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Xie MR, Li G, Shi YT, Kang L, Dou NN, Liu B, Cao JL, Fu SQ, Hao SG. Study on the correlation between insomnia degree and quality of life in psychiatric outpatients in Chifeng city. World J Psychiatry 2025; 15:103669. [DOI: 10.5498/wjp.v15.i5.103669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/27/2024] [Revised: 01/27/2025] [Accepted: 03/06/2025] [Indexed: 04/30/2025] Open
Abstract
BACKGROUND Insomnia is a common sleep disorder that negatively impacts quality of life and is frequently comorbid with depression and anxiety. Chronic insomnia affects approximately 15% of the global population, with higher prevalence among females and the elderly. While existing research suggests a bidirectional relationship between insomnia and emotional disorders, the specific impact of insomnia severity on depression, anxiety, and quality of life remains unclear. This study investigates the correlation between insomnia severity and these factors in psychiatric outpatients, hypothesizing that greater insomnia severity is associated with higher levels of depression and anxiety, as well as poorer quality of life.
AIM To explore the correlation between insomnia severity and depression, anxiety, and quality of life in primary chronic insomnia patients.
METHODS From June to December 2023, 345 patients with primary insomnia in Chifeng city were recruited and divided into three groups based on Pittsburgh sleep quality index (PSQI) scores: Mild (n = 137), moderate (n = 162), and severe (n = 46). Demographic data were collected via questionnaires. Self-rating depression scale (SDS), self-rating anxiety scale (SAS), PSQI, and short form 36 (SF-36) scores were compared, and Pearson and partial correlation analyses were performed.
RESULTS The greater the degree of insomnia, the greater the symptoms of depression and anxiety (P < 0.001). The more severe the insomnia, the lower the SF-36 score (excluding body pain), and the difference between the three groups was statistically significant (P < 0.001). Pearson correlation analysis and partial correlation analysis depicted the SDS score and SAS score were apparently positively correlated with the severity of insomnia (P < 0.001). Pearson correlation analysis and partial correlation analysis depicted the SF-36 scores were apparently positively correlated with the severity of insomnia (P < 0.05).
CONCLUSION Depression and anxiety are independent factors influencing insomnia severity in primary chronic insomnia patients. Higher depression/anxiety levels correlate with worse insomnia, impacting quality of life.
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Affiliation(s)
- Meng-Ran Xie
- Sleep Center, Anding Hospital of Chifeng, Chifeng 024000, Inner Mongolia Autonomous Region, China
| | - Gang Li
- Sleep Center, Anding Hospital of Chifeng, Chifeng 024000, Inner Mongolia Autonomous Region, China
| | - Yu-Ting Shi
- Sleep Center, Anding Hospital of Chifeng, Chifeng 024000, Inner Mongolia Autonomous Region, China
| | - Li Kang
- Sleep Center, Anding Hospital of Chifeng, Chifeng 024000, Inner Mongolia Autonomous Region, China
| | - Na-Na Dou
- Sleep Center, Anding Hospital of Chifeng, Chifeng 024000, Inner Mongolia Autonomous Region, China
| | - Bing Liu
- Sleep Center, Anding Hospital of Chifeng, Chifeng 024000, Inner Mongolia Autonomous Region, China
| | - Jia-Li Cao
- Sleep Center, Anding Hospital of Chifeng, Chifeng 024000, Inner Mongolia Autonomous Region, China
| | - Shi-Qi Fu
- Sleep Center, Anding Hospital of Chifeng, Chifeng 024000, Inner Mongolia Autonomous Region, China
| | - Shi-Guang Hao
- Sleep Center, Anding Hospital of Chifeng, Chifeng 024000, Inner Mongolia Autonomous Region, China
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Edmed SL, Huda MM, Alam MA, Pattinson CL, Rossa KR, Shekari Soleimanloo S, Smith SS. Housing well-being and sleep in Australia. Sleep Health 2025:S2352-7218(25)00033-6. [PMID: 40204603 DOI: 10.1016/j.sleh.2025.02.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2024] [Revised: 12/14/2024] [Accepted: 02/01/2025] [Indexed: 04/11/2025]
Abstract
OBJECTIVES The built and social aspects of housing influence a broad range of health and social outcomes and may be important enablers of barriers to occupants accessing sufficient and good-quality sleep. The aim of this study was to examine the relationships between housing well-being (a conceptualization of housing-related [dis]advantage), with self-reported sleep outcomes in Australians. METHODS We conducted a cross-sectional analysis of Wave 21 (2021) of the Household, Income and Labour Dynamics in Australia (HILDA) Survey, a longitudinal, population-based study of Australian households. Multilevel logistic regression models were used to examine the association between "housing well-being" and sleep outcomes. The sample analyzed consisted of 13,516 respondents. RESULTS Greater housing insecurity (a composite score comprising tenure type, housing affordability stress, and housing mobility) was associated with higher odds of insufficient sleep (AOR: 1.28; 95% CI: 1.15, 1.41) and sleep disturbance (AOR: 1.13; 95% CI: 1.04, 1.22) after adjustment. Unsuitable housing (a composite score comprising dwelling type, occupant density, and housing quality) was associated with increased odds of insufficient sleep (AOR: 1.36; 95% CI: 1.19, 1.55), napping (AOR: 1.13; 95% CI: 1.02, 1.25), and sleep disturbance (AOR: 1.14; 95% CI: 1.03, 1.26) after adjustment. CONCLUSIONS Improving housing condition and circumstances may support the sleep health of Australians. Future research should explore the ways in which sleep may play a mediating role through which built environments affect other health and well-being outcomes.
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Affiliation(s)
- Shannon L Edmed
- Child Health Research Centre, The University of Queensland, Brisbane, Queensland, Australia; ARC Centre of Excellence for Children and Families over the Life Course, The University of Queensland, Brisbane, Queensland, Australia; ARC Centre of Excellence for the Digital Child, The University of Queensland, Brisbane, Queensland, Australia.
| | - M Mamun Huda
- Rural Health Research Institute, Charles Sturt University, Orange, New South Wales, Australia
| | - Md Ashraful Alam
- ARC Centre of Excellence for Children and Families over the Life Course, The University of Queensland, Brisbane, Queensland, Australia; Poche Centre for Indigenous Health, The University of Queensland, Brisbane, Queensland, Australia
| | - Cassandra L Pattinson
- Child Health Research Centre, The University of Queensland, Brisbane, Queensland, Australia; ARC Centre of Excellence for Children and Families over the Life Course, The University of Queensland, Brisbane, Queensland, Australia; ARC Centre of Excellence for the Digital Child, The University of Queensland, Brisbane, Queensland, Australia
| | - Kalina R Rossa
- Child Health Research Centre, The University of Queensland, Brisbane, Queensland, Australia; ARC Centre of Excellence for Children and Families over the Life Course, The University of Queensland, Brisbane, Queensland, Australia; ARC Centre of Excellence for the Digital Child, The University of Queensland, Brisbane, Queensland, Australia
| | - Shamsi Shekari Soleimanloo
- ARC Centre of Excellence for Children and Families over the Life Course, The University of Queensland, Brisbane, Queensland, Australia; School of Psychology, The University of Queensland, Brisbane, Queensland, Australia
| | - Simon S Smith
- Child Health Research Centre, The University of Queensland, Brisbane, Queensland, Australia; ARC Centre of Excellence for Children and Families over the Life Course, The University of Queensland, Brisbane, Queensland, Australia; ARC Centre of Excellence for the Digital Child, The University of Queensland, Brisbane, Queensland, Australia
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Smolensky MH, Hermida RC, Castriotta RJ, Geng YJ. Findings and Methodological Shortcomings of Investigations Concerning the Relationship Between Sleep Duration and Blood Pressure: A Comprehensive Narrative Review. J Cardiovasc Dev Dis 2025; 12:95. [PMID: 40137093 PMCID: PMC11943021 DOI: 10.3390/jcdd12030095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2024] [Revised: 02/03/2025] [Accepted: 03/05/2025] [Indexed: 03/27/2025] Open
Abstract
Cardiology and sleep societies recommend 7-9 h sleep/night for adults (7-8 h for seniors) and more for youngsters; nonetheless, short sleep duration (SSD) of <7 h/night is epidemic. We searched PubMed for representative investigations, including those cited by meta-analyses, that reported association between SSD and long sleep duration (LSD) of >9 h/night and blood pressure (BP) levels to assess shortcomings of their methods. Studies indicate both SSD and LSD negatively impact BP despite major deficiencies, such as (i) reliance mainly on cross-sectional rather than longitudinal protocols, (ii) inclusion of participants diagnosed with hypertension (HTN) and/or taking antihypertension medications, (iii) assessment of BP and diagnosis of HTN performed by single wake-time office measurement rather than multiple measurements performed by 24 h ambulatory BP monitoring (ABPM), and (iv) determination of SD by subjective recall, single-night polysomnography, or diary recordings rather than objective wrist actigraphy of sufficient duration. The limited number of ABPM-based studies, despite evidencing major shortcomings, particularly (i) assessment for 24 h rather than preferred ≥48 h and (ii) inclusion of subjects diagnosed with HTN and/or taking antihypertension medications, also report association between abnormal SD and elevated 24 h 'daytime'/wake-time diastolic and systolic (SBP) means plus 'nighttime'/sleep-time SBP mean and dipping-the latter two indices, in combination, the strongest predictors of major adverse cardiovascular events.
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Affiliation(s)
- Michael H. Smolensky
- Department of Biomedical Engineering, Cockell School of Engineering, The University of Texas at Austin, Austin, TX 78712, USA; (R.C.H.); (Y.-J.G.)
- Division of Cardiovascular Medicine, Department of Internal Medicine, McGovern School of Medicine, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA
| | - Ramón C. Hermida
- Department of Biomedical Engineering, Cockell School of Engineering, The University of Texas at Austin, Austin, TX 78712, USA; (R.C.H.); (Y.-J.G.)
- Bioengineering & Chronobiology Laboratories, Atlantic Research Center for Telecommunication Technologies, Universidade de Vigo, 36310 Vigo, Spain
- Bioengineering & Chronobiology Research Group, Galicia Sur Health Research Institute, 36310 Vigo, Spain
| | - Richard J. Castriotta
- Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA;
| | - Yong-Jian Geng
- Department of Biomedical Engineering, Cockell School of Engineering, The University of Texas at Austin, Austin, TX 78712, USA; (R.C.H.); (Y.-J.G.)
- Division of Cardiovascular Medicine, Department of Internal Medicine, McGovern School of Medicine, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA
- The Texas Heart Institute at Baylor St. Luke’s Medical Center, Houston, TX 77030, USA
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Guo Y, Jiang Q, Zhang Z. Reciprocal effects of sleep duration and depressive symptoms among Chinese couples: A longitudinal dyadic analysis. J Affect Disord 2025; 369:906-912. [PMID: 39426509 DOI: 10.1016/j.jad.2024.10.049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/25/2024] [Revised: 10/10/2024] [Accepted: 10/12/2024] [Indexed: 10/21/2024]
Abstract
BACKGROUND The reciprocal effects between sleep and depression have been widely demonstrated. However, current understanding has focused on the association at the individual level. The present study aims to explore the longitudinal, dyadic, and reciprocal associations between sleep duration and depressive symptoms on a couple level and test whether these effects vary by gender. METHODS Using data from the China Health and Retirement Longitudinal Study (CHARLS; 2011 and 2018), we analyzed 5683 couples (11,366 individuals) aged 45 and older (Meanage = 58.69, SD = 8.55). Sleep duration was measured by self-report of sleep hours, and depressive symptoms were measured by the CES-D scale. We used actor-partner interdependence models for the analysis. RESULTS We found a significant longitudinal and reciprocal association between sleep duration and depressive symptoms for both wives and husbands. Moreover, cross-partner effects differed by gender: Husbands' sleep and depressive symptoms predicted their wives' sleep and depressive symptoms respectively, but the reverse effects from wife to husband were not statistically significant. LIMITATIONS The measure of sleep duration relied on self-report and we lacked information about whether couples slept in the same room. DISCUSSIONS The results highlight a gendered interdependent influence of sleep duration and depressive symptoms over the 7-year follow-up, particularly from husbands to wives. Further investigation is necessary to understand the underlying mechanisms driving these observed patterns.
