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Published on: January 26, 2019
Variations and Patterns in Sleep: A Feasibility Study of Young Carers in Families with ALS
Melinda S Kavanaugh1, Kayla T Johnson2, Matthew J Zawadzki3
1Helen Bader School of Social Welfare, University of Wisconsin-Milwaukee, 2400 E Hartford Avenue, Milwaukee, WI 53211, USA.
Insights
Young carers experience significantly poorer sleep quality, duration, and efficiency compared to their peers. This highlights a critical need for targeted support interventions for these vulnerable individuals.
Area of Science:
- Pediatric Health
- Sleep Medicine
- Caregiver Studies
Background:
- Children and youth under 19 provide daily care for ill family members, including those with Amyotrophic Lateral Sclerosis (ALS).
- Young caregivers face challenges impacting school, social support, stress, and anxiety.
- Limited research exists on sleep disruptions in young caregivers.
Purpose of the Study:
- To investigate sleep patterns in young caregivers.
- To compare sleep quality and duration between young caregivers and non-caregivers.
- To establish the feasibility of studying sleep in this population.
Main Methods:
- A quasi-experimental matched comparison study.
- Involved young carers (n=8) and non-carers (n=12).
- Utilized pre/post surveys, actigraphy, and sleep/wake journaling over 5 days.
Main Results:
- Young carers exhibited shorter sleep duration, lower sleep efficiency, and poorer sleep quality.
- Young carers reported higher use of sleep medications.
- Actigraphy data confirmed lower total sleep time and efficiency in young carers compared to non-caregivers.
Conclusions:
- The study demonstrates feasibility and provides initial data on young carer sleep.
- Findings emphasize the need to document caregiving's impact on young carer well-being, including sleep.
- Data supports larger studies on sleep disruption and interventions for young carers.
Introduction:
Children and youth under the age of 19 provide daily care for family members living with illness, including Amyotrophic Lateral Sclerosis (ALS). Caregiving affects school performance, social support, stress, and anxiety. Yet, little is known about potential disruptions in sleep.
Methods:
A quasi-experimental matched comparison of age- and gender-matched young carers (n = 8) and non-carers (n = 12) was used in this study. Participants completed a pre/post survey, wore an actigraphy device, and journaled sleep/wake times for 5 days.
Results:
Young carers had shorter sleep duration (t = 51.19 (11.99)), efficiency (t = 55.49 (14.00)), sleep quality (t = 51.32 (12.26)), and higher rates of utilizing sleep medications (t = 50.81 (11.49)). The case study sleep data showed that carers had lower total sleep time (CG = 6.75 ± 1.47, NCG = 7.08 ± 1.36) and sleep efficiency than non-caregivers (0.80 ± 0.23). Case examples were reported across groups.
Conclusions:
The study results demonstrate feasibility, while providing crucial initial case data on sleep quality in young carers. The findings underscore the need to better document the impact of caregiving on young carer's well-being across several areas, including sleep. This data has implications for larger scale studies examining how sleep disruption impacts well-being more broadly and in providing support and respite interventions for young carers across disorders.
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