University of Essex.Google Scholar
Arber, S and Venn, S (2011) Caregiving at night: understanding the impact on carers. Journal of Aging Studies 25, 155–165.CrossRefGoogle Scholar
Bianchera, E and Arber, S (2007) Caring and sleep disruption among women in Italy. Sociological Research Online 12, 1–14. https://doi.org/10.5153/sro.1608 .CrossRefGoogle Scholar
Bleijlevens, M (2014) Changes in caregiver burden and health-related quality of life of informal caregivers of older people with dementia: evidence from the European RightTimePlaceCare prospective cohort study. Journal of Advanced Nursing 71, 1378–1391.CrossRefGoogle ScholarPubMed
Booker, CL and Sacker, A (2011) Health over the life course: associations between age, employment status and well-being. In McFall, SL and Garrington, C (eds), Early Findings from the First Wave of the UK's Household Longitudinal Study. Colchester, UK: Institute for Social and Economic Research, University of Essex.Google Scholar
Brodaty, H and Donkin, M (2009) Family caregivers of people with dementia. Dialogues in Clinical Neuroscience 1, 217–228.Google Scholar
Brown, RM and Brown, SL (2014) Informal caregiving: a reappraisal of effects on caregivers. Social Issues and Policy Review 8, 74–102.CrossRefGoogle Scholar
Brummett, B, Babyak, M, Siegler, I, Vitaliano, P, Ballard, E, Gwyther, L and Williams, R (2006) Associations among perceptions of social support, negative affect, and quality of sleep in caregivers and noncaregivers. Health Psychology 25, 220–225.CrossRefGoogle ScholarPubMed
Buck, N and McFall, S (2012) Understanding society: design overview. Longitudinal and Life Course Studies 3, 5–17.Google Scholar
Buysse, DJ, Reynolds III, CF, Monk, TH, Berman, SR and Kupfer, DJ (1989) The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Research 28, 193–213.CrossRefGoogle ScholarPubMed
Capistrant, BD (2016) Caregiving for older adults and the caregivers’ health: an epidemiologic review. Current Epidemiology Reports 3, 72–80.CrossRefGoogle Scholar
Cappuccio, FP, Cooper, D, D'Elia, L, Strazzullo, P and Miller, MA (2011) Sleep duration predicts cardiovascular outcomes: a systematic review and meta-analysis of prospective studies. European Heart Journal 32, 1484–1492.CrossRefGoogle ScholarPubMed
Cappuccio, FP, D'Elia, L, Strazzlillo, P and Miller, MA (2010) Quantity and quality of sleep and incidence of type 2 diabetes – a systematic review and meta-analysis. Diabetes Care 33, 414–420.CrossRefGoogle ScholarPubMed
Caputo, J, Pavalko, EK and Hardy, MA (2016) The long-term effects of caregiving on women's health and mortality. Journal of Marriage and Family 78, 1382–1398.CrossRefGoogle ScholarPubMed
Carers UK (2016) State of Caring 2016. London: Carers UK.Google Scholar
Creese, J, Bedard, M, Brazil, K and Chambers, L (2008) Sleep disturbances in spousal caregivers of individuals with Alzheimer's disease. International Psychogeriatrics 20, 149–161.CrossRefGoogle ScholarPubMed
Crowley, K (2011) Sleep and sleep disorders in older adults. Neuropsychological Review 21, 41–53.CrossRefGoogle ScholarPubMed
Cupidi, C, Realmuto, S, Lo Coco, G, Cinturino, A, Talamanca, S, Arnao, V, Perini, V, D'Amelio, M, Savettieri, G and Lo Coco, D (2012) Sleep quality in caregivers of patients with Alzheimer's disease and Parkinson's disease and its relationship to quality of life. International Psychogeriatrics 24, 1827–1835.CrossRefGoogle ScholarPubMed
Devore, EE, Grodstein, F and Schernhammer, ES (2016) Sleep duration in relation to cognitive function among older adults: a systematic review of observational studies. Neuroepidemiology 46, 57–78.CrossRefGoogle ScholarPubMed
Dew, M, Hoch, C, Buysse, D, Monk, T, Begley, A, Houck, P, Hall, M, Kupfer, D and Reynolds, C (2003) Healthy older adults’ sleep predicts all-cause mortality at 4 to 19 years of follow-up. Psychosomatic Medicine 65, 63–73.CrossRefGoogle Scholar
Di Gessa, G, Corna, LM, Platts, LG, Worts, D, McDonough, P, Sacker, A and Glaser, K (2017) Is being in paid work beyond state pension age beneficial for health? Evidence from England using a life-course approach. Journal of Epidemiology and Community Health 71, 431–438.CrossRefGoogle ScholarPubMed
Ferrie, JE, Kumari, M, Salo, P, Singh-Manoux, A and Kivimaeki, M (2011) Sleep epidemiology – a rapidly growing field. International Journal of Epidemiology 40, 1431–1437.CrossRefGoogle ScholarPubMed
Gibson, R, Gander, P, Alpass, F and Stephens, C (2015) Effect of caregiving status on the sleep of older New Zealanders. Australasian Journal on Ageing 34, 155–159.CrossRefGoogle ScholarPubMed
