Characterizing psychiatric hypersomnia on campus: contributions of chronotype, insomnia, and tiredness

2021 ◽  
Author(s):  
Louise Beattie ◽  
Georgios Rigas ◽  
Stephany Biello
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
Sleep Duration ◽  
Preliminary Report ◽  
Severity Index ◽  
Poor Mental Health ◽  
Sleep Health ◽  
Future Studies ◽  
Health And Wellbeing ◽  
Sleep Propensity

Study Objectives: The sleep of students contains several features rendering it worthy of independent investigation. Sleep duration is an important aspect of sleep health and wellbeing, however the assessment of psychiatric hypersomnia has been hampered by the absence of a single unitary scale of this construct. With the recent publication of the Hypersomnia Severity Index, research can now examine this condition in greater detail.Methods: Here we consider how the candidate variables of sleep propensity, fatigue, chronotype and insomnia may be associated with hypersomnia scores in a sample of 140 students. Results suggest that hypersomnia was significantly predicted by these measures, but not age or gender. We then model a pathway from chronotype to hypersomnia, including these factors as potential mediators.Results: Results suggest that hypersomnia was significantly predicted by these measures, but not age or gender. The proposed pathway from chronotype to hypersomnia warrants further study.Conclusions: Future studies should expand upon this preliminary report and consider longitudinally and prospectively how hypersomnia is linked to poor mental health in well-characterized samples of students and other young adults.

Sleep, health, and society

2018 ◽  
Author(s):  
Francesco P. Cappuccio ◽  
Michelle A. Miller ◽  
Steven W. Lockley ◽  
Shantha M. W. Rajaratnam
Keyword(s):  
Sleep Deprivation ◽  
Sleep Duration ◽  
Sleep Disturbances ◽  
Modern Society ◽  
Social Conditions ◽  
Sleep Health ◽  
Health And Wellbeing

Sleep disturbances are common in modern society. Since the beginning of the century, populations have shown a decline in sleep duration, owing to changes in environmental and social conditions. Industry was the first to appreciate the detrimental effects of sleep disturbances on health and wellbeing. It has taken, however, many decades to understand the implications for individuals and populations of sustained sleep deprivation.

scholarly journals Perceived mental health, wellbeing and associated factors among Nepali migrant and non-migrant workers: A qualitative study

2020 ◽  
Author(s):  
Hridaya Raj Devkota ◽  
Bishnu Bhandari ◽  
Pratik Adhikary
Keyword(s):  
Mental Health ◽  
Qualitative Study ◽  
Physical Health ◽  
Working Conditions ◽  
Migrant Workers ◽  
Health Condition ◽  
Poor Mental Health ◽  
Physical Work ◽  
Health And Wellbeing ◽  
Mental And Physical Health

AbstractBackgroundPoor mental health and illness among the working population have serious socio-economic and public health consequences for both the individual and society/country. With a dramatic increase in work migration over the past decades, there is recent concern about the health and wellbeing of migrant workers and their accessibility to healthcare services in destination countries. This study aimed to explore the mental health and wellbeing experiences of Nepali returnee-migrants and non-migrant workers, and identify their perception on the risk factors for poor health and health service accessibility for them.MethodsThis qualitative study was conducted among Nepali migrant and non-migrant workers in February 2020. Four focus group discussions (n=25) and 15 in-depth interviews were conducted with male non-migrant and returnee migrant workers from Gulf countries and Malaysia. The discussions and interviews were audio-recorded, transcribed, translated into English and analysed thematically.ResultMigrant workers reported a higher risk of developing adverse mental health conditions than non-migrant workers. In addition, fever, upper respiratory infection, abdominal pain, ulcer, and occupational injuries were common health problems among both migrant and non-migrant workers. Other major illnesses reported by the migrant workers were heat burns and rashes, snake-bites, dengue, malaria, gallstone, kidney failure, and sexually transmitted diseases, while non-migrants reported hypertension, diabetes, and heart diseases. Adverse living and working conditions including exploitation and abuse by employers, lack of privacy and congested accommodation, language barriers, long hours’ hard physical work without breaks, and unhealthy lifestyles were the contributing factors to migrant workers’ poor mental and physical health. Both migrant and non-migrants reported poor compliance of job conditions and labor protection by their employers such as application of safety measures at work, provision of insurance and healthcare facilities that affected for their wellbeing negatively. Family problems compounded by constant financial burdens and unmet expectations were the most important factors linked with migrant workers’ poor mental health condition.ConclusionBoth migrant and non-migrant workers experienced poor mental and physical health condition largely affected by their adverse living and working conditions, unmet familial and financial needs and adherence to unhealthy life styles. It is needed to ensure the compliance of work agreement by employers and promotion of labor rights in relation to worker’s health and safety. In addition, policy interventions on raising awareness on occupational health risk and effective safety training to all migrant and non-migrant workers are recommended.

