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Arbinaga F, Mendoza-Sierra MI, Fernández-Acosta G. Sleep Characteristics in Dance Students Related to Psychological Inflexibility. J Dance Med Sci 2024:1089313X241263651. [PMID: 39066628 DOI: 10.1177/1089313x241263651] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/28/2024]
Abstract
Introduction: Dance, as a performance activity, is associated with various problems. Among these challenges, sleep disturbances are notably prevalent. Aims: This study aimed to explore the potential relationship between sleep characteristics-specifically chronotype and subjective sleep quality- and psychological inflexibility in dance students. Methods: This research adopted a cross-sectional design using non-probabilistic sampling. The data were collected in paper format by visiting public conservatories and private academies, and online. One hundred fourteen dance students, with a mean age of 23.87 years, participated in the study. Assessment tools included the Acceptance and Action Questionnaire-II, Pittsburgh Sleep Quality Index, and the Composite Scale of Morningness. Results: The results revealed that 80.7% of all students reported poor sleep quality, compared to 19.3% who reported good sleep quality. Differences emerged in both subjective sleep quality (F(2, 113) = 4.825, P = .010) and chronotype (F(2, 113) = 6.172, P = .003) when students were grouped according to low, medium, or high levels of psychological inflexibility. Those with low inflexibility, as opposed to those with high inflexibility, report better sleep quality, with no differences observed between medium and high inflexibility groups. Students with high-medium levels of psychological inflexibility showed a higher risk (OR = 6.373 times higher) of experiencing poor sleep quality compared to those with low psychological inflexibility. In terms of chronotype, the low inflexibility group is inclined to be more of a morning type than the medium and high inflexibility groups, with no differences between the latter 2 groups. Students categorized as having low inflexibility tend to have a longer history of dancing under the guidance of a teacher and dedicate more hours and days per week to rehearsal. Conclusion: Conservatories can become "healthy spaces." In this regard, sleep hygiene programs and Acceptance and Commitment Therapy interventions can provide guidance to professionals working with dancers in professional companies and conservatories.
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Affiliation(s)
- Félix Arbinaga
- Department of Clinical and Experimental Psychology, University of Huelva, Huelva, Spain
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Peltz JS, Rogge R. Unintended consequences: college students' melatonin usage, sleep disturbance, and depressive symptoms. Sleep Biol Rhythms 2024; 22:313-321. [PMID: 38962794 PMCID: PMC11217232 DOI: 10.1007/s41105-023-00506-9] [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: 09/01/2023] [Accepted: 11/27/2023] [Indexed: 07/05/2024]
Abstract
With such high rates of undergraduate sleep problems, students have chosen to take melatonin, an over-the-counter supplement that can facilitate sleep. Questions remain as to the effectiveness of melatonin for sleep problems, and questions have emerged about its impact on mental health. Accordingly, the current study examined how ongoing melatonin usage might impact relative changes in college students' sleep disturbance and ultimately their depressive symptoms. The two-wave (baseline and 2-month follow-up), online sample consisted of 331 undergraduates (86% female; Mage = 21.3, SD = 2.4), who reported on melatonin usage, sleep disturbance, and depressive symptoms. Controlling for sleep hygiene, socio-economic status, and gender, our model demonstrated a significant indirect effect from ongoing melatonin usage to depressive symptoms. Specifically, melatonin consumption predicted relative increases in sleep disturbance, which, in turn, predicted corresponding increases in students' depressive symptoms. Given the increasing prevalence of melatonin usage, the potential for unforeseen consequences remains high. Results suggest that the negative consequences of melatonin use can include both college students' mental health and their sleep. Given the efficacy of addressing sleep problems with cognitive or behavioral strategies, it is essential that student support services highlight alternatives to melatonin and the potential problems associated with its use.