Gibson, RH, Gander, PH and Jones, LM (2014) Understanding the sleep problems of people with Dementia and their family caregivers. Dementia 13, 350–365.CrossRefGoogle ScholarPubMed
Happe, S and Berger, K (2002) The association between caregiver burden and sleep disturbances in partners of patients with Parkinson's disease. Age and Ageing 31, 349–354.CrossRefGoogle ScholarPubMed
Hirst, M (2005) Carer distress: a prospective, population-based study. Social Science & Medicine 61, 697–708.CrossRefGoogle ScholarPubMed
HM Government (2014) Care Act 2014. London: The Stationery Office. Available at http://www.legislation.gov.uk.Google Scholar
Hosmer, L, Lemeshow, S and Sturdivant, RX (2013) Applied Logistic Regression. Chichester, UK: Wiley.CrossRefGoogle Scholar
Jackowska, M, Kumari, M and Steptoe, A (2013) Sleep and biomarkers in the English Longitudinal Study of Ageing: associations with C-reactive protein, fibrinogen, dehydroepiandrosterone sulfate and hemoglobin. Psychoneuroendocrinology 38, 1484–1493.CrossRefGoogle ScholarPubMed
Jackowska, M and Poole, L (2017) Sleep problems, short sleep and a combination of both increase the risk of depressive symptoms in older people: a 6-year follow-up investigation from the English Longitudinal Study of Ageing. Sleep Medicine 37, 60–65.CrossRefGoogle Scholar
Kaschowitz, J and Brandt, M (2017) Health effects of informal caregiving across Europe: a longitudinal approach. Social Science & Medicine 173, 72–80.CrossRefGoogle ScholarPubMed
Knies, G (2017) Understanding Society: The UK Household Longitudinal Study, Waves 1–7, User Manual (Report Version 1.1). Colchester, UK: Institute for Social and Economic Research, University of Essex.Google Scholar
Kochar, J, Fredman, L, Stone, KL and Cauley, JA (2007) Sleep problems in elderly women caregivers depend on the level of depressive symptoms: results of the caregiver-study of osteoporotic fractures. Journal of the American Geriatrics Society 55, 2003–2009.CrossRefGoogle ScholarPubMed
Koyanagi, A, DeVylder, JE, Stubbs, B, Carvalho, AF, Veronese, N, Haro, JM and Santini, ZI (2018) Depression, sleep problems, and perceived stress among informal caregivers in 58 low-, middle-, and high-income countries: a cross-sectional analysis of community-based surveys. Journal of Psychiatric Research 96, 115–123.CrossRefGoogle ScholarPubMed
Kumari, M, Green, R and Nazroo, J (2010) Sleep disturbance and sleep duration. In Banks, J, Lessof, C, Nazroo, J, Rogers, N, Stafford, M and Steptoe, A (eds), Financial Circumstances, Health and Well-being of the Older Population in England. The 2008 English Longitudinal Study of Ageing (Wave 4). London: Institute for Fiscal Studies, pp. 178–226.Google Scholar
Lee, DR and Thomas, AJ (2011) Sleep in dementia and caregiving – assessment and treatment implications: a review. International Psychogeriatrics 23, 190–201.CrossRefGoogle ScholarPubMed
Martin, W and Bartlett, H (2007) The social significance of sleep for older people with dementia in the context of care. Sociological Research Online 12, 1–13. https://doi.org/10.5153/sro.1622.CrossRefGoogle Scholar
Meadows, R and Arber, S (2015) Marital status, relationship distress, and self-rated health: what role for ‘sleep problems’? Journal of Health and Social Behaviour 56, 341–355.CrossRefGoogle Scholar
Office for National Statistics (2011) Provision of Unpaid Care by Age, LC3304EW. London: Office for National Statistics.Google Scholar
Parkinson, M, Carr, SM, Rushmer, R and Abley, C (2016) Investigating what works to support family carers of people with dementia: a rapid realist review. Journal of Public Health 39, e290–e301.Google Scholar
Pearlin, LI (2010) The life course and the stress process: some conceptual comparisons. Journals of Gerontology: Psychological Sciences and Social Sciences 65B, 207–215.CrossRefGoogle ScholarPubMed
Pearlin, LI and Aneshensel, CS (1994) Caregiving: the unexpected career. Social Justice Research 7, 373–390.CrossRefGoogle Scholar
Pearlin, LI, Mullan, JT, Semple, SJ and Skaff, MM (1990) Caregiving and the stress process: an overview of concepts and their measures. The Gerontologist 30, 583–594.CrossRefGoogle ScholarPubMed
Peng, H and Chang, Y (2013) Sleep disturbance in family caregivers of individuals with dementia: a review of the literature. Perspectives in Psychiatric Care 49, 135–146.CrossRefGoogle ScholarPubMed
