The association of sleep disturbances with quality of life in heart failure patient-caregiver dyads

Sami Y. Al-Rawashdeh, Terry A. Lennie, Misook L. Chung

Research output: Contribution to journalArticlepeer-review

15 Scopus citations


Sleep disturbance is common in patients with heart failure and their family caregivers. The purpose of this study was to determine whether sleep disturbances of patients and their spousal caregivers predicted their own and their partners’ quality of life (QoL) in 78 heart failure patient-spousal caregiver dyads. Sleep disturbance was assessed using a composite score of four common sleep complaints. QoL was assessed by the physical and mental well-being subscales of the Short-Form 12 Health Survey. The multilevel dyadic actor-partner interdependence model analysis was used to determine the association between sleep disturbance and QoL. Each individual’s sleep disturbance predicted their own poor physical and mental well-being while spousal caregivers’ sleep disturbance predicted their partners’ mental well-being. Results indicated that patients’ mental well-being is sensitive to their spouses’ sleep disturbance. Interventions targeting improving sleep and QoL may have to include both patients and spousal caregivers.

Original languageEnglish
Pages (from-to)492-506
Number of pages15
JournalWestern Journal of Nursing Research
Issue number4
StatePublished - Apr 2017

Bibliographical note

Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the University of Kentucky, College of Nursing Faculty Research Support Grant (Chung, M. L., principal investigator [PI]); NIH/NINR (1K23NR010011-01, Chung, M. L., PI); and NIH/NINR (1P20NR010679, Moser, D. K., PI and P-20 Center director).

Publisher Copyright:
© The Author(s) 2016.


  • Dyad
  • Family caregivers
  • Heart failure
  • Quality of life
  • Sleep disturbance
  • Spouses

ASJC Scopus subject areas

  • Nursing (all)


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