Relação entre apoio social e sono de pessoas idosas cuidadoras em vulnerabilidade social

Daniele Cristina Barbosa; Ana Carolina Ottaviani; Élen dos Santos Alves; Keika Inouye; Tábatta Renata Pereira de Brito; Ariene Angelini dos Santos-Orlandi

doi:10.12957/reuerj.2024.74486

Authors

Daniele Cristina Barbosa Universidade Federal de São Carlos https://orcid.org/0000-0002-3488-5527
Ana Carolina Ottaviani Universidade Federal de São Carlos https://orcid.org/0000-0003-4037-4587
Élen dos Santos Alves Universidade Federal de São Carlos https://orcid.org/0000-0001-9696-2703
Keika Inouye Departamento de Gerontologia-Universidade Federal de São Carlos/Professora Adjunta https://orcid.org/0000-0003-3570-0704
Tábatta Renata Pereira de Brito Universidade Federal de Alfenas https://orcid.org/0000-0001-9466-2993
Ariene Angelini dos Santos-Orlandi Universidade Federal de São Carlos https://orcid.org/0000-0002-3112-495X

DOI:

https://doi.org/10.12957/reuerj.2024.74486

Keywords:

Social Support, Caregivers, Aged, Sleep, Social Vulnerability

Abstract

Objective: to analyze the relationship between social support and sleep quality of elderly individuals who care for other elderly individuals in a socially vulnerable environment. Method: a cross-sectional study conducted with 65 caregivers interviewed using a characterization instrument, Katz Index, Lawton and Brody Scale, Pittsburgh Sleep Quality Index, and Medical Outcomes Study Social Support Scale, with data analyzed using comparison and correlation tests. Results: the majority were women, spouses of the elderly being cared for, and had poor sleep quality. A weak and inverse correlation was observed between poor sleep quality and the positive social interaction dimension (Rho=-0.27; p=0.028). Significant relationships were identified between: material support and daytime dysfunction (p=0.034); emotional support and sleep efficiency (p=0.026); positive social interaction and subjective sleep quality (p=0.001), as well as daytime dysfunction (p=0.008). Conclusion: The higher the positive social interaction, the better the sleep quality.

Author Biographies

Daniele Cristina Barbosa, Universidade Federal de São Carlos

Undergraduate student in Gerontology. Department of Gerontology. Federal University of São Carlos. São Carlos, São Paulo, Brazil.

Ana Carolina Ottaviani, Universidade Federal de São Carlos

Gerontologist. PhD. Postdoctoral fellow. Department of Gerontology. Federal University of São Carlos. São Carlos, SP. Brazil.

Élen dos Santos Alves, Universidade Federal de São Carlos

PhD fellow. Postgraduate Nursing Program. Federal University of São Carlos. São Carlos, São Paulo, Brazil.

Keika Inouye, Departamento de Gerontologia-Universidade Federal de São Carlos/Professora Adjunta

PhD. Adjunct Professor. Department of Gerontology. Federal University of São Carlos. São Carlos, São Paulo. Brazil.

Tábatta Renata Pereira de Brito, Universidade Federal de Alfenas

PhD. Adjunct Professor. School of Nutrition. Universidade Federal de Alfenas, Alfenas, MG, Brasil.

Ariene Angelini dos Santos-Orlandi, Universidade Federal de São Carlos

PhD. Adjunct Professor. Departamento de Enfermagem. Universidade Federal de São Carlos, São Carlos, SP, Brasil.

References

Fulmer T, Reuben DB, Auerbach J, Fick DM, Galambos C, Johnson KS. Actualizing better health and health care for older adults. Health Affairs. 2021 [cited 2023 Mar 29]; 40:219– 25. DOI: https://doi.org/10.1377/hlthaff.2020.01470.

Bom J, Bakx P, Schut F, van Doorslaer E. The impact of informal caregiving for older adults on the health of various types of caregivers: a systematic review. Gerontologis. 2019 [cited 2023 Mar 29]; 59(5):e629–42. DOI: https://doi.org/10.1093/geront/gny137.

Santos-Orlandi AA, Brito TRP, Ottaviani AC, Rossetti ES, Zazzetta MS, Gratão ACM, et al. Profile of older adults caring for other older adults in contexts of high social vulnerability. Esc. Anna Nery. 2017 [cited 2023 Mar 29]; 21(1):e20170013. DOI: https://doi.org/10.5935/1414-8145.20170013.

Carmo MED, Guizardi FL. The concept of vulnerability and its meanings for public policies in health and social welfare. Cad Saude Publica. 2018 [cited 2023 Mar 29]; 34(3):e00101417. DOI: https://doi.org/10.1590/0102-311X00101417.

Bezerra MAA, Neres CCS, Bottcher LB, Bezerra GGO. Quality of life and sleep quality of the elderly. RIEC. 2018 [cited 2023 Mar 29]; 1(1):1-15. Available from: https://www.researchgate.net/publication/330760959_QUALIDADE_DE_VIDA_E_QUALIDADE_DO_SONO_DE_IDOSOS.