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Affiliation(s)
- Jack S. Peltz
- State University of New York (SUNY) at Brockport, 350 New Campus Dr., Brockport, NY 14420 USA
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Baluku MM, Ssebagala S, Mukula HM, Musanje K. Serially mediated effects of psychological inflexibility on quality of life of refugees in Uganda during coronavirus pandemic. PLOS GLOBAL PUBLIC HEALTH 2023; 3:e0002450. [PMID: 37878551 PMCID: PMC10599589 DOI: 10.1371/journal.pgph.0002450] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/05/2022] [Accepted: 09/11/2023] [Indexed: 10/27/2023]
Abstract
The unexpected outbreak and rapid spread of COVID-19 necessitated radical and stringent control measures, consequently changing how people live globally. To vulnerable populations like refugees, who were already living a disrupted life, the outbreak of COVID-19 and accompanying control measures complicated their living conditions and drastically affected their mental health and, consequently, their quality of life. The current study aimed to test whether psychological inflexibility was a factor in lowering the quality of life of refugees in Uganda during the COVID-19 pandemic. The study further examines whether the effects of psychological inflexibility on quality of life were serially mediated by avoidance coping, perceived threat, adherence to COVID-19 control measures, and general mental health states. The study was conducted among refugees living in Kampala city suburbs and Bidibidi refugee settlement in Uganda. Data was collected using a survey questionnaire during the partial reopening of the economy in mid-2020, after the first lockdown. The analysis assesses a serial mediation model of the effects of psychological inflexibility on the quality of life of refugees through avoidance coping, perceived threat, adherence to COVID-19 control measures, and mental health using PROCESS Macro. The study involved 353 participants. Our analyses revealed that psychological inflexibility was negatively associated with the perceived threat, adherence, and quality of life. Psychological inflexibility was positively associated with avoidance coping and poor mental health. The data supported all hypothesized mediation paths. These findings support literature suggesting that psychological inflexibility is a maladaptive attribute that thwarts positive coping and behavior adjustment in times of crisis. Consequently, psychological inflexibility can worsen mental health problems and quality of life, especially in populations such as refugees in low-income countries who live in precarious conditions. Incorporating interventions that reduce psychological inflexibility in crisis management efforts can help refugees maintain good psychological functioning and quality of life.
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Tan X, Yang Y, Yu M. Longitudinal relationship of empathy and social anxiety among adolescents: The mediation roles of psychological inflexibility and rejection sensitivity. J Affect Disord 2023; 339:867-876. [PMID: 37467804 DOI: 10.1016/j.jad.2023.07.069] [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: 09/04/2022] [Revised: 06/17/2023] [Accepted: 07/14/2023] [Indexed: 07/21/2023]
Abstract
INTRODUCTION The purpose of study was to explore the roles of psychological inflexibility and rejection sensitivity in the relationship between (cognitive and affective) empathy and social anxiety among adolescents. METHODS A two-wave longitudinal design was adopted in the present study. A total of 2481 participants (41.60 % male; Mage = 16.48) aged from 13 to 21 in 2021 completed the Chinese Version of Interpersonal Reactivity Index (IRI-C), Short Mood and Feelings Questionnaire (SMFQ), Chinese version of the Acceptance and Action Questionnaire-II (AAQ-II), Avoidance and Fusion Questionnaire for Youth (AFQ-Y8), Child Rejection Sensitivity Questionnaire (CRSQ), and Social Anxiety Scale for Adolescent (SAS-A) at baseline assessment (T1), and completed the SAS-A again three months later (T2). RESULTS (1) Results showed, personal distress at T1 could significantly and positively predict social anxiety at T2. (2) Mediation analyses results demonstrated that adolescents' experience avoidance and rejection sensitivity at T1 were significant mediators between cognitive empathy at T1 and social anxiety at T2, but with the opposite effect. As for affective empathy, rejection sensitivity at T1 significantly mediated the relationship between adolescents' empathic concern at T1 and social anxiety at T2. Furthermore, experience avoidance and rejection sensitivity at T1 significantly mediated the association between personal distress at T1 and social anxiety at T2. CONCLUSIONS Cognitive and affective empathy had different roles in contributing to adolescents' social anxiety. The findings in the current study can also provide empirical support for targeting adolescents' social anxiety by reducing personal distress directly and decreasing experiential avoidance and rejection sensitivity indirectly.
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Affiliation(s)
- Xing Tan
- School of Psychology, South China Normal University, Guangzhou, Guangdong 510631, PR China; The Guidance Centre for Student Development, Dongguan High School, Dongguan, Guangdong 523120, PR China
| | - Youtian Yang
- Centre for Psychological Health Education, Zhongshan Technician College, Zhongshan, Guangdong 528400, PR China
| | - Meng Yu
- Department of Psychology, School of Public Health, Southern Medical University, Guangzhou 510515, PR China; Department of Psychiatry, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, PR China.