scholarly journals Promotion of mental health in young adults via mobile phone app: study protocol of the ECoWeB (emotional competence for well-being in Young adults) cohort multiple randomised trials

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
A. Newbold ◽  
F. C. Warren ◽  
R. S. Taylor ◽  
C. Hulme ◽  
S. Burnett ◽  
...  
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
Young People ◽  
Mobile Phone ◽  
Primary Endpoint ◽  
Emotional Competence ◽  
Well Being ◽  
Poor Mental Health ◽  
Link Type ◽  
Self Help

Abstract Background Promoting well-being and preventing poor mental health in young people is a major global priority. Building emotional competence (EC) skills via a mobile app may be an effective, scalable and acceptable way to do this. However, few large-scale controlled trials have examined the efficacy of mobile apps in promoting mental health in young people; none have tailored the app to individual profiles. Method/design The Emotional Competence for Well-Being in Young Adults cohort multiple randomised controlled trial (cmRCT) involves a longitudinal prospective cohort to examine well-being, mental health and EC in 16–22 year olds across 12 months. Within the cohort, eligible participants are entered to either the PREVENT trial (if selected EC scores at baseline within worst-performing quartile) or to the PROMOTE trial (if selected EC scores not within worst-performing quartile). In both trials, participants are randomised (i) to continue with usual practice, repeated assessments and a self-monitoring app; (ii) to additionally receive generic cognitive-behavioural therapy self-help in app; (iii) to additionally receive personalised EC self-help in app. In total, 2142 participants aged 16 to 22 years, with no current or past history of major depression, bipolar disorder or psychosis will be recruited across UK, Germany, Spain, and Belgium. Assessments take place at baseline (pre-randomisation), 1, 3 and 12 months post-randomisation. Primary endpoint and outcome for PREVENT is level of depression symptoms on the Patient Health Questionnaire-9 at 3 months; primary endpoint and outcome for PROMOTE is emotional well-being assessed on the Warwick-Edinburgh Mental Wellbeing Scale at 3 months. Depressive symptoms, anxiety, well-being, health-related quality of life, functioning and cost-effectiveness are secondary outcomes. Compliance, adverse events and potentially mediating variables will be carefully monitored. Conclusions The trial aims to provide a better understanding of the causal role of learning EC skills using interventions delivered via mobile phone apps with respect to promoting well-being and preventing poor mental health in young people. This knowledge will be used to develop and disseminate innovative evidence-based, feasible, and effective Mobile-health public health strategies for preventing poor mental health and promoting well-being. Trial registration ClinicalTrials.gov (www.clinicaltrials.org). Number of identification: NCT04148508 November 2019.

scholarly journals Investigating the effect of social networking site use on mental health in an 18–34 year-old general population; a cross-sectional study using the 2016 Scania Public Health Survey

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Emily Stella Scott ◽  
Catarina Canivet ◽  
Per-Olof Östergren
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Young Adults ◽  
Social Networking ◽  
Cross Sectional Study ◽  
Poor Mental Health ◽  
Effect Modification ◽  
Sectional Study ◽  
Cross Sectional ◽  
Public Health Survey