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Affiliation(s)
- Yu Guo
- School of Public Policy and Administration, Institute for Population and Development Studies, Xi'an Jiaotong University, Xi'an, Shaanxi, China
| | - Quanbao Jiang
- School of Public Policy and Administration, Institute for Population and Development Studies, Xi'an Jiaotong University, Xi'an, Shaanxi, China
| | - Zhenmei Zhang
- Department of Sociology, Michigan State University, East Lansing, MI, USA.
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Li B, Han SS, Ye YP, Li YX, Meng SQ, Feng S, Li H, Cui ZL, Zhang YS, Zhang Y, Zhang Q, Wang GX, Lou H, Zhu W, Liu Y. Cross sectional associations of physical activity and sleep with mental health among Chinese university students. Sci Rep 2024; 14:31614. [PMID: 39738254 PMCID: PMC11686290 DOI: 10.1038/s41598-024-80034-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2024] [Accepted: 11/14/2024] [Indexed: 01/01/2025] Open
Abstract
OBJECTIVE This study aimed to examine the levels of physical activity (PA), sleep, and mental health (MH), specifically depression, anxiety, and stress, among Chinese university students. It also aimed to analyze the influencing factors of MH, providing a theoretical foundation for developing intervention programs to improve college students' mental health. METHODS A stratified, clustered, and phased sampling method was employed. In September 2022, a survey was conducted among 36,756 university students from 104 higher education institutions across 31 provinces, autonomous regions, and municipalities in China. The participants' PA behaviors, sleep patterns, depressive symptoms (use the CES-D), anxiety symptoms (use the GAD-7), smoking and drinking behaviors, and demographic information were assessed through an online questionnaire using Questionnaire Star software. RESULTS A total of 30,475 valid questionnaires were completed. The proportion of university students engaging in light-intensity PA was 77.6%. The prevalence of insufficient sleep was 39.5%, whereas the prevalence of poor sleep quality was 16.7%. The prevalence of depressive symptoms was 10%, and the prevalence of anxiety symptoms was 23.3%. Binary logistic regression analysis revealed that engaging in moderate to high-intensity PA and having sufficient and high-quality sleep were associated with a lower likelihood of depressive symptoms (OR = 0.207-0.800, P < 0.01), whereas appropriate sleep duration and higher sleep quality were associated with a lower likelihood of anxiety symptoms (OR = 0.134-0.827, P < 0.001). CONCLUSION The intensity of PA among university students is predominantly light, and the reported rate of insufficient sleep is relatively high. Moderate to high-intensity PA and sufficient high-quality sleep may alleviate MH issues among college students, with an interaction effect observed among PA, sleep, and depression symptoms. Future studies should further explore targeted interventions combining PA and sleep behaviors to enhance the MH of university students.
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Affiliation(s)
- Bo Li
- Institute of Sports Science, Nantong University, Nantong, 226019, China
| | - Shan-Shan Han
- Institute of Sports Science, Nantong University, Nantong, 226019, China
- Athletic Training Academy, Chengdu Sport University, Chengdu, 610041, China
| | - Yu-Peng Ye
- School of physical education, Jing-gang-shan University, Ji'an, 343009, China
| | - Ya-Xing Li
- Physical Education College, Shangqiu University, Shangqiu, 476000, China
| | - Shu-Qiao Meng
- Department of Physical Education, Xidian University, Xi'an, 710126, Shaanxi, China
| | - Shuo Feng
- College of Physical Education, Xinyang Normal University, Xinyang, 710126 , Henan, China
| | - Han Li
- Department of Physical Education, Ordos Institute of Applied Technology, Ordos, 017000, China
| | - Zhong-Lei Cui
- Physical Education College of Shangqiu Normal University, Shangqiu, 476000, China
| | - Yang-Sheng Zhang
- School of Physical Education, Nanjing Xiaozhuang University, Nanjing, 211171, Jiangsu, China
| | - Yao Zhang
- Institute of Sports and Health, Zhengzhou Shengda University, Zhengzhou, 451191, China
| | - Qing Zhang
- Department of Physical Education, Yangling Vocational and Technical College, Yangling, 712100, Shaanxi, China
| | - Guang-Xu Wang
- College of Physical Education, Henan Normal University, Xinxiang, 453007, China
| | - Hu Lou
- Institute of Sports Science, Nantong University, Nantong, 226019, China
| | - Weidong Zhu
- Institute of Sports Science, Nantong University, Nantong, 226019, China
| | - Yang Liu
- School of Physical Education, Shanghai University of Sport, Shanghai, 200438, China.
- National Demonstration Center for Experimental Teaching in Physical Education, Shanghai University of Sport, Shanghai, 200438, China.
- Shanghai Research Center for Physical Fitness and Health of Children and Adolescents, Shanghai, 200438, China.
- School of Physical Education and Training, Shanghai University of Sport, 650 Qing yuan huan Road, Yang Pu District, Shanghai, 200438, China.
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Wang S, Hicks MHR, Barrett E, Martsenkovskyi D, Holovanova I, Marchak O, Ishchenko L, Fiedler N, Haque U. Sleep Duration, Insomnia, and Associated Factors Among Ukrainians 1 Year After Russia's Full-Scale Invasion. Psychosom Med 2024; 86:690-699. [PMID: 39132939 DOI: 10.1097/psy.0000000000001337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/13/2024]
Abstract
OBJECTIVE We aimed to investigate the prevalence of sleep disturbances and associated factors among Ukrainians 1 year after Russia's full-scale invasion. METHODS Quota sampling was used to collect online survey data from 2364 adults living in Ukraine aged 18 to 79 years from April 5, 2023, to May 15, 2023. Short sleep duration was defined as sleep duration ≤6 hours and long sleep duration as ≥9 hours. Insomnia was assessed by the Insomnia Symptom Questionnaire. RESULTS The prevalences of short sleep duration, long sleep duration, and insomnia were 39.4%, 6.9%, and 38.5%, respectively. Short sleep duration and insomnia were both more likely in females (short sleep duration: adjusted odds ratio [aOR] = 1.44; insomnia: aOR = 2.17), individuals with depression (short sleep duration: aOR = 1.61; insomnia: aOR = 7.76), affected by the 2014 Russian invasion (short sleep duration: aOR = 1.37; insomnia: aOR = 1.78), and with more trauma events (short sleep duration: quartile 3 [Q3] versus Q1: aOR = 1.88; Q4 versus Q1: aOR = 1.83; insomnia: Q3 versus Q1: aOR = 2.14; Q4 versus Q1: aOR = 2.32). Insomnia was more likely in Ukrainians with posttraumatic stress disorder (aOR = 2.95), anxiety (aOR = 4.57), and loneliness (aOR = 1.67). Essential public service was associated with short sleep duration (aOR = 1.64). Short sleep duration and insomnia were associated with lower quality of life in physical, psychological, and environmental domains. Insomnia was associated with the social relationships domain. CONCLUSIONS Sleep health among Ukrainian adults 1 year into the war is concerning, with more than one-third reporting inadequate sleep or insomnia. More studies are needed on impacts and interventions for sleep health during and after the war.
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Affiliation(s)
- Shanshan Wang
- From the Department of Population & Community Health, School of Public Health (Wang), University of North Texas Health Science Center, Fort Worth, Texas; Department of Psychiatry (Hicks), UMass Chan Medical School, Worcester, Massachusetts; Environmental and Occupational Sciences Institute (Barrett, Fiedler), Rutgers University; Department of Biostatistics and Epidemiology (Barrett, Haque), Rutgers School of Public Health, Piscataway, New Jersey; Department of Psychiatry and Narcology (Martsenkovskyi), Bogomolets National Medical University, Kyiv; Poltava State Medical University (Holovanova), Poltava; Overseas Council-United World Mission (Marchak), Rivne; Ukrainian Laboratory of Quality and Safety of Agricultural Products (Ishchenko), Kyiv, Ukraine; Department of Environmental and Occupational Health and Justice (Fiedler), Rutgers School of Public Health, Piscataway; and Rutgers Global Health Institute (Haque), New Brunswick, New Jersey
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Chan HW, Lin L, Tam KP, Hong YY. From negative feelings to impairments: A longitudinal study on the development of climate change anxiety. J Anxiety Disord 2024; 107:102917. [PMID: 39217778 DOI: 10.1016/j.janxdis.2024.102917] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Revised: 08/13/2024] [Accepted: 08/20/2024] [Indexed: 09/04/2024]
Abstract
People may experience anxiety and related distress when they come in contact with climate change (i.e., climate change anxiety). Climate change anxiety can be conceptualized as either emotional-based response (the experience of anxiety-related emotions) or impairment-based response (the experience of impairment in daily functioning). To date, it remains uncertain how these distinct manifestations of climate change anxiety are related. Conceptually, the experience of climate change anxiety may transform from an adaptive and healthy emotional response to an impairment in daily functioning. We conducted two two-wave longitudinal studies to examine the possible bidirectional relationships between three manifestations of climate change anxiety. We recruited 942 adults (mean age = 43.1) and 683 parents (mean age = 46.2) in Studies 1 and 2, respectively. We found that Time 1 emotion-based response was positively linked to Time 2 cognitive-emotional impairment, while Time 1 cognitive-emotional impairment was positively related to Time 2 functional impairment. In Study 2, we also found a bidirectional positive relationship between generalized anxiety and emotion-based climate change anxiety over time. Overall, our findings provide initial support to the temporal relationships between different manifestations of climate change anxiety, corroborating that climate change anxiety may develop from emotional responses to impairment in functioning.
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Affiliation(s)
- Hoi-Wing Chan
- The Hong Kong Polytechnic University, Hong Kong, China.
| | - Li Lin
- Lingnan University, Hong Kong, China
| | - Kim-Pong Tam
- The Hong Kong University of Science and Technology, Hong Kong, China
| | - Ying-Yi Hong
- The Chinese University of Hong Kong, Hong Kong, China
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Huang J, Yang Z, Wang Q, Liu J, Xie W, Sun Y. The relationship between family cohesion and bedtime procrastination among Chinese college students: the chain mediating effect of coping styles and mobile phone addiction. BMC Psychiatry 2024; 24:250. [PMID: 38566050 PMCID: PMC10988965 DOI: 10.1186/s12888-024-05700-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/21/2023] [Accepted: 03/20/2024] [Indexed: 04/04/2024] Open
Abstract
BACKGROUND Bedtime procrastination refers to an individual's inability to go to bed at a predetermined time without external obstacles. Previous researchers have found that the bedtime procrastination is harmful to human physical and mental health, but these research on bedtime procrastination have mostly focused on exploring individual factors, while ignoring the external environmental factors. Therefore, this is the first study to investigate bedtime procrastination from the perspective of family environments. METHODS The study was conducted using a convenient sampling method and online questionnaires. Family Cohesion Scale, Coping Styles Questionnaire, Mobile Phone Addiction Tendency Scale and Bedtime Procrastination Scale were used to measure sleep and psychological condition of 1,048 college students. RESULTS Family cohesion negatively predicted bedtime procrastination. Additionally, positive coping style and mobile phone addiction had significant independent mediating effects. Furthermore, positive coping style and mobile phone addiction had chain mediating effects between family cohesion and bedtime procrastination. CONCLUSION This study revealed the effect of coping styles and mobile phone addiction on the relationship between family cohesion and bedtime procrastination among Chinese college students. These findings explained the mechanisms of bedtime procrastination from the perspective of environment, so as to effectively intervene the bedtime procrastination of college students from the perspective of external environment.
