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Personal Sleep Debt And Daytime Sleepiness Mediate The Relationship Between Sleep And Mental Health Outcomes In Young Adults

David L Dickinson, Alexander P Wolkow, Shantha M W Rajaratnam, Sean P. A. Drummond
Published 2018 · Psychology, Medicine
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BACKGROUND Sleep duration and chronotype (i.e., morningness-eveningness) are associated with increased depression and anxiety risk, but differences in individual sleep need and lifestyle may mean these sleep parameters do not present the same risk across all individuals. This study explored the mediating role of sleep debt and daytime sleepiness in the relationship between sleep and mental health symptoms in young adults, a particularly vulnerable population. METHODS Young adult university students (n = 2,218) and young adults from the general population in the United States (n = 992) provided estimates of actual and optimal sleep duration, and completed validated measures of sleepiness, chronotype, and depression and anxiety risk. Mediation models examining sleepiness and sleep debt (i.e., difference between optimal and actual sleep) as parallel mediators were tested. RESULTS Sleepiness and sleep debt mediated the relationship between short sleep and depression and anxiety risk in the university sample, while sleepiness mediated these relationships in the general population sample. Sleepiness and sleep debt also mediated the impact of evening-type preferences on depression and anxiety risk in university students, but no mediation of this effect was found in young adults from the general population. CONCLUSIONS This study reports potential mediating mechanisms related to the increased mental health risk conferred by short sleep and evening chronotype. These results have implications for how primary care physicians assess psychopathology risk, arguing for a focus on the assessment of daytime sleepiness and sleep debt in university populations, while for young adults in the general population, these factors may be less important.
This paper references
Season of
V. Natale (2009)
10.1001/archinte.166.10.1092
A brief measure for assessing generalized anxiety disorder: the GAD-7.
Robert L. Spitzer (2006)
College students with depressive symptoms with and without fatigue: Differences in functioning, suicidality, anxiety, and depressive severity.
Maren B. Nyer (2015)
10.2147/NSS.S12572
Differential impact of chronotype on weekday and weekend sleep timing and duration
Stephanie E Roepke (2010)
10.1111/J.1479-8425.2010.00430.X
Circadian preference, nighttime sleep and daytime functioning in young adulthood
Julio Fernández-Mendoza (2010)
10.1186/1471-2202-15-97
Sleepiness induced by sleep-debt enhanced amygdala activity for subliminal signals of fear
Yuki Motomura (2014)
10.1080/07420520601089349
Fatigue and Mood Correlates of Sleep Length in Three Age‐Social Groups: School Children, Students, and Employees
Halszka Oginska (2006)
10.1080/07420528.2016.1227331
Individual differences in the sleep/wake cycle of Arctic flexitime workers
Daniela Wey (2016)
10.1093/eurpub/ckx029
Interactive effects of sleep duration and morning/evening preference on cardiovascular risk factors
Freda Patterson (2018)
10.1016/j.genhosppsych.2010.03.006
The Patient Health Questionnaire Somatic, Anxiety, and Depressive Symptom Scales: a systematic review.
Kurt Kroenke (2010)
10.1038/srep35812
Estimating individual optimal sleep duration and potential sleep debt
Shingo Kitamura (2016)
10.1080/10408390903372599
Ten Putative Contributors to the Obesity Epidemic
E. Jean Mcallister (2009)
10.1093/sleep/26.2.117
The cumulative cost of additional wakefulness: dose-response effects on neurobehavioral functions and sleep physiology from chronic sleep restriction and total sleep deprivation.
Hans P A Van Dongen (2003)
10.4324/9781410606013
The Decline of Substance Use in Young Adulthood: Changes in Social Activities, Roles, and Beliefs
Jerald G. Bachman (2001)
10.1016/j.psychres.2008.11.006
Sleep debt and depression in female college students
Quentin R. Regestein (2010)
10.1017/S0033291716001665
Mental disorders among college students in the World Health Organization World Mental Health Surveys.
Randy P. Auerbach (2016)
10.1016/j.jadohealth.2009.06.016
Sleep patterns and predictors of disturbed sleep in a large population of college students.
Hannah G. Lund (2010)
10.1016/j.janxdis.2015.12.001
A systematic review of sleep disturbance in anxiety and related disorders.
Rebecca C. Cox (2016)
10.1007/S12160-016-9797-5
Smoking, Screen-Based Sedentary Behavior, and Diet Associated with Habitual Sleep Duration and Chronotype: Data from the UK Biobank
Freda Patterson (2016)
Integrated Postsecondary Education Data System (IPEDS).
Susan G. Broyles (1994)
A new method for measuring daytime
M. W. Johns (1991)
10.1016/j.sleep.2008.05.010
Chronobiology, excessive daytime sleepiness and depression: Is there a link?
Sarah Laxhmi Chellappa (2009)
10.1016/S1553-7250(08)34031-8
Inducing sustainable improvement in depression care in primary care practices.
Donald E. Nease (2008)
10.1037/a0016570
Overnight therapy? The role of sleep in emotional brain processing.
Matthew P. Walker (2009)
10.5665/sleep.4886
Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society on the Recommended Amount of Sleep for a Healthy Adult: Methodology and Discussion.