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Liu Y, Chen J, Chen K, Liu J, Wang W. The associations between academic stress and depression among college students: A moderated chain mediation model of negative affect, sleep quality, and social support. Acta Psychol (Amst) 2023; 239:104014. [PMID: 37633175 DOI: 10.1016/j.actpsy.2023.104014] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Revised: 08/08/2023] [Accepted: 08/22/2023] [Indexed: 08/28/2023] Open
Abstract
BACKGROUND Growing competition in tight job market and academic excellence as a social norm in Asian culture have made Chinese college students burdened with immense academic stress. OBJECTIVES This study aimed to explore the associations between academic stress and depression, and the mediating roles of negative affect and sleep quality, as well as the moderating role of social support in the relationship between negative affect and sleep quality. METHODOLOGY A convenience sample of 221 male and 479 female college students aged between 17 and 25 completed questionnaires on academic stress, depression, negative affect, sleep quality and social support. RESULTS Results indicated that academic stress could not only directly affect depression (b = 0.31, p < 001), but also affect depression through the mediation role of negative affect and sleep quality. The chain mediating effects includes three paths, namely, the mediating role of negative affect (indirect effect = 0.21, percentage of total effect = 69.58 %), the mediating role of sleep quality (indirect effect = 0.06, percentage of total effect = 21.03 %), and the chain mediating role of negative affect and sleep quality (indirect effect = 0.06, percentage of total effect = 19.86 %). Social support moderated the adverse influence of negative affect on sleep quality. Social support decreases the impact of negative affect on sleep quality. Specifically, the association between negative affect and sleep quality was stronger for college students with low (bsimple = 0.44, p < 0.001) social support than those with high (bsimple = 0.32, p < 0.001) social support. IMPLICATIONS The results advanced our understanding of how academic stress affects college students' depression. These findings provide implications on the cultivation of stress coping strategies, promotion of emotion regulation skills, exaltation of sleep quality, and improvement of the social support level aiming for future depression preventions and interventions. Specific measures include setting up psychological health courses, teaching emotion management strategies, and establishing web-based programme steming from acceptance and commitment therapy. It should be noted that the cross-sectional design means the causal associations among the variables could not be determined.
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Affiliation(s)
- Yongli Liu
- Department of Education Policy and Leadership, The Education University of Hong Kong, Hong Kong, China; Department of Educational, Shanxi Datong University, Datong, China
| | - Junjun Chen
- Department of Education Policy and Leadership, The Education University of Hong Kong, Hong Kong, China
| | - Kun Chen
- Department of Educational Technology, Shanxi Datong University, Datong, China
| | - Jing Liu
- School of Journalism, Shanxi Datong University, Datong 037009, China
| | - Wei Wang
- Department of Psychology, Shanxi Datong University, Datong, China.
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Hutchesson M, Whatnall M, Fenton S, Ashton L, Patterson A, Smith J, Duncan MJ, Kay-Lambkin F, Burrows T. Are health behaviors associated with mental health among tertiary education students? A systematic review of cohort studies. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023:1-13. [PMID: 37105759 DOI: 10.1080/07448481.2023.2201865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/08/2022] [Revised: 03/19/2023] [Accepted: 04/05/2023] [Indexed: 06/19/2023]
Abstract
OBJECTIVE To evaluate the association between health behaviors with mental health among tertiary education students. METHODS Six databases were searched until September 2021 for prospective cohort studies evaluating the association between health behavior(s) (dietary intake, physical activity, sedentary behavior, alcohol intake, sleep, smoking or illicit drug use) and mental health. Two independent reviewers screened records for inclusion, extracted data and completed risk of bias assessments. RESULTS 33 studies were included (14 assessed sleep, 14 alcohol intake, 13 physical activity, 8 smoking, 6 sedentary behavior, 4 diet, 1 illicit drug use). A consistent association between poor sleep, and physical inactivity with increased risk of poor psychological wellbeing, and between poor sleep and increased mental ill-health related outcomes was demonstrated. CONCLUSION Findings suggest interventions to address poor sleep and physical inactivity among students may positively impact mental health. Further research of other health behaviors, and their association with mental health, is required.
