Abstract
Background
Caregivers for stroke survivors (CSS) suffer from long hours of care, limited support,
and financial difficulties, which often affect their mental health.
Objectives
This study sought to determine the factors affecting psychological distress and sleep
duration among CSS.
Methods
We analyzed cross-sectional data from the 2013 Comprehensive Survey of the Living
Conditions for Stroke Survivors and CSS. Linked data from 841 pairs of stroke survivors
and CSS were extracted. Kessler's Psychological Distress scale (K6) was used to evaluate
psychological distress. CSS who slept less than 5 hours per day were classified as
having short sleep duration. Factors predictive of psychological distress and short
sleep duration were evaluated using multivariable logistic regression analysis with
the forward selection method.
Results
The mean (SD) age of the CSS was 65.4 (12.5) years. A total of 5.6% of these caregivers
presented with serious psychological distress, and 12.0% were sleep deprived. Serious
psychological distress was associated with not having someone to consult with, having
subjective symptoms within a few days, and having short sleep duration, while having
their own houses reduced the risk of serious psychological distress. Furthermore,
short sleep duration was associated with stroke survivors in long-term care levels
4 or 5, not having someone to consult with, participation in sponge baths as part
of nursing care activities, and having serious psychological distress.
Conclusions
This nationwide survey identified several risk factors for psychological stress and
sleep deprivation among CSS and suggests the need for multidimensional approaches
to reduce their distress.
Key Words
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Article info
Publication history
Published online: November 17, 2022
Accepted:
November 13,
2022
Received in revised form:
October 27,
2022
Received:
July 16,
2022
Footnotes
Distress in caregivers of stroke survivors, Norio Sugawara et al.
Identification
DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2022.106899
Copyright
© 2022 Elsevier Inc. All rights reserved.
