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Sleep in persons with frontotemporal dementia and their family caregivers

机译:额颞痴呆症患者及其家庭护理人员的睡眠

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Background: Dementia is associated with disruptions in sleep and sleep quality for patients and their family caregivers. Little is known about the impact of frontotemporal dementia (FTD) on sleep. Objective: The purpose of this study was to characterize sleep in patients with FTD and their family caregivers. Methods: Twenty-two patient-caregiver dyads were enrolled: Thirteen behavioral variant FTD (bvFTD) and nine semantic dementia (SD). Sleep and sleep quality data were collected for 2 weeks using diaries and Actiwatches. Results: Patients with bvFTD and SD spent more time in bed at night compared to their caregivers. Nighttime behaviors were reported more frequently by caregivers for the bvFTD patients and strongly correlated with caregiver distress. Actigraphy data showed normal sleep efficiency and timing of the nighttime sleep period for both patients and their caregivers. Caregivers of patients with bvFTD reported poorer sleep quality compared to the SD caregivers. A greater number of bvFTD caregivers compared to SD reported negative aspects of sleep quality for themselves and used sleep medications more frequently. Conclusion: The clinical manifestations of bvFTD appear to be associated with different and more distressing impacts on the caregiver sleep quality than SD.
机译:背景:痴呆症与患者及其家属的睡眠和睡眠质量下降有关。关于额颞痴呆(FTD)对睡眠的影响知之甚少。目的:本研究的目的是表征FTD患者及其家属的睡眠状况。方法:招募了22位患者护理者二元组:十三种行为变异性FTD(bvFTD)和九种语义性痴呆(SD)。使用日记和Actiwatches收集2周的睡眠和睡眠质量数据。结果:与看护人相比,患有bvFTD和SD的患者晚上在床上花费的时间更多。 bvFTD患者的夜间行为被护理人员更频繁地报告,并且与护理人员的痛苦高度相关。人体活动学数据显示患者及其护理人员的正常睡眠效率和夜间睡眠时间。与SD护理人员相比,bvFTD患者的护理人员报告睡眠质量较差。与SD相比,更多的bvFTD护理人员报告自己的睡眠质量受到负面影响,并且更频繁地使用睡眠药物。结论:与SD相比,bvFTD的临床表现似乎对护理者的睡眠质量具有不同且更令人痛苦的影响。

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