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Affiliation(s)
- Melinda Hutchesson
- School of Health Sciences, College of Health, Medicine, and Wellbeing, University of Newcastle, Newcastle, Australia
- Food and Nutrition Research Program, Hunter Medical Research Institute, Newcastle, Australia
| | - Megan Whatnall
- School of Health Sciences, College of Health, Medicine, and Wellbeing, University of Newcastle, Newcastle, Australia
- Food and Nutrition Research Program, Hunter Medical Research Institute, Newcastle, Australia
| | - Sasha Fenton
- School of Health Sciences, College of Health, Medicine, and Wellbeing, University of Newcastle, Newcastle, Australia
- Food and Nutrition Research Program, Hunter Medical Research Institute, Newcastle, Australia
| | - Lee Ashton
- School of Health Sciences, College of Health, Medicine, and Wellbeing, University of Newcastle, Newcastle, Australia
- School of Education, College of Human and Social Futures, University of Newcastle, Newcastle, Australia
- Active Living Research Program, Hunter Medical Research Institute, Newcastle, Australia
| | - Amanda Patterson
- School of Health Sciences, College of Health, Medicine, and Wellbeing, University of Newcastle, Newcastle, Australia
- Food and Nutrition Research Program, Hunter Medical Research Institute, Newcastle, Australia
| | - Jordan Smith
- School of Education, College of Human and Social Futures, University of Newcastle, Newcastle, Australia
- Active Living Research Program, Hunter Medical Research Institute, Newcastle, Australia
| | - Mitch J Duncan
- Active Living Research Program, Hunter Medical Research Institute, Newcastle, Australia
- School of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, Newcastle, Australia
| | - Frances Kay-Lambkin
- School of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, Newcastle, Australia
| | - Tracy Burrows
- School of Health Sciences, College of Health, Medicine, and Wellbeing, University of Newcastle, Newcastle, Australia
- Food and Nutrition Research Program, Hunter Medical Research Institute, Newcastle, Australia
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Cognitive Fusion, Ruminative Response Style and Depressive Spectrum Symptoms in a Sample of University Students. Life (Basel) 2023; 13:life13030803. [PMID: 36983958 PMCID: PMC10057694 DOI: 10.3390/life13030803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2023] [Revised: 03/02/2023] [Accepted: 03/14/2023] [Indexed: 03/18/2023] Open
Abstract
Psychological inflexibility is related to depressive symptoms through the ‘ruminative response style’ (RR) and ‘cognitive fusion’ (CF). We aimed at exploring whether university students were more exposed to CF, RR and depressive symptoms because of their intellectual performance than non-university students of the same age. We compared university students (US) (n = 105) vs. non-university students (NUS) (n = 76) through online administration of the ‘Cognitive Fusion Questionnaire’ (CFQ-7), the ‘Depression-Zung Self-Assessment Scale’ (ZSDS) and the ‘Perseverative Thinking Questionnaire’ (PTQ) (study protocol #0077818/2022, approved by the Ethical Committee of the University of Pisa, Italy). University students scored significantly higher than non-university students in the CFQ-7 Total Score (27.5 ± 9.4 vs. 24.4 ± 9.5; p = 0.040), ZSDS Total Score (41.1 ± 7.7 vs. 39.0 ± 7.3; p = 0.031), PTQ Total Score (26.1 ± 13.1 vs. 21.8 ± 13.9; p = 0.029), PTQ ‘Repetitiveness’ (5.3 ± 2.8 vs. 4.5 ± 2.9; p = 0.034), ‘Intrusiveness’ (5.8 ± 3.0 vs. 4.8 ± 3.1; p = 0.046) and ‘Repetitive Negative Thinking capturing mental resources’ (5.0 ± 3.1 vs. 4.0 ± 3.0; p = 0.013) (MANOVA analysis). In a binary logistic regression analysis of US (with ZSDS scores < 44 vs. ≥44 as the dependent variable, and PTQ Total Score and dimensions, CFQ-7 Total Score, age and gender as the covariates), PTQ Total Score predicted the more severe depressive symptomatology (OR = 1.44, 95% CI: 1.017–2.039; p = 0.040). We believe that RR and CF should be specifically targeted through psychoeducational/psychotherapeutic interventions in university students.
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Khazraee H, Bakhtiari M, Kianimoghadam AS, Ghorbanikhah E. The Effectiveness of Mindful Hypnotherapy on Depression, Self-Compassion, and Psychological Inflexibility in Females with Major Depressive Disorder: A Single-Blind, Randomized Clinical Trial. Int J Clin Exp Hypn 2023; 71:63-78. [PMID: 36715628 DOI: 10.1080/00207144.2022.2160257] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
The effectiveness of the novel intervention mindful hypnotherapy on depression, self-compassion, and psychological inflexibility in females with major depressive disorder was examined in a randomized, clinical trial. Thirty-four participants were randomly allocated into mindful hypnotherapy and waitlist control groups. The intervention group was treated in 8 face-to-face, 60-minute weekly therapy sessions along with mindful hypnosis audio tapes to be used daily. The results of analysis of covariance indicated that there were significant differences between the mindful hypnotherapy and waitlist control groups after intervention and at 2-month follow-up (p < .001). The between-subject test of repeated measures ANOVAs also indicated a clinically significant difference between groups across time (baseline, postintervention, and 2-month follow-up) in depression, F = 53.86, p < .001, effect size = .65, and in self-compassion, F = 33.18, p < .001, effect size = .53, as well as psychological inflexibility, F = 26.84, p < .001, effect size = .48. In conclusion, this study indicates that mindful hypnotherapy is an effective intervention for treating depression as well as reducing psychological inflexibility and improving self-compassion for patients with major depressive disorder.