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Affiliation(s)
- Jiahao Huang
- School of Mental Health, Zhejiang Provincial Clinical Research Center for Mental Disorders, The Affiliated Wenzhou Kangning Hospital, Wenzhou Medical University, 325035, Wenzhou, China
- Faculty of Psychology, Tianjin Normal University, 300387, Tianjin, China
| | - Zhenliang Yang
- Faculty of Psychology, Tianjin Normal University, 300387, Tianjin, China
| | - Qian Wang
- Faculty of Psychology, Tianjin Normal University, 300387, Tianjin, China
| | - Junling Liu
- Faculty of Psychology, Tianjin Normal University, 300387, Tianjin, China
| | - Wenlan Xie
- Children's Research Institute, Ningbo Childhood Education College, 315000, Ningbo, China.
| | - Yuqi Sun
- School of Mental Health, Zhejiang Provincial Clinical Research Center for Mental Disorders, The Affiliated Wenzhou Kangning Hospital, Wenzhou Medical University, 325035, Wenzhou, China.
- Zhejiang Haozhonghao Health Products Co., Ltd, 325409, Wenzhou, China.
- Zhejiang Jerinte Health Technology Co., Ltd, 310013, Hangzhou, China.
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Wang S, Jülich ST, Lei X. Latent profile of the insomnia severity index: A longitudinal study. Sleep Med 2024; 115:202-209. [PMID: 38368737 DOI: 10.1016/j.sleep.2024.02.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/15/2023] [Revised: 02/01/2024] [Accepted: 02/13/2024] [Indexed: 02/20/2024]
Abstract
STUDY OBJECTIVES To identify the distinct classification of insomnia symptoms and to explore their association with sleep problems and depression. METHODS Latent profile analysis was used to examine patterns of insomnia symptoms in two samples. Discovery and replication samples comprised 1043 (Mean age at baseline = 18.95 ± 0.93 years, 62.2% females) and 729 (Mean age at baseline = 18.71 ± 1.02 years, 66.4% females) college students, respectively. Participants completed measures of sleep problems (insomnia symptoms, sleep quality, susceptibility to insomnia, perceived consequences of insomnia, dream recall frequency, and percentage of recurring nightmares) and other psychological variables (rumination and depression). Binary logistic regression was used to analyze the effects of different types of insomnia symptoms at baseline on sleep problems and depression two years later. RESULTS Four classes of insomnia symptoms were identified, and classified as "non-insomnia" (class 1, 45.7%), "mild subjective symptoms but severe subjective feelings" (class 2, 23.9%), "severe subjective symptoms but mild subjective feelings" (class 3, 22.0%), and "high insomnia risk" (class 4, 8.4%), respectively. Compared with the group classified as non-insomnia group, other classifications significantly predicted insomnia two years later, only class 4 significantly predicted depression, and class 3 significantly predicted susceptibility to insomnia, after adjusting gender, insomnia, depression, and susceptibility to insomnia at baseline. CONCLUSIONS The findings highlighted the importance of identifying the patterns of insomnia symptoms, and the need for tailored intervention to improve sleep problems. Additionally, when screening for insomnia symptoms, simplified screening using Insomnia Severity Index (ISI) dimensions or items should be considered.
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Affiliation(s)
- Shuo Wang
- Sleep and NeuroImaging Center, Faculty of Psychology, Southwest University, Chongqing, 400715, China; Key Laboratory of Cognition and Personality, Southwest University, Ministry of Education, Chongqing, 400715, China
| | - Simon Theodor Jülich
- Sleep and NeuroImaging Center, Faculty of Psychology, Southwest University, Chongqing, 400715, China; Key Laboratory of Cognition and Personality, Southwest University, Ministry of Education, Chongqing, 400715, China
| | - Xu Lei
- Sleep and NeuroImaging Center, Faculty of Psychology, Southwest University, Chongqing, 400715, China; Key Laboratory of Cognition and Personality, Southwest University, Ministry of Education, Chongqing, 400715, China.
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Yeboah Asiamah-Asare BK, Peprah P, Adu C, Ahinkorah BO, Addo IY. Associations of nuptiality perceptions, financial difficulties, and socio-demographic factors with mental health status in Australian adults: Analysis of the Household, Income and Labour Dynamics in Australia (HILDA) survey. PLoS One 2024; 19:e0296941. [PMID: 38354107 PMCID: PMC10866460 DOI: 10.1371/journal.pone.0296941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2023] [Accepted: 12/20/2023] [Indexed: 02/16/2024] Open
Abstract
OBJECTIVE This study examined the association of nuptial/relationship factors, financial difficulties, and socio-demographic factors with the mental health status of Australian adults. DESIGN Cross-sectional quantitative study design. SETTINGS, PARTICIPANTS, AND INTERVENTIONS Using data from the Household, Income and Labour Dynamics in Australia (HILDA) survey wave 19, 6846 adults were included in the analysis. Mental health was measured using the mental component summary (MCS) subscale of the Short-Form Health Survey SF-36. Hierarchical multiple linear regressions were used to examine the predictors of mental health status. RESULTS Overall, 7.1% of the participants reported poor mental health status. Individual financial difficulty factors explained 3.2% (p<0.001) of the variance in mental health scores. In addition, financial difficulties were negatively associated with mental health status. Nuptiality and relationship factors accounted for 9.8% (p<0.001) of the variance in mental health status. CONCLUSION The study suggests negative marital or relationship perceptions and financial difficulties are significant factors accounting for poor mental health. This finding suggests the need for more policy attention toward the social determinants of poor mental health especially nuptiality or relationship perceptions which have received less policy and research attention in Australia.
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Affiliation(s)
- Bernard Kwadwo Yeboah Asiamah-Asare
- Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, Scotland
- Curtin School of Population Health, Curtin University, Perth, Western Australia, Australia
| | - Prince Peprah
- Social Policy Research Centre, UNSW, Sydney, Australia
- Centre for Primary Health Care and Equity, UNSW, Sydney, Australia
| | - Collins Adu
- Department of Health Promotion, Education and Disability Studies, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
- Centre for Social Research in Health; UNSW Sydney, Sydney, Australia
| | - Bright Opoku Ahinkorah
- School of Public Health, University of Technology Sydney, Sydney, Australia
- School of Clinical Medicine, UNSW Sydney, Sydney, Australia
| | - Isaac Yeboah Addo
- Centre for Social Research in Health; UNSW Sydney, Sydney, Australia
- Concord Clinical School, University of Sydney, Sydney, Australia
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Benasi G, Malik A, Cheng B, Aggarwal B, Shechter A, St-Onge MP. Well-being therapy and sleep hygiene in a non-clinical population of adults reporting poor sleep quality and distress: A remote pilot randomized controlled study. Behav Sleep Med 2024; 22:115-128. [PMID: 37016730 PMCID: PMC10548351 DOI: 10.1080/15402002.2023.2197600] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/06/2023]
Abstract
OBJECTIVES This pilot randomized controlled study evaluates the feasibility and preliminary efficacy of a 7-week remote intervention combining well-being therapy and sleep hygiene to improve sleep and psychological outcomes among adults reporting poor sleep and distress. METHODS Thirty-one participants (81% women, 40.2 ± 13.0 y, 48% racial/ethnic minority) were recruited from the community during the COVID-19 pandemic through online and local advertisement, and randomized to well-being therapy+sleep hygiene or sleep hygiene-only. Study outcomes were evaluated by self-reported questionnaires administered at baseline and post-intervention and a daily sleep diary. RESULTS Compared to sleep hygiene-only, well-being therapy+sleep hygiene led to greater improvements in wake after sleep onset (time-by-group interaction: 3.6 ± 1.5 min, p = .017), personal growth (β -3.0, 95%CI -5.2, -0.8, p = .01), and purpose in life (β -3.5, 95%CI -6.1, -0.9, p = .009). Anxiety, perceived stress, sleep quality, and insomnia symptoms improved similarly in both groups (between-group differences, p > .05). Improvements in sleep quality, insomnia, and sleep duration were associated with reductions in multiple measures of psychological distress (all p < .05). CONCLUSIONS These findings suggest that, in a non-clinical setting of individuals suffering from combined poor sleep and psychological distress, the addition of well-being therapy to sleep hygiene may provide additional benefits for sleep by promoting sleep continuity and well-being.
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Affiliation(s)
- Giada Benasi
- Division of General Medicine, Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA
| | - Amber Malik
- Institute of Human Nutrition, College of Physicians & Surgeons, Columbia University Irving Medical Center, New York, NY, USA
| | - Bin Cheng
- Department of Biostatistics, Mailman School of Public Health, Columbia University Irving Medical Center, New York, NY, USA
| | - Brooke Aggarwal
- Institute of Human Nutrition, College of Physicians & Surgeons, Columbia University Irving Medical Center, New York, NY, USA
- Division of Cardiology, Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA
- Center of Excellence for Sleep & Circadian Research, Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA
| | - Ari Shechter
- Division of Cardiology, Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA
- Center of Excellence for Sleep & Circadian Research, Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA
| | - Marie-Pierre St-Onge
- Division of General Medicine, Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA
- Center of Excellence for Sleep & Circadian Research, Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA
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12
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Nyhuis CC, Fernandez-Mendoza J. Insomnia nosology: a systematic review and critical appraisal of historical diagnostic categories and current phenotypes. J Sleep Res 2023; 32:e13910. [PMID: 37122153 PMCID: PMC11948287 DOI: 10.1111/jsr.13910] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Revised: 04/04/2023] [Accepted: 04/05/2023] [Indexed: 05/02/2023]
Abstract
Insomnia nosology has significantly evolved since the Diagnostic and Statistical Manual (DSM)-III-R first distinguished between 'primary' and 'secondary' insomnia. Prior International Classification of Sleep Disorders (ICSD) nosology 'split' diagnostic phenotypes to address insomnia's heterogeneity and the DSM nosology 'lumped' them into primary insomnia, while both systems assumed causality for insomnia secondary to health conditions. In this systematic review, we discuss the historical phenotypes in prior insomnia nosology, present findings for currently proposed insomnia phenotypes based on more robust approaches, and critically appraise the most relevant ones. Electronic databases PsychINFO, PubMED, Web of Science, and references of eligible articles, were accessed to find diagnostic manuals, literature on insomnia phenotypes, including systematic reviews or meta-analysis, and assessments of the reliability or validity of insomnia diagnoses, identifying 184 articles. The data show that previous insomnia diagnoses lacked reliability and validity, leading current DSM-5-TR and ICSD-3 nosology to 'lump' phenotypes into a single diagnosis comorbid with health conditions. However, at least two new, robust insomnia phenotyping approaches were identified. One approach is multidimensional-multimethod and provides evidence for self-reported insomnia with objective short versus normal sleep duration linked to clinically relevant outcomes, while the other is multidimensional and provides evidence for two to five clusters (phenotypes) based on self-reported trait, state, and/or life-history data. Some approaches still need replication to better support whether their findings identify true phenotypes or simply different patterns of symptomatology. Regardless, these phenotyping efforts aim at improving insomnia nosology both as a classification system and as a mechanism to guide treatment.