Abstract Background Social Networking Sites (SNS) are commonly used, especially by young adults. Their impact on mental health is unclear. Moreover, little is known about how social factors, e.g. Perceived Emotional Support (PES), may affect this association. Mental health issues are increasingly burdening the young generation and society as a whole. This study aims to investigate the association between frequency of SNS use and number of SNS contacts with the mental health of a young, Swedish population. Additionally, the potential effect modification of PES will be analysed in regard to these relationships. Method This cross-sectional study applied logistic regression analyses to data on 1341 participants (aged 18–34), retrieved from the Scania Public Health Survey (2016). Analyses were stratified by gender and the GHQ-12 scale assessed poor mental health. A 2-way interaction model was used to test for effect modification by PES regarding the association between SNS use and mental health. Results Increased risk for poor mental health was found in women only. Using SNS almost hourly vs. less often resulted in an odds ratio (OR) of 1.66 (95% confidence interval (CI) = 1.16–2.38). The corresponding figures for having ≥600 contacts vs. ≤599 were (1.89; 1.21–2.97). Having low PES and using SNS almost hourly was associated with an OR of 3.12 (CI = 1.69–5.76; synergy index (SI) = 1.25). Low PES and ≥ 600 contacts resulted in an OR of 6.07 (CI = 1.73–21.33), whereby interaction was detected (SI = 2.88). Conclusion Women, but not men, with frequent SNS use and a high number of SNS contacts were more likely to have poor mental health, which was exacerbated in women with low PES. Facilitating PES could be an approach for improving mental health among young adults. Future studies on the use of SNS should focus more on gender analyses.

scholarly journals Diverting blame to stay sane - young people’s strategies for dealing with the mental health effects of precarious employment: a grounded theory study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Susanna Toivanen ◽  
Anna Olofsson Tarantino ◽  
Maria Emmelin ◽  
Per-Olof Östergren
Keyword(s):  
Mental Health ◽  
Social Capital ◽  
Young Adults ◽  
Grounded Theory ◽  
Poor Mental Health ◽  
Full Time ◽  
Precarious Employment ◽  
Coping Process ◽  
Core Category ◽  
Employment Situation

Abstract Background Precarious employment is a risk factor for poor mental health, particularly among young adults. Knowledge about how young people maintain their mental health while in a precarious employment situation is scarce. The aim of the study was to explore the meaning of precarious employment for young adults in Sweden and their strategies for maintaining good mental health. Methods In-depth interviews were conducted with 15 individuals (9 men and 6 women) aged 20–39 years in a precarious employment situation. Contact persons at union offices and at specific job-coaching organizations collaborating with the Swedish public employment agency in the city of Malmö were gate openers to reach informants. Analysis was based on constructivist grounded theory, implying an emergent design where data collection and analysis go hand in hand. Results All informants had completed secondary school in Sweden, and one third had studied at the university level. A majority currently had jobs; however, they were mostly employed on an hourly basis and only a few had temporary full-time jobs. The analysis resulted in a core category “Diverting blame to stay sane,” which summarized an emergent coping process involving individual resources and resources represented by the individuals’ social capital. The developed theoretical model contained four main categories, “Facing reality,” “Losing control,” “Adapting,” and “Fighting back,” related to the core category. Conclusions The results implied a process where the challenges created by loss of employment-based rights required a coping process where the individual’s social capital plays an important role. However, social capital is to a large extent determined by contextual factors, underlining the strong health equity aspect of precarious employment.

scholarly journals 0193 Sleep Health Across Religions: A Consideration of Bidirectional Processes

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A76-A76
Author(s):  
K Fergason ◽  
W Rowatt ◽  
M K Scullin
Keyword(s):  
Mental Health ◽  
Sleep Duration ◽  
Religious Affiliation ◽  
Secondary Data ◽  
Sleep Time ◽  
Poor Sleep ◽  
Physical And Mental Health ◽  
Sleep Health ◽  
Causal Direction ◽  
Falling Asleep

Abstract Introduction The psychology of religion literature indicates that religious engagement is beneficial to physical and mental health. Such effects might be mediated by sleep health, which causally affects mood, cognitive, and immune functioning. However, few studies have investigated whether religiosity is associated with better sleep, and no studies have considered the reverse causal direction: better sleep may impact religious behaviors or perceptions. Methods We conducted a secondary data analysis of 1,501 participants in Wave 5 of the Baylor Religion Survey (BRS-5). Completed in Spring 2017, the BRS-5 used Address Based Sample methodology to derive a population-based sample. The survey included questions on religious affiliation, behaviors, and perceptions (e.g., certainty of Heaven). Additionally, participants rated their difficulty falling asleep and their average total sleep time. We investigated whether participants were meeting AASM/SRS consensus guidelines of 7–9 hours/night. Results Religious affiliation was associated with sleep duration, but not in the predicted direction. Atheists/Agnostics (73%) were significantly more likely to report meeting consensus sleep duration guidelines than religiously-affiliated individuals (65%), p<.05. For example, Atheists/Agnostics reported better sleep duration than Catholics (63%, p<.01) and Baptists (55%, p<.001). Atheists/Agnostics also reported less difficulty falling asleep at night than Catholics (p=.02) and Baptists (p<.001). The effects persisted when controlling for age and were particularly evident in members of African American congregations. Perceptions of getting into Heaven were significantly higher in participants who obtained better sleep duration, p<.05, but interestingly, such beliefs/perceptions were unrelated to difficulty falling asleep at night, suggesting that better sleep may lead to these perceptions rather than vice versa. Conclusion In contrast to predictions, religious affiliation was associated with significantly poorer sleep health. Poor sleep health has implications for physical and mental health, and seemingly also religious perceptions/beliefs. Future experimental work is required to disentangle the causal direction of sleep-religiosity associations. Support The Baylor Religion Survey was supported by the John Templeton Foundation.