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Affiliation(s)
- Hassan Khazraee
- Department of Clinical Psychology, Taleghani Hospital Research Development Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Maryam Bakhtiari
- Department of Clinical Psychology, Taleghani Hospital Research Development Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Amir Sam Kianimoghadam
- Department of Clinical Psychology, Taleghani Hospital Research Development Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Galhardo A, Neto M, Monteiro B, Massano-Cardoso I, Ferreira C, Cunha M. Psychological inflexibility in university students: the european portuguese version of the acceptance and action questionnaire-university students. CURRENT PSYCHOLOGY 2022; 42:1-11. [PMID: 36590013 PMCID: PMC9795437 DOI: 10.1007/s12144-022-04174-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2022] [Revised: 12/07/2022] [Accepted: 12/12/2022] [Indexed: 12/29/2022]
Abstract
Psychological inflexibility is defined as a transdiagnostic mechanism characterized by rigid efforts to control psychological reactions to painful, undesirable, unpleasant internal experiences. The Acceptance and Action Questionnaire-University Students (AAQ-US) was designed to assess students' academic context-related psychological inflexibility. This study adapted the AAQ-US to Portuguese and examined its factor structure, validity, and reliability in a college student sample (sample 1: N = 262). Exploratory factor analysis and parallel analysis suggested a two-factor structure. A confirmatory factor analysis was conducted in a second sample to cross-validate the AAQ-US factor structure (sample 2: N = 260). One higher-order factor (psychological inflexibility) with two lower-order factors (cognitive fusion and experiential avoidance) revealed a very good fit to the data. The AAQ-US total and dimensions showed good reliability, convergent and incremental validity. Overall, the Portuguese version of the AAQ-US is a reliable and valid instrument for assessing context-specific psychological inflexibility in university students.
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Affiliation(s)
- Ana Galhardo
- Instituto Superior Miguel Torga, Largo da Cruz de Celas, nº1, 3000-132 Coimbra, Portugal
- CINEICC – Centre for Research in Neuropsychology and Cognitive and Behavioural Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Rua do Colégio Novo, 3000-115 Coimbra, Portugal
| | - Maria Neto
- Instituto Superior Miguel Torga, Largo da Cruz de Celas, nº1, 3000-132 Coimbra, Portugal
| | - Bárbara Monteiro
- Instituto Superior Miguel Torga, Largo da Cruz de Celas, nº1, 3000-132 Coimbra, Portugal
- CINEICC – Centre for Research in Neuropsychology and Cognitive and Behavioural Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Rua do Colégio Novo, 3000-115 Coimbra, Portugal
| | - Ilda Massano-Cardoso
- Instituto Superior Miguel Torga, Largo da Cruz de Celas, nº1, 3000-132 Coimbra, Portugal
- Faculty of Medicine, University of Coimbra, Azinhaga de Sta. Comba, 3000-548 Celas, Coimbra, Portugal
- CEISUC- Faculty of Economics of the University of Coimbra, Av. Dr. Dias da Silva, 165, 3004-512 Coimbra, Portugal
| | - Cláudia Ferreira
- CINEICC – Centre for Research in Neuropsychology and Cognitive and Behavioural Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Rua do Colégio Novo, 3000-115 Coimbra, Portugal
| | - Marina Cunha
- Instituto Superior Miguel Torga, Largo da Cruz de Celas, nº1, 3000-132 Coimbra, Portugal
- CINEICC – Centre for Research in Neuropsychology and Cognitive and Behavioural Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Rua do Colégio Novo, 3000-115 Coimbra, Portugal
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Alvarez-Hernandez LR, Childs EM, Fatehi M, Yeo H. How perception relates to student utilization of college campus counseling services. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2022:1-9. [PMID: 36201168 DOI: 10.1080/07448481.2022.2129973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/23/2021] [Revised: 08/18/2022] [Accepted: 09/25/2022] [Indexed: 06/16/2023]
Abstract
Objective: Examine how student demographics and perception of on-campus counseling service availability, accessibility, acceptability, and quality is related to utilization. Participants: A total of 262 students from 49 Georgia (U.S.) higher education institutions. Methods: A logistic regression examined student perception of on-campus counseling services and associations with service utilization, controlling for covariates. Results: (1) Non-heterosexual students were more likely to use on-campus counseling services than heterosexual students, (2) students in rural areas were more likely to utilize services than students in urban areas, (3) insured students had higher odds of utilizing services than uninsured students, and (4) higher ratings of perceived accessibility were associated with likelier service use. Conclusions: The perception of accessibility was significantly associated with higher odds of on-campus service use. Thus, a better understanding of student perception of on-campus counseling center accessibility is warranted.
