The Indirect Effect of Worry on Daytime Sleepiness Among College Students

Daytime sleepiness is a prevalent problem among college students that is associated with impairment in academic functioning and mental health risk. Sleep disturbances, such as difficulty falling and staying asleep, are associated with daytime sleepiness. Sleep disturbances are predicted by worry and may serve as mechanisms by which worry conveys risk for daytime sleepiness. The present study examined the indirect effect of worry on daytime sleepiness through difficulty falling asleep and difficulty staying asleep in a cross-sectional undergraduate sample (N = 172). An indirect effect of worry on daytime sleepiness was observed through difficulty staying asleep, ab = .02, 95% CI [.001 .04]. There was no indirect effect through difficulty falling asleep, ab = −.01, 95% CI [−.03, .01]. The study contributed to the understanding of how worry is associated with daytime sleepiness among college students. Additional research using longitudinal and experimental design is needed to further test difficulty staying asleep as a mechanism between worry and sleepiness.

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Assessing the Effects of the COVID-19 Pandemic on Nontraditional Students’ Mental Health and Well-Being

Adult Education Quarterly ◽

10.1177/07417136211027508 ◽

2021 ◽

pp. 074171362110275

Author(s):

Stephanie J. Babb ◽

Katrina A. Rufino ◽

Ruth M. Johnson

Keyword(s):

Mental Health ◽

College Students ◽

Nontraditional Students ◽

Life Events ◽

Sleep Disturbances ◽

Stressful Life Events ◽

Well Being ◽

Nontraditional Student ◽

Life Stressors ◽

Health And Well Being

The current study sought to measure how the COVID-19 pandemic affected the mental health and well-being of college students, particularly nontraditional students. Participants ( n = 321) completed a series of surveys assessing their level of depression, anxiety, sleep disturbances, insomnia, and well-being. Participants also indicated their nontraditional student characteristics, level of resilience, and additional life stressors due to the pandemic. Statistical analyses found that participants reported higher levels of depression, anxiety, sleep disturbances, and insomnia, with corresponding lower levels of well-being across all students, compared with prepandemic levels. Results showed that while nontraditional students indicated an increased number of life stressors during the pandemic compared with their traditional peers, nontraditional students also demonstrated higher levels of resilience. Nontraditional students appear to be more successful at managing stressful life events due to the increased resilience that comes with age and experience, which can better prepare them to persevere and overcome challenges.

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Factors Associated With The Mental Health of Back-To-Wuhan College Students Based On Quantile Regression Model During The COVID-19 Period

10.21203/rs.3.rs-778511/v1 ◽

2021 ◽

Author(s):

Qian Wu ◽

Lijun Zhuo ◽

Hao Li ◽

Ling Zheng ◽

Guoqing Ma ◽

...

Keyword(s):

Mental Health ◽

College Students ◽

Quantile Regression ◽

Severity Index ◽

Future Trend ◽

Cross Sectional ◽

Impact Of Event Scale ◽

Event Scale ◽

Psychological Pressure ◽

Quantile Regression Analysis

Abstract Background The COVID-19 pandemic has been spreading rapidly in China and other countries since December 2019, which has increased the risk of infection, and brought the unbearable huge psychological pressure on people. Methods A cross-sectional questionnaire survey was conducted from 31 August 2020, to 14 September 2020 by convenience sampling on the back-to-Wuhan college students, which included the Generalized Anxiety Disorder Scale (GAD-7), Patient Health Questionnaire-9 (PHQ-9), the Insomnia Severity Index-7 (ISI-7), and the revised Impact of Event Scale (IES-R) scales and the basic demographic characteristics. Results The results from 1017 participants suggested that 44%, 47.5%, 37.7%, 57.7% were the prevalence rates of the anxiety, depression, insomnia, and distress respectively. Moreover, quantile regression analysis was used to identify the factors related to the mental health variables of the back-to-Wuhan college students during the COVID-19 period. Conclusion The finding showed that the respondents who were near graduation, discriminated owing to the experience in Wuhan, and worried about the future trend of COVID-19 had a higher risk of becoming negative psychologic status, especially the bottom and median quantile, and might require more psycho-social interventions or support.

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Influence of Sleep Disturbances on Quality of Life of Iranian Menopausal Women

Psychiatry Journal ◽

10.1155/2013/907068 ◽

2013 ◽

Vol 2013 ◽

pp. 1-5 ◽

Cited By ~ 9

Author(s):

Zohreh Yazdi ◽

Khosro Sadeghniiat-Haghighi ◽

Amir Ziaee ◽

Khadijeh Elmizadeh ◽

Masomeh Ziaeeha

Keyword(s):

