{"id":"https://openalex.org/W2767533569","doi":"https://doi.org/10.1177/1049909117703643","title":"Sleep Problems, Anxiety, and Global Self-Rated Health Among Hospice Family Caregivers","display_name":"Sleep Problems, Anxiety, and Global Self-Rated Health Among Hospice Family Caregivers","publication_year":2017,"publication_date":"2017-04-10","ids":{"openalex":"https://openalex.org/W2767533569","doi":"https://doi.org/10.1177/1049909117703643","mag":"2767533569","pmid":"https://pubmed.ncbi.nlm.nih.gov/28393543","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/6391075"},"language":"en","primary_location":{"id":"doi:10.1177/1049909117703643","doi":"https://doi.org/10.1177/1049909117703643","is_oa":false,"landing_page_url":"https://doi.org/10.1177/1049909117703643","pdf_url":null,"source":{"id":"https://openalex.org/S92692057","display_name":"American Journal of Hospice and Palliative Medicine\u00ae","issn_l":"1049-9091","issn":["1049-9091","1938-2715"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Hospice and Palliative Medicine\u00ae","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"http://europepmc.org/pmc/articles/PMC6391075","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5027303809","display_name":"Karla T. Washington","orcid":"https://orcid.org/0000-0002-1100-9524","observed_orcids":["https://orcid.org/0000-0002-1100-9524"]},"institutions":[{"id":"https://openalex.org/I76835614","display_name":"University of Missouri","ror":"https://ror.org/02ymw8z06","country_code":"US","type":"education","lineage":["https://openalex.org/I76835614"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Karla T. Washington","raw_affiliation_strings":["School of Medicine, University of Missouri, Columbia, MO, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Medicine, University of Missouri, Columbia, MO, USA","institution_ids":["https://openalex.org/I76835614"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080457318","display_name":"Debra Parker Oliver","orcid":"https://orcid.org/0000-0002-8354-0859","observed_orcids":["https://orcid.org/0000-0002-8354-0859"]},"institutions":[{"id":"https://openalex.org/I76835614","display_name":"University of Missouri","ror":"https://ror.org/02ymw8z06","country_code":"US","type":"education","lineage":["https://openalex.org/I76835614"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Debra Parker Oliver","raw_affiliation_strings":["School of Medicine, University of Missouri, Columbia, MO, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Medicine, University of Missouri, Columbia, MO, USA","institution_ids":["https://openalex.org/I76835614"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101469012","display_name":"Jamie B. Smith","orcid":"https://orcid.org/0009-0006-2824-1035","observed_orcids":["https://orcid.org/0009-0006-2824-1035"]},"institutions":[{"id":"https://openalex.org/I76835614","display_name":"University of Missouri","ror":"https://ror.org/02ymw8z06","country_code":"US","type":"education","lineage":["https://openalex.org/I76835614"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jamie B. Smith","raw_affiliation_strings":["School of Medicine, University of Missouri, Columbia, MO, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Medicine, University of Missouri, Columbia, MO, USA","institution_ids":["https://openalex.org/I76835614"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055823544","display_name":"Christina S. McCrae","orcid":"https://orcid.org/0000-0003-4313-6867","observed_orcids":["https://orcid.org/0000-0003-4313-6867"]},"institutions":[{"id":"https://openalex.org/I76835614","display_name":"University of Missouri","ror":"https://ror.org/02ymw8z06","country_code":"US","type":"education","lineage":["https://openalex.org/I76835614"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christina S. McCrae","raw_affiliation_strings":["School of Health Professions, University of Missouri, Columbia, MO, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Health Professions, University of Missouri, Columbia, MO, USA","institution_ids":["https://openalex.org/I76835614"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052816843","display_name":"Shanky M. Balchandani","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I76835614","display_name":"University of Missouri","ror":"https://ror.org/02ymw8z06","country_code":"US","type":"education","lineage":["https://openalex.org/I76835614"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Shanky M. Balchandani","raw_affiliation_strings":["School of Health Professions, University of Missouri, Columbia, MO, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Health Professions, University of Missouri, Columbia, MO, USA","institution_ids":["https://openalex.org/I76835614"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5062843873","display_name":"George