1
|
Gyasi RM, Hajek A, Owusu R, James PB, Boampong MS, Accam BT, Abass K, Owusu-Dabo E, Phillips DR. Sleep and Happiness in Urban-Dwelling Older Adults in Ghana: A Serial Multiple Mediation Model of Generalized Anxiety and Depressive Symptoms. Am J Geriatr Psychiatry 2023; 31:953-964. [PMID: 37270306 DOI: 10.1016/j.jagp.2023.05.004] [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] [Received: 03/27/2023] [Revised: 05/04/2023] [Accepted: 05/06/2023] [Indexed: 06/05/2023]
Abstract
OBJECTIVE Sleep problems (SP) are highly prevalent and seriously affect health and well-being in old age. The aim of this study was to examine the association between SP and happiness in an urban-dwelling older sample. The authors further explore the effects of generalized anxiety and depressive symptoms in the SP-happiness link using serial mediating modeling. METHODS Data came from the 2016 to 2018 Aging, Health, Psychological Well-being, and Health-seeking Behavior Study in Ghana (n = 661). The authors measured happiness with the cross-culturally validated item on a five-point scale. The GAD-7 and the CESD-8, respectively, assessed generalized anxiety and depressive symptoms. Participants reported nighttime and daytime SP in the last 30 days. The SPSS-based Hayes' PROCESS macro program (Model 6) was constructed to quantify the hypothesized mediation effect. RESULTS The analysis included 661 adults aged greater than or equal to 50 years (mean age = 65.53 [SD] = 11.89 years; 65.20% women). After full adjustment, path models showed that SP was negatively associated with happiness (β = -0.1277, 95%CI = -0.15950 to -0.096). Bootstrapping estimates revealed that the SP-happiness link was serially mediated via generalized anxiety representing 8.77%, depressive symptoms yielding 18.95%, and anxiety symptoms→depressive symptoms accounting for 26.70% of the total effect. CONCLUSION Generalized anxiety and depressive symptoms may explain the negative association between SP and happiness in urban-dwelling older adults in the sub-Saharan African (SSA) context. Interventions, social and clinical, to improve happiness through sleep quality should include ways to improve mental health. Longitudinal and cross-cultural data are warranted to assess the bi-directionality of this relationship.
Collapse
Affiliation(s)
- Razak M Gyasi
- Aging and Development Unit, African Population and Health Research Center (RMG), Nairobi, Kenya; National Centre for Naturopathic Medicine, Faculty of Health, Southern Cross University (RMG, PBJ), Lismore, NSW, Australia.
| | - André Hajek
- Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg Center for Health Economics (AH), Hamburg, Germany
| | - Richmond Owusu
- Department of Health Policy, Planning, and Management, School of Public Health, University of Ghana (RO), Legon, Ghana
| | - Peter Bai James
- National Centre for Naturopathic Medicine, Faculty of Health, Southern Cross University (RMG, PBJ), Lismore, NSW, Australia
| | - Mary Sefa Boampong
- Department of Sociology and Social Work, Kwame Nkrumah University of Science and Technology (MSB), Kumasi, Ghana
| | - Burnett Tetteh Accam
- Department of Mathematics, Kwame Nkrumah University of Science and Technology (BTA), Kumasi, Ghana
| | - Kabila Abass
- Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology (KA), Kumasi, Ghana
| | - Ellis Owusu-Dabo
- School of Public Health, Kwame Nkrumah University of Science and Technology (EO-D), Kumasi, Ghana
| | - David R Phillips
- Department of Sociology and Social Policy, Lingnan University (DRP), Tuen Mun, New Territories, Hong Kong
| |
Collapse
|
2
|
