Associations of self-reported and objectively measured sleep disturbances with depression among primary caregivers of children with disabilities

Olivia R Orta,1 Clarita Barbosa,1 Juan Carlos Velez,2 Bizu Gelaye,1 Xiaoli Chen,1 Lee Stoner,3 Michelle A Williams,1 1Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA; 2Worker's Hospital, The Chilean Safety Association, Santiago, Chile; 3School of Sport and Exer...

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Autores principales:	Orta OR, Barbosa C, Velez JC, Gelaye B, Chen X, Stoner L, Williams MA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Actigraphy Caregiver Chile Depression Pittsburgh Sleep Quality Index Sleep Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
Acceso en línea:	https://doaj.org/article/8883ce5a3012489ba0d6a68c3563378e
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spelling	oai:doaj.org-article:8883ce5a3012489ba0d6a68c3563378e2021-12-02T01:02:12ZAssociations of self-reported and objectively measured sleep disturbances with depression among primary caregivers of children with disabilities1179-1608https://doaj.org/article/8883ce5a3012489ba0d6a68c3563378e2016-06-01T00:00:00Zhttps://www.dovepress.com/associations-of-self-reported-and-objectively-measured-sleep-disturban-peer-reviewed-article-NSShttps://doaj.org/toc/1179-1608Olivia R Orta,1 Clarita Barbosa,1 Juan Carlos Velez,2 Bizu Gelaye,1 Xiaoli Chen,1 Lee Stoner,3 Michelle A Williams,1 1Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA; 2Worker's Hospital, The Chilean Safety Association, Santiago, Chile; 3School of Sport and Exercise, Massey University, Wellington, New Zealand Objective: The objective of this study was to determine the association between sleep and depression using both self-reported (subjective) and actigraphic (objective) sleep traits. Methods: A cross-sectional study was conducted among 175 female primary caregivers of children with disabilities receiving care at a rehabilitation center in Punta Arenas, Chile. The eight-item Patient Health Questionnaire was used to ascertain participants' depression status. The Pittsburgh Sleep Quality Index was used to define subjective, or perceived, sleep quality. Wrist-worn actigraph monitors, worn for seven consecutive nights, were used to characterize objective sleep quality and disturbances. Interviewer-administered questionnaires were used to collect information on sociodemographic and lifestyle factors. Linear regression models were fit using continuous sleep parameters as the dependent variables and depression status as the independent variable. Multivariable models were adjusted for body mass index, marital status, smoking status, education level, and children's disabilities. Results: Using an eight-item Patient Health Questionnaire score ≥10, 26.3% of participants presented with depression. Depressed women were more likely to self-report overall poorer (subjective) sleep compared to non-depressed women; however, differences in sleep were not consistently noted using actigraphic (objective) sleep traits. Among the depressed, both sleep duration and total time in bed were significantly underestimated. In multivariable models, depression was negatively associated with sleep duration using both subjective (β=–0.71, standard error [SE] =0.25; P=0.006) and objective sleep (β=–0.42, SE =0.19; P=0.026). Conclusion: The association between sleep and depression differed comparing subjective and objective methods of assessment. Research strategies allowing for the integration of both perceived and objective measures of sleep traits are encouraged. Keywords: actigraphy, caregiver, Chile, depression, Pittsburgh Sleep Quality Index, sleepOrta ORBarbosa CVelez JCGelaye BChen XStoner LWilliams MADove Medical PressarticleActigraphyCaregiverChileDepressionPittsburgh Sleep Quality IndexSleepPsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol 2016, Iss Issue 1, Pp 181-188 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Actigraphy Caregiver Chile Depression Pittsburgh Sleep Quality Index Sleep Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
spellingShingle	Actigraphy Caregiver Chile Depression Pittsburgh Sleep Quality Index Sleep Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 Orta OR Barbosa C Velez JC Gelaye B Chen X Stoner L Williams MA Associations of self-reported and objectively measured sleep disturbances with depression among primary caregivers of children with disabilities
description	Olivia R Orta,1 Clarita Barbosa,1 Juan Carlos Velez,2 Bizu Gelaye,1 Xiaoli Chen,1 Lee Stoner,3 Michelle A Williams,1 1Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA; 2Worker's Hospital, The Chilean Safety Association, Santiago, Chile; 3School of Sport and Exercise, Massey University, Wellington, New Zealand Objective: The objective of this study was to determine the association between sleep and depression using both self-reported (subjective) and actigraphic (objective) sleep traits. Methods: A cross-sectional study was conducted among 175 female primary caregivers of children with disabilities receiving care at a rehabilitation center in Punta Arenas, Chile. The eight-item Patient Health Questionnaire was used to ascertain participants' depression status. The Pittsburgh Sleep Quality Index was used to define subjective, or perceived, sleep quality. Wrist-worn actigraph monitors, worn for seven consecutive nights, were used to characterize objective sleep quality and disturbances. Interviewer-administered questionnaires were used to collect information on sociodemographic and lifestyle factors. Linear regression models were fit using continuous sleep parameters as the dependent variables and depression status as the independent variable. Multivariable models were adjusted for body mass index, marital status, smoking status, education level, and children's disabilities. Results: Using an eight-item Patient Health Questionnaire score ≥10, 26.3% of participants presented with depression. Depressed women were more likely to self-report overall poorer (subjective) sleep compared to non-depressed women; however, differences in sleep were not consistently noted using actigraphic (objective) sleep traits. Among the depressed, both sleep duration and total time in bed were significantly underestimated. In multivariable models, depression was negatively associated with sleep duration using both subjective (β=–0.71, standard error [SE] =0.25; P=0.006) and objective sleep (β=–0.42, SE =0.19; P=0.026). Conclusion: The association between sleep and depression differed comparing subjective and objective methods of assessment. Research strategies allowing for the integration of both perceived and objective measures of sleep traits are encouraged. Keywords: actigraphy, caregiver, Chile, depression, Pittsburgh Sleep Quality Index, sleep
format	article
author	Orta OR Barbosa C Velez JC Gelaye B Chen X Stoner L Williams MA
author_facet	Orta OR Barbosa C Velez JC Gelaye B Chen X Stoner L Williams MA
author_sort	Orta OR
title	Associations of self-reported and objectively measured sleep disturbances with depression among primary caregivers of children with disabilities
title_short	Associations of self-reported and objectively measured sleep disturbances with depression among primary caregivers of children with disabilities
title_full	Associations of self-reported and objectively measured sleep disturbances with depression among primary caregivers of children with disabilities
title_fullStr	Associations of self-reported and objectively measured sleep disturbances with depression among primary caregivers of children with disabilities
title_full_unstemmed	Associations of self-reported and objectively measured sleep disturbances with depression among primary caregivers of children with disabilities
title_sort	associations of self-reported and objectively measured sleep disturbances with depression among primary caregivers of children with disabilities
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/8883ce5a3012489ba0d6a68c3563378e
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Associations of self-reported and objectively measured sleep disturbances with depression among primary caregivers of children with disabilities

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