Quality Of Life ◽

Daytime Sleepiness ◽

Sleep Disturbances ◽

Negative Impact ◽

Berlin Questionnaire ◽

Life Questionnaire ◽

Cross Sectional ◽

Obstructive Sleep ◽

Menopausal Women

Background. Subjective sleep disturbances increase during menopause. Some problems commonly encountered during menopause, such as hot flushes and sweating at night, can cause women to have difficulty in sleeping. These complaints can influence quality of life of menopausal women.Methods. This cross-sectional study was performed on menopausal women attending health centers in Qazvin for periodic assessments. We measured excessive daytime sleepiness by Epworth sleepiness scale (ESS), obstructive sleep apnea (OSA) by the Berlin questionnaire, and insomnia by the insomnia severity index (ISI). We evaluate quality of life by the Menopause specific quality of life questionnaire (MENQOL).Results. A total of 380 menopausal women entered the study. Mean age of participated women was 57.6 ± 6.02. Mean duration of menopause was 6.3 ± 4.6. The frequency of severe and moderate insomnia was 8.4% (32) and 11.8% (45). Severe daytime sleepiness (ESS ≥ 10) was present in 27.9% (80) of the participants. Multivariate analytic results show that insomnia and daytime sleepiness have independent negative impact on each domain and total score of MENQOL questionnaire.Conclusion. According to our findings, EDS and insomnia are frequent in menopausal women. Both EDS and insomnia have significant quality of life impairment.

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Lifestyle and Shiftwork: Designing and Testing a Model for Health Promotion of Iranian Nurses

Journal of the American Psychiatric Nurses Association ◽

10.1177/1078390319886658 ◽

2019 ◽

Vol 26 (3) ◽

pp. 262-268 ◽

Cited By ~ 1

Author(s):

Hamidreza Mokarami ◽

Tayebe Rahimi Pordanjani ◽

Ali Mohammadzadeh Ebrahimi ◽

Fariba Kiani ◽

Mohammad Faridan

Keyword(s):

Mental Health ◽

Health Promotion ◽

Sleep Disturbance ◽

Indirect Effect ◽

Structural Equation ◽

Sleep Disturbances ◽

Well Being ◽

Chronic Fatigue ◽

Equation Modeling ◽

Physical And Mental Health

BACKGROUND: Lifestyle is one factor that forms the nurses’ health, particularly those who work in shiftwork schedules. AIMS: The aim of this study was to design and test a model for health promotion of Iranian nurses. In this model, nurses’ lifestyle was considered as the precedent, physical and mental health as the outcomes, and sleep disturbance and chronic fatigue as the mediators. METHODS: A cross-sectional study using structural equation modeling was conducted among 240 shiftworker nurses in Iran. The data collection was performed using the Persian versions of the Survey of Shiftworkers Questionnaire and Life Style Questionnaire. Bootstrap in Preacher and Hayes’ Macro program was used for testing mediation. RESULTS: Lifestyle had a weak significant direct effect on physical (β = 0.13, p < .04) and mental health (β = 0.12, p < .02), and it had a significant indirect effect on physical health via chronic fatigue (β = −0.11, p < .001) and sleep disturbance (β = −0.05, p < .01). This variable only had a significant indirect effect on mental health via chronic fatigue (β = −0.19, p < .001). The final model proposed a new significant path between sleep disturbances and chronic fatigue (β = 0.22, p < .001). CONCLUSIONS: Therefore, the hospital officials can enhance the nurses’ physical and mental well-being by providing interventions and training courses on aspects of healthy lifestyles, such as physical activity, avoidance of smoking, and maintenance of body weight.

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Associations between sleep disturbances, mental health outcomes and burnout in firefighters, and the mediating role of sleep during overnight work: A cross‐sectional study

Journal of Sleep Research ◽

10.1111/jsr.12869 ◽

2019 ◽

Vol 28 (6) ◽

Cited By ~ 6

Author(s):

Alexander P. Wolkow ◽

Laura K. Barger ◽

Conor S. O'Brien ◽

Jason P. Sullivan ◽

Salim Qadri ◽

...

Keyword(s):

Mental Health ◽

Health Outcomes ◽

Sleep Disturbances ◽

Cross Sectional Study ◽

Mental Health Outcomes ◽

Sectional Study ◽

Cross Sectional ◽

Mediating Role

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Acceptance and barriers to access of occupational e-mental health: cross-sectional findings from a health-risk population of employees

International Archives of Occupational and Environmental Health ◽

10.1007/s00420-017-1280-5 ◽

2017 ◽

Vol 91 (3) ◽

pp. 305-316 ◽

Cited By ~ 10

Author(s):

Severin Hennemann ◽

Michael Witthöft ◽

Matthias Bethge ◽

Katja Spanier ◽

Manfred E. Beutel ◽

...

