Abstract

Background: Family or informal caregivers always provide support to their family members or others who are diagnosed with dementia. The increase in the aging population has led to a growing reliance on family members, often informal caregivers, who are increasingly responsible for providing care for older adults. Poor sleep and high levels of depressive cognition experienced by caregivers of persons with dementia (PWD) can negatively affect their physical and psychological health, which can lead to declining caregiver health, which can diminish their ability to provide optimal care. Currently, there are limited empirical studies supporting the usefulness of non-pharmacological sleep interventions to improve the quality of sleep in caregivers of PWD.

Purpose: The purpose of this study was to explore the relationships among depressive cognitions, resourcefulness, and sleep quality of caregivers of PWD in the United States. The study examined whether resourcefulness mediated the relationship between depressive cognitions and quality of sleep.

Methods: A cross-sectional descriptive correlational design was used with 77 informal caregivers (primary caregivers who are currently providing direct care/supervision for at least 4 hours per day) for individuals with dementia for at least six months, recruited online using advertisements on social media. Linear regression and multiple regression were used to address the research questions and to test the mediation impact of resourcefulness.

Results: Depressive cognitions was a significant factor predicting resourcefulness and sleep quality. However, resourcefulness was not found to be a significant factor in predicting sleep quality. Additionally, the effect of depressive cognitions on sleep quality was not found to be mediated by resourcefulness. The caregivers of PWD in this study exhibited a higher level of depressive cognitions, poorer sleep quality, and a moderate need for learning resourcefulness skills.

Implications: The findings emphasized the importance of evaluating depressive cognitions, resourcefulness, and sleep in caregivers of PWD to maintain their psychological and physical well-being. Additionally, further exploration of resourcefulness and sleep quality would benefit from utilizing different sleep quality measures and a different way of conceptualizing quality of life.

Notes

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Description

The findings emphasized the importance of evaluating depressive cognitions, resourcefulness, and sleep in caregivers of PWD to maintain their psychological and physical well-being. Additionally, further exploration of resourcefulness and sleep quality would benefit from utilizing different sleep quality measures and a different way of conceptualizing quality of life.

Author Details

Rayhanah R. Almutairi, PhD, AGPCNP-BC, BSN, RN

Sigma Membership

Alpha Mu

Lead Author Affiliation

Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia

Type

Presentation

Format Type

Text-based Document

Study Design/Type

Cross-Sectional

Research Approach

Quantitative Research

Keywords:

Stress and Coping, Primary Care, Public and Community Health, Caregivers, Caregivers--Psychosocial Factors, Dementia, Caregiver Burden, Depression, Cognition, Sleep Quality

Conference Name

37th International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

Toronto, Ontario, Canada

Conference Year

2026

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Date of Issue

2026-07-23

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Depressive Cognitions, Resourcefulness, and Sleep in Informal Caregivers of Persons with Dementia

Toronto, Ontario, Canada

Background: Family or informal caregivers always provide support to their family members or others who are diagnosed with dementia. The increase in the aging population has led to a growing reliance on family members, often informal caregivers, who are increasingly responsible for providing care for older adults. Poor sleep and high levels of depressive cognition experienced by caregivers of persons with dementia (PWD) can negatively affect their physical and psychological health, which can lead to declining caregiver health, which can diminish their ability to provide optimal care. Currently, there are limited empirical studies supporting the usefulness of non-pharmacological sleep interventions to improve the quality of sleep in caregivers of PWD.

Purpose: The purpose of this study was to explore the relationships among depressive cognitions, resourcefulness, and sleep quality of caregivers of PWD in the United States. The study examined whether resourcefulness mediated the relationship between depressive cognitions and quality of sleep.

Methods: A cross-sectional descriptive correlational design was used with 77 informal caregivers (primary caregivers who are currently providing direct care/supervision for at least 4 hours per day) for individuals with dementia for at least six months, recruited online using advertisements on social media. Linear regression and multiple regression were used to address the research questions and to test the mediation impact of resourcefulness.

Results: Depressive cognitions was a significant factor predicting resourcefulness and sleep quality. However, resourcefulness was not found to be a significant factor in predicting sleep quality. Additionally, the effect of depressive cognitions on sleep quality was not found to be mediated by resourcefulness. The caregivers of PWD in this study exhibited a higher level of depressive cognitions, poorer sleep quality, and a moderate need for learning resourcefulness skills.

Implications: The findings emphasized the importance of evaluating depressive cognitions, resourcefulness, and sleep in caregivers of PWD to maintain their psychological and physical well-being. Additionally, further exploration of resourcefulness and sleep quality would benefit from utilizing different sleep quality measures and a different way of conceptualizing quality of life.