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Affiliation(s)
| | - Elisa M Childs
- School of Social Work, The University of Georgia, Athens, Georgia, USA
| | - Mariam Fatehi
- School of Social Work, The University of Georgia, Athens, Georgia, USA
| | - Hyesu Yeo
- School of Social Work, The University of Georgia, Athens, Georgia, USA
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Orouji F, Abdi R, Chalabianloo G. Mediating Role of Psychological Inflexibility as Transdiagnostic Factor in the Relationship Between Emotional Dysregulation and Sleep Problems With Symptoms of Emotional Disorders. Front Psychol 2022; 13:800041. [PMID: 35548493 PMCID: PMC9082666 DOI: 10.3389/fpsyg.2022.800041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2021] [Accepted: 03/23/2022] [Indexed: 11/19/2022] Open
Abstract
This study aims to investigate the mediating role of psychological inflexibility as a transdiagnostic factor in the relationship between emotional dysregulation and sleep problems with symptoms of emotional disorders. A total of 500 subjects from three universities were selected by random multistage clustering, and they completed the Pittsburgh Sleep Quality Index, Difficulties in Emotional Regulation Scale, and Acceptance and Action Questionnaire–II, Inventory of Depression and Anxiety Symptoms. The results of correlation coefficients revealed that there is a positive and significant correlation among emotional dysregulation, sleep problems, and psychological inflexibility with emotional disorders. In addition, the results showed that psychological inflexibility acts as a transdiagnostic factor that mediates the relationship between emotional dysregulation and sleep problems with symptoms of emotional disorders. These findings illustrate how emotional dysregulation and sleep problems affect emotional disorders through psychological inflexibility.
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Affiliation(s)
- Farrin Orouji
- Department of Psychology, Azarbaijan Shahid Madani University, Tabriz, Iran
| | - Reza Abdi
- Department of Psychology, Faculty of Education and Psychology, Azarbaijan Shahid Madani University, Tabriz, Iran
| | - Gholamreza Chalabianloo
- Department of Psychology, Faculty of Education and Psychology, Azarbaijan Shahid Madani University, Tabriz, Iran
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12
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Xu H, Yang X, Lai X, Zhao C, Tu X, Ding N, Ruan S, Jiang Y, Lv Y, Zhang G. Longitudinal relationships among perceived stress, suicidal ideation and sleep quality in Chinese undergraduates: A cross-lagged model. J Affect Disord 2022; 299:45-51. [PMID: 34813870 DOI: 10.1016/j.jad.2021.11.033] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/07/2021] [Revised: 10/25/2021] [Accepted: 11/13/2021] [Indexed: 12/31/2022]
Abstract
BACKGROUND Sleep quality is an important indicator of quality of life. It is of importance to investigate the risk factors and potential consequences of poor sleep quality, such as perceived stress and suicidal ideation. We therefore investigated the longitudinal and reciprocal relationships among perceived stress, suicidal ideation, and sleep quality. METHODS A three-wave longitudinal survey was conducted from June 2019 to June 2020 at six-month intervals in undergraduate students (N = 197, 58.9% female) in China. The participants completed self-report questionnaires in classroom settings. RESULTS While the levels of perceived stress were stable, levels of suicidal ideation and sleep quality fluctuated significantly over time. There were significant reciprocal relationships between perceived stress and suicidal ideation from T1 to T3. In addition, the reciprocal relationships between suicidal ideation and sleep quality from T1 to T2 were also significant. Suicidal ideation at T2 partially mediated the relationship between perceived stress at T1 and sleep quality at T3 (indirect effect: β=0.06, 95% CI: 0.04 to 0.10, p<0.001), and suicidal ideation at T2 fully mediated the relationship between sleep quality at T1 and perceived stress at T3 (indirect effect: β=0.48, 95% CI: 0.30, 0.70, p<0.001). LIMITATIONS The subjects' educational background is single, and the measurement method is self-report measures. CONCLUSIONS Suicidal ideation may play a significant role in explaining the longitudinal relationships between perceived stress and sleep quality. And suggest the importance of early identification and treatment of suicidal ideation among Chinese undergraduates.
