The Moderation of Raising One's Grandchildren on the Relation Between Sleep and Depressive Symptoms

Overview

Journal Nat Sci Sleep

Publisher Dove Medical Press

Date 2020 Sep 14

PMID 32922105

Citations 2

Authors

Melanie A Stearns

Danielle K Nadorff

Affiliations

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Abstract

Background: Recent evidence has shown that poor quality sleep is associated with depression, particularly among older individuals. Moreover, given that grandparent caregivers are more likely to report being depressed, it is crucial to identify whether poor sleep quality results in more depressive symptoms when older individuals are also caring for their grandchildren. Thus, the current study examined how caregiving status was associated with the relation between sleep quality and depressive symptoms and the further moderation of gender (ie, 3-way interaction).

Participants: The sample (N = 459, Mean age = 62.43, 58.40% female) was a subset of individuals recruited in the second wave of the MIDUS project completed in 2009.

Methods: Participants answered the Center for Epidemiological Studies Depression Scale (CESD), the Pittsburgh Sleep Quality Index (PSQI), and a question regarding grandparent caregiving status. Moderation analyses were conducted using AMOS 26.0.

Results: The interaction between global sleep quality and grandparent caregiving status was significant in predicting depressive symptoms, and the interactions examining global sleep quality, subjective sleep quality, sleep latency, sleep duration, sleep efficacy, sleep medication, and daytime dysfunction were significant for males when examined separately, whereby increased sleep difficulties were associated with more depressive symptoms. In all sleep domains, the slope of the interactions was sharper for grandparent caregivers, particularly for males.

Conclusion: Significant differences between interactions for males and females indicated 3-way interactions, such that interactions were significant for males and not females. Therefore, the relation of sleep on depressive symptoms was dependent on grandparent caregivers' status and gender.

Citing Articles

The Migrant-Local Difference in the Relationship Between Social Support, Sleep Disturbance, and Loneliness Among Older Adults in China: Cross-Sectional Study.

Pang M, Wang J, Zhao M, Chen R, Liu H, Xu X JMIR Public Health Surveill. 2024; 10:e49253.

PMID: 38194253 PMC: 10806446. DOI: 10.2196/49253.

Sleep Quality and Disability for Custodial Grandparents Caregivers in the Southern United States.

Mayfield K, Clark K, Anderson R Gerontol Geriatr Med. 2023; 9:23337214231163028.

PMID: 37006885 PMC: 10064167. DOI: 10.1177/23337214231163028.

References

Leder S, Grinstead L, Torres E . Grandparents raising grandchildren: stressors, social support, and health outcomes. J Fam Nurs. 2007; 13(3):333-52. DOI: 10.1177/1074840707303841. View

Nadorff M, Nazem S, Fiske A . Insomnia symptoms, nightmares, and suicide risk: duration of sleep disturbance matters. Suicide Life Threat Behav. 2013; 43(2):139-49. PMC: 3609914. DOI: 10.1111/sltb.12003. View

Buysse D, Reynolds 3rd C, Monk T, BERMAN S, Kupfer D . The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989; 28(2):193-213. DOI: 10.1016/0165-1781(89)90047-4. View

Maglione J, Ancoli-Israel S, Peters K, Paudel M, Yaffe K, Ensrud K . Subjective and objective sleep disturbance and longitudinal risk of depression in a cohort of older women. Sleep. 2014; 37(7):1179-87. PMC: 4098803. DOI: 10.5665/sleep.3834. View

Van Zundert R, van Roekel E, Engels R, Scholte R . Reciprocal associations between adolescents' night-time sleep and daytime affect and the role of gender and depressive symptoms. J Youth Adolesc. 2013; 44(2):556-69. DOI: 10.1007/s10964-013-0009-3. View

Carleton R, Thibodeau M, Teale M, Welch P, Abrams M, Robinson T . The center for epidemiologic studies depression scale: a review with a theoretical and empirical examination of item content and factor structure. PLoS One. 2013; 8(3):e58067. PMC: 3585724. DOI: 10.1371/journal.pone.0058067. View

Li L, Wu C, Gan Y, Qu X, Lu Z . Insomnia and the risk of depression: a meta-analysis of prospective cohort studies. BMC Psychiatry. 2016; 16(1):375. PMC: 5097837. DOI: 10.1186/s12888-016-1075-3. View

Benca R, Obermeyer W, Thisted R, Gillin J . Sleep and psychiatric disorders. A meta-analysis. Arch Gen Psychiatry. 1992; 49(8):651-68; discussion 669-70. DOI: 10.1001/archpsyc.1992.01820080059010. View

Hastings J, Snowden L . African Americans and Caribbean Blacks: Perceived neighborhood disadvantage and depression. J Community Psychol. 2019; 47(2):227-237. PMC: 6361541. DOI: 10.1002/jcop.22117. View

10.

Benedetti F, Dallaspezia S, Cigala Fulgosi M, Lorenzi C, Serretti A, Barbini B . Actimetric evidence that CLOCK 3111 T/C SNP influences sleep and activity patterns in patients affected by bipolar depression. Am J Med Genet B Neuropsychiatr Genet. 2007; 144B(5):631-5. DOI: 10.1002/ajmg.b.30475. View

11.

Wirz-Justice A, Van Den Hoofdakker R . Sleep deprivation in depression: what do we know, where do we go?. Biol Psychiatry. 1999; 46(4):445-53. DOI: 10.1016/s0006-3223(99)00125-0. View

12.

Amaral A, Soares M, Pinto A, Pereira A, Madeira N, Bos S . Sleep difficulties in college students: The role of stress, affect and cognitive processes. Psychiatry Res. 2017; 260:331-337. DOI: 10.1016/j.psychres.2017.11.072. View

13.

Hayslip B, Fruhauf C, Dolbin-MacNab M . Grandparents Raising Grandchildren: What Have We Learned Over the Past Decade?. Gerontologist. 2017; 59(3):e152-e163. DOI: 10.1093/geront/gnx106. View

14.

Pearlin L, Lieberman M, Menaghan E, Mullan J . The stress process. J Health Soc Behav. 1981; 22(4):337-56. View

15.

Baglioni C, Riemann D . Is chronic insomnia a precursor to major depression? Epidemiological and biological findings. Curr Psychiatry Rep. 2012; 14(5):511-8. DOI: 10.1007/s11920-012-0308-5. View

16.

Voderholzer U, Al-Shajlawi A, Weske G, Feige B, Riemann D . Are there gender differences in objective and subjective sleep measures? A study of insomniacs and healthy controls. Depress Anxiety. 2003; 17(3):162-72. DOI: 10.1002/da.10101. View

17.

Hamilton M . Frequency of symptoms in melancholia (depressive illness). Br J Psychiatry. 1989; 154:201-6. DOI: 10.1192/bjp.154.2.201. View

18.

Hayslip Jr B, Fruhauf C, Dolbin-MacNab M . Grandparents Raising Grandchildren: What Have We Learned Over the Past Decade?. Gerontologist. 2017; 57(6):1196. DOI: 10.1093/geront/gnx124. View

19.

Perlis M, Smith L, Lyness J, Matteson S, Pigeon W, Jungquist C . Insomnia as a risk factor for onset of depression in the elderly. Behav Sleep Med. 2006; 4(2):104-13. DOI: 10.1207/s15402010bsm0402_3. View

20.

Pillemer S, Davis J, Tremont G . Gender effects on components of burden and depression among dementia caregivers. Aging Ment Health. 2017; 22(9):1156-1161. PMC: 6107424. DOI: 10.1080/13607863.2017.1337718. View