Demiris","orcid":"https://orcid.org/0000-0002-6318-5829","observed_orcids":["https://orcid.org/0000-0002-6318-5829"]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"George Demiris","raw_affiliation_strings":["School of Medicine, University of Washington, Seattle, WA, USA","School of Nursing, University of Washington, Seattle, WA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Medicine, University of Washington, Seattle, WA, USA","institution_ids":["https://openalex.org/I201448701"]},{"raw_affiliation_string":"School of Nursing, University of Washington, Seattle, WA, USA","institution_ids":["https://openalex.org/I201448701"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5027303809"],"corresponding_institution_ids":["https://openalex.org/I76835614"],"apc_list":{"value":4150,"currency":"USD","value_usd":4150},"apc_paid":null,"fwci":2.9556,"has_fulltext":false,"cited_by_count":36,"citation_normalized_percentile":{"value":0.91349373,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":99},"biblio":{"volume":"35","issue":"2","first_page":"244","last_page":"249"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.44429999589920044,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.44429999589920044,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13111","display_name":"Nursing care and research","score":0.2660999894142151,"subfield":{"id":"https://openalex.org/subfields/3611","display_name":"Pharmacy"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11388","display_name":"Grief, Bereavement, and Mental Health","score":0.13179999589920044,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/sleep-disturbance","display_name":"sleep disorders","score":0.9639999866485596},{"id":"https://openalex.org/keywords/anxiety","display_name":"anxiety","score":0.9729999899864197},{"id":"https://openalex.org/keywords/self-rated-health","display_name":"self-rated health","score":0.9139999747276306},{"id":"https://openalex.org/keywords/caregiver-burden","display_name":"caregiver burden","score":0.8849999904632568},{"id":"https://openalex.org/keywords/end-of-life-care","display_name":"end-of-life care","score":0.7139999866485596},{"id":"https://openalex.org/keywords/palliative-care","display_name":"palliative care","score":0.7179999947547913}],"concepts":[{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.7263702750205994},{"id":"https://openalex.org/C2778900529","wikidata":"https://www.wikidata.org/wiki/Q2827779","display_name":"Family caregivers","level":2,"score":0.686375617980957},{"id":"https://openalex.org/C2775841894","wikidata":"https://www.wikidata.org/wiki/Q4683692","display_name":"Sleep (system call)","level":2,"score":0.6629940271377563},{"id":"https://openalex.org/C3017577407","wikidata":"https://www.wikidata.org/wiki/Q608152","display_name":"Hospice care","level":3,"score":0.51943039894104},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.4486142694950104},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3726414442062378},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.3570949137210846},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.3555556833744049},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.32764583826065063},{"id":"https://openalex.org/C2994186709","wikidata":"https://www.wikidata.org/wiki/Q29483","display_name":"Palliative care","level":2,"score":0.11511412262916565},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.05805176496505737},{"id":"https://openalex.org/C111919701","wikidata":"https://www.wikidata.org/wiki/Q9135","display_name":"Operating system","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001007","descriptor_name":"Anxiety","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D005190","descriptor_name":"Family","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006304","descriptor_name":"Health Status","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008603","descriptor_name":"Mental Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012893","descriptor_name":"Sleep Wake Disorders","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D017028","descriptor_name":"Caregivers","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D017051","descriptor_name":"Hospice Care","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1177/1049909117703643","doi":"https://doi.org/10.1177/1049909117703643","is_oa":false,"landing_page_url":"https://doi.org/10.1177/1049909117703643","pdf_url":null,"source":{"id":"https://openalex.org/S92692057","display_name":"American Journal of Hospice and Palliative Medicine\u00ae","issn_l":"1049-9091","issn":["1049-9091","1938-2715"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Hospice and Palliative Medicine\u00ae","raw_type":"journal-article"},{"id":"pmid:28393543","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/28393543","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American