title: The relationship of health behaviors with sleep and fatigue in transplant caregivers.
abstract: OBJECTIVE
  The burden and psychological impact of providing care to a loved one with cancer is significant and associated with a number of problems including sleep disturbance and fatigue. While engaging in healthy behaviors such as proper nutrition, exercise, and stress reduction may improve sleep and fatigue, few studies have focused on this relationship. The objective of this study is to examine the relationship of health behaviors with sleep quality and fatigue in transplant caregivers.
  
  
  METHODS
  Data were analyzed from a cross-sectional survey of 78 caregivers of patients undergoing allogeneic hematopoietic stem cell transplantation. Measures included: Health-Promoting Lifestyle Profile II (HPLP-II), Brief Symptom Inventory (Distress), Caregiver Reaction Assessment (Caregiver Burden), Pittsburgh Sleep Quality Index, and the Multidimensional Fatigue Symptom Inventory Short-Form.
  
  
  RESULTS
  Controlling for age, gender, BMI, burden and distress, health behaviors predicted sleep quality (B = -0.408, p = 0.021) and fatigue (B = -0.966, p < 0.001). Stress management (B = -0.450, p = 0.001), nutrition (B = -0.249, p = 0.048), and interpersonal relationships (B = -0.319, p = 0.049) were the HPLP-II subscales that significantly predicted sleep quality; nearly every HPLP-II subscale predicted fatigue.
  
  
  CONCLUSIONS
  Despite the burden and distress associated with caregiving, engaging in healthy behaviors may help to improve sleep and fatigue in transplant caregivers. Published 2015. This article is a U.S. Government work and is in the public domain in the USA.
authors.affiliation: National Institutes of Health Clinical Center, Nursing Department, Bethesda, MD, USA.
authors.forename: A
authors.initials: A
authors.lastname: Ross
authors.affiliation: National Institutes of Health Clinical Center, Nursing Department, Bethesda, MD, USA.
authors.forename: L
authors.initials: L
authors.lastname: Yang
authors.affiliation: National Institutes of Health Clinical Center, Nursing Department, Bethesda, MD, USA.
authors.forename: S D
authors.initials: SD
authors.lastname: Klagholz
authors.affiliation: National Institutes of Health Clinical Center, Nursing Department, Bethesda, MD, USA.
authors.forename: L
authors.initials: L
authors.lastname: Wehrlen
authors.affiliation: National Institutes of Health Clinical Center, Nursing Department, Bethesda, MD, USA.
authors.forename: M F
authors.initials: MF
authors.lastname: Bevans
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D017028:Caregivers / Q000523:psychology*; D003430:Cross-Sectional Studies; D005221:Fatigue / Q000523:psychology*; D005260:Female; D015438:Health Behavior; D018380:Hematopoietic Stem Cell Transplantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D011788:Quality of Life; D012893:Sleep Wake Disorders / Q000209:etiology*; D013315:Stress, Psychological / Q000150:complications* / Q000523:psychology