Pickard, L, King, D and Knapp, M (2016) The ‘visibility’ of unpaid care in England. Journal of Social Work 16, 263–282.CrossRefGoogle ScholarPubMed
Pollak, CP and Perlick, D (1991) Sleep problems and institutionalisation of the elderly. Journal of Geriatric Psychiatry and Neurology 4, 204–210.Google Scholar
Rafnsson, SB, Shankar, A and Steptoe, A (2017) Informal caregiving transitions, subjective well-being and depressed mood: findings from the English Longitudinal Study of Ageing. Aging & Mental Health 21, 104–115.CrossRefGoogle ScholarPubMed
Roth, DL, Fredman, L and Haley, WE (2015) Informal caregiving and its impact on health: a reappraisal from population-based studies. Gerontologist 55, 309–319.CrossRefGoogle ScholarPubMed
Rowe, MA, McCrae, CS, Campbell, JM, Benito, AP and Cheng, J (2008) Sleep pattern differences between older adult dementia caregivers and older adult noncaregivers using objective and subjective measures. Journal of Clinical Sleep Medicine 4, 362–369.CrossRefGoogle ScholarPubMed
Sacco, LB, Leineweber, C and Platts, LG (2018) Informal care and sleep disturbance among caregivers in paid work: longitudinal analyses from a large community-based Swedish cohort study. Sleep 41, zsx198. https://doi.org/10.1093/sleep/zsx198.CrossRefGoogle ScholarPubMed
Simpson, C and Carter, P (2013) Short-term changes in sleep, mastery & stress: impacts on depression and health in dementia caregivers. Geriatric Nursing 34, 509–516.CrossRefGoogle ScholarPubMed
Song, Y, Harrison, SL, Martin, JL, Alessi, CA, Ancoli-Israel, S, Stone, KL and Fredman, L (2017) Changes in caregiving status and intensity and sleep characteristics among high and low stressed older women. Journal of Clinical Sleep Medicine 13, 1403–1410.CrossRefGoogle ScholarPubMed
Spira, AP, Friedman, L, Beaudreau, SA, Ancoli-Israel, S, Hernandez, B, Sheikh, J and Yesavage, J (2010) Sleep and physical functioning in family caregivers of older adults with memory impairment. International Psychogeriatrics 22, 306–311.CrossRefGoogle ScholarPubMed
Tang, NKY, Fiecas, M, Afolalu, EF and Wolke, D (2017) Changes in sleep duration, quality, and medication use are prospectively associated with health and well-being: analysis of the UK Household Longitudinal Study. Sleep 40, zsw079. https://doi.org/10.1093/sleep/zsw079.CrossRefGoogle ScholarPubMed
University of Essex (2018) Institute for Social and Economic Research, NatCen Social Research, Kantar Public. Understanding Society: Waves 1-8, 2009-2017 and Harmonised BHPS: Waves 1-18, 1991-2009. [data collection]. 11th Edition. UK Data Service. SN: 6614. http://doi.org/10.5255/UKDA-SN-6614-12CrossRefGoogle Scholar
Vitaliano, P, Zhang, J and Scanlan, J (2003) Is caregiving hazardous to one's physical health? A meta-analysis. Psychological Bulletin 129, 946–972.CrossRefGoogle ScholarPubMed
Vlachantoni, A (2010) The Demographic Characteristics and Economic Activity Patterns of Carers Over 50: Evidence from the English Longitudinal Study of Ageing (Population Trends No. 141). London: Office for National Statistics.Google ScholarPubMed
Vlachantoni, A, Robards, J, Falkingham, J and Evandrou, M (2016) Trajectories of informal care and health. SSM – Population Health 2, 495–501.CrossRefGoogle ScholarPubMed
Vlachantoni, A, Shaw, R, Willis, R, Evandrou, M, Falkingham, J and Luff, R (2011) Measuring Unmet Need for Social Care Amongst Older People (Population Trends No. 145). London: Office for National Statistics.CrossRefGoogle ScholarPubMed
von Kaenel, R, Mausbach, BT, Ancoli-Israel, S, Mills, PJ, Dimsdale, JE, Patterson, TL and Grant, I (2014) Positive affect and sleep in spousal Alzheimer caregivers: a longitudinal study. Behavioral Sleep Medicine 12, 358–372.CrossRefGoogle Scholar
von Kaenel, R, Mausbach, BT, Ancoli-Israel, S, Dimsdale, JE, Mills, PJ, Patterson, TL, Ziegler, MG, Roepke, SK, Chattillion, EA, Allison, M and Grant, I (2012) Sleep in spousal Alzheimer caregivers: a longitudinal study with a focus on the effects of major patient transitions on sleep. Sleep 35, 247–255.CrossRefGoogle Scholar
Washington, KT, Oliver, DP, Smith, JB, McCrae, CS, Balchandani, SM and Demiris, G (2018) Sleep problems, anxiety, and global self-rated health among hospice family caregivers. American Journal of Hospice & Palliative Medicine 35, 244–249.CrossRefGoogle ScholarPubMed
Wilcox, S and King, A (1999) Sleep complaints in older women who are family caregivers. Journals of Gerontology: Psychological Sciences and Social Sciences 54B, 189–198.CrossRefGoogle Scholar
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