journal of hospice & palliative care","raw_type":"Journal Article"},{"id":"pmh:oai:europepmc.org:5387489","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC6391075","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"","raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:6391075","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6391075","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"Am J Hosp Palliat Care","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:europepmc.org:5387489","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC6391075","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"","raw_type":"Text"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[],"awards":[{"id":"https://openalex.org/G2742554662","display_name":"The ACTIVE Intervention to Improve Hospice Caregiver Pain Management","funder_award_id":"R01NR011472","funder_id":"https://openalex.org/F4320337353","funder_display_name":"National Institute of Nursing Research"}],"funders":[{"id":"https://openalex.org/F4320337353","display_name":"National Institute of Nursing Research","ror":"https://ror.org/01y3zfr79"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":33,"referenced_works":["https://openalex.org/W1499839377","https://openalex.org/W1978222522","https://openalex.org/W2017625481","https://openalex.org/W2027300832","https://openalex.org/W2027670854","https://openalex.org/W2033854214","https://openalex.org/W2043705607","https://openalex.org/W2049777419","https://openalex.org/W2055658483","https://openalex.org/W2056574221","https://openalex.org/W2073571591","https://openalex.org/W2091521316","https://openalex.org/W2105113467","https://openalex.org/W2121199583","https://openalex.org/W2132322340","https://openalex.org/W2136475148","https://openalex.org/W2153807853","https://openalex.org/W2158393840","https://openalex.org/W2170913272","https://openalex.org/W2269595787","https://openalex.org/W2275211645","https://openalex.org/W2314906712","https://openalex.org/W2347166707","https://openalex.org/W2415836748","https://openalex.org/W2500763285","https://openalex.org/W2505405631","https://openalex.org/W2531658679","https://openalex.org/W2884859892","https://openalex.org/W2891253399","https://openalex.org/W2891648372","https://openalex.org/W4210681445","https://openalex.org/W4247665917","https://openalex.org/W4294830572"],"related_works":["https://openalex.org/W4281691223","https://openalex.org/W2008525319","https://openalex.org/W4297183880","https://openalex.org/W4312103567","https://openalex.org/W4312105005","https://openalex.org/W4413627626","https://openalex.org/W2121199583","https://openalex.org/W4400882703","https://openalex.org/W2560611556","https://openalex.org/W4287307443"],"abstract_inverted_index":{"BACKGROUND:":[0],"Although":[1],"research":[2],"has":[3],"linked":[4],"sleep":[5,39,94,103,113,150],"problems,":[6,40],"anxiety,":[7,41],"and":[8,42,52,72,102,115,138,152,157],"poor":[9],"health":[10,45],"outcomes":[11],"among":[12,27,46,154],"patients'":[13],"family":[14,29,48,64,82,140,155],"members":[15],"in":[16,69,86],"nonhospice":[17],"settings,":[18],"little":[19],"is":[20],"known":[21],"about":[22],"these":[23],"often":[24],"interrelated":[25],"issues":[26],"hospice":[28,47,67,81],"caregivers.":[30,49],"OBJECTIVES:":[31],"We":[32,54],"sought":[33],"to":[34,132],"examine":[35],"the":[36,70,80,133],"relationships":[37],"between":[38],"global":[43],"self-rated":[44],"Methods,":[50],"Setting,":[51],"Patients:":[53],"conducted":[55],"a":[56],"secondary":[57],"analysis":[58],"of":[59,66,79,93,100,118,135],"quantitative":[60],"data":[61],"from":[62],"395":[63],"caregivers":[65,83,156],"patients":[68,137],"Midwest":[71],"Southeastern":[73],"United":[74],"States.":[75],"RESULTS:":[76],"Nearly":[77],"one-third":[78],"who":[84,109,127],"participated":[85],"this":[87],"study":[88],"experienced":[89],"clinically":[90],"noteworthy":[91],"levels":[92,117],"problems":[95,104,114,151],"and/or":[96],"anxiety.":[97],"Caregivers'":[98],"symptoms":[99],"anxiety":[101,119,153],"were":[105],"strongly":[106],"correlated.":[107],"Caregivers":[108],"reported":[110,120],"more":[111],"frequent":[112],"higher":[116],"poorer":[121],"overall":[122],"health.":[123],"CONCLUSION:":[124],"Hospice":[125],"providers,":[126],"are":[128],"charged":[129],"with":[130],"attending":[131],"needs":[134],"both":[136],"their":[139,144],"caregivers,":[141],"may":[142],"improve":[143],"practice":[145],"by":[146],"regularly":[147],"assessing":[148],"for":[149],"providing":[158],"appropriate":[159],"interventions":[160],"or":[161],"referrals.":[162]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":5},{"year":2021,"cited_by_count":9},{"year":2020,"cited_by_count":5},{"year":2019,"cited_by_count":5},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2017-11-17T00:00:00"}