Sleep disturbances in caregivers of patients with advanced cancer: A systematic review.

Maltby, KF; Sanderson, CR; Lobb, EA; Phillips, JL

Sleep disturbances in caregivers of patients with advanced cancer: A systematic review.

Maltby, KF Sanderson, CR

Lobb, EA Phillips, JL

Permalink

Publication Type:: Journal Article
Citation:: Palliative and Supportive Care, 2017, 15 (1), pp. 125 - 140
Issue Date:: 2017-02-01

Open Access

Copyright Clearance Process

Recently Added
In Progress
Open Access

This item is open access.

Adobe PDF

Download Accepted ManuscriptAdobe PDF (1.09 MB)

View on publisher's site

View statistics

Full metadata record

Field	Value	Language
dc.contributor.author	Maltby, KF	en_US
dc.contributor.author	Sanderson, CR https://orcid.org/0000-0001-5423-5778	en_US
dc.contributor.author	Lobb, EA	en_US
dc.contributor.author	Phillips, JL https://orcid.org/0000-0002-3691-8230	en_US
dc.date.issued	2017-02-01	en_US
dc.identifier.citation	Palliative and Supportive Care, 2017, 15 (1), pp. 125 - 140	en_US
dc.identifier.issn	1478-9515	en_US
dc.identifier.uri	http://hdl.handle.net/10453/100672
dc.description.abstract	© Cambridge University Press 2017. Objective: Sleep disturbances are a common issue for those who provide informal care to someone with a life-limiting condition. The negative consequences of poor sleep are well documented. The purpose of the present study was to determine the sleep patterns of caregivers of patients with advanced cancer. Method: An extensive systematic review of studies reporting empirical sleep data was undertaken in 2015 in accordance with the PRISMA Statement. A total of eight electronic databases were searched, with no date restrictions imposed. Additionally, a search of the bibliographies of the studies identified during the electronic search was conducted. Search terms included: Sleep, insomnia, sleep disturbance, circadian rhythm, caregiver, carer, advanced cancer, palliative cancer, and MESH suggestions. The inclusion criteria required studies to be in English and to report primary qualitative and/or quantitative research that examined sleep in caregivers of patients with advanced cancer. Unpublished studies, conference papers, and dissertations were excluded. Results: Overall, 10 studies met the inclusion criteria and were included in the review. Two major findings emerged from the data synthesis. First, at least 72% of caregivers reported moderate to severe sleep disturbance as measured by the Pittsburgh Sleep Quality Index. Second, objective measurement of caregivers' sleep identified that some caregivers experienced up to a 44% reduction in their total sleep time compared to the recommended eight hours. Significance of Results: Reduction in total sleep time appears to be the biggest issue facing caregivers' sleep. Future studies need to explore the specific factors that cause these sleep disturbances and thus help to identify interventions to optimize sleep.	en_US
dc.relation.ispartof	Palliative and Supportive Care	en_US
dc.relation.isbasedon	10.1017/S1478951516001024	en_US
dc.subject.classification	Oncology & Carcinogenesis	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Neoplasms	en_US
dc.subject.mesh	Patient Care	en_US
dc.subject.mesh	Palliative Care	en_US
dc.subject.mesh	Sleep	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Caregivers	en_US
dc.subject.mesh	Sleep Wake Disorders	en_US
dc.subject.mesh	Workforce	en_US
dc.title	Sleep disturbances in caregivers of patients with advanced cancer: A systematic review.	en_US
dc.type	Journal Article
utslib.citation.volume	1	en_US
utslib.citation.volume	15	en_US
utslib.for	1117 Public Health and Health Services	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
pubs.organisational-group	/University of Technology Sydney/Strength - CHT - Health Technologies
pubs.organisational-group	/University of Technology Sydney/Students
utslib.copyright.status	open_access
pubs.issue	1	en_US
pubs.publication-status	Published	en_US
pubs.volume	15	en_US

Abstract:

© Cambridge University Press 2017. Objective: Sleep disturbances are a common issue for those who provide informal care to someone with a life-limiting condition. The negative consequences of poor sleep are well documented. The purpose of the present study was to determine the sleep patterns of caregivers of patients with advanced cancer. Method: An extensive systematic review of studies reporting empirical sleep data was undertaken in 2015 in accordance with the PRISMA Statement. A total of eight electronic databases were searched, with no date restrictions imposed. Additionally, a search of the bibliographies of the studies identified during the electronic search was conducted. Search terms included: Sleep, insomnia, sleep disturbance, circadian rhythm, caregiver, carer, advanced cancer, palliative cancer, and MESH suggestions. The inclusion criteria required studies to be in English and to report primary qualitative and/or quantitative research that examined sleep in caregivers of patients with advanced cancer. Unpublished studies, conference papers, and dissertations were excluded. Results: Overall, 10 studies met the inclusion criteria and were included in the review. Two major findings emerged from the data synthesis. First, at least 72% of caregivers reported moderate to severe sleep disturbance as measured by the Pittsburgh Sleep Quality Index. Second, objective measurement of caregivers' sleep identified that some caregivers experienced up to a 44% reduction in their total sleep time compared to the recommended eight hours. Significance of Results: Reduction in total sleep time appears to be the biggest issue facing caregivers' sleep. Future studies need to explore the specific factors that cause these sleep disturbances and thus help to identify interventions to optimize sleep.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/100672