Nathaniel F. Watson (2015)
10.1111/j.1467-9280.2007.01882.x
Required Sample Size to Detect the Mediated Effect
Matthew S. Fritz (2007)
10.1146/annurev-clinpsy-032210-104550
Sleep and circadian functioning: critical mechanisms in the mood disorders?
A. A. Harvey (2011)
10.1176/appi.ps.59.10.1148
Systematic use of patient-rated depression severity monitoring: is it helpful and feasible in clinical psychiatry?
Farifteh Firoozmand Duffy (2008)
Medical student knowledge of global health problems: obstetric fistulas in developing countries.
Caroline E Foust-Wright (2012)
10.1016/j.ypmed.2014.06.003
Associations between physical activity, sedentary time, sleep duration and daytime sleepiness in US adults.
James J. McClain (2014)
Obstetric fistulas in developing countries
M. S. Fritz (2007)
relates of long sleep duration
F. Patterson (2018)
10.1007/s10683-017-9527-2
Conducting interactive experiments online
Antonio A. Arechar (2018)
10.1093/sleep/29.7.881
Correlates of long sleep duration.
Sanjay R Patel (2006)
10.1002/da.22386
SLEEP DURATION AND DEPRESSION AMONG ADULTS: A META-ANALYSIS OF PROSPECTIVE STUDIES.
Long Zhai (2015)
10.1016/0191-8869(91)90110-W
Horne & stberg morningness-eveningness questionnaire: A reduced scale
Ana Adan (1991)
10.1080/07420520601100971
Shift Work and Inter‐Individual Differences in Sleep and Sleepiness
Hans P A Van Dongen (2006)
10.3758/BRM.40.3.879
Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models
Kristopher J Preacher (2008)
10.1093/sleep/14.6.540
A new method for measuring daytime sleepiness: the Epworth sleepiness scale.
Murray W. Johns (1991)
Key substance use and mental health indicators in the United States: Results from the 2015 National Survey on Drug Use and Health
Center for Behavioral Health Statistics (2016)
PopulationEstimatesProgram (PEP)
U.S.CensusBureau. (2015)
Sleep and circadian functioning : Critical mechanisms in themood disorders ?
A. F. Hayes (2013)
10.1207/S15328015TLM1202_4
Response Rate Comparisons of E-Mail- and Mail-Distributed Student Evaluations
Anthony M. Paolo (2000)
10.1038/srep45874
From Lark to Owl: developmental changes in morningness-eveningness from new-borns to early adulthood
Christoph Randler (2017)
10.1371/journal.pone.0149643
Insomnia and Relationship with Anxiety in University Students: A Cross-Sectional Designed Study
Nour Choueiry (2016)
10.1093/sleep/32.3.423
Season of birth, gender, and social-cultural effects on sleep timing preferences in humans.
Vincenzo Natale (2009)
10.1046/j.1446-9235.2003.00006.x
Sleep debt: Theoretical and empirical issues
Hans P. A. Van Dongen (2003)
10.4088/JCP.12m08047
Sleep duration, but not insomnia, predicts the 2-year course of depressive and anxiety disorders.
Josine G van Mill (2014)
10.1177/1745691610393980
Amazon's Mechanical Turk
Michael D. Buhrmester (2011)
10.1093/milmed/usz066
The Epworth Sleepiness Scale in Service Members with Sleep Disorders.
April Hurlston (2019)
10.1111/jsr.12467
Morningness–eveningness and daytime functioning in university students: the mediating role of sleep characteristics
Marija Bakotić (2017)
Running Experiments on Amazon Mechanical Turk
Gabriele Paolacci (2010)
10.1177/2158244016636433
The Demographic and Political Composition of Mechanical Turk Samples
Kevin E. Levay (2016)
Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-Based Approach
Andrew F. Hayes (2013)
Higher Education General Information Survey ( HEGIS ) , Integrated Postsecondary Education Data System ( IPEDS ) . Spring 2001 through Spring 2015
H. P. Van Dongen (2016)
10.2147/NSS.S55538
Predictors of poor sleep quality among Lebanese university students: association between evening typology, lifestyle behaviors, and sleep habits
Colette S. Kabrita (2014)
10.3109/07420528.2014.935786
The influence of sleep complaints on the association between chronotype and negative emotionality in young adults
Péter Simor (2015)
10.1080/07420520902821101
In Sync with the Family: Children and Partners Influence the Sleep‐Wake Circadian Rhythm and Social Habits of Women
Catherine Leonhard (2009)
10.1046/j.1365-2796.1996.475826000.x
Daytime sleepiness in an adult, Finnish population.
Christer Hublin (1996)
10.1016/j.jad.2009.02.021
Depressive symptomatology is influenced by chronotypes.
Enrique Gaspar-Barba (2009)
10.1097/01.MLR.0000093487.78664.3C
The Patient Health Questionnaire-2: Validity of a Two-Item Depression Screener
Kurt Kroenke (2003)
10.1371/journal.pone.0056578
Sleep Debt Elicits Negative Emotional Reaction through Diminished Amygdala-Anterior Cingulate Functional Connectivity
Yuki Motomura (2013)
10.1111/j.1440-1819.2009.01965.x
Relationship between depressive mood and chronotype in healthy subjects.
Maria Paz Hidalgo (2009)
10.1016/j.sleep.2012.08.005
Sleep duration versus sleep insufficiency as predictors of cardiometabolic health outcomes.
Nicole G Altman (2012)



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