Emotional and physical-related experiences as potential mechanisms linking physical activity and happiness: Evidence from the Ghana Aging, Health, Psychological Well-being, and Health-seeking Behavior Study. Arch Psychiatr Nurs 2023; 42:113-121. [PMID: 36842821 DOI: 10.1016/j.apnu.2022.12.023] [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] [Received: 07/02/2022] [Revised: 11/07/2022] [Accepted: 12/28/2022] [Indexed: 01/05/2023]
Abstract
This study examines the association between physical inactivity (PI) and happiness among Ghanaian older adults and whether emotional and physical-related experiences (EPE) mediate the association. Data from the Aging, Health, Psychological Well-being and Health-seeking Behavior Study (AgeHeaPsyWel-HeaSeeB) conducted in 2016-2018 among 1201 older Ghanaians were analyzed. Happiness was assessed with the self-rated and cross-culturally validated item on a 5-point scale. PI was evaluated with the International Physical Activity Questionnaire (IPAQ). Hierarchical linear regressions and mediation analyses were performed to estimate the hypothesized associations. Results showed that PI was significantly associated with lower levels of happiness (β = -0.053, p < .001) net of potential confounders. The association of PI with happiness was attenuated and fully mediated by pain, sleep problems, loneliness, anxiety, and boredom. Moreover, in terms of the cross-level interaction effects, PI moderated the happiness-pain (β = -0.029, p < .005), happiness-social isolation (β = -0.024, p < .05), and happiness-boredom (β = -0.023, p < .005) associations. Our data suggest that EPE may explain why PI decreases happiness in old age. Findings provide valuable insight into the interventions and decisions to improve subjective well-being and quality of life in old age.
Collapse
|
3
|
Zhang M, Zhang W, Shi Y. Are happier adolescents more willing to protect the environment? Empirical evidence from Programme for International Student Assessment 2018. Front Psychol 2023; 14:1157409. [PMID: 37123297 PMCID: PMC10130446 DOI: 10.3389/fpsyg.2023.1157409] [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: 02/02/2023] [Accepted: 03/06/2023] [Indexed: 05/02/2023] Open
Abstract
A large number of existing studies have discussed the potential factors affecting pro-environmental behaviors (PEBs) in adolescents. However, few studies have focused on the possible impact of adolescents' subjective wellbeing (SWB) on their PEBs. Why and how adolescents' SWB affects their PEBs remains a puzzle. To unravel this puzzle, this paper aims to establish a suitable instrumental variable (IV) to correctly estimate the contribution of adolescents' SWB to their PEBs. Using the international data from the Organisation for Economic Co-operation and Development (OECD) 's Programme for International Student Assessment 2018, we construct a unique dataset of eight countries or economies, which includes 56,374 samples related to the SWB and PEBs of 15-year-old students. In this paper, the days of physical education classes in school per week are used as the IV. Through a two-stage least squares method, we find that the contribution of adolescents' SWB to PEBs is significantly positive. We also find that the pathway by which SWB improves PEBs works through adolescents' self-efficacy. Furthermore, the results indicate that the positive impact of SWB on PEBs is more pronounced among adolescents with better peer relationships and stronger multicultural values. Our findings highlight the influence of positive affects in cultivating adolescent' PEBs and the importance of growing up surrounded by happiness.