Costa SV, Ceolim MF, Neri AL. Sleep problems and social support: frailty in a Brazilian Elderly Multicenter Study. Rev. Latino-Am. Enfermagem. 2011 [cited 2023 Mar 29]; 19(4):920-7. DOI: https://doi.org/10.1590/S0104-11692011000400010.

Cassel J. The contribution of the social environment to host resistance: the Fourth Wade Hampton Frost Lecture. Am. J. Epidemiol. 1976 [cited 2023 Mar 29]; 104(2):107–23. DOI: https://doi.org/10.1093/oxfordjournals.aje.a112281.

Kishimoto Y, Okamoto N, Saeki K, Tomioka K, Obayashi K, et al. Bodily pain, social support, depression symptoms and stroke history are independently associated with sleep disturbance among the elderly: a cross-sectional analysis of the Fujiwara-kyo study. Environ Health Prev Med. 2016 [cited 2023 Mar 29]; 21(5):295-303. DOI: https://doi.org/10.1007/s12199-016-0529-z.

Stafford M, Bendayan R, Tymoszuk U, Kuh D. Social support from the closest person and sleep quality in later life: Evidence from a British birth cohort study. J Psychosomatic Res. 2017 [cited 2023 Mar 29]; 98:1-9. DOI: https://doi.org/10.1016/j.jpsychores.2017.04.014.

Cheng GHL, Malhotra R, Chan A, Ostbye T, Lo JC. Weak social networks and restless sleep interrelate through depressed mood among elderly. Qual Life Res. 2018 [cited 2023 Mar 29]; 27(10):2517-24. DOI: https://doi.org/10.1007/s11136-018-1895-3.

Leon-Gonzalez R, Rodriguez-Artalejo F, Ortola R, Lopez-Garcia E, Garcia-Esquinas E. Social network and risk of poor sleep outcomes in older adults: results from a Spanish prospective cohort study. Nat Sci Sleep. 2021 [cited 2023 Mar 29]; 7(13):399-409. DOI: https://doi.org/10.2147/NSS.S288195.

Wakefield JRH, Bowe M, Kellezi B, Butcher A, Groeger JA. Longitudinal associations between family identification, loneliness, depression, and sleep quality. Br J Health Psychol. 2019 [cited 2023 Mar 29]; 25(1):1-16. DOI: https://doi.org/10.1111/bjhp.12391.

Xu R, Lin Y, Zhang B. Relationship among sleep quality, depressed mood, and perceived social support in older adults: a longitudinal study. Journal of Pacific Rim Psychology. 2021 [cited 2023 Mar 29]; 15:1-11. DOI: https://doi.org/10.1177/18344909211052658.

Fundação SEADE. Índice Paulista de Vulnerabilidade Social – IPVS. Espaços e dimensões da pobreza nos municípios do Estado de São Paulo. São Paulo; 2010 [cited 2019 Dec 19]. Available from: http://www.iprs.seade.gov.br/ipvs2010/view/index.php.

Moreno CRDC, Santos JLF, Lebrão ML, Ulhôa MA, Duarte YADO, et al. Sleep disturbances in older adults are associated to female sex, pain and urinary incontinence. Rev. bras. epidemiol. 2019 [cited 2023 Mar 29]; 21(2):e180018. DOI: https://doi.org/10.1590/1980-549720180018.supl.2.

Grupo Prática Clínica. Prática clínica: cálculo amostral [site de internet]. 2023 [cited 2023 Mar 29]. Available from: https://praticaclinica.com.br/anexos/ccolaborativa-calculo-amostral/ccolaborativa-calculo-amostral.php.

Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. Studies of illness in the aged. The Index of ADL: a standardized measure of biological and psychosocial function. JAMA. 1963 [cited 2023 Mar 29]; 185(12):914-9. DOI: https://doi.org/10.1001/jama.1963.03060120024016.

Lino VTS, Pereira SRM, Camacho LAB, Ribeiro Filho ST, Buksman S. Cross-cultural adaptation of the Independence in Activities of Daily Living Index (Katz Index). Cad. Saúde Pública. 2008 [cited 2023 Mar 29]; 24(1):103-12. DOI: https://doi.org/10.1590/S0102-311X2008000100010.

Lawton MP, Brody EM. Assessment of folder people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969 [cited 2023 Mar 29]; 9:179-86. DOI: https://doi.org/10.1093/geront/9.3_Part_1.179.

Santos RL, Virtuoso Júnior JS. Reliability of the Brazilian version of the Scale of Instrumental Activities of Daily Living. RBPS. 2008 [cited 2023 Mar 29]; 21(4):290-6. DOI: https://doi.org/10.5935/1808-8694.20130036.

