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"I need to be alert at night to provide care": Factors associated with problematic sleep among young Australian
Jessica L Paterson1, Matthew Jw Thomas2, Amy C Reynolds3
1Flinders Institute for Mental Health and Wellbeing, College of Education, Psychology and Social Work, Flinders University, Australia.
Insights
Young carers often face sleep deprivation due to caregiving duties. This study found that caring responsibilities significantly reduce sleep duration and quality in young individuals.
Area of Science:
- Public Health
- Sleep Medicine
- Adolescent Health
Background:
- Young people (<25 years) increasingly assume carer roles for family members with health conditions or disabilities.
- These caregiving responsibilities often coexist with academic and social demands, leading to time constraints and sleep deficits.
Purpose of the Study:
- To investigate the impact of caregiving duties on problematic sleep patterns among young carers.
- To determine the contribution of caring responsibilities to reduced sleep duration and quality in this demographic.
Main Methods:
- A survey of Australian young carers (aged 15-24 years) was conducted.
- Participants reported demographics, caregiving characteristics, and sleep quality/quantity, with eligibility based on <7 hours sleep or sleep dissatisfaction.
- The Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality.
Main Results:
- 110 young carers participated; 55.5% reported sleep dissatisfaction and 62.7% slept <7 hours nightly.
- Sleep duration was significantly shorter for those awakened for caregiving (1-2 or ≥3 times) compared to those not awakened.
- Worse sleep quality (PSQI scores) and factors like worrying about, being woken by, or listening for the care recipient significantly impacted sleep.
Conclusions:
- Young carers experience diminished sleep duration and impaired sleep quality.
- Interventions to mitigate the sleep burden of caregiving are crucial for the health and safety of young carers.
Objectives:
There is increased recognition that young people (<25 years) may occupy a carer role for family or others with health conditions or disability. This is often in addition to study and social activities. This means competing demands on time, and insufficient sleep. Our aim was to determine the contribution of caring duties to problematic sleep in young carers.
Methods:
A survey of Australian carers was conducted, including questions on demographics, characteristics of the carer and care recipient, and sleep quality and quantity. Participants were eligible if they reported sleep time <7 hr or dissatisfaction with their sleep, and were aged 15-24 years.
Results:
A total of 110 participants (71.8%_female = 79, 15-17 years = 62, 18-24 years = 48) were included in analysis; 55.5% (n= 61) reporting dissatisfaction with their sleep and 62.7% (n= 69) reporting typically less than 7 hr sleep per night. Sleep duration was significantly shorter for those who reported 1-2 or ≥3 awakenings to provide care, compared with no awakenings (p_< .05). Sleep quality, as described by scores on the Pittsburgh Sleep Quality Index (PSQI) was also significantly worse for those who were frequently awoken by their care recipient (p < .05). Worrying about the care recipient, being woken by the care recipient, and listening out for the care recipient were the most frequently identified factors impacting on sleep.
Conclusion:
Young carers experience reduced sleep duration and poor sleep quality. Strategies to alleviate the burden of care work on young carer's sleep would benefit the health and safety of this group.
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