Changes in Depressive Symptoms, Physical Symptoms, and Sleep-Wake Problems From Before to During the COVID-19 Pandemic Among Emerging Adults: Inequalities by Gender, Socioeconomic Position, and Race

2021 ◽  
pp. 216769682110421
Author(s):  
Thomas E. Fuller-Rowell ◽  
Olivia I. Nichols ◽  
Stacey N. Doan ◽  
Francesca Adler-Baeder ◽  
Mona El-Sheikh

The impact of the COVID-19 pandemic on emerging adults is of global concern. We examine changes in depressive symptoms, physical symptoms, and sleep-wake problems from before to during the pandemic among college students and examine inequalities by gender, socioeconomic status (SES), and race ( N = 263, 52% Black, 48% White, and 53% female). As compared to pre-pandemic levels, increases were evident in depressive symptoms, physical symptoms, and sleep problems. Females had greater increases than males in depressive symptoms, sleep problems, and physical symptoms. Students from disadvantaged SES backgrounds had greater increases in physical symptoms. Among White students, those from disadvantaged backgrounds also had greater increases in sleep problems. Last, daytime sleepiness increased more among Black male than White male students. Overall, findings suggest notable shifts in sleep and health during the early phase of the pandemic among emerging adults, and that attention to inequality by gender, SES, and race is warranted.

2021 ◽  
pp. 014616722110440
Author(s):  
Gerald D. Higginbotham ◽  
Jessica Shropshire ◽  
Kerri L. Johnson

Black male students on college campuses report being frequently misperceived as student-athletes. Across three studies, we tested the role of perceivers’ racial and gendered biases in categorization of Black and White students and student-athletes and the subsequent evaluative consequences. Participants viewed faces of actual Black and White male and female undergraduates who were either non-athlete students or student- athletes and made binary judgments about whether the undergraduate was a student or an athlete. We found an overall bias to judge Black male undergraduates to be student-athletes, driven by Black male students being more likely to be misperceived as student-athletes than White male students. Furthermore, male targets perceived to be student-athletes were rated lower on academic ability (Studies 2 and 3). In contrast, we found an overall bias to judge female undergraduates as students. Implications for how perceiver bias plays a dual role in negatively affecting academic climates for underrepresented groups are discussed.


Author(s):  
Yanlin Wang ◽  
Ping Jiang ◽  
Shi Tang ◽  
Lu Lu ◽  
Xuan Bu ◽  
...  

Abstract Anxiety and depressive symptoms may predispose individuals to sleep disturbance. Understanding how these emotional symptoms affect sleep quality, especially the underlying neural basis, could support the development of effective treatment. The aims of the present study were therefore to investigate potential changes in brain morphometry associated with poor sleep quality and whether this structure played a mediating role between the emotional symptoms and sleep quality. One hundred and forty-one healthy adults (69 women, mean age = 26.06 years, SD = 6.36 years) were recruited. A structural magnetic resonance imaging investigation was performed, and self-reported measures of anxiety, depressive symptoms and sleep quality were obtained for each participant. Whole-brain regression analysis revealed that worse sleep quality was associated with thinner cortex in left superior temporal sulcus (STS). Furthermore, the thickness of left STS mediated the association between the emotional symptoms and sleep quality. A subsequent commonality analysis showed that physiological component of the depressive symptoms had the greatest influence on sleep quality. In conclusion, thinner cortex in left STS may represent a neural substrate for the association between anxiety and depressive symptoms and poor sleep quality and may thus serve as a potential target for neuromodulatory treatment of sleep problems.


2018 ◽  
Vol 9 ◽  
Author(s):  
Jolie B. Wormwood ◽  
Madeleine Devlin ◽  
Yu-Ru Lin ◽  
Lisa Feldman Barrett ◽  
Karen S. Quigley

Media exposure influences mental health symptomology in response to salient aversive events, like terrorist attacks, but little has been done to explore the impact of news coverage that varies more subtly in affective content. Here, we utilized an existing data set in which participants self-reported physical symptoms, depressive symptoms, and anxiety symptoms, and completed a potentiated startle task assessing their physiological reactivity to aversive stimuli at three time points (waves) over a 9-month period. Using a computational linguistics approach, we then calculated an average ratio of words with positive vs. negative affective connotations for only articles from news sources to which each participant self-reported being exposed over the prior 2 weeks at each wave of data collection. As hypothesized, individuals exposed to news coverage with more negative affective tone over the prior 2 weeks reported significantly greater physical and depressive symptoms, and had significantly greater physiological reactivity to aversive stimuli.