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Affiliation(s)
- Casandra C. Nyhuis
- Department of Public Health Sciences, Pennsylvania State University College of Medicine, Hershey, Pennsylvania, USA
| | - Julio Fernandez-Mendoza
- Sleep Research and Treatment Center, Department of Psychiatry and Behavioral Health, Pennsylvania State University College of Medicine, Hershey, Pennsylvania, USA
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13
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Qi H, Liu R, Zhou J, Feng Y, Feng L, Feng Z, Yan F. Investigating sleep quality and sleep hygiene awareness among Chinese adults: an association and network analysis study. Sleep Breath 2023; 27:2049-2058. [PMID: 36869169 PMCID: PMC9984285 DOI: 10.1007/s11325-023-02798-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Revised: 02/07/2023] [Accepted: 02/22/2023] [Indexed: 03/05/2023]
Abstract
PURPOSE The relationships between sleep quality and sleep hygiene awareness in the Chinese population were unclear. We aimed to investigate the associations and related factors between sleep quality and sleep hygiene awareness in adults and to identify the most central domain for sleep quality using network analysis. METHODS A cross-sectional survey was conducted from April 22 to May 5, 2020. Adults (18 years old or above) who had access to smartphones were invited to participate in this survey. The Pittsburg Sleep Quality Index (PSQI) and the Sleep Hygiene Awareness and Practice Scale (SHAPS) were used to evaluate the sleep quality and sleep hygiene awareness of the participants. Propensity score matching (PSM) was used as sensitivity analysis to reduce the confounding effects. Multiple logistic regression was performed to evaluate the associations. The R packages "bootnet" and "qgraph" were used to estimate the connection and calculate the network centrality indices between good and poor sleepers. RESULTS In total, 939 respondents were included in the analysis. Of them, 48.8% (95% CI: 45.6-52.0%) were identified as poor sleepers. Participants with nervous system diseases, psychiatric diseases, and psychological problems were more likely to have poor sleep quality. The notion that using sleep medication regularly was beneficial to sleep was associated with poor sleep quality. Similarly, the notion that waking up at the same time each day disrupted sleep was also associated with poor sleep quality. The findings were consistent before and after PSM. Subjective sleep quality was the most central domain for sleep quality in good and poor sleepers. CONCLUSION Poor sleep quality was positively associated with certain sleep hygiene notions in Chinese adults. Effective measures such as self-relief, sleep hygiene education, and cognitive behavioral treatment may have been needed to improve sleep quality, especially during the COVID-19 outbreak.
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Affiliation(s)
- Han Qi
- Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, 100088, China
- Department of Epidemiology and Health Statistics, School of Public Health, and Beijing Municipal Key Laboratory of Clinical Epidemiology, Capital Medical University, Beijing, 100069, China
| | - Rui Liu
- Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, 100088, China
| | - Jia Zhou
- Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, 100088, China
| | - Yuan Feng
- Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, 100088, China
| | - Lei Feng
- Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, 100088, China
| | - Zizhao Feng
- Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, 100088, China
| | - Fang Yan
- Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, 100088, China.
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14
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Olgun H, Yazar T, Çakmak BB, Arıcı YK. Assessment of Sleep Disturbances on Mental Health in Patients with Restless Legs Syndrome. Neurol India 2023; 71:693-698. [PMID: 37635500 DOI: 10.4103/0028-3886.383850] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/29/2023]
Abstract
Background and Objective In our study, we aimed to evaluate the sleep disturbances of patients diagnosed with restless legs syndrome (RLS) regarding their mental health according to the severity of the disease. Materials and Methods The study included 166 patients diagnosed with RLS and 161 healthy controls in the same age interval as patients. Sleep disturbances of patients were defined with the "personal information form" (PIF) prepared by the researchers, while the mental health status of patients was defined with the "Brief Symptom Inventory" (BSI). Results All RLS patients had an increase in BSI subscale points, with a positive correlation to disease severity, and subscale points were significantly higher than the control group (p < 0.05). Those with the "frequent waking" problem had higher BSI subscale points compared to those without the problem (p<0.01 or 0.001). Those with "waking with respiratory distress," "daytime sleepiness," "very early waking," and "sleep disorder" problems had statistically significantly high BSI subscale points for all subscales, apart from hostility, compared to those without these problems (p<0.01 or 0.001). Conclusion It is considered that assessment of sleep disturbances causing disrupted quality of life and mood disorders is beneficial for the treatment of patients with RLS. Our study data appears to be related to the result that sleep disturbances and mental health disruptions might be associated with the disease severity among RLS patients.
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Affiliation(s)
- Hulya Olgun
- İstanbul Taksim Educational and Research Hospital, Neurology, Neurology Department, İstanbul, Turkey
| | - Tamer Yazar
- Kanuni Sultan Süleyman Training and Research Hospital, Neurology Department, İstanbul, Turkey
| | | | - Yeliz K Arıcı
- Ordu University, Faculty of Medicine, Department of Biostatistics and Medical Informatics, Ordu, Turkey
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15
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Duncan MJ, Holliday EG, Burton NW, Glozier N, Oftedal S. Prospective associations between joint categories of physical activity and insomnia symptoms with onset of poor mental health in a population-based cohort. JOURNAL OF SPORT AND HEALTH SCIENCE 2023; 12:295-303. [PMID: 35192936 DOI: 10.1016/j.jshs.2022.02.002] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/03/2021] [Revised: 12/09/2021] [Accepted: 12/17/2021] [Indexed: 05/17/2023]
Abstract
BACKGROUND Physical inactivity and insomnia symptoms are independently associated with increased risk of depression and anxiety; however, few studies jointly examine these risk factors. This study aimed to prospectively examine the joint association of physical activity (PA) and insomnia symptoms with onset of poor mental health in adults. METHODS Participants from the 2013 to 2018 annual waves of the Household Income and Labour Dynamics in Australia panel study who had good mental health (Mental Health Inventory-5 >54) in 2013, and who completed at least 1 follow-up survey (2014-2018), were included (n = 10,977). Poor mental health (Mental Health Inventory-5 ≤ 54) was assessed annually. Baseline (2013) PA was classified as high/moderate/low, and insomnia symptoms (i.e., trouble sleeping) were classified as no insomnia symptoms/insomnia symptoms, with 6 mutually exclusive PA-insomnia symptom groups derived. Associations of PA-insomnia symptom groups with onset of poor mental health were examined using discrete-time proportional-hazards logit-hazard models. RESULTS There were 2322 new cases of poor mental health (21.2%). Relative to the high PA/no insomnia symptoms group, there were higher odds (odds ratio and 95% confidence interval (95%CI)) of poor mental health among the high PA/insomnia symptoms (OR = 1.87, 95%CI: 1.57-2.23), moderate PA/insomnia symptoms (OR = 1.93, 95%CI: 1.61-2.31), low PA/insomnia symptoms (OR = 2.33, 95%CI: 1.96-2.78), and low PA/no insomnia symptoms (OR = 1.14, 95%CI: 1.01-1.29) groups. Any level of PA combined with insomnia symptoms was associated with increased odds of poor mental health, with the odds increasing as PA decreased. CONCLUSION These findings highlight the potential benefit of interventions targeting both PA and insomnia symptoms for promoting mental health.
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Affiliation(s)
- Mitch J Duncan
- School of Medicine and Public Health; College of Health, Medicine, and Wellbeing, The University of Newcastle, Callaghan, NSW 2308, Australia; Priority Research Centre for Physical Activity and Nutrition, The University of Newcastle, Callaghan, NSW 2308, Australia.
| | - Elizabeth G Holliday
- School of Medicine and Public Health; College of Health, Medicine, and Wellbeing, The University of Newcastle, Callaghan, NSW 2308, Australia
| | - Nicola W Burton
- School of Applied Psychology, Griffith University, Brisbane, QLD 4122, Australia; Menzies Health Institute Queensland, Griffith University, Brisbane, QLD 4122, Australia
| | - Nicholas Glozier
- Brain and Mind Centre, Central Clinical School, The University of Sydney, NSW 2050, Australia
| | - Stina Oftedal
- School of Medicine and Public Health; College of Health, Medicine, and Wellbeing, The University of Newcastle, Callaghan, NSW 2308, Australia; Priority Research Centre for Physical Activity and Nutrition, The University of Newcastle, Callaghan, NSW 2308, Australia
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16
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Stokes A, Poindexter M, Bell K, Mellman TA. Strategies for Controlling Unwanted Intrusive Thoughts and Insomnia Severity in Urban-Residing Young Adult African Americans. Behav Sleep Med 2023; 21:142-149. [PMID: 35362345 PMCID: PMC9552939 DOI: 10.1080/15402002.2022.2057986] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Abstract
INTRODUCTION Poor sleep is common in our society, particularly for African Americans, and is associated with adverse mental and physical health outcomes. Unwanted, intrusive thoughts contribute to sleep disturbances and can be engendered by living in stressful urban environments, which are disproportionately inhabited by African Americans. Studies of other populations have shown that cognitive coping strategies to manage intrusive thoughts vary in their adaptiveness. OBJECTIVE To examine the relationship between thought control strategies and insomnia severity in urban residing young-adult African Americans. METHOD Sixty-four young adult African Americans completed a demographic questionnaire, the Thought Control Questionnaire for Insomnia-revised, and the Insomnia Severity Index. RESULTS There were moderate to strong positive correlations of aggressive suppression, worry, behavioral distraction, and social avoidance with ISI scores. Poor sleepers endorsed greater use of worry and aggressive suppression than good sleepers. Results from a multiple linear regression analysis revealed that aggressive suppression, social avoidance, and behavioral distraction significantly predicted insomnia severity, and aggressive suppression was the strongest predictor in the model. CONCLUSIONS These results extend findings of aggressive suppression as a correlate of insomnia severity to an urban-residing young adult African American sample. Future research should identify adaptive approaches and the utility of modifying maladaptive strategies.
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Affiliation(s)
| | | | - Kimberly Bell
- North Carolina Agricultural and Technical State University
| | - Thomas A. Mellman
- Howard University College of Medicine, Department of Psychiatry and Behavioral Sciences
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17
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Swed S, Alibrahim H, Bohsas H, Nashwan AJ, Elsayed M, Almoshantaf MB, Kadri SA, Sawaf B, Albuni MK, Battikh E, Elkalagi NK, Ahmed SM, Ahmed EM, Hasan MM, Patwary MM, Shoib S, Hafez W. Mental distress links with physical activities, sedentary lifestyle, social support, and sleep problems: A Syrian population cross-sectional study. Front Psychiatry 2023; 13:1013623. [PMID: 36727085 PMCID: PMC9885115 DOI: 10.3389/fpsyt.2022.1013623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/07/2022] [Accepted: 12/28/2022] [Indexed: 01/17/2023] Open
Abstract
BACKGROUND Mental diseases are very widespread and difficult to treat, affecting around 12% of the global population in 2019. Since social interaction is crucial to human existence and loneliness has been proven to be a significant predictor of depressive symptoms, it stands to reason that social connection problems would also contribute to depression. Physical inactivity seems to weaken and aggravate insulin tolerance alterations, glucose homeostasis, and plasma triglyceride levels, thereby influencing one's mood and happiness. This suggests that physical inactivity may be a significant risk factor for mental illness. This research contributes to our understanding of the mental health situation in Syria by exploring associations between a set of measurable characteristics that may be adjusted. METHODS An online quantitative cross-sectional study was conducted between March and April 2022 in Syria, using a structured questionnaire that assesses data on behaviors of health, health in general, wellbeing, and adult population quality of life. RESULTS Among 1,224 respondents (371 men and 853 women), women have shown higher levels of mental distress, sleep issues, low engagement in structured activities, and a difficult work environment than men. Women experiencing mental anguish have reported being more sedentary, participating in less scheduled activities, and receiving less social support. CONCLUSIONS There are observable connections between high sedentary time and women experiencing mental distress. The mental health of Syrian women in distress was associated with a lack of participation in both organized activities and physical exercise in their free time. Furthermore, sleep issues and financial troubles were seen in persons with mental diseases of both males and females.
