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Peng A, Ji S, Lai W, Hu D, Wang M, Zhao X, Chen L. The bidirectional relationship between sleep disturbance and anxiety: Sleep disturbance is a stronger predictor of anxiety. Sleep Med 2024; 121:63-68. [PMID: 38924831 DOI: 10.1016/j.sleep.2024.06.022] [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: 02/08/2024] [Revised: 06/17/2024] [Accepted: 06/21/2024] [Indexed: 06/28/2024]
Abstract
BACKGROUND Both sleep disturbance and anxiety are common problems that significantly affect human health, but little is known about their causal relationship. The aim of this study was to explore the causal relationship between them with a large sample of community-dwelling adults included. METHODS Data for this study were extracted from the baseline survey of West China Natural Population Cohort Study (WCNPCS) and follow-up in the following year. The sleep quality was assessed using Pittsburgh Sleep Quality Index (PSQI), and anxiety was screened using the Generalized Anxiety Disorder Scale (GAD-7). Age, gender, educational level, marital status, smoking status, drinking status, depressive symptoms, loneliness and chronic diseases were taken as covariant factors. Logistic regression and cross-lagged models were used for data analyses. RESULTS A total of 16699 participants (67.5 % females) were enrolled, with the average age of participants being 57.3 ± 12.7 years. A total of 40.50 % of participants experienced poor sleep quality at baseline and 40.52 % at follow-up. The prevalence of anxiety was 7.58 % at baseline and 4.62 % at follow-up. The results showed that the risk of developing anxiety in individuals with sleep disturbance at baseline was 1.89 times higher than those without (95%CI = 1.43-2.48). Similarly, anxiety increased the risk of developing sleep disturbance by 1.20-fold (95%CI = 1.03-1.39). These results were further supported by the cross-lagged panel models. CONCLUSION Sleep disturbance and anxiety are mutually causal, and the effect of poor sleep on anxiety seems to be more significant. Timely interventions targeting sleep may help to break the vicious circle between sleep disturbance and anxiety symptoms, and improve the quality of life.
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Affiliation(s)
- Anjiao Peng
- Department of Neurology and Joint Research Institute of Altitude Health, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China
| | - Shuming Ji
- Department of Clinical Research Management, West China Hospital, Sichuan University, No. 37 Guo Xue Xiang, Chengdu, Sichuan, 610041, China
| | - Wanlin Lai
- Department of Neurology and Joint Research Institute of Altitude Health, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China
| | - Dan Hu
- Department of Clinical Research Management, West China Hospital, Sichuan University, No. 37 Guo Xue Xiang, Chengdu, Sichuan, 610041, China
| | - Mingda Wang
- Department of Clinical Research Management, West China Hospital, Sichuan University, No. 37 Guo Xue Xiang, Chengdu, Sichuan, 610041, China
| | - Xia Zhao
- Department of Clinical Research Management, West China Hospital, Sichuan University, No. 37 Guo Xue Xiang, Chengdu, Sichuan, 610041, China
| | - Lei Chen
- Department of Neurology and Joint Research Institute of Altitude Health, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China.
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Liu B, Zou M, Bao H, Xu X, Liu X, Zhang B, Yang Q, Li F. Mental health and meaning in life in Chinese military personnel: a cross-lagged analysis. BMC Psychol 2024; 12:426. [PMID: 39103874 PMCID: PMC11301852 DOI: 10.1186/s40359-024-01932-1] [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: 05/25/2024] [Accepted: 07/30/2024] [Indexed: 08/07/2024] Open
Abstract
BACKGROUND The burgeoning field of research on the dual-factor model of mental health (DFM) has highlighted its significance, yet the applicability of the DFM in military personnel and its longitudinal relationships with different dimensions of meaning in life remains unclear. This study aimed to clarify the applicability of the DFM for military personnel and to investigate longitudinal relationships between the dual factors of mental health (negative factor, positive factor) and the two dimensions of meaning in life (presence of meaning, search for meaning) in military personnel. METHODS In this study, data were collected in two waves (April and August 2023) from 227 Chinese military personnel. We constructed a dual-factor model with depression as the negative factor and subjective well-being as the positive factor, and we compared it with a single-factor model to determine if DFM could be applied to military personnel. We also constructed a cross-lagged model to investigate longitudinal relationships between depression, subjective well-being, presence of meaning, and search for meaning. RESULTS According to the findings, military personnel fit better with the DFM than with the single-factor model. Cross-lagged analysis results revealed that both the presence of meaning and the search for meaning negatively predicted depression and positively predicted subjective well-being. CONCLUSIONS The DFM had good applicability among military personnel. Both the presence of meaning and the search for meaning could improve military mental health, suggesting that both dimensions of meaning in life may be potential targets for improving military mental health.