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Affiliation(s)
- Huihui Xu
- Department of Psychology, School of Mental Health, Wenzhou Medical University, Wenzhou 325035, China
| | - Xue Yang
- Center for Health Behaviours Research, JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China
| | - Xinyi Lai
- Department of Psychology, School of Mental Health, Wenzhou Medical University, Wenzhou 325035, China
| | - Chengjia Zhao
- Department of Psychology, School of Mental Health, Wenzhou Medical University, Wenzhou 325035, China
| | - Xiaolian Tu
- Renji College, Wenzhou Medical University, Wenzhou 325035, China.
| | - Nani Ding
- School of Public Health and Management, Wenzhou Medical University, Wenzhou 325035, China.
| | - Songli Ruan
- Henan University of Urban Construction, Pingdingshan 467000, China.
| | - Yile Jiang
- Department of Psychology, School of Mental Health, Wenzhou Medical University, Wenzhou 325035, China.
| | - Yijun Lv
- Wenzhou Medical University, Wenzhou 325035, China.
| | - Guohua Zhang
- Department of Psychology, School of Mental Health, Wenzhou Medical University, Wenzhou 325035, China; The Affiliated Kangning Hospital, Wenzhou Medical University, Wenzhou 325035, China; Institute Of Aging, Key Laboratory Of Alzheimer's Disease Of Zhejiang Province, Wenzhou Medical University, Wenzhou 325035, China.
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Keinonen K, Puolakanaho A, Lappalainen P, Lappalainen R, Kiuru N. Developmental trajectories of experiential avoidance and depressive symptoms and association to health behaviors among adolescents during brief guided online acceptance and commitment therapy. JOURNAL OF CONTEXTUAL BEHAVIORAL SCIENCE 2021. [DOI: 10.1016/j.jcbs.2021.08.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Cui G, Yin Y, Li S, Chen L, Liu X, Tang K, Li Y. Longitudinal relationships among problematic mobile phone use, bedtime procrastination, sleep quality and depressive symptoms in Chinese college students: a cross-lagged panel analysis. BMC Psychiatry 2021; 21:449. [PMID: 34507561 PMCID: PMC8431882 DOI: 10.1186/s12888-021-03451-4] [Citation(s) in RCA: 37] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2021] [Accepted: 08/28/2021] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND Cross-sectional and longitudinal studies have found that problematic mobile phone use, bedtime procrastination, sleep quality, and depressive symptoms are strongly associated. However, studies are inconsistent regarding whether problematic mobile phone use predicts depressive symptoms or vice versa, and sleep factors have been infrequently focused on in this regard. In addition, few studies have examined the longitudinal associations and directions of effects between these factors. Therefore, this study aims to explore the longitudinal relationship among problematic mobile phone use, bedtime procrastination, sleep quality, and depressive symptoms in college students. METHODS Overall, 1181 college students completed questionnaires on problematic mobile phone use, bedtime procrastination, sleep quality, and depressive symptoms at two time points 12 months apart. A cross-lagged model was used to examine the longitudinal relationship between these factors. RESULTS Cross-lagged analyses showed significant bidirectional relationships of problematic mobile phone use with bedtime procrastination and depressive symptoms. Additionally, there were also significant bidirectional relationships of sleep quality with bedtime procrastination and depressive symptoms. Problematic mobile phone use predicted subsequent sleep quality one-way, and bedtime procrastination predicted subsequent depressive symptoms one-way. CONCLUSIONS This study further expands our understanding of the longitudinal and bidirectional relationships among problematic mobile phone use, bedtime procrastination, sleep quality and depressive symptoms and helps school mental health educators design targeted interventions to reduce problematic mobile phone use, sleep problems, and depressive symptoms among college students.