Collapse
Affiliation(s)
- Min Zhang
- The Co-Innovation Center for Social Governance of Urban and Rural Communities in Hubei Province, Zhongnan University of Economics and Law, Wuhan, Hubei, China
| | - Weidong Zhang
- School of Business Administration, Zhongnan University of Economics and Law, Wuhan, Hubei, China
| | - Yong Shi
- School of Accounting, Zhongnan University of Economics and Law, Wuhan, Hubei, China
- *Correspondence: Yong Shi,
| |
Collapse
|
4
|
Bambrah V, Wardell JD, Keough MT. Longitudinal co-trajectories of depression and alcohol problems in adults during the COVID-19 pandemic. CURRENT PSYCHOLOGY 2022:1-17. [PMID: 36531195 PMCID: PMC9748906 DOI: 10.1007/s12144-022-04109-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/30/2022] [Indexed: 12/15/2022]
Abstract
We examined person-centered heterogeneity in the longitudinal co-development of depression and alcohol problems during the COVID-19 outbreak. We also investigated the risk factors (personality and coping) for being in "higher" relative to "lower" risk subgroups of combined depressive symptoms and alcohol problems. Canadian participants (N = 364, M age = 32.16, 54.67% male) completed questionnaires four times every three months, starting approximately 2 months after Canada announced its COVID-19 State-of-Emergency. Parallel-process latent class growth analysis found evidence for three latent subgroups: a "moderate increasing depression and alcohol problems" subgroup (Class 1); a "moderate stable depression, moderate decreasing alcohol problems" subgroup (Class 2); and a "low-risk normative" subgroup (with mild depression that was stable and mild alcohol problems that decreased; Class 3). Multinomial logistic regressions found that higher levels of hopelessness, impulsivity, and boredom proneness distinguished Class 1 from Class 3. Further, lower levels of general self-efficacy distinguished Class 1 from Classes 2 and 3. Linear mixed models found that Class 1 increasingly used maladaptive avoidant coping strategies (denial, drugs/alcohol, behavioural disengagement) as the pandemic progressed, whereas Class 2 increasingly used adaptive approach-oriented strategies (planning, seeking emotional support from others). We analyzed longitudinal data to detect classes of individuals with depressive and alcohol-related difficulties during COVID-19 and to characterize the vulnerability factors for increased difficulties. Highlighting the heterogeneity in the co-trajectory of depression and alcohol problems during COVID-19 and the personality and coping factors associated with combined increases in these mental health difficulties can inform treatment practices and bolster peoples' preparedness and resilience for future pandemics. Supplementary Information The online version contains supplementary material available at 10.1007/s12144-022-04109-4.
Collapse
Affiliation(s)
- Veerpal Bambrah
- Department of Psychology, Faculty of Health, York University, Behavioural Sciences Building, 4700 Keele Street, Toronto, Ontario M3J 1P3 Canada
| | - Jeffrey D. Wardell
- Department of Psychology, Faculty of Health, York University, Behavioural Sciences Building, 4700 Keele Street, Toronto, Ontario M3J 1P3 Canada
- Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Ontario Canada
- Department of Psychiatry, University of Toronto, Toronto, Ontario Canada
| | - Matthew T. Keough
- Department of Psychology, Faculty of Health, York University, Behavioural Sciences Building, 4700 Keele Street, Toronto, Ontario M3J 1P3 Canada
| |
Collapse
|
5
|
Examining the Longitudinal Associations between Adjustment Disorder Symptoms and Boredom during COVID-19. Behav Sci (Basel) 2022; 12:bs12090311. [PMID: 36135115 PMCID: PMC9495664 DOI: 10.3390/bs12090311] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2022] [Revised: 08/19/2022] [Accepted: 08/23/2022] [Indexed: 12/16/2022] Open
Abstract
The COVID-19 pandemic has led to a myriad of stressors, underscoring the relevance of adjustment disorder during these extraordinary times. Boredom—as a feeling and as a dispositional characteristic—is an equally pertinent experience during the pandemic that has been cross-sectionally linked to various mental health difficulties. The current longitudinal study expanded on this work, examining the associations between adjustment disorder symptoms and boredom (both as a feeling and as a trait) over time during the COVID-19 pandemic. Community participants completed questionnaires three times, rating their trait boredom at Time 1 and their feelings of boredom and adjustment disorder symptoms (preoccupation with a pandemic stressor and failure to adapt) over the past week at Times 1–3. Latent growth curve analyses found that an increase in feelings of boredom was significantly associated with increased preoccupation with a pandemic stressor and increased difficulties with adapting over time. Additionally, trait boredom significantly predicted changes in preoccupation and the failure to adapt, such that participants high in trait boredom increasingly struggled with these symptoms over time. Our results suggest that increased feelings of boredom and a trait disposition towards boredom can be detrimental to people’s ability to adjust over time to the stressors associated with the pandemic. Boredom, as an aversive state and as a chronic difficulty, may be important to address in treatment approaches for adjustment disorder symptoms during COVID-19.
