UIUC PSYC 336 - Multilevel analysis exploring the links between stress depression and sleep problems among two year (11 pages)

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Multilevel analysis exploring the links between stress depression and sleep problems among two year



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Multilevel analysis exploring the links between stress depression and sleep problems among two year

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Pages:
11
School:
University of Illinois at Urbana, Champaign
Course:
Psyc 336 - Topics in Clin/Comm Psych
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Journal of American College Health ISSN 0744 8481 Print 1940 3208 Online Journal homepage http www tandfonline com loi vach20 Multilevel analysis exploring the links between stress depression and sleep problems among two year college students Deshira D Wallace Marcella H Boynton Leslie A Lytle To cite this article Deshira D Wallace Marcella H Boynton Leslie A Lytle 2017 Multilevel analysis exploring the links between stress depression and sleep problems among two year college students Journal of American College Health 65 3 187 196 DOI 10 1080 07448481 2016 1269111 To link to this article http dx doi org 10 1080 07448481 2016 1269111 Accepted author version posted online 12 Dec 2016 Published online 12 Dec 2016 Submit your article to this journal Article views 1318 View related articles View Crossmark data Full Terms Conditions of access and use can be found at http www tandfonline com action journalInformation journalCode vach20 Download by University of Illinois at Urbana Champaign Date 09 November 2017 At 08 10 JOURNAL OF AMERICAN COLLEGE HEALTH 2017 VOL 65 NO 3 187 196 http dx doi org 10 1080 07448481 2016 1269111 MAJOR ARTICLE Multilevel analysis exploring the links between stress depression and sleep problems among two year college students Deshira D Wallace MSPHa Marcella H Boynton PhDa b and Leslie A Lytle PhDa a Department of Health Behavior School of Global Public Health University of North Carolina at Chapel Hill Chapel Hill North Carolina USA Lineberger Comprehensive Cancer Center University of North Carolina at Chapel Hill Chapel Hill North Carolina USA Downloaded by University of Illinois at Urbana Champaign at 08 10 09 November 2017 b ABSTRACT ARTICLE HISTORY Objective This study explored the association of stress and depression with a multidimensional sleep problems construct in a sample of 2 year college students Participants The sample consisted of 440 students enrolled in 2 year study from Fall 2011 to Fall 2013 Methods Participants in an obesity prevention study completed surveys assessing sleep stress and depression at baseline 4 12 and 24 months Multilevel models predicting sleep problems were conducted to distinguish episodic from chronic reports of stress and depression Results Participants were primarily women 68 white 73 young adults M age D 22 8 with an average of 8 4 hours of sleep per night Neither stress nor depression was predictive of sleep quantity however they were predictive of sleep quality Conclusions Results show that sleep quality rather than sleep quantity may be the greater health concern for young adults suggesting that intervention programs targeting depression stress management and healthy sleep patterns are warranted Received 8 September 2015 Revised 4 August 2016 Accepted 15 November 2016 A plethora of evidence af rms the importance of suf cient sleep quantity and quality as critical determinants of health and well being 1 2 Approximately 25 of US adults report insuf cient sleep or rest at least half of the time 3 and the US government recently added sleep health as a Healthy People 2020 objective Insuf cient sleep is associated with numerous health conditions including increased risk of heart disease high blood pressure diabetes and adverse mental health status 4 8 Evidence suggests that there is a correlation between sleep quantity and body mass index BMI individuals who report fewer hours of sleep are more likely to be overweight or obese 5 9 However causality remains in question due to the cross sectional nature of the majority of these studies 10 Young adults appear to be particularly at risk for insuf cient sleep with evidence indicating that a large majority of college students garner less than 8 hours of sleep per night 11 In 2011 one third of young adults reported insuf cient sleep 3 Poor sleep quality is also a salient health issue for college students12 with a recent report nding 70 of 4 year college students reporting insuf cient sleep 13 Young adults may be particularly vulnerable to both external and intrinsic factors that may hinder both the quantity and quality of sleep 11 Excessive alcohol use caffeine use and use of electronic media CONTACT Deshira D Wallace ddwallac live unc edu Dauer Drive CB7440 Chapel Hill NC 27599 USA 2017 Taylor Francis KEYWORDS Depression mental health sleep problems stress young adults before going to bed are all behaviors common in young adults that have been implicated in negatively in uencing sleep 14 15 Many young adults are living independently from their families for the rst time and are learning how to juggle time demands from school and work developing relationships and taking on more responsibility 16 These new stressors may in uence overall sleep quantity as well as quality 11 17 Young adults are also vulnerable to negative affect and other emotional issues as they go through this important life stage transition speci cally depression and stress have repeatedly been shown to have a strong correlation with both sleep quantity and quality 8 18 23 Based on National Health Interview Surveys reports of depressive symptoms among young adults have been largely stable between 1998 and 2011 24 In 2011 4 of young adults aged 18 24 years old and 5 of 25 to 29 year olds reported two or more depressive symptoms in the past month 24 However examining young adults in a 2 and 4 year college context that same year revealed that 30 of college students reported feeling so depressed it was dif cult to function at some time in the past year p 11 25 Risk factors for depression among young adults include poverty stressful life events maltreatment and family dysfunction 26 Studies among college students have reported that sleep problems increased the risk of developing depressive symptoms and Department of Health Behavior University of North Carolina at Chapel Hill 302 Rosenau Hall 135 Downloaded by University of Illinois at Urbana Champaign at 08 10 09 November 2017 188 D D WALLACE ET AL that depressed students are more likely to report sleep problems than nondepressed individuals 18 Stress has also been shown to be an important factor in predicting sleep quality 11 A study by Lund et al11 conducted with 4 year college students found that 64 of their participants reported that academic or emotional stress adversely affected their sleep Stressors for college students tend to be ongoing stressors related to coursework changes in the environment and nancial issues rather than single life events such as job


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