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Affiliation(s)
- Sarya Swed
- Faculty of Medicine, Aleppo University, Aleppo, Syria
| | | | | | | | - Mohamed Elsayed
- Department of Psychiatry and Psychotherapy III, University of Ulm, Ulm, Germany
- Department of Psychiatry, School of Medicine and Health Sciences, Carl von Ossietzky University Oldenburg, Oldenburg, Germany
| | | | - Saeed A. Kadri
- Faculty of Medicine, Syrian Private University, Damascus, Syria
| | - Bisher Sawaf
- Faculty of Medicine, Syrian Private University, Damascus, Syria
| | | | - Elias Battikh
- Faculty of Medicine, Damascus University, Damascus, Syria
| | - Nashaat K. Elkalagi
- Internal and Tropical Medicine Department, Faculty of Medicine, Al Arish University, Al Arish, Egypt
| | | | - Eman M. Ahmed
- Department of Obstetrics and Gynecology, Nile Valley University, Khartoum, Sudan
| | - Mohammad Mehedi Hasan
- Department of Biochemistry and Molecular Biology, Faculty of Life Science, Mawlana Bhashani Science and Technology University, Tangail, Bangladesh
| | - Muhammad Mainuddin Patwary
- Environment and Sustainability Research Initiative, Khulna, Bangladesh
- Environmental Science Discipline, Life Science School, Khulna University, Khulna, Bangladesh
| | - Sheikh Shoib
- Department of Psychiatry, Jawahar Lal Nehru Memorial Hospital, Srinagar, Kashmir, India
| | - Wael Hafez
- Medical Research Division, Department of Internal Medicine, The National Research Centre, Cairo, Egypt
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Liang JX, Gao Y, Chen IH, Chen XM, Zheng YY. The Association between Post-Traumatic Stress Disorder and Psychological Distress among Primary School and Middle School Teachers during the COVID-19 Epidemic: A Moderated Mediation Analysis. SUSTAINABILITY 2022; 14:12128. [DOI: 10.3390/su141912128] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2025]
Abstract
Background: The outbreak of the coronavirus disease (COVID-19) and its rapid spread may have led to individuals developing post-traumatic stress disorder (PTSD) and psychological distress. Under this context, teachers merit more attention as a group with high levels of work stress. The purpose of this study was to verify the relationship between PTSD and psychological distress and to explore sleep problems as a possible mediator in the relationship between PTSD and psychological distress, as well as the moderator of internet gaming disorders (IGD) in the relationship between sleep problems and psychological distress. Methods: A total of 11,014 Chinese primary and middle school teachers participated in this study. The survey was conducted online between 25 May and 30 June 2020. Results: PTSD was shown to have both a direct and indirect effect on teachers’ psychological distress. The indirect effect was mediated by sleep problems. IGD played a moderating role between sleep problems and psychological distress. Conclusions: During the COVID-19 pandemic, PTSD has been shown to have had a serious impact on the psychological stress of teachers, which was mediated by sleep problems. In addition, IGD raised the harm brought from sleep problems on teachers’ mental health.
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Affiliation(s)
- Jia-Xin Liang
- School of Education Science, Minnan Normal University, Zhangzhou 363000, China
| | - Ying Gao
- School of Education Science, Minnan Normal University, Zhangzhou 363000, China
| | - I-Hua Chen
- Chinese Academy of Education Big Data, Qufu Normal University, Qufu 273100, China
| | - Xiu-Mei Chen
- Faculty of Education, Qufu Normal University, Qufu 273100, China
| | - Yuan-Yuan Zheng
- International College, Krirk University, Bangkok 10220, Thailand
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Camino M, Satorres E, Delhom I, Real E, Abella M, Meléndez JC. Mindfulness-based Cognitive Therapy to Improve Sleep Quality in Older Adults with Insomnia. INTERVENCION PSICOSOCIAL 2022; 31:159-167. [PMID: 37361010 PMCID: PMC10268553 DOI: 10.5093/pi2022a12] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/15/2022] [Accepted: 06/06/2022] [Indexed: 06/28/2023]
Abstract
There is a high prevalence of insomnia in older adults, which has negative consequences for their well-being and quality of life. The recommendation for first-line treatments is to administer non-pharmacological interventions. The objective of this research was to verify the effectiveness of Mindfulness-Based Cognitive Therapy in older adults with subclinical and moderate insomnia, studying its impact on sleep quality. One hundred and six older adults participated and were assigned to the subclinical insomnia (n = 50) or moderate insomnia (n = 56) groups; subsequently, they were randomly assigned to the control and intervention groups. Subjects were evaluated at two times with the Insomnia Severity Index and the Pittsburgh Sleep Quality Index. Significant results were obtained on both scales, with a reduction in insomnia symptoms in the subclinical and moderate intervention groups. The administration of a treatment that combines mindfulness and cognitive therapy is effective for treating insomnia in older adults.
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Affiliation(s)
- Manuel Camino
- University of ValenciaValenciaSpainUniversity of Valencia, Spain;
| | | | - Iraida Delhom
- Universidad Internacional de ValenciaValenciaSpainUniversidad Internacional de Valencia, Spain
| | - Elena Real
- University of ValenciaValenciaSpainUniversity of Valencia, Spain;
| | - Mireia Abella
- University of ValenciaValenciaSpainUniversity of Valencia, Spain;
| | - Juan C. Meléndez
- University of ValenciaValenciaSpainUniversity of Valencia, Spain;
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Association between physical activity, sedentary time, participation in organized activities, social support, sleep problems and mental distress among adults in Southern Norway: a cross-sectional study among 28,047 adults from the general population. BMC Public Health 2022; 22:384. [PMID: 35197019 PMCID: PMC8867782 DOI: 10.1186/s12889-022-12769-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2021] [Accepted: 02/14/2022] [Indexed: 11/16/2022] Open
Abstract
Abstract Background Identification of modifiable factors associated with poor mental health is crucial to develop targeted and effective intervention strategies for prevention of mental distress and illness in the general population. Thus, the aim of the present study was to examine the association between low level of leisure-time physical activity, high sedentary time, low participation in organized activities, low social support, sleep problems, and mental distress in a large sample of Norwegian adults. Methods A cross-sectional study was completed by 28,047 adults (≥18 years old) in southern Norway by filling out an online self-report questionnaire. Multivariable binary logistic regression models, stratified according to gender and adjusted for age and perceived financial situation, were used to examine possible associations between unhealthy lifestyle behaviors, participation in organized activities, social support, and mental distress. Results Our results showed an increased odds of having mental distress among men reporting low leisure-time physical activity (OR: 1.18; 95%CI: 1.03–1.37), high sedentary time (1.32; 1.16–1.51), low involvement in organized activities (1.43; 1.25–1.64), low social support (2.55; 2.18–2.99), and sleep problems (7.29; 6.35–8.37) compared to the rest of the male population. For women, the results showed increased odds of mental distress among those reporting high sedentary time (1.25; 1.11–1.39), low involvement in organized activities (1.60; 1.42–1.80), low social support (2.71; 2.39–3.06), and sleep problems (5.78; 5.15–6.50) compared to the rest of the female population. For both men and women, results also indicated that mental distress was increased among younger adults and among those reporting financial difficulties compared to the rest of the population. Conclusion Our results showed an association between unhealthy lifestyle behaviors, low participation in organized activities, low social support and mental distress, and that the strength of the association varied substantially. These findings provide increased knowledge about the relationship between modifiable lifestyle factors and mental health which should have implications for future public health efforts.
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Kaur N, Hamilton AD, Chen Q, Hasin D, Cerda M, Martins SS, Keyes KM. Age, Period, and Cohort Effects of Internalizing Symptoms Among US Students and the Influence of Self-Reported Frequency of Attaining 7 or More Hours of Sleep: Results From the Monitoring the Future Survey 1991-2019. Am J Epidemiol 2022; 191:1081-1091. [PMID: 35048117 PMCID: PMC9393068 DOI: 10.1093/aje/kwac010] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Revised: 12/15/2021] [Accepted: 01/12/2022] [Indexed: 01/22/2023] Open
Abstract
Adolescent internalizing symptoms have increased since 2010, whereas adequate sleep has declined for several decades. It remains unclear how self-reported sleep attainment has affected internalizing-symptoms trends. Using 1991-2019 data from the Monitoring the Future Study (n ~ 390,000), we estimated age-period-cohort effects in adolescent internalizing symptoms (e.g., loneliness, self-esteem, self-derogation, depressive affect) and the association with yearly prevalence of a survey-assessed, self-reported measure of attaining ≥7 hours of sleep most nights. We focused our main analysis on loneliness and used median odds ratios to measure variance in loneliness associated with period differences. We observed limited signals for cohort effects and modeled only period effects. The feeling of loneliness increased by 0.83% per year; adolescents in 2019 had 0.68 (95% CI: 0.49, 0.87) increased log odds of loneliness compared with the mean, which was consistent by race/ethnicity and parental education. Girls experienced steeper increases in loneliness than boys (P < 0.0001). The period-effect median odds ratio for loneliness was 1.16 (variance = 0.09; 95% CI: 0.06, 0.17) before adjustment for self-reported frequency of getting ≥7 hours sleep versus 1.07 (variance = 0.02; 95% CI: 0.01, 0.03) after adjustment. Adolescents across cohorts are experiencing worsening internalizing symptoms. Self-reported frequency of <7 hours sleep partially explains increases in loneliness, indicating the need for feasibility trials to study the effect of increasing sleep attainment on internalizing symptoms.
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Affiliation(s)
- Navdep Kaur
- Correspondence to Navdep Kaur, Department of Epidemiology, Columbia University Mailman School of Public Health, Room 723, 722 W 168th Street, New York, NY 10032 (e-mail: )
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22
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Musetti A, Gori A, Alessandra A, Topino E, Terrone G, Plazzi G, Cacioppo M, Franceschini C. The Interplay Between Problematic Online Pornography Use, Psychological Stress, Emotion Dysregulation and Insomnia Symptoms During the COVID-19 Pandemic: A Mediation Analysis. Nat Sci Sleep 2022; 14:83-92. [PMID: 35082545 PMCID: PMC8786338 DOI: 10.2147/nss.s348242] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/07/2021] [Accepted: 01/13/2022] [Indexed: 12/16/2022] Open
Abstract
PURPOSE Although a link between problematic online pornographic use (POPU) and insomnia symptoms has been established, psychological and psychopathological mechanisms underlying this relationship are still not clear. Psychological stress and emotion dysregulation have been pointed out as relevant in the development and maintenance of insomnia. This study aims to explore the associations between POPU, psychological stress, emotion dysregulation and insomnia symptoms and to understand the mediating role of psychological stress and emotion dysregulation in the relationship between POPU and insomnia symptoms. PARTICIPANTS AND METHODS A sample of 776 Italian adults aged 19-48 years (51.4% female; M age = 28.49; SD = 7.33) completed questionnaires regarding demographics, COVID-19-related variables, POPU, psychological stress, emotion dysregulation, and insomnia symptoms. RESULTS After controlling for demographic covariates and COVID-19-related variables, multiple mediation model showed that higher psychological stress and emotion dysregulation fully mediated the link between POPU and insomnia. CONCLUSION The findings underscore the significance of the negative consequences of POPU and underline the importance of working on this and its effects on psychological stress and emotion dysregulation to limit insomnia.
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Affiliation(s)
- Alessandro Musetti
- Department of Humanities, Social Sciences and Cultural Industries, University of Parma, Parma, Italy
| | - Alessio Gori
- Department of Health Sciences, University of Florence, Florence, Italy
| | | | - Eleonora Topino
- Department of Human Sciences, Lumsa University of Rome, Rome, Italy
| | - Grazia Terrone
- Department of History, Cultural Heritage, Education and Society, University of Rome Tor Vergata, Rome, Italy
| | - Giuseppe Plazzi
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy.,IRCCS Institute of Neurological Sciences of Bologna (ISNB), Bologna, Italy
| | - Marco Cacioppo
- Department of Human Sciences, Lumsa University of Rome, Rome, Italy
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23
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Wang J, Zheng Z, Tang Y, Zhang R, Lu Q, Wang B, Sun Q. Psychological distress and its influencing factors among psychiatric nurses in China: A cross-sectional study. Front Psychiatry 2022; 13:948786. [PMID: 36061279 PMCID: PMC9428287 DOI: 10.3389/fpsyt.2022.948786] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/20/2022] [Accepted: 07/26/2022] [Indexed: 12/05/2022] Open
Abstract
BACKGROUND Psychiatric nurses often face abuse, attacks, escape, suicides, and other situations related to the care of patients with mental disorders, which are more likely to induce psychological distress. AIMS This study aimed to examine the relationship between coping styles and psychological distress among Chinese psychiatric nurses in Shandong and the significance of sleep quality as a mediating factor. METHODS A total of 812 psychiatric nurses in Shandong, China, were investigated using the Psychological Distress Scale (K10), Simplified Coping Style Questionnaire (SCSQ), Pittsburgh Sleep Quality Index (PSQI) and self-compiled general information questionnaire. RESULTS Psychological distress was detected in 571 psychiatric nurses (70.3%). The psychological distress of psychiatric nurses was significantly different with respect to professional title (χ2 = 10.627, P < 0.05) and shift work (χ2 = 9.120, P < 0.01). Psychological distress positively correlated with negative coping style (r = 0.266, P < 0.01) and sleep quality (PSQIT) (r = 0.532, P < 0.01). A significant positive correlation was found between psychological distress and all dimensions of sleep quality (r = 0.158-0.456, P < 0.05). Professional title, positive coping style, negative coping style, sleep quality (PSQIT), subjective sleep quality, sleep disorder and daytime dysfunction predicted psychological distress in psychiatric nurses (R 2 = 0.363, F = 65.343, P < 0.01). The relationship between negative coping style and psychological distress was partially mediated by sleep quality, with the mediating effect accounting for 37.97% of the total effect. CONCLUSIONS Psychiatric nurses have a high rate of psychological distress, which is closely related to coping styles, and sleep quality has a certain regulatory effect.