Keyword(s):

Mental Health ◽

Health Risk ◽

Cross Sectional ◽

Risk Population ◽

Barriers To Access

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The Prevalence and Factors Associated with Mental Distress among College Students in Southern Ethiopia: A Cross-Sectional Study

Ethiopian Journal of Health Sciences ◽

10.4314/ejhs.v29i3.7 ◽

1970 ◽

Vol 29 (3) ◽

Author(s):

Tesfalem Teshome Tessema ◽

Temesgen Abdi Gebremariam ◽

Etaferahu Alemayehu Abebe ◽

Etaferahu Alemayehu Abebe

Keyword(s):

Mental Health ◽

College Students ◽

Grade Point Average ◽

Ethnic Group ◽

Mental Distress ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Grade Point ◽

Factors Associated

BACKGROUND: Although mental health problems affect the general population, students are highly vulnerable to psychological disorders. Mental distress among students is a cause of concern as it may impair their behavior and diminish learning, which could negatively affect their academic performance. Therefore, the objective of this study was to assess the prevalence and the factors associated with mental distress among college students in Southern Ethiopia.METHODS: Institution based cross-sectional study was conducted among 280 regular students of Hawassa College of Health Sciences. Mental distress was measured using a Self-Reporting Questionnaire (SRQ-20). The data were entered into Epi-Info version 3.5.4 and analyzed using Statistical Package for Social Science (SPSS) version 20. Multivariable logistic analysis was performed following bivariate analysis to adjust for the effect of confounders.RESULT: The prevalence of mental distress among the study subjects was found to be 59 (22.30%). Female students were 2.08 times more likely to have mental distress as compared to male students (AOR =2.08 [95% CI: 1.14-3.82]). The odds of mental distress among third-year students was 60% lower compared to second-year students [AOR = 0.40; 95 % CI, (0.19, 0.87)]. Students who were from Amhara ethnic group were 3.37 times more likely to have mental distress as compared to students from Sidama ethnic group [AOR=3.37;95%CI (1.13-10.09)]. Moreover, students who had Grade Point Average of below 60% were 4.69 times more likely to be mentally distressed as compared to those students who scored Grade Point Average of greater or equal to 60% (AOR= 4.69; 95%CI,[ 2.46, 8.96).CONCLUSION: The finding suggests the importance of providing mental health counseling support for students as part of the teaching and learning process. More research to further explore the multiple factors influencing students’ mental health condition should also be conducted.

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Sleep Quality and Mental Health of Medical Students in Greece During the COVID-19 Pandemic

Frontiers in Public Health ◽

10.3389/fpubh.2021.775374 ◽

2021 ◽

Vol 9 ◽

Author(s):

Anna Eleftheriou ◽

Aikaterini Rokou ◽

Aikaterini Arvaniti ◽

Evangelia Nena ◽

Paschalis Steiropoulos

Keyword(s):

Mental Health ◽

Medical Students ◽

Sleep Quality ◽

Sleep Disturbances ◽

Online Survey ◽

Female Students ◽

Poor Sleep ◽

Special Focus ◽

Cross Sectional ◽

Health Parameters

Background-Aim: Medical students have been greatly affected by the COVID-19 pandemic due to their educational program, which comprises theoretical knowledge and also clinical duties, making them vulnerable to viral exposures and possibly affecting their everyday life. The aim of this study was to explore changes in sleep and mental health parameters among medical students in Greece during the second year of the pandemic.Methods: This cross-sectional study comprised students of all medical schools in Greece (n = 7), using an anonymous online survey. Participants completed the following questionnaires: Pittsburgh Sleep Quality Index (PSQI), Athens Insomnia Scale (AIS), Fatigue Severity Scale (FSS), General Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9). Statistical analysis was conducted with the use of SPSS v.26 (IBM SPSS, Armonk NY, USA).Results: Out of the 562 received responses, 559 met the inclusion criteria. The largest proportion of the respondents came from 4th-year (27.8%) and the majority of the sample were females (69.8%). Only 5.9% of the participants reported having been infected by SARS-COV-2. Most of the respondents experienced insomnia (65.9%, mean AIS score: 7.59 ± 4.24), poor sleep quality (52.4%, mean PSQI score: 6.6 ± 3.25) and increased fatigue (48.5%, mean 35.82 ± 11.74). Moderate to severe symptoms of anxiety (mean 9.04 ± 5.66) and depression (mean 9.36 ± 6.15) were noted. Suicidal ideation was found in 16.7% of the sample, while use of sleeping pills in the previous month was reported by 8.8% (n = 47). Further analysis revealed independent associations between sleep and mental health parameters. Higher AIS score was associated with greater FSS score; higher PSQI scores with higher GAD-7 and PHQ-9 scores. Additionally, female students were found to be significantly more affected than males by the COVID-19 pandemic, displaying higher levels of insomnia, sleep disturbances, anxiety and depression. In addition, those with a history of COVID-19 infection or in close proximity with a positive case reported significantly more significant post-traumatic symptoms in IES-COVID-19 questionnaire.Conclusions: In the aftermath of the COVID-19 pandemic, prevalence of sleep and mental health disorders among Greek medical students is significant, highlighting the need for better surveillance of students' wellbeing and subsequent counseling, with special focus on female students and other affected groups.

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