1998 ◽  
Vol 30 (3) ◽  
pp. 385-399 ◽  
Author(s):  
S R Holloway

The research reported here examines the impact of metropolitan location on the activity choices of a sample of black and white male youths living in large metropolitan areas in the United States in 1980. The results of the analysis confirm that similar youths living in different metropolitan areas will make different activity choices. Furthermore, black male youths are found to be substantially more sensitive to metropolitan context than white male youths. The analysis also suggests that black and white disadvantaged youths respond differently to metropolitan context in terms of the trade-offs between activities. Disadvantaged black male youths are highly unlikely to be employed in all metropolitan areas and tend to trade-off staying in school with idleness, whereas disadvantaged white male youths tend to trade-off employment with idleness, depending on the metropolitan area they live in. This research confirms the importance of incorporating geographic context into our theoretical understanding of male youths' behavior. We must also, however, continue to address the implications of race as it shapes the context-dependent labor-market experiences of male youths.


2017 ◽  
Vol 14 (1) ◽  
pp. 91-97 ◽  
Author(s):  
Ivan S.K. Thong ◽  
Gabriel Tan ◽  
Mark P. Jensen

AbstractObjectivesChronic pain is a significant problem worldwide and is associated with significant elevations in negative affect, depressive symptoms, sleep problems, and physical dysfunction. Positive affect could potentially buffer the impact of pain on patient functioning. If it does, then positive affect could be directly targeted in treatment to benefit individuals with chronic pain. The purpose of this study was to test for such moderating effects.MethodsThis was a cross-sectional study, we administered measures of pain intensity, depressive symptoms, sleep problems, pain interference, and positive and negative affect to 100 individuals with chronic back or knee pain in a single face-to-face assessment session.ResultsThe associations between pain intensity and negative affect, and between pain intensity and depressive symptoms were moderated by positive affect. This moderation effect was explained by the fact that participants with low positive affect evidenced strong associations between pain intensity and both depression and negative affect; participants with high positive affect, on the other hand, evidenced weak and non-significant associations between pain intensity and both depression and negative affect. Positive affect did not moderate the associations between pain intensity and either sleep problems or pain interference.ConclusionThe findings are consistent with the possibility that positive affect may buffer the impact of pain intensity on negative affect and depressive symptoms. Longitudinal and experimental research is needed to determine the potential benefits of treatments that increase positive affect on negative affect and depressive symptoms in chronic pain populations.ImplicationsThe study findings suggest the possibility that “positive psychology” interventions which increase positive affect could benefit individuals with chronic pain by reducing the impact of pain on negative outcomes. Research to test this possibility is warranted.


2017 ◽  
Vol 33 (6) ◽  
pp. 467-479 ◽  
Author(s):  
Susan G. Williams ◽  
Jennifer Langhinrichsen-Rohling ◽  
Cory Wornell ◽  
Heather Finnegan

Adolescents transitioning to high school may be at greater risk of depression and suicide if they are victims of bullying behavior. This study explored sex differences in bullying victimization (physical, verbal/social, and cyberbullying) and the impact on depressive symptoms and suicidal behaviors in ninth-grade students ( N = 233). Females reported significantly more verbal/social and cyberbullying than male students. There were no significant sex differences in physical bullying; male students who reported physical bullying victimization were more likely to experience depressive symptoms. Verbal/social bullying predicted depressive symptoms in males and females. Females who reported being victims of cyberbullying were more likely to report depressive symptoms, suicide ideation, and suicide attempts. Eighteen students reported suicide attempts, and each also experienced verbal/social bullying. School nurses are positioned to reach out to transitioning students, screen for mental health issues, provide a safe place to talk about bullying experiences, and promote positive mental health.


2009 ◽  
Vol 18 (4) ◽  
pp. 348-356 ◽  
Author(s):  
Eun Kyeung Song ◽  
Debra K. Moser ◽  
Terry A. Lennie