Collapse
|
6
|
Weybright EH, Doering EL, Perone S. Difficulties with Emotion Regulation during COVID-19 and Associations with Boredom in College Students. Behav Sci (Basel) 2022; 12:296. [PMID: 36004867 PMCID: PMC9404998 DOI: 10.3390/bs12080296] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Revised: 08/16/2022] [Accepted: 08/17/2022] [Indexed: 11/16/2022] Open
Abstract
COVID-19 related restrictions resulted in a significant lifestyle change for many young adults in the United States. Although boredom and emotional self-regulation are clearly connected in empirical research, the question remains of what this association looks like in unique circumstances, such as early in COVID-19 pandemic at the height of restrictions. The purpose of the current study is to identify the association between boredom proneness and emotion regulation in college students during the COVID-19 pandemic. College students who completed a Boredom Coping Survey between October and December 2019 (n = 481) were recruited for a follow-up COVID-19 Boredom Survey in April 2020. Data from this sub-sample (n = 58) were used in a hierarchical regression predicting the role of boredom proneness on COVID-19 pandemic emotion regulation difficulties while controlling for age, sex, and COVID-19 related lifestyle changes. Findings indicated higher levels of emotion regulation difficulties were associated with higher levels of boredom proneness above and beyond demographic variables and COVID-19 lifestyle changes. Results are in line with prior theory and research on the importance of the environment or situational factors to the experience of boredom.
Collapse
|
7
|
Weich C, Schüler J, Wolff W. 24 Hours on the Run-Does Boredom Matter for Ultra-Endurance Athletes' Crises? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:6859. [PMID: 35682442 PMCID: PMC9180276 DOI: 10.3390/ijerph19116859] [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: 04/27/2022] [Revised: 05/31/2022] [Accepted: 06/01/2022] [Indexed: 02/01/2023]
Abstract
Sport and exercise can be boring. In the general population, thinking of sports as boring has been linked to exercising less. However, less is known about the role of boredom in people who participate in ultra-endurance competitions: Do these athletes also associate their sports with boredom, and does boredom pose a self-regulatory challenge that predicts if they encounter a crisis during an ultra-endurance competition? Here, we investigate these questions with a sample of N = 113 (n = 34 female) competitors of a 24 h hour running competition, aged M = 37.6 ± 13.8 years. In this study, n = 23 very extreme athletes competed as single starters or in a relay team of 2, and n = 84 less extreme athletes competed in relay teams of 4 or 6. Before the run, athletes completed self-report measures on sport-specific trait boredom, as well as the degree to which they expected boredom, pain, effort, and willpower to constitute self-regulatory challenges they would have to cope with. After the run, athletes reported the degree to which they actually had to deal with these self-regulatory challenges and if they had faced an action crisis during the competition. Analyses revealed that very extreme athletes displayed a significantly lower sport-specific trait boredom than less extreme athletes (p = 0.024, d=-0.48). With respect to self-regulatory challenges, willpower, pain, and effort were expected and reported at a much higher rate than boredom. However, only boredom was as a significant predictor of experiencing a crisis during the competition (odds ratio = 12.5, p = 0.02). Our results show that boredom also matters for highly active athletes. The fact that the experience of boredom-and not more prototypical competition-induced challenges, such as pain or effort-were linked to having an action crisis highlights the relevance of incorporating boredom into the preparation for a race and to the performance management during competition.
Collapse
Affiliation(s)
- Christian Weich
- Department of Sport Science, University of Konstanz, Universitaetsstrasse 10, 78464 Konstanz, Germany; (J.S.); (W.W.)
| | - Julia Schüler
- Department of Sport Science, University of Konstanz, Universitaetsstrasse 10, 78464 Konstanz, Germany; (J.S.); (W.W.)
| | - Wanja Wolff
- Department of Sport Science, University of Konstanz, Universitaetsstrasse 10, 78464 Konstanz, Germany; (J.S.); (W.W.)
- Educational Psychology Lab, University of Bern, Fabrikstrasse 8, 3012 Bern, Switzerland
| |
Collapse
|