Bertolazi AN, Fagondes SC, Hoff LS, Dartora EG, Miozzo ICS, Barba MEF, et al. Validation of the Brazilian Portuguese version of the Pittsburgh Sleep Quality Index. Sleep Med. 2011 [cited 2023 Mar 29]; 12(1):70-5. DOI: https://doi.org/10.1016/j.sleep.2010.04.020.

Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989 [cited 2023 Mar 29]; 28(2):193-213. DOI: https://doi.org/10.1016/0165-1781(89)90047-4.

Chor D, Griep RH, Lopes CS, Faerstein E. Social network and social support measures from the Pró-Saúde Study: pre-tests and pilot study. Cad. Saúde Pública. 2001 [cited 2023 Mar 29]; 17:887-96. DOI: https://doi.org/10.1590/S0102-311X2001000400022.

Griep RH, Chor D, Faerstein F, Lopes C. Apoio social: confiabilidade teste-reteste de escala no Estudo Pró-Saúde. Cad. Saúde Pública. 2003 [cited 2023 Mar 29]; 19(2):625-34. DOI: https://doi.org/10.1590/S0102-311X2003000200029.

Sherbourne CD, Stewort AL. The MOS Social Support Survey. Soc Sci Med. 1991 [cited 2023 Mar 29]; 32(6):705-14. DOI: https://doi.org/10.1016/0277-9536(91)90150-B.

Levin J, Fox JA. Estatística para ciências humanas[cited 2023 Mar 29] 11ed. São Paulo: Prentice-Hall; 2012.

Ekstrom H, Auoja NL, Elmstahl S, Wranker LS. High burden among older family caregivers is associated with high prevalence of symptoms: data from the swedishs Study “Good Aging in Skane (GAS)”. J Aging Res. 2020 [cited 2023 Mar 29]; 5272130. DOI: https://doi.org/10.1155/2020/5272130.

Simón MA, Bueno AM, Otero P, Blanco V, Vazquez FL. Caregiver burden and sleep quality in dependent people´s family caregivers. J Clin Med. 2019 [cited 2023 Mar 29]; 8(7):1072. DOI: https://doi.org/10.3390/jcm8071072.

Simón MA, Bueno AM, Otero P, Blanco V, Vazquez FL. Insomnia in female family caregivers of totally dependent patients with dementia: an exploratory study. Behav Psychol. 2019 [cited 2023 Mar 29]; 27(1):107-19. Available from: https://www.behavioralpsycho.com/wp-content/uploads/2019/04/07.Simon_27-1rEn.pdf.

Alves EVC, Flesch LD, Cachioni M, Neri AL, Batistoni SST. The double vulnerability of elderly caregivers: multimorbidity and perceived burden and their associations with frailty. Rev Bras Geriatr Gerontol. 2018 [cited 2023 Mar 29]; 21(3):12-22. DOI: https://doi.org/10.1590/1981-22562018021.180050.

Yaremchuk K. Sleep disorders in the elderly. Clin Geriatr Med. 2018 [cited 2023 Mar 29]; 34(2):205-16. DOI: https://doi.org/10.1016/j.cger.2018.01.008.

Brito TRP, Duarte YAO, Lebrão ML. Social network and older people’s functionality: Health, Well-being, and Aging (SABE) study evidences. Rev Bras Epidemiol. 2018 [cited 2023 Mar 29]; 21(n.supp.2):e180003. DOI: https://doi.org/10.1590/1980-549720180003.supl.2.

Rocha LPD, Oliveira ER, Mota MMPE. Relationship between social support and subjetive well-being in older people: Systematic Review. Rev. bras. promoç. saúde. 2017 [cited 2023 Mar 29]; 30(4):1-13. DOI: https://doi.org/10.5020/18061230.2017.6472.

Hizmeri ER, Mena RP, Aguero SD. Relación entre apoyo social percibido, severidad de insomnio y somnolencia diurna en adultos mayores. Rev Instit Invest Cienc Salud. 2020 [cited 2023 Mar 29]; 18(3):34-42. DOI: http://dx.doi.org/10.18004/mem.iics/1812-9528/2020.018.03.34.

Tavares DMS, Oliveira NGN, Ferreira PCS. Social Support and health conditions of brasilian elderly in the community. Cienc. Enferm. 2020 [cited 2023 Mar 29]; 26(9):1-12. DOI: https://doi.org/10.1590/S0104-11692011000400010.

Pavarini SCI, Ottaviani AC, Brigola AG, Fraga FJ, Chagas MHN, Oliveira NA, et al. Association between perceived social support and better cognitive performance among caregivers and non-caregivers. Rev Bras Enferm. 2021 [cited 2023 Mar 29]; 74(2):e20200329. DOI: https://doi.org/10.1590/0034-7167-2020-0329

Child S, Ruppel EH, Zhong M, Lawton L. Direct and moderating causal effects of network support on sleep quality: findings from the UC berkeley social network study. Ann Behav Med. 2020 [cited 2023 Mar 29]; 55(5):446-59. DOI: https://doi.org/10.1093/abm/kaaa082.