scholarly journals Exploring the relationship between housing concerns, mental health and wellbeing: a qualitative study of social housing tenants

2019 ◽  
Vol 42 (3) ◽  
pp. e231-e238 ◽  
Author(s):  
Eleanor Holding ◽  
Lindsay Blank ◽  
Mary Crowder ◽  
Edward Ferrari ◽  
Elizabeth Goyder
Keyword(s):  
Mental Health ◽  
Low Income ◽  
Social Housing ◽  
Mental Health Problems ◽  
Poor Mental Health ◽  
Housing Quality ◽  
Community Safety ◽  
Public Health Issue ◽  
Health And Wellbeing ◽  
The Impact

Abstract Background The rising prevalence of mental health problems is a growing public health issue. Poor mental health is not equally distributed across social groups and is associated with poverty and insecure housing. An evaluation of a social housing intervention provided an opportunity to explore the connections between housing and wider determinants of health and wellbeing. Methods We undertook 44 interviews with social housing tenants over a two-year period to explore their views on housing, health and wellbeing. Results Poor mental health was common. The results suggest that perceptions of housing quality, service responsiveness, community safety, benefit changes and low income all have a detrimental effect on tenants’ mental health. Conclusions Social housing providers who wish to have a positive impact on the mental health of their tenants need to consider how to best support or mitigate the impact of these stresses. Addressing traditional housing officer functions such as reporting or monitoring home repairs alongside holistic support remains an important area where social housing departments can have substantial health impact. Tackling the complex nature of mental health requires a joined up approach between housing and a number of services.

scholarly journals Accelerometry-assessed sleep duration and timing in late childhood and adolescence in Scottish schoolchildren: a feasibility study

2020 ◽  
Author(s):  
Laura M. Lyall ◽  
Natasha Sangha ◽  
Cathy Wyse ◽  
Elaine Hindle ◽  
Dawn Haughton ◽  
...  
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Sleep Duration ◽  
Activity Patterns ◽  
School Setting ◽  
Childhood And Adolescence ◽  
Developmental Phase ◽  
Health And Wellbeing ◽  
Sleep Timing ◽  
Primary School Pupils

AbstractChildren and adolescents commonly suffer from sleep and circadian rhythm disturbances, which may contribute to poorer mental health and wellbeing during this critical developmental phase. Many studies however rely on self-reported sleep measures. This study assessed whether accelerometry data collection was feasible within the school setting as a method for investigating the extent of sleep and circadian disruption, and associations with subjective wellbeing, in Scotland. Fourteen days of wrist-worn accelerometry data were collected from 69 pupils, aged 10-14 years. Objective measures of sleep timing, sleep duration and circadian rest-activity patterns were derived. Questionnaires assessed subjective sleep timing, depressive symptoms, and experiences of wearing the accelerometer. Pupils slept on average less than 8 hours per night, failing to meet standard age-specific recommendations. Sleep timing was later and duration longer on weekends compared to weekdays (B = 0.87, 95% confidence interval (CI) 0.70, 1.04; B = 0.49, 95% CI 0.29, 0.69), indicating social jetlag. Lower daytime activity was correlated with higher depressive symptoms (r = -0.84, p = 0.008). Compared to primary school pupils, secondary pupils had shorter sleep window duration and lower circadian relative amplitude. Over half of participants reported some discomfort/inconvenience wearing the accelerometer. These data highlight that inadequate sleep is prevalent in this sample of schoolchildren. Future, larger scale investigations will examine in more detail the associations between sleep, circadian function and physical activity with mental health and wellbeing.

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