Depression, anxiety and insomnia in Chinese older adults and their family caregivers during the COVID-19 pandemic: an actor-partner interdependence model approach

Frontiers in Public Health

Public Health

Jing Liao¹  Wen-Qi Xu²  Wen-Yan Tan²  Cai-Lan Hou²  Shi-Bin Wang²  Fu-Jun Jia³  Yong-Yi He³  Kai-Rong Ding³  Jia-Hui Hu³ 

[1] Department of Medical Statistics, School of Public Health, Sun Yat-sen University, Guangzhou, China;Guangdong Mental Health Center, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China;Guangdong Mental Health Center, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China;Department of Psychology, School of Public Health, Southern Medical University, Guangzhou, China;

关键词: depression;    anxiety;    insomnia;    older adults;    actor-partner interdependence model;   

DOI  :  10.3389/fpubh.2023.1163867

 received in 2023-02-11, accepted in 2023-06-12,  发布年份 2023

来源: Frontiers

【 摘 要 】

AimsThis study aimed to explore the dyadic effects of depression and anxiety on insomnia symptoms in Chinese older adults and their caregivers living in a community setting.MethodsData were collected from 1,507 pairs of older adults and their caregivers who were in the Guangdong Mental Health Survey in China. The 9-item Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder module 7 (GAD-7), and Insomnia Severity Index (ISI) were used to measure depression, anxiety, and insomnia symptoms. Actor-Partner Interdependence Models (APIM) were used to determine whether anxiety or depression symptoms predicted individual or dyadic insomnia.ResultsOlder adults' and caregivers' depression and anxiety had significant positive correlations with their own and their caregivers' insomnia symptoms (all P < 0.001). Actor effects were found between depression and insomnia symptoms in both older adults and caregivers (B = 0.695, P < 0.001; B = 0.547, P < 0.001, respectively), with one significant partner effects (B = 0.080, P = 0.007). Actor effects were also found between anxiety and insomnia symptoms in both older adults and caregivers (B = 0.825, P < 0.001; B = 0.751, P < 0.001, respectively), with one significant partner effects (B = 0.097, P = 0.004). However, the caregivers' depression and anxiety were not associated with older adults' insomnia symptoms in the APIM analyses.ConclusionsOlder adults and their caregivers had an interrelationship between psychological distress and insomnia. Consequently, healthcare providers might consider involving dyads when designing programs to reduce insomnia and improve psychological distress for family caregivers.

【 授权许可】

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Copyright © 2023 Ding, Xu, He, Hu, Tan, Liao, Hou, Jia and Wang.