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Sleep disruptions and mental health of primary caregivers of persons with disability due to chronic mental and physical conditions in the Australian population

机译:由于澳大利亚人口中的慢性精神和身体状况导致残疾人的主要照顾者的睡眠中断和心理健康

摘要

This study aimed to investigate the association between sleep disruption and the general mental health of caregivers of disabled people in Australia.It was hypothesised that greater sleep disruption would be associated with poorer mental health amongst caregivers. The study utilised data obtained from a national health survey of a stratified random sample, with the current sample consisting of 687 people living in a private dwelling who identified themselves as the primary caregiver of a person with a disability. In addition to information regarding their primary recipient of care and the broader impact of their caregiving role, sleep disruptions were assessed by responses to a direct question during a personal structured interview.General mental health of caregivers was assessed using the SF-12v2 Health Survey to classify their mental health to one of four linear categories, ranging from ‘severe mental ill-health’ to ‘excellent mental health’.Data were analysed using multinomial logistic regression to cater for the multiple classifications of the outcome. After adjusting for potential confounding factors, results suggested a significant association between sleep disruptions and poor mental health among caregivers. Those who were frequently disrupted in their sleep were about 2.5 times more likely to experience severe mental ill-health (OR: 2.42, 95% CI = 1.28, 4.54) when compared to those whose sleep was not disrupted at all. There was no significant association between occasional disruptions and mental ill-health after adjusting for potential confounders.Results suggested that sleep disruptions can be considered as a potential risk factor for severe mental ill-health among caregivers.
机译:这项研究旨在调查睡眠障碍与澳大利亚残疾人看护者的总体心理健康之间的关系,假设睡眠破坏程度更大会导致看护者的心理健康状况较差。该研究利用了从国家健康调查中获得的分层随机样本的数据,目前的样本包括687名居住在私人住宅中的人,他们将自己确定为残疾人的主要照顾者。除了提供有关其主要护理对象及其护理作用的更广泛影响的信息外,还通过在个人结构化访谈中对直接问题的回答来评估睡眠中断情况。使用SF-12v2健康调查对护理者的总体心理健康进行评估,以评估将他们的心理健康归类为四个线性类别之一,范围从“严重精神疾病”到“优秀心理健康”。使用多项逻辑回归分析数据,以满足结果的多种分类。在对潜在的混杂因素进行调整后,结果表明护理人员的睡眠中断与精神健康状况之间存在显着关联。与那些睡眠完全未受到干扰的人相比,那些经常受到睡眠干扰的人发生严重精神疾病的可能性高约2.5倍(OR:2.42,95%CI = 1.28,4.54)。校正潜在的混杂因素后,偶尔的干扰与精神疾病之间没有显着相关性。结果表明,睡眠中断可以被视为看护者中严重精神疾病的潜在危险因素。

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    Lam Lawrence T;

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  • 年度 2008
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