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Affiliation(s)
- Guanghui Cui
- grid.464402.00000 0000 9459 9325School of Acupuncture and Tuina, Shandong University of Traditional Chinese Medicine, Jinan, 250355 China
| | - Yongtian Yin
- School of Nursing, Shandong University of Traditional Chinese Medicine, Jinan, 250355, China.
| | - Shaojie Li
- Department of Social Medicine and Health Service Management, Xiangya School of Public Health, Central South University, Changsha, 410078, China.
| | - Lei Chen
- grid.464402.00000 0000 9459 9325School of Acupuncture and Tuina, Shandong University of Traditional Chinese Medicine, Jinan, 250355 China
| | - Xinyao Liu
- grid.464402.00000 0000 9459 9325School of Chinese Medicine, Shandong University of Traditional Chinese Medicine, Jinan, 250355 China
| | - Kaixuan Tang
- grid.464402.00000 0000 9459 9325School of Medicine, Shandong University of Traditional Chinese Medicine, Jinan, 250355 China
| | - Yawen Li
- grid.464402.00000 0000 9459 9325School of Ophthalmology and Optometry, Shandong University of Traditional Chinese Medicine, Jinan, 250355 China
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Waldeck D, Banerjee M, Jenks R, Tyndall I. Cognitive arousal mediates the relationship between perceived ostracism and sleep quality but it is not moderated by experiential avoidance. Stress Health 2020; 36:487-495. [PMID: 32314874 DOI: 10.1002/smi.2946] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/05/2019] [Revised: 03/18/2020] [Accepted: 03/25/2020] [Indexed: 11/10/2022]
Abstract
Previous research suggests that longer-term perceived ostracism is related to poor sleep quality. In this study, we investigated the mediating effect of cognitive arousal on the perceived ostracism-sleep quality relationship. We also investigated whether experiential avoidance was a moderator of the cognitive arousal-sleep quality relationship. Participants (N = 251) were recruited through online research portals to take part in an online survey. A path analysis was used to test a moderated mediation effect between variables. It was found that cognitive arousal mediated the perceived ostracism-sleep quality relationship; however, experiential avoidance was not a significant moderator. These findings suggest that further research needs to be conducted to elucidate the mechanism of experiential avoidance to account for when it may impact sleep quality. Moreover, treatment interventions targeted at reducing cognitive arousal (e.g., cognitive behavioural therapy) prior to sleep are likely to bear some fruit.
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Affiliation(s)
- Daniel Waldeck
- Department of Psychology, Coventry University, Coventry, UK
| | - Moitree Banerjee
- Department of Psychology, University of Chichester, Chichester, UK
| | - Rebecca Jenks
- Department of Psychology, Coventry University, Coventry, UK
| | - Ian Tyndall
- Department of Psychology, University of Chichester, Chichester, UK
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Mediators of the association between COVID-19-related stressors and parents' psychological flexibility and inflexibility: The roles of perceived sleep quality and energy. JOURNAL OF CONTEXTUAL BEHAVIORAL SCIENCE 2020; 17:168-176. [PMID: 32834971 PMCID: PMC7382960 DOI: 10.1016/j.jcbs.2020.07.001] [Citation(s) in RCA: 27] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Revised: 06/30/2020] [Accepted: 07/02/2020] [Indexed: 12/23/2022]
Abstract
Background The COVID-19 pandemic has forced parents across the United States to quickly transition to a new way of living. These transitions present new stressors, including the stress associated with physical health, with the demands of social distancing placed on families, and with the possibility of losing a job or not being able to pay bills. Such stressors have the potential to disrupt basic functioning, such as sleep and daily energy levels. Furthermore, the impact of stress might have repercussions on parents' capacities to be psychologically flexible, thus putting their psychological functioning at risk. Drawing upon a contextual behavioral science perspective, the current study sought to examine links between COVID-19-related stressors and psychological flexibility/inflexibility through such basic processes as parents' perceived sleep quality and daily energy level. Methods A total of 1003 parents (97% from the US; 74% female; M = 40.9 years old, SD = 8.5) of children (ages 5-18) completed an online survey from the end of March to the end of April of 2020. Results Path analyses suggested that, after controlling health-related stress and the stress of work and parenting demands due to the pandemic directly predicting greater inflexibility and lower inflexibility, two mediation paths emerged. Specifically, higher levels of health-related stress were associated with lower levels of energy, which, in turn predicted lower levels of psychological flexibility. In addition, higher levels of health-related stress were associated with lower perceived sleep quality, which, in turn, was associated with higher levels of psychological inflexibility. In secondary analyses on the specific dimensions of flexibility and inflexibility, results suggested that lower energy levels indirectly linked health-related stress to lower levels of all 6 dimensions of flexibility and poorer sleep quality indirectly linked health-related stress to higher levels of self-as-content, fusion, and inaction. Conclusions The stressors associated with COVID-19 pandemic have the potential to disrupt parents' perceived sleep quality and daily energy levels, reducing their abilities to respond to difficult or challenging experiences in a flexible manner and instead promoting more reactive and inflexible responses.
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