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Affiliation(s)
- Juan Wang
- School of Public Health, Weifang Medical University, Weifang, China
| | - Zhongren Zheng
- School of Clinical Medicine, Jining Medical University, Jining, China
| | - Yingxue Tang
- School of Nursing, Weifang Medical University, Weifang, China
| | - Rui Zhang
- School of Nursing, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China
| | - Qinghua Lu
- Department of Infection Management, Shandong Mental Health Center, Jinan, China
| | - Bin Wang
- Psychology Department, The Affiliated Provincial Hospital of Shandong First Medical University (Shandong Provincial Hospital), Jinan, China
| | - Qihua Sun
- Shandong Mental Health Center, Jinan, China
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24
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Byun E, McCurry SM, Kim B, Kwon S, Thompson HJ. Sleep Disturbance and Self-management in Adults With Subarachnoid Hemorrhage: A Qualitative Study. Clin Nurs Res 2021; 31:632-638. [PMID: 34961352 DOI: 10.1177/10547738211064036] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Subarachnoid hemorrhage (SAH) survivors often experience sleep disturbances. Little is known about sleep-management practices used to improve their sleep. The purpose of this qualitative study was to explore interest in and engagement with self-management practices to promote sleep health in SAH survivors. We conducted a cross-sectional qualitative study using semi-structured interviews with a convenience sample of 30 SAH survivors recruited from a university hospital. We conducted content analysis of interview transcripts. Three themes and 15 subcategories were identified: (1) sleep disturbances (difficulties falling asleep, wake after sleep onset, daytime sleepiness, too much or insufficient sleep, and poor sleep quality); (2) sleep-management practices (exercise, regular sleep schedule, relaxation, keeping busy and staying active, changing beverage intake, taking supplements, taking medications, recharging energy, and barriers to sleep management); and (3) consulting with healthcare providers (discussing sleep problems with healthcare providers). Self-management strategies focusing on health-promoting behaviors may improve SAH survivors' sleep health.
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Affiliation(s)
| | | | - Boeun Kim
- University of Washington, Seattle, WA, USA
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25
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The Prospective Association Between Physical Activity, Insomnia Symptoms and Productivity in an Australian Population-based Cohort. J Occup Environ Med 2021; 64:183-189. [PMID: 34817462 DOI: 10.1097/jom.0000000000002439] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVES To investigate the joint, prospective associations of physical inactivity and insomnia symptoms and productivity using the 2013 and 2014 Household Income and Labor Dynamics in Australia Survey panel data. METHODS The association between i) presenteeism (yes/no, n=5864) and ii) absenteeism (sick leave days, n = 4324) and the mutually exclusive groups "active without insomnia", "active with insomnia", "inactive without insomnia" and "inactive with insomnia" was assessed. RESULTS Participants "active with insomnia" or "inactive with insomnia" had greater odds of presenteeism than those "active without insomnia" (OR = 1.41, 95%CI: 1.07-1.85 and OR=1.44, 95%CI: 1.14-1.83 respectively). Participants "inactive with insomnia" had a greater incidence of absenteeism than participants "active without insomnia" (IRR=1.28, 95%CI: 1.07-1.54). CONCLUSIONS Findings suggest improving physical activity levels and insomnia symptoms concurrently may improve productivity by reducing presenteeism and sick leave.
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26
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Kleppang AL, de Ridder K, Haugland SH, Stea TH. Physical activity, sugar-sweetened beverages, whole grain bread and insomnia among adolescents and psychological distress in adulthood: prospective data from the population-based HUNT study. Int J Behav Nutr Phys Act 2021; 18:143. [PMID: 34724961 PMCID: PMC8559387 DOI: 10.1186/s12966-021-01215-7] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2021] [Accepted: 10/21/2021] [Indexed: 12/31/2022] Open
Abstract
Background In this study, we examined the relationship between low levels of physical activity, high consumption of sugar-sweetened beverages and low consumption of whole grain bread and experiencing insomnia in adolescence and psychological distress in young adults. Methods This prospective study was based on information retrieved from the Trøndelag Health Study (HUNT) in Norway and included adolescents (age 13–19) participating in Young-HUNT3 (2006–2008) and in HUNT4 (2017–2019) 11 years later (age 23–31). The study sample consisted of 2,230 participants (1,287 females and 943 males). The exposure variables collected in adolescence included self-reported physical activity, consumption of sugar-sweetened beverages and whole grain bread and insomnia, and psychological distress in young adulthood was used as an outcome variable. The relationship between lifestyle behaviours in adolescence and psychological distress in young adulthood was examined using multivariable logistic regression, adjusted for gender, age and psychological distress in adolescence and educational level in young adulthood. Results An increased odds of psychological distress was shown among young adults who reported low levels of physical activity (OR: 1.44, 95 % CI: 1.10–2.89), high consumption of sugar-sweetened beverages (OR: 1.49, 95 % CI: 1.12–1.98), low consumption of whole grain bread (OR: 1.35, 95 % CI: 1.04–1.77) and insomnia (OR: 1.69, 95 % CI: 1.23–2.33) in adolescence. In terms of absolute differences, unhealthy lifestyle behaviours increased the risk of psychological distress in young adulthood between 3.18 (95 % CI: 0.29–6.07) (low whole grain bread consumption) and 6.01 (95 % CI: 1.95–10.07) (insomnia) percentage points. Conclusions Low levels of physical activity, high consumption of sugar-sweetened beverages and low consumption of whole grain bread and insomnia during adolescence were associated with psychological distress in young adulthood.
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Affiliation(s)
- Annette Løvheim Kleppang
- Department of Health and Nursing Science, University of Agder, Postboks 422 4604, Kristiansand, Norway.
| | - Karin de Ridder
- Department of Epidemiology and public health, Sciensano, Brussels, Belgium
| | - Siri Håvås Haugland
- Department of Psychosocial Health, University of Agder, Kristiansand, Norway
| | - Tonje Holte Stea
- Department of Child and Adolescence Mental Health, Sørlandet Hospital, Kristiansand, Norway
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Braçe O, Duncan DT, Correa-Fernández J, Garrido-Cumbrera M. Association of sleep duration with mental health: results from a Spanish general population survey. Sleep Breath 2021; 26:389-396. [PMID: 34003436 DOI: 10.1007/s11325-021-02332-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2020] [Revised: 02/09/2021] [Accepted: 02/19/2021] [Indexed: 10/21/2022]
Abstract
PURPOSE The purpose of the present study was to evaluate the association of sleep duration and mental health among the general population. METHODS A cross-sectional study was carried out with an adult Spanish population sample between 16 and 64 years old. The information was obtained from data provided by a randomly selected representative sample of 505 adults stratified by age, sex, and geographic area. Participants were interviewed face-to-face in their respective households with questions including sociodemographic characteristics, lifestyle, sleep duration, and the 12-item General Health Questionnaire to screen risk for poor mental health. The duration of sleep hours were grouped into the following categories: < 6 h, 6-7 h, and, > 7 h. Regression analysis was used to assess associations between sleep duration and risk of poor mental health. RESULTS A percentage of respondents 13.1% reported sleeping less than 6 h. The analysis demonstrated a significant (p = 0.001) negative (B = - 0.512) relationship between hours of sleep and risk of poor mental health (GHQ-12), demonstrating that reduced sleep duration increases the risk of poor mental health. CONCLUSIONS Sleep duration lower than 6 h is prevalent among the general population in Spain, especially among women and people who frequently use electronic devices. The results show that people who experience shorter sleep duration face a greater risk of poor mental health. These findings suggest that it is important to raise awareness of healthy sleeping habits, with emphasis on adequate sleep duration.
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Affiliation(s)
- Olta Braçe
- Health & Territory Research, Centro Internacional de la Universidad de Sevilla, Av. Ciudad Jardín, 20-22, 41005, Seville, Spain.
| | - Dustin T Duncan
- Spatial Epidemiology Lab, Columbia University Mailman School of Public Health, New York, NY, USA
| | - José Correa-Fernández
- Health & Territory Research, Centro Internacional de la Universidad de Sevilla, Av. Ciudad Jardín, 20-22, 41005, Seville, Spain
| | - Marco Garrido-Cumbrera
- Health & Territory Research, Centro Internacional de la Universidad de Sevilla, Av. Ciudad Jardín, 20-22, 41005, Seville, Spain
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28
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Hruby A, Lieberman HR, Smith TJ. Symptoms of depression, anxiety, and post-traumatic stress disorder and their relationship to health-related behaviors in over 12,000 US military personnel: Bi-directional associations. J Affect Disord 2021; 283:84-93. [PMID: 33524663 DOI: 10.1016/j.jad.2021.01.029] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Revised: 12/29/2020] [Accepted: 01/10/2021] [Indexed: 12/23/2022]
Abstract
Background Military personnel are at greater risk of psychological disorders and related symptoms than civilians. Limited participation in health-promoting behaviors may increase presence of these disorders. Alternatively, these symptoms may limit engagement in health-promoting behaviors. Methods Self-reported data from the 2015 Department of Defense Health Related Behaviors Survey were used to assess bi-directional relationships between health-related behaviors (obesity, physical activity [PA], alcohol, smoking, sleep) and self-reported psychological disorders (generalized anxiety disorder [GAD], depression, post-traumatic disorder [PTSD]) in U.S. military personnel. Outcomes Among 12 708 respondents (14.7% female; 28.2% 17-24 y; 13.7% obese), self-reported depression was reported by 9.2%, GAD by 13.9%, and PTSD by 8.2%. Obesity and short sleep were associated with self-reported depression, GAD, and PTSD; current smoking was associated with higher odds of GAD; higher levels of vigorous PA were associated with lower odds of GAD; higher levels of moderate PA associated with lower odds of PTSD; and higher alcohol intake associated with higher odds of depression and PTSD. Self-reported depression, GAD, and PTSD were associated with higher odds of short sleep, obesity, and low levels of PA. Interpretation Obesity, short sleep, and limited engagement in health-promoting behaviors are associated with higher likelihood of self-reported psychological disorders, and vice-versa. Encouraging and improving health-promoting behaviors may contribute to positive mental health in military personnel.
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Affiliation(s)
- Adela Hruby
- Military Nutrition Division, US Army Research Institute of Environmental Medicine, Natick, MA, United States; Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, MD, United States; Tufts University School of Medicine, Department of Public Health and Community Medicine, and Tufts University Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Boston, MA, United States
| | - Harris R Lieberman
- Military Nutrition Division, US Army Research Institute of Environmental Medicine, Natick, MA, United States
| | - Tracey J Smith
- Military Nutrition Division, US Army Research Institute of Environmental Medicine, Natick, MA, United States.
