Associations of mood, stress, and social support with sleep health Restricted; Files Only
Mitchener, John (Spring 2023)
Published
Abstract
Background: Depression, anxiety, stress, and sleep health problems are common among rural adolescents, and few studies have examined the relation and how it may vary by social support, a resilience factor. We investigated associations of mood and stress with self-reported sleep duration and daytime sleepiness and examined social support as an effect modifier of the prior association among adolescents in semi-rural Georgia.
Methods: We conducted a cross-sectional survey of adolescents living in semi-rural Georgia (N = 508) in November 2020. Participants self-reported depressive symptoms, anxiety severity, stress, sleep duration and daytime sleepiness. Linear and multinomial logistic regression models were fit to examine associations of mood or stress and sleep health outcomes adjusted for gender, race/ethnicity, socioeconomic status, physical activity, and caffeine use. Effect modification was tested by including an interaction term between mood or stress and social support on sleep health outcomes.
Results: Participants were 22%, 9%, and 6% Hispanic, Black, and Asian respectively, female (53%), and eligible for free or reduced lunch (66%). Mean sleep duration was 8.0 ± 1.36, with 42% of participants reporting short sleep duration (<8 hours), and mean daytime sleepiness was 5.17 ± 2.37. A unit increase in depressive symptoms, anxiety, and stress was associated with higher sleepiness scores, (β = 0.16, 95% CI 0.10, 0.22; β = 0.44, 95% CI 0.06, 0.83; β = 2.26, 95% CI 1.35, 3.17, respectively). Higher stress scores were associated with higher odds of short sleep (OR = 3.31, 95% CI 1.33, 8.27). Depression and anxiety were not associated with sleep duration. Evidence of effect modification by social support was not observed.
Conclusion: Mood and stress symptoms were associated with daytime sleepiness and stress was associated sleep duration in rural adolescents. While there was no evidence that social support buffered the associations between mood or stress with sleep duration or sleepiness, future studies should explore intervention strategies to reduce stress or enhance mood to improve sleep in adolescents.
Table of Contents
Table of Contents
Introduction .................................................................................................................................... 1
Methods .......................................................................................................................................... 5
Results .............................................................................................................................................9
Discussion .................................................................................................................................... 11
Conclusion ................................................................................................................................... 15
Tables and Figures........................................................................................................................ 16
References …................................................................................................................................ 30
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File download under embargo until 18 May 2024 | 2023-04-27 12:12:55 -0400 | File download under embargo until 18 May 2024 |
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