Physical Health and Sleep Sample Clauses

Physical Health and Sleep. Caregiving burden has been associated with physical health problems (Xxxxxxxxx- Xxxxxxxxx et al., 2005; Xxxxxxx et al., 2005) and sleep disruption (Xxxxxxxx et al., 2009). Sleep disruption has been associated with depression and anxiety in various caregiver groups (Xxxxxxxx et al., 2009; Xxxxxxxx et al., 2006). Furthermore, Xxxxxxxx et al. (2009) found that sleep quality mediated the relationships between caregiving burden and both depression and anxiety. It is possible that posttraumatic stress symptoms in carers may be contributing to these problems. Several studies have demonstrated that posttraumatic stress symptoms are associated with elevated health symptoms (Xxxxxxxxx, Clum, & Xxxx, 2000; Xxxx, Xxxxxxx, Xxxxx, & Xxxxx, 1994). Researchers have proposed multiple biological mechanisms to explain the impact of PTSD on health (Xxxxxxxx & Xxxxxxx, 1995) including chronic autonomic hyperarousal (XxXxxxxxx, Xxxxxxxx, Xxxxxxxxxx, & Xxxxx, 1994) and sleep disturbance (Xxxxxxxx & Xxxxxxx, 1995). Sleep difficulties are common among individuals with PTSD (Xxxxxx & Xxxxxxx, 2000), reflect a core symptom of increased arousal in PTSD (American Psychiatric Association, 2000), and may even be a predictor of the development of PTSD (Xxxxxx & Xxxxxx, 1998). In addition to more common sleep complaints, such as difficulty initiating and maintaining sleep, specific sleep disturbances have been reported in individuals with PTSD, including trauma-related nightmares, nocturnal intrusive memories, sleep terrors, nocturnal panic attacks and dream enactment behaviours (Xxxxxxx, Xxxx, Krakow, Xxxxx, & Xxxxxx, 2005).
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