Background Among patients with heart failure, women have worse functional status than do men, but little research has focused on determining factors that influence functional status in either sex. Objectives To compare factors that influence functional status in men and women with heart failure and to test whether depressive symptoms mediate the relationship between physical symptoms and functional status. Methods A cross-sectional, descriptive study design was used. A total of 231 patients, 133 men and 98 women, were recruited from an inpatient heart failure clinic in South Korea. Functional status (the Korean Activity Scale/Index), physical symptoms (the Symptom Status Questionnaire), depressive symptoms (the Beck Depression Inventory), and situational factors (living status, socioeconomic status) were measured. Hierarchical multiple regression and mediation analysis were used for data analysis. Results Women (mean score, 24.5; SD, 17.3) had worse functional status than did men (mean score, 31.9; SD, 20.1; P = .004). Dyspnea on exertion (β = −0.16), ankle swelling (β = −0.19), fatigue (β = −0.20), and depressive symptoms (β = −0.19) were independently associated with functional status in women, whereas only dyspnea on exertion (β = −0.30) influenced functional status of men in hierarchical multiple regression analysis. Mediation analysis indicated that depressive symptoms mediated the relationship between physical symptoms and functional status in women with heart failure, but not in men. Conclusions Distinct physical and psychological symptoms influence functional status in women with heart failure. A systematic multidimensional intervention may be required to target depressive symptoms to improve functional status in women with heart failure.


2016 ◽  
Vol 25 (4) ◽  
pp. 534-549 ◽  
Author(s):  
Joohee Lee ◽  
Tim Rehner ◽  
Hwanseok Choi ◽  
Alan Bougere ◽  
Tom Osowski

Purpose – The purpose of the paper is to extend prior research on the psychological effects of the Deepwater Horizon oil spill disaster by developing and testing a conceptual model in which exposure to the oil spill through clean-up activity, physical symptoms, worry about the impact of the oil spill on health, and the disruption of the gulf/ocean-related lifestyle were hypothesized as predictors of depressive symptoms. Design/methodology/approach – The analysis included a randomly selected sample of 354 subjects from the three most Southern Mississippi counties. The Center for Epidemiologic Studies Depression Scale was used to measure depressive symptoms. Findings – Results indicated that physical symptoms since the oil spill were related to depressive symptoms directly and indirectly through worry about the impact of the oil spill on health and the disruption of the gulf/ocean-related lifestyle. Worry about the impact of the oil spill on health was related to depressive symptoms directly and indirectly through the disruption of the gulf/ocean-related lifestyle. Originality/value – Study results highlight that uncertainty and worry about the impact of the disaster played a critical role in understanding the psychological effects of the oil spill disaster, especially among coastal residents whose lifestyles were bound up with the gulf/ocean.


SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A294-A294
Author(s):  
Yihan Li ◽  
Megan Miller ◽  
Nicole Torrence

Abstract Introduction Disturbed sleep in hospitalized patient populations is a highly prevalent phenomenon, with patients commonly reporting problems with shorter sleep duration, more frequent awakenings, and overall poorer sleep quality during hospital stay compared to at home. Sleep disturbance during hospitalization is especially problematic as sleep is associated with both physical and psychological well-being. Poorer sleep has been found to impact recovery outcomes in a number of patient populations including mild traumatic brain injury, chronic pain, and most recently, in hospitalized COVID-19 patients. The current analyses examined pilot data from a novel brief modularized sleep intervention implemented with older adult Veterans living on a subacute rehabilitation unit. Methods Participants were screened for sleep problems upon admission to the unit. Veterans who screened positive were invited to participate in the sleep intervention. Components of the intervention were selected based on screener responses and included group sleep hygiene psychoeducation, environmental accommodations (e.g. ear plugs, eye mask, soothing music), and CPAP use education. Measures completed at pre- and post- intervention assessed sleep quality (Pittsburgh Sleep Quality Index, PSQI), global health functioning (PROMIS Global Health Scale), and depressive symptoms (Patient Health Questionnaire, PHQ-9). Pre- and post- scores were compared using paired sample t-tests. Two samples t-tests compared change scores in PHQ-9 between groups. Results A total of 33 Veterans were included in the analyses (Mage = 69.6, 3 female, intervention group n = 21). Participants showed a trend toward decreased PHQ-9 scores following the intervention (t(16) = 1.58, p = 0.100). There were no significant effects of the intervention on sleep quality or global health. Compared to the non-intervention group, the intervention group showed greater decrease in PHQ-9 scores at the time of post-intervention (t(25) = .828, p = .025). Conclusion Preliminary data suggests that a brief modularized sleep intervention may benefit depressive symptoms for older adults during hospitalization. Additional research is needed to better understand the impact of a brief intervention on self-reported sleep quality during the hospitalization period. Support (if any) This project was funded by a VISN 20 Seed Grant as a Whole Health promotion in alignment with the National VA Office of Patient Centered Care & Cultural Transformation.


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