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29
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Bunjo LJ, Reynolds AC, Appleton SL, Dorrian J, Vetter C, Gill TK, Adams RJ. Sleep Duration Moderates the Relationship Between Perceived Work-Life Interference and Depressive Symptoms in Australian Men and Women from the North West Adelaide Health Study. Int J Behav Med 2021; 28:29-38. [PMID: 32096098 DOI: 10.1007/s12529-020-09866-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
BACKGROUND Mental health disorders are prevalent and costly to workplaces and individuals in Australia. Work-life interference is thought to contribute negatively. The interplay between work-life interference, depressive symptoms and sleep has not been explored to date in population data. The aims of this study were to establish whether sleep duration moderates the relationship between work-life interference and depressive symptoms, and whether this is expressed differentially in male and female respondents. METHODS Data were drawn from the North West Adelaide Health Study (NWAHS) longitudinal, representative population-based cohort study. Working members of the cohort were invited to participate in a telephone survey about their work conditions, with an 86.7% response rate achieved. Data from 823 respondents were analysed after employing purposeful selection of covariates, using multivariable regression analysis. RESULTS Sleep duration was found to moderate the relationship between work-life interference and depressive symptoms (F7,815 = 26.60, p < 0.001), and accounted for 19% of the variance observed in depressive symptoms. The strongest effect of work-life interference on depressive symptoms was observed in habitual short sleepers, with the effect weakening as sleep duration increased. The relationship was observed in male and female respondents, but was stronger in females. CONCLUSIONS Supporting and educating workers about the benefits of sleep for managing the relationship between work-life interference and depressive symptoms may offer a novel strategy for improving worker well-being, particularly when negative facets of work-life interference are not easily remedied or 'reduced'. There is a need for education and support strategies around sleep in Australian workplaces.
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Affiliation(s)
- Layla J Bunjo
- Adelaide Medical School, University of Adelaide, Adelaide, SA, Australia
| | - Amy C Reynolds
- The Appleton Institute, CQUniversity, Adelaide, SA, Australia.
| | - Sarah L Appleton
- Adelaide Institute for Sleep Health, College of Medicine and Public Health, Flinders University, Bedford Park, Adelaide, SA, 5042, Australia.,The Health Observatory, Discipline of Medicine, The Queen Elizabeth Hospital Campus, University of Adelaide, Woodville, Adelaide, SA, 5011, Australia.,Freemason's Centre for Men's Health, Discipline of Medicine, University of Adelaide, Adelaide, SA, Australia
| | - Jill Dorrian
- Behaviour, Brain and Body (BBB) Research Group, Division of Health Science, University of South Australia, Adelaide, Australia
| | - Céline Vetter
- Department of Integrative Physiology, University of Colorado Boulder, Boulder, CO, USA
| | - Tiffany K Gill
- Adelaide Medical School, University of Adelaide, Adelaide, SA, Australia
| | - Robert J Adams
- Adelaide Institute for Sleep Health, College of Medicine and Public Health, Flinders University, Bedford Park, Adelaide, SA, 5042, Australia.,The Health Observatory, Discipline of Medicine, The Queen Elizabeth Hospital Campus, University of Adelaide, Woodville, Adelaide, SA, 5011, Australia
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30
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Coifman KG, Seah THS, Nylocks KM, Wise A, Almahmoud S, Summers C, Aurora P, Garcia M, Delahanty DL. Micro Versus Macro Processes: How specific stress exposure impacts sleep, affect, and risk-related behavior on the path to disease in high-risk adults. ANXIETY STRESS AND COPING 2021; 34:381-396. [PMID: 33618565 DOI: 10.1080/10615806.2021.1888933] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
BACKGROUND The stress-to-disease association has been well-accepted for some time. However, the understanding of how stress exposure contributes to psychological disease progression remains unclear. OBJECTIVE To test the real-time impact of variable stress exposure on risk-related clinical phenomena and affective disease progression in a high-risk sample of active-duty firefighters. METHODS Participants completed weekly diaries reporting stressful event exposure, affect, sleep, and risk-related and healthy behaviors over six-months and were evaluated for lifetime and current psychiatric disease using clinical interviews before and after the sampling period. RESULTS Stress exposure impacted clinical phenomena in differing ways. Major personal events and day-to-day hassles predicted health-impairing shifts in sleep and behavior that were associated with increases in symptoms and psychological distress over the 6-month period. In contrast, highly aversive incidents predicted greater adaptive behaviors that were uniquely predictive of symptom decreases over the six-month period. CONCLUSION These findings shed new light on stress-to-disease processes, demonstrating how variable stress exposure influences critical shifts in behavior and sleep, contributing to psychological adjustment of firefighters over time. These data suggest practical ways to monitor risk in high-risk samples (e.g., monitoring sleep latency) and offer avenues for further explication of disease processes in real time.
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Affiliation(s)
- Karin G Coifman
- Psychological Sciences, Kent State University, Kent, OH, USA
| | | | | | - Anna Wise
- Psychological Sciences, Kent State University, Kent, OH, USA
| | | | | | - Pallavi Aurora
- Psychological Sciences, Kent State University, Kent, OH, USA
| | - Monica Garcia
- Psychological Sciences, Kent State University, Kent, OH, USA
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Kronholm E, Marshall NS, Mänty M, Lahti J, Lahelma E, Pietiläinen O, Rahkonen O, Lallukka T. Associations of Sleep and Health Functioning with Premature Exit from Work: A Cohort Study with a Methodological Emphasis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18041725. [PMID: 33578989 PMCID: PMC7916758 DOI: 10.3390/ijerph18041725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/30/2020] [Revised: 01/29/2021] [Accepted: 02/05/2021] [Indexed: 11/24/2022]
Abstract
Sleep and functioning are associated with a risk of early workforce exit. However, patterns of change in sleep and functioning through time have not been investigated using person-oriented approaches to show what features of sleep and functioning are associated with an early exit. We examined the pattern of interactions between sleep and health functioning characterizing homogenous subgroups of employees and their associations with premature work exit. An additional aim was to provide a tutorial providing detailed description on how to apply these models, compared to traditional variable based risk factors. We analyzed data from 5148 midlife employees of the City of Helsinki, Finland, surveyed over three phases (2000–02, 2007, and 2012). Using repeated measures latent class analyses (RMLCA) we classified people into groups based on their trajectories in sleep and functioning. We identified four longitudinal groups: (1) Stable good sleep and functioning (reference), (2) Persistent sleep problems and good or moderate functioning, (3) Poor functioning with good sleep, and (4) Problematic sleep and health functioning. Compared to group 1, elevated risk was found in all classes with group 4 being the worst. In conclusion, focusing on person-orientated patterns of interactions between sleep and functioning helped produce qualitatively different and quantitatively stronger predictions than using conventional risk factor methodology. Thus, longitudinal person-oriented approaches may be a more powerful method for quantifying the role of sleep and health functioning as risks for premature exit from work.
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Affiliation(s)
- Erkki Kronholm
- Finnish Institute of Occupational Health, P.O. Box 40, 00032 Helsinki, Finland;
| | - Nathaniel S. Marshall
- Sydney Nursing School, University of Sydney, Sydney, NSW 2006, Australia;
- NHMRC Centre for Integrated Research and Understanding of Sleep (CIRUS), Woolcock Institute of Medical Research, 431 Glebe Pt Rd., Glebe, NSW 2036, Australia
| | - Minna Mänty
- Department of Public Health, University of Helsinki, Tukholmankatu 8B, P.O. Box 20, 00014 Helsinki, Finland; (M.M.); (J.L.); (E.L.); (O.P.); (O.R.)
- City of Vantaa, Unit of Statistics and Research, Asematie 7, 01300 Vantaa, Finland
| | - Jouni Lahti
- Department of Public Health, University of Helsinki, Tukholmankatu 8B, P.O. Box 20, 00014 Helsinki, Finland; (M.M.); (J.L.); (E.L.); (O.P.); (O.R.)
| | - Eero Lahelma
- Department of Public Health, University of Helsinki, Tukholmankatu 8B, P.O. Box 20, 00014 Helsinki, Finland; (M.M.); (J.L.); (E.L.); (O.P.); (O.R.)
| | - Olli Pietiläinen
- Department of Public Health, University of Helsinki, Tukholmankatu 8B, P.O. Box 20, 00014 Helsinki, Finland; (M.M.); (J.L.); (E.L.); (O.P.); (O.R.)
| | - Ossi Rahkonen
- Department of Public Health, University of Helsinki, Tukholmankatu 8B, P.O. Box 20, 00014 Helsinki, Finland; (M.M.); (J.L.); (E.L.); (O.P.); (O.R.)
| | - Tea Lallukka
- Finnish Institute of Occupational Health, P.O. Box 40, 00032 Helsinki, Finland;
- Department of Public Health, University of Helsinki, Tukholmankatu 8B, P.O. Box 20, 00014 Helsinki, Finland; (M.M.); (J.L.); (E.L.); (O.P.); (O.R.)
- Correspondence: ; Tel.: +358-505-704-399
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32
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Jamieson D, Beaudequin DA, McLoughlin LT, Parker MJ, Lagopoulos J, Hermens DF. Associations between sleep quality and psychological distress in early adolescence. J Child Adolesc Ment Health 2020; 32:77-86. [PMID: 33206591 DOI: 10.2989/17280583.2020.1811288] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Background: Although numerous studies have reported an association between sleep quality and mental health, few have focused on this association exclusively in early adolescence. Targeting this age group is vital as many mental illnesses first emerge during adolescence and remain a significant burden throughout life. Method: In the current study n = 60 participants aged 12 years completed the Pittsburgh Sleep Quality Index (PSQI) and Kessler Psychological Distress Scale (K10). Results: Consistent with previous findings, bivariate correlations revealed significant positive linear relationships between K10 total score and (i) PSQI total score; (ii) sleep quality; (iii) daytime dysfunction; and (iv) sleep disturbance. However, contrary to previous findings, there was no significant correlation between K10 scores and sleep duration. Conclusion: The association between sleep quality and psychological distress in early adolescents provides some important clues about the role that sleep may play in predicting the onset of anxiety and depressive disorders. Longitudinal studies should be undertaken to investigate age-related changes in sleep and psychological distress.
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Affiliation(s)
- Daniel Jamieson
- Sunshine Coast Mind and Neuroscience Thompson Institute, Birtinya, Queensland, Australia
| | - Denise A Beaudequin
- Sunshine Coast Mind and Neuroscience Thompson Institute, Birtinya, Queensland, Australia
| | - Larisa T McLoughlin
- Sunshine Coast Mind and Neuroscience Thompson Institute, Birtinya, Queensland, Australia
| | - Marcella J Parker
- Sunshine Coast Mind and Neuroscience Thompson Institute, Birtinya, Queensland, Australia
| | - Jim Lagopoulos
- Sunshine Coast Mind and Neuroscience Thompson Institute, Birtinya, Queensland, Australia
| | - Daniel F Hermens
- Sunshine Coast Mind and Neuroscience Thompson Institute, Birtinya, Queensland, Australia
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Oftedal S, Glozier N, Holliday EG, Duncan MJ. Diet quality and depressive symptoms. Assessing the direction of the association in a population-based cohort study. J Affect Disord 2020; 274:347-353. [PMID: 32469826 DOI: 10.1016/j.jad.2020.05.046] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/06/2019] [Revised: 03/31/2020] [Accepted: 05/10/2020] [Indexed: 01/24/2023]
Abstract
BACKGROUND Emerging evidence links a poor diet with mental ill-health although the direction of this association is unclear. The aim was to examine the bidirectional prospective relationships between core (and non-core food consumption, and symptoms of depression. METHODS Depressive symptoms (Mental Health Index-5, MHI-5), current/prior depression and consumption of core (recommended food groups) and non-core (discretionary) foods were assessed in the population-based 2013 and 2017 Household Income and Labour Dynamics in Australia cohort study. Three cross-lagged linear models assessed associations between all three baseline variables in 2013, alternating 2017 variables as outcomes. RESULTS In the population (n = 10,003; 48.3% women; 48.5[15.7] years), core food score in 2013 was associated with MHI-5 (β:0.102, 95%CI: 0.010,0.193) in 2017, while the non-core food score was not (β:-0.030, 95%CI:-0.099,0.160). Depressive symptom score in 2013 was not associated with either food score in 2017. Current/prior diagnosis of depression in 2013 was associated with core (β:-0.198, 95%CI:-0.329,-0.067) but not non-core (β:-0.036, 95%CI: -0.151,0.080) food score in 2017. LIMITATIONS Results may not be generalizable to the whole population due to some selection bias, self-report depression diagnosis may have led to misclassification of previous mental illness, and core and non-core food scores are not validated measures of diet quality. CONCLUSIONS There is a prospective association between core food consumption and depressive symptoms. This association is of small magnitude and we cannot discount insufficient core food consumption reflecting an effect of prior mental illness. Our results suggest that, for depression, public health focus should be on improving core food intake.
