Sleep Depression, and Psychosocial Risk Factors in Caregivers

护理人员的睡眠抑郁和心理社会风险因素

• 批准号: 8013805
• 负责人: Lisa J Meltzer
• 金额: $ 13.53万
• 依托单位: NATIONAL JEWISH HEALTH
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-02-07 至 2013-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8013805
• 关键词: Address; Adult; Age; Anger; Anxiety; Caregiver Burden; Caregivers; Caring; Centers for Disease Control and Prevention (U.S.); Child; Child Psychology; Childhood; Chronic; Chronic Disease; Clinical; Clinical Research; Cognitive Therapy; Dementia; Development; Employment; Ensure; Ethical Issues; Evaluation; Family; Family Caregiver; Family member; Fatigue; Feeling; Foundations; Frequencies; Goals; Health; Healthcare Systems; Home environment; Hour; Intervention; Intervention Studies; K-Series Research Career Programs; Knowledge; Literature; Measurement; Measures; Mediator of activation protein; Medical; Medicine; Mental Depression; Mental Health; Mental disorders; Mentors; Middle Insomnia; Modeling; Moods; Night Nurse; Occupations; Parents; Patients; Pattern; Personal Satisfaction; Population; Positioning Attribute; Prevalence; Psychologist; Public Health; Qualifying; Reading; Reporting; Research; Research Personnel; Research Training; Risk; Risk Factors; Role; Services; Sleep; Sleep Deprivation; Sleep disturbances; Social support; Testing; Time; Training; Unemployment; United States National Center for Health Statistics; Ventilator; Woman; Work; actigraphy; brief intervention; career development; caregiving; depressive symptoms; design; disability; disturbance in affect; executive function; experience; improved; literature survey; loved ones; meetings; physical conditioning; programs; psychologic; psychosocial; research study; resilience; skills; sleep onset; therapy design

DESCRIPTION (provided by applicant): The objective of this mentored clinical career development award is to provide Dr. Lisa Meltzer with the experience and knowledge necessary to become an independent clinical researcher, bridging the fields of pediatric psychology and sleep medicine. Dr. Meltzer, a clinical psychologist, will accomplish this goal through a combination of directed reading, seminars, coursework, and mentored research. A highly qualified team of mentors will supervise her training and research, ensuring that she meets her goals. Dr. Meltzer will be examining sleep, depression, and psychosocial risk factors in pediatric caregivers. The specific aims of this proposal are:1) to characterize sleep patterns and daytime functioning (mood disturbances, fatigue, and executive functioning) in caregivers of ventilator-dependent children (VDC) and caregivers of healthy children, 2) to identify risk and protective factors related to caregiver burden and depressive symptoms in caregivers, 3) to examine sleep as a mediator of the relationship between caregiver burden and depressive symptoms in caregivers, and 4) to develop and evaluate a brief intervention designed to improve caregiver sleep, with the indirect benefit of improving symptoms of depression and fatigue. These aims will be accomplished with two studies: Study 1 is an evaluation of sleep, depressive symptoms, and psychosocial risk factors in caregivers of children who are ventilator-dependent and caregivers of healthy control children. Study 2 is a pilot intervention to improve sleep quality and quantity in caregivers. This project will address gaps in the scientific literature related to the empirical measurement of caregiver burden for parents of children with chronic physical or mental health disorders, the impact of caregiving on mood, fatigue, and executive functioning, and how chronic sleep disruption is related to caregiver daytime functioning. In addition, this project will provide the applicant with expertise in the design, implementation, and analysis of clinical research and intervention studies, the use of actigraphy as an objective measure of sleep, and specialized training in sleep deprivation, sleep and depression, and ethical issues related to research with families of children with chronic physical or mental health disorders. The proposed study and career development activities will provide Dr. Meltzer with the skills to develop into an independent investigator with a program of research focusing on caregivers of pediatric populations. Relevance to Public Health: While the services of people who care for loved ones are estimated to be worth $257 billion, caregivers often put their own health and well-being at risk. Approximately 8% of children have a chronic condition that transforms parents into caregivers. This 24-hour a day job often results in elevated symptoms of depression.

描述（由申请人提供）：这项指导的临床职业发展奖的目的是为Lisa Meltzer博士提供成为独立临床研究人员所必需的经验和知识，并弥合了儿科心理学和睡眠医学领域。临床心理学家Meltzer博士将通过定向阅读，研讨会，课程和指导研究的结合来实现这一目标。一支高素质的导师团队将监督她的培训和研究，以确保她达到目标。 Meltzer博士将检查小儿护理人员的睡眠，抑郁和心理社会危险因素。该提案的具体目的是：1）在依赖呼吸机的儿童（VDC）（VDC）和健康儿童的护理人员中表征睡眠方式和白天的功能（情绪障碍，疲劳和执行功能）和健康儿童的护理人员，2），以确定与护理人员和护理人员的抑郁症状相关的风险和保护因素，以检查护理人员的抑郁症状，3）与护理人员相关的症状和抑郁症状的症状，并检查了护理人员的症状和抑郁症状的症状。 4）开发和评估旨在改善护理人员睡眠的简短干预措施，并有改善抑郁症和疲劳症状的间接益处。这些目标将通过两项研究来实现：研究1是对睡眠，抑郁症状和心理社会危险因素的评估，这些儿童依赖呼吸机依赖和护理儿童的护理人员的护理人员。研究2是一项试点干预措施，可改善护理人员的睡眠质量和数量。该项目将解决与患有慢性身体或精神健康障碍儿童父母对护理人员负担的经验测量有关的科学文献中的差距，护理对情绪，疲劳和执行功能的影响以及慢性睡眠中断与护理人员日常工作的关系。此外，该项目将为申请人提供临床研究和干预研究的设计，实施和分析方面的专业知识，将动作法用作客观的睡眠衡量以及在睡眠剥夺，睡眠和抑郁症方面的专业培训以及与患有慢性身体或精神健康疾病的儿童的研究相关的道德问题。拟议的研究和职业发展活动将为Meltzer博士提供发展为独立研究者的技能，并进行了针对儿科人群护理人员的研究计划。与公共卫生相关：虽然关心亲人的服务估计价值2570亿美元，但护理人员经常将自己的健康和福祉置于危险之中。大约8％的儿童患有慢性病，将父母转化为看护人。每天24小时的工作通常会导致抑郁症状升高。