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Affiliation(s)
- Bin Liu
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, 710032, China
| | - Mingxuan Zou
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, 710032, China
- Public Health School, Shaanxi University of Chinese Medicine, Xi'an, 712046, China
| | - Hongxiang Bao
- Frontier Medical Service Training Brigade, Army Medical University, Hutubi, 831200, China
| | - Xiang Xu
- Air Force Bureau of Trainee Pilot Selection (Nanjing Central Division), Nanjing, 210018, China
| | - Xiaohui Liu
- Department of Psychology, NO. 986 Hospital of Air Force, Xi'an, 710054, China
| | - Bing Zhang
- 1st Group of the Sixth Regiment, First Training Base of Air Force Aviation University, Changchun, 130022, China
| | - Qun Yang
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, 710032, China.
| | - Fengzhan Li
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, 710032, China.
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Wang T, Yin J, Hu C, Tang W, Che X, Liu Y. Sleep disturbance and medical requests among university and college students in Chongqing, China: A cross-sectional study. Saudi Med J 2023; 44:1153-1159. [PMID: 37926449 PMCID: PMC10712779 DOI: 10.15537/smj.2023.44.11.20230420] [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] [Received: 06/06/2023] [Accepted: 09/12/2023] [Indexed: 11/07/2023] Open
Abstract
OBJECTIVES To investigate the prevalence of sleep disturbance, sleep patterns, sleep-related factors, and medical demands among university and college students in Chongqing, China. METHODS Demographic data and responses to the sleep problem questionnaire (SPQ) were collected from 1973 students from 11 universities and 10 colleges between November 2022 and January 2023. RESULTS The prevalence of sleep disturbance in university and college students was different in different periods (58.17% during campus lockdown and 40.30% after the lifting of lockdown). The combined prevalence was 49.72%. The prevalence of the 6 types of sleep disturbance showed the same trend. The average sleep latency was 32.79 minutes and the average sleep duration was 7.53 hours. Male, university students, upper-class students, history of depression, academic stress, major life events, bad bedroom environment, and campus lockdown were factors related to sleep disturbance among respondents. Most of the respondents (52.09%) had no medical care requests, and the major reasons were a lack of access to medical care (75.15%), economic pressure (68.49%), concerns regarding curative effects (58.51%), and academic pressure (56.56%). CONCLUSION The prevalence of sleep disturbance for university and college students was obviously improved after the lifting of campus lockdown, and the major factors related to sleep disturbance were study, life, mental health, and sleep environment. The students examined herein reported relatively low medical care requests when they experience sleep disturbance.
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Affiliation(s)
- Ting Wang
- From the Department of Nursing (Wang, Tang, Che, Liu), Faculty of Nursing, Chongqing Medical and Pharmaceutical College, from the Department of General Surgery (Yin), The Second Affiliated Hospital, Army Medical University, and from the Department of Encephalopathy (Hu), Chongqing Traditional Chinese Medicine Hospital, Chongqing, China.
| | - Jiuheng Yin
- From the Department of Nursing (Wang, Tang, Che, Liu), Faculty of Nursing, Chongqing Medical and Pharmaceutical College, from the Department of General Surgery (Yin), The Second Affiliated Hospital, Army Medical University, and from the Department of Encephalopathy (Hu), Chongqing Traditional Chinese Medicine Hospital, Chongqing, China.
| | - Chen Hu
- From the Department of Nursing (Wang, Tang, Che, Liu), Faculty of Nursing, Chongqing Medical and Pharmaceutical College, from the Department of General Surgery (Yin), The Second Affiliated Hospital, Army Medical University, and from the Department of Encephalopathy (Hu), Chongqing Traditional Chinese Medicine Hospital, Chongqing, China.
| | - Wanzhen Tang
- From the Department of Nursing (Wang, Tang, Che, Liu), Faculty of Nursing, Chongqing Medical and Pharmaceutical College, from the Department of General Surgery (Yin), The Second Affiliated Hospital, Army Medical University, and from the Department of Encephalopathy (Hu), Chongqing Traditional Chinese Medicine Hospital, Chongqing, China.
| | - Xiaowen Che
- From the Department of Nursing (Wang, Tang, Che, Liu), Faculty of Nursing, Chongqing Medical and Pharmaceutical College, from the Department of General Surgery (Yin), The Second Affiliated Hospital, Army Medical University, and from the Department of Encephalopathy (Hu), Chongqing Traditional Chinese Medicine Hospital, Chongqing, China.
| | - Ying Liu
- From the Department of Nursing (Wang, Tang, Che, Liu), Faculty of Nursing, Chongqing Medical and Pharmaceutical College, from the Department of General Surgery (Yin), The Second Affiliated Hospital, Army Medical University, and from the Department of Encephalopathy (Hu), Chongqing Traditional Chinese Medicine Hospital, Chongqing, China.