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Affiliation(s)
- Stina Oftedal
- School of Medicine & Public Health; Faculty of Health and Medicine, The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia; Priority Research Centre for Physical Activity and Nutrition, The University of Newcastle, University Drive, Callaghan, New South Wales 2308, Australia.
| | - Nicholas Glozier
- Brain and Mind Centre, Central Clinical School, The University of Sydney, 94 Mallett St, Camperdown, New South Wales 2050, Australia
| | - Elizabeth G Holliday
- School of Medicine and Public Health, University of Newcastle, Kookaburra Circuit, New Lambton Heights, New South Wales 2305, Australia
| | - Mitch J Duncan
- School of Medicine & Public Health; Faculty of Health and Medicine, The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia; Priority Research Centre for Physical Activity and Nutrition, The University of Newcastle, University Drive, Callaghan, New South Wales 2308, Australia
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Zhou L, Zhang H, Luo Z, Liu X, Yang L, Hu H, Wang Y, Wang C, Wang F. Abnormal night sleep duration and inappropriate sleep initiation time are associated with elevated anxiety symptoms in Chinese rural adults: the Henan Rural Cohort. Psychiatry Res 2020; 291:113232. [PMID: 32574900 DOI: 10.1016/j.psychres.2020.113232] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/27/2019] [Revised: 06/10/2020] [Accepted: 06/13/2020] [Indexed: 12/20/2022]
Abstract
Sleep problems have been demonstrated to cause mental symptoms, such as anxiety. However, research on the association of the night sleep duration and sleep initiation time on anxiety symptoms in rural China is still lacking. The current study, therefore, explored the independent and combined association of the night sleep duration and sleep initiation time on anxiety symptoms. This study included 28, 054 participants from the Henan Rural Cohort. Sleep was measured using the Pittsburgh Sleep Quality Index (PSQI). Anxiety was assessed by the two-item Generalized Anxiety Disorder scale (GAD-2). Multivariable logistic regression models and restricted cubic spline with anxiety symptoms as a dependent variable were fitted. Among the participants in this study, 11, 209 (39.96%) were males, and 16,845 (60.04%) were females, 1574 (5.61%) had anxiety symptoms. Both shorter and longer night sleep duration were significantly related to elevated prevalence of anxiety symptoms. Extreme sleep initiation time was also significantly associated with elevated anxiety symptoms. Additionally, night sleep duration and sleep initiation time had a combined effect on the prevalent anxiety symptoms. In conclusion, there was a dose-response association of night sleep duration and sleep initiation time with anxiety among Chinese rural population. Moreover, they might jointly increase the odds of prevalent anxiety.
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Affiliation(s)
- Li Zhou
- Department of Epidemiology, School of Public Health, Shanxi Medical University, Taiyuan, Shanxi, PR. China
| | - Haiqing Zhang
- Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, China
| | - Zhicheng Luo
- Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, China
| | - Xiaotian Liu
- Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, China
| | - Liuye Yang
- Department of Epidemiology, School of Public Health, Shanxi Medical University, Taiyuan, Shanxi, PR. China
| | - Haiyuan Hu
- Department of Epidemiology, School of Public Health, Shanxi Medical University, Taiyuan, Shanxi, PR. China
| | - Yan Wang
- Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, China
| | - Chongjian Wang
- Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, China.
| | - Fang Wang
- Department of Epidemiology, School of Public Health, Shanxi Medical University, Taiyuan, Shanxi, PR. China.
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Course and impact of sleep disturbance in newly diagnosed epilepsy: A prospective registry study. Clin Neurol Neurosurg 2020; 195:105963. [PMID: 32474255 DOI: 10.1016/j.clineuro.2020.105963] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2020] [Revised: 05/13/2020] [Accepted: 05/23/2020] [Indexed: 12/22/2022]
Abstract
OBJECTIVE To determine the course of sleep distrurbance (insomnia symptoms and short sleep duration) after a diagnosis of epilepsy and their associations with seizure control, mood, disability, and quality of life. PATIENTS AND METHODS One hundred and sixty-nine adults were drawn from the Sydney Epilepsy Incidence Study to Measure Illness Consequences (SEISMIC), a prospective, multicenter, community-wide study in Sydney, Australia. Socio-demographic, psychosocial, clinical characteristics, and information on sleep disturbance were obtained early (median 48 [IQR15-113] days) after a diagnosis of epilepsy, and at 12 months. Logistic regression models were used to determine associations between patterns of sleep disturbance with outcomes at 12 months. RESULTS Insomnia symptoms and/or short sleep duration were present in 18-23% of participants at both time points, with over half (54-61%) showing a chronic pattern. There was no association of sleep disturbance pattern with recurrent seizures, medication use or disability. Chronic insomnia symptoms and short sleep duration were strongly associated with worse mental health (aOR 3.76, 95% CI 1.28-11.06; and aOR 5.41, 95% CI 1.86-15.79) and poorer quality of life at 12 months (aOR 3.02, 95% CI 1.03-8.84; and aOR 3.11, 95% CI 1.10-8.82), after adjusting for clinical features of epilepsy and comorbidity. Those whose sleep disturbance remitted had no adverse outcomes. CONCLUSIONS Insomnia symptoms and short sleep duration are less common in people with recently-diagnosed than chronic epilepsy. The temporal association with poor psycholosocial outcomes supports specific interventions addressing sleep disturbance.
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Tubbs AS, Gallagher R, Perlis ML, Hale L, Branas C, Barrett M, Gehrels JA, Alfonso-Miller P, Grandner MA. Relationship between insomnia and depression in a community sample depends on habitual sleep duration. Sleep Biol Rhythms 2020; 18:143-153. [PMID: 34305449 DOI: 10.1007/s41105-020-00255-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Sleep disturbances, such as short sleep duration and insomnia, are core features of depression. However, it is unclear if sleep duration and insomnia have an interactive effect on depression severity or individual symptoms. Data were drawn from a community sample (N = 1007) containing responses on the Insomnia Severity Index, Patient Health Questionnaire-9 (PHQ-9), and average sleep duration. Regression analyses determined the prevalence risks (PR) of symptoms of depression based on insomnia severity and sleep duration. Depression severity was related to insomnia severity (PR 1.09, p < 0.001) and short sleep duration (PR 1.52, p < 0.001), but the interaction between the two was negative (PR 0.97, p < 0.001). Insomnia severity increased the prevalence risk of all individual depression symptoms between 8 and 15%, while sleep duration increased the prevalence risk of appetite dysregulation (PR 1.86, p < 0.001), fatigue (PR 1.51, p < 0.001), difficulty concentrating (PR 1.61, p = 0.003), feelings of failure (PR 1.58, p = 0.002), and suicidal behavior (PR 2.54, p = 0.01). The interaction of sleep duration and insomnia was negative and ranged between 3 and 6%. In clinically significant depression (PHQ >=10), only insomnia severity increased the prevalence risk of depression severity (PR 1.02, p = 0.001). Insomnia and short sleep predict prevalent depression, but their interactive effect was negative. Thus, while insomnia had a greater association with depression severity and symptoms, this association was dependent on habitual sleep duration.
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Affiliation(s)
- Andrew S Tubbs
- Sleep and Health Research Program, Department of Psychiatry, University of Arizona, 1501 N Campbell Blvd Suite 7326, Tucson, AZ 85724, USA
| | - Rebecca Gallagher
- Center for Sleep and Circadian Neurobiology, University of Pennsylvania, Philadelphia, PA, USA
| | - Michael L Perlis
- Behavioral Sleep Medicine Program, University of Pennsylvania, Philadelphia, PA, USA
| | - Lauren Hale
- Department of Family, Population, and Preventive Medicine, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, USA
| | - Charles Branas
- Department of Epidemiology, Columbia University, New York, NY, USA
| | - Marna Barrett
- Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA
| | - Jo-Ann Gehrels
- Sleep and Health Research Program, Department of Psychiatry, University of Arizona, 1501 N Campbell Blvd Suite 7326, Tucson, AZ 85724, USA
| | - Pamela Alfonso-Miller
- Sleep and Health Research Program, Department of Psychiatry, University of Arizona, 1501 N Campbell Blvd Suite 7326, Tucson, AZ 85724, USA
| | - Michael A Grandner
- Sleep and Health Research Program, Department of Psychiatry, University of Arizona, 1501 N Campbell Blvd Suite 7326, Tucson, AZ 85724, USA
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Butler ES, McGlinchey E, Juster R. Sexual and gender minority sleep: A narrative review and suggestions for future research. J Sleep Res 2019; 29:e12928. [DOI: 10.1111/jsr.12928] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2019] [Revised: 09/05/2019] [Accepted: 09/09/2019] [Indexed: 12/12/2022]
Affiliation(s)
- Eliana S. Butler
- School of Psychology Fairleigh Dickinson University Teaneck NJ USA
| | - Eleanor McGlinchey
- School of Psychology Fairleigh Dickinson University Teaneck NJ USA
- Division of Child and Adolescent Psychiatry Columbia University Medical Center/New York State Psychiatric Institute New York NY USA
| | - Robert‐Paul Juster
- Department of Psychiatry and Addiction University of Montreal Montreal QC Canada
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Riediger ND, Bombak AE, Mudryj AN. Health-related behaviours and their relationship with self-rated health among Canadian adults. BMC Public Health 2019; 19:960. [PMID: 31319817 PMCID: PMC6637547 DOI: 10.1186/s12889-019-7249-4] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2019] [Accepted: 06/28/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Self-rated health (SRH) is a commonly used survey measure as a substitute for a clinical measure of health, which has demonstrated validity and reliability in a variety of populations. The referents that individuals incorporate into their self-evaluations have been shown to include health-related behaviours, though these relationships are not static. Our purpose was to describe and test for relationships between health-related behaviours and SRH among Canadian adults. METHODS We used pooled data from the Canadian Health Measures Surveys Cycles 3 (2012-13) and 4 (2014-15). All men and non-pregnant women aged 18 years and older were included (n = 6,789). We used binary logistic regression to test for relationships between health-related behaviours and SRH, including smoking status, adequate fruit and vegetable intake, inadequate sleep, alcohol use, and adequate physical activity. RESULTS The majority of respondents rated their health as good, very good, or excellent, though differences in SRH were found according to age group, highest level of household education, and income adequacy. Inadequate sleep was most strongly associated with poorer SRH among men and women combined, as compared to other health-related behaviours. Among women only, those who report heavy episodic drinking (OR, 2.64) or daily drinking (OR, 3.51) rated their health better, as compared to women who report low-risk alcohol use. CONCLUSIONS Sleep quality is an important predictor of SRH for both men and women. Second, sex/gender differences must be considered in strategies to address alcohol use, as we may not be fully appreciating potentially health-affirming qualities associated with alcohol use among women.
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Affiliation(s)
- Natalie D Riediger
- Department of Food and Human Nutritional Sciences, Faculty of Agricultural and Food Sciences, University of Manitoba, 209 Human Ecology Building, Winnipeg, Manitoba, R3T 2N2, Canada. .,Department of Community Health Sciences, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
| | - Andrea E Bombak
- Department of Sociology, University of New Brunswick, Fredericton, New Brunswick, Canada
| | - Adriana N Mudryj
- Department of Food and Human Nutritional Sciences, Faculty of Agricultural and Food Sciences, University of Manitoba, 209 Human Ecology Building, Winnipeg, Manitoba, R3T 2N2, Canada
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