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Xue L, Yan Y, Fan H, Zhang L, Wang S, Chen L. Future self-continuity and depression among college students: The role of presence of meaning and perceived social support. J Adolesc 2023; 95:1463-1477. [PMID: 37455393 DOI: 10.1002/jad.12219] [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] [Received: 04/17/2023] [Revised: 07/03/2023] [Accepted: 07/05/2023] [Indexed: 07/18/2023]
Abstract
INTRODUCTION Future self-continuity has been shown to have a protective effect against depression. This study aims to investigate the longitudinal relationship between future self-continuity and depression among college students, and to explore the mediating role of the presence of meaning and the moderating role of perceived social support. METHODS We conducted two studies in China in 2022 and 2023. Study 1 was a longitudinal cross-lagged study that examined the relationship between future self-continuity and depression among 173 participants (49.13% females, Mage = 19.39, SD = 1.63). Study 2 was a cross-sectional study that explored the mediating role of the presence of meaning and the moderating role of perceived social support among 426 participants (48.59% females, Mage = 19.30, SD = 1.60). RESULTS Study 1 showed that future self-continuity (T1) could significantly predict depression (T2), but depression (T1) could not predict future self-continuity (T2). Study 2 showed that after controlling for gender, the presence of meaning mediated the relationship between future self-continuity and depression, whereas perceived social support moderated the first half of the mediated model's pathway and the direct pathway. CONCLUSIONS These findings suggest that enhancing the future self-continuity of college students and increasing the level of presence of meaning are effective measures for alleviating depression. Meanwhile, educators and families are called upon to provide more social support to college students.
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Affiliation(s)
- Lulu Xue
- Department of Psychology, Renmin University of China, Beijing, China
| | - Yun Yan
- Department of Psychology, Renmin University of China, Beijing, China
| | - Hang Fan
- Department of Psychology, Renmin University of China, Beijing, China
| | - Liping Zhang
- Department of Psychology, Renmin University of China, Beijing, China
| | - Siyun Wang
- Department of Psychology, Renmin University of China, Beijing, China
| | - Lipeng Chen
- Department of Psychology, Renmin University of China, Beijing, China
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Tang Y, He W. Depression and academic engagement among college students: the role of sense of security and psychological impact of COVID-19. Front Public Health 2023; 11:1230142. [PMID: 37601170 PMCID: PMC10436546 DOI: 10.3389/fpubh.2023.1230142] [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] [Received: 05/28/2023] [Accepted: 07/24/2023] [Indexed: 08/22/2023] Open
Abstract
Background The negative consequences of depression in college students have garnered global attention, especially in relation to academic achievement during the COVID-19 pandemic, which need critical assessment. Aim This study investigated whether a sense of security mediated the relationship between depression and academic engagement among college students during the pandemic and whether the moderating psychological impact of COVID-19 has a moderating effect on this relationship. Methods In this cross-sectional study, we recruited 466 college students from 30 provincial-level administrative regions in China via the Internet and used established scales to measure depression, academic engagement, a sense of security, and the psychological impact of COVID-19. The mediating and moderating effects were tested using the bootstrap method. Results Depression was found to negatively influence academic engagement, with a sense of security partially mediating this relationship. Moreover, the psychological impact of COVID-19 was shown to have a moderating effect on this mediating process. Conclusion This study could aid in crafting pertinent strategies to mitigate the adverse effects of depression on learning amid unexpected public health crises and foster better mental health among college students.
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Affiliation(s)
| | - Weiguang He
- College of Social Sciences, Shenzhen University, Shenzhen, China
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Alanazi EM, Alanazi AMM, Albuhairy AH, Alanazi AAA. Sleep Hygiene Practices and Its Impact on Mental Health and Functional Performance Among Adults in Tabuk City: A Cross-Sectional Study. Cureus 2023; 15:e36221. [PMID: 37069886 PMCID: PMC10105495 DOI: 10.7759/cureus.36221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/16/2023] [Indexed: 03/18/2023] Open
Abstract
Background Poor or imperfect sleep hygiene practices include all factors that promote arousal or disrupt the normal balance of the sleep-wake cycle. It is necessary to clarify the relationship between sleep hygiene behaviors and a person's mental health. This may allow a better understanding of this problem and might help design effective awareness programs about good sleep hygiene practices for reducing the serious outcomes of this problem. Therefore, the current study was conducted to evaluate sleep hygiene practices and assess the impact of sleep hygiene on sleep quality and the mental health of the adult population of Tabuk city, Saudi Arabia. Methodology This cross-sectional, survey-based study was conducted in Tabuk city, Saudi Arabia in 2022. All adult residents of Tabuk city, Saudi Arabia were invited to participate. Participants with incomplete data were excluded from the study. A self-administered questionnaire was developed by the researchers to assess sleep hygiene practices and their impact on the sleep quality and mental health of the study participants. Results The study included 384 adults. There was a significant association between the frequency of sleep problems and poor sleep hygiene practices (p < 0.001). The percentage of subjects who had problems sleeping during the past three months was significantly higher among those having poor sleep hygiene practices (76.5%) than their counterparts (56.1%). The rates of excessive or severe daytime sleepiness were significantly higher among individuals with poor hygiene practices (22.5% versus 11.7% and 5.2% versus 1.2%, p = 0.001). Participants with depression were found to be significantly higher among the poor hygiene group (75.8%) in comparison to those having good hygiene practices (59.6%) (p = 0.001). Conclusions The findings of the present study indicate significant associations between poor sleep hygiene practices and sleep problems, daytime sleepiness, and depression among adult residents of Tabuk city, Saudi Arabia.
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