Does Sleep Mediate the Association between School Pressure, Physical Activity, Screen Time, and Psychological Symptoms in Early Adolescents? A 12-Country Study

Vandendriessche, Ann; Ghekiere, Ariane; Cauwenberg, Jelle Van; Clercq, Bart De; Dhondt, Karlien; DeSmet, Ann; Tynjälä, Jorma; Verloigne, Maïté; Deforche, Benedicte

doi:10.3390/ijerph16061072

Cited by 48 publications

(39 citation statements)

References 45 publications

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“…In adolescent mental health, the effects of school pressure, physical activity, and mobile use time on psychological symptoms were mediated by sleep. 35 Furthermore, in our previous study, the effects of job stressors and social support on PPSR were also mediated by sleep. 20 Sleep problems play a mediating role in the association between occupational stress and metabolic syndrome.…”

Section: Discussionmentioning

confidence: 80%

<p>Effects of Job Stressors, Stress Response, and Sleep Disturbance on Presenteeism in Office Workers</p>

Furuichi

Shimura

Miyama

et al. 2020

NDT

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Background: Occupational mental health, work environment, sleep health, presenteeism, and loss of work productivity caused by health problems are all public health concerns. Although sleep affects mental health and presenteeism, the associations between sleep disturbance, job stressors, stress responses, and presenteeism have remained unclear. We hypothesized that job stressors affect the presenteeism of office workers through sleep disturbance and analyzed the association among these factors. Subjects and Methods: In 2017, a cross-sectional survey of adult office workers was performed. A total of 2899 subjects who provided written consent were included in the analysis. The survey collected demographic information, as well as the Work Limitation Questionnaire (WLQ), Pittsburgh Sleep Quality Index (PSQI), and Brief Job Stress Questionnaire (BJSQ). Associations between each of the variables were analyzed by path analysis (covariance structure analysis). This study was approved by the Ethics Committee of Tokyo Medical University. Results: The path analysis demonstrated that job stressors, psychological and physical stress response (PPSR) in the BJSQ, and sleep disturbance in the PSQI had direct effects on presenteeism in the WLQ. Both job stressors and social support in the BJSQ indirectly affected presenteeism through effects on sleep disturbance and PPSR. Sleep disturbance indirectly affected presenteeism via PPSR. This model accounted for the variation of presenteeism (R 2 = 0.322). Conclusion: In the workplace, job stressors and low social support increase presenteeism through psychological and physical stress responses, as well as sleep disturbance. Evaluating and resolving work problems and sleep disturbance would hence be beneficial from the aspects of public health and socioeconomics.

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Section: Discussionmentioning

confidence: 80%

<p>Effects of Job Stressors, Stress Response, and Sleep Disturbance on Presenteeism in Office Workers</p>

Furuichi

Shimura

Miyama

et al. 2020

NDT

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“…In a study of 12 countries, it was found that school pressure and screen time were positively associated with psychological symptoms, whereas physical activity was negatively associated. Almost all associations were significantly mediated by sleep duration and sleep onset difficulties ( Vandendriessche et al, 2019 ).…”

Section: Resultsmentioning

confidence: 99%

A bio-ecological framing of evidence on the determinants of adolescent mental health - A scoping review of the international Health Behaviour in School-Aged Children (HBSC) study 1983–2020

Currie

Morgan

2020

SSM - Population Health

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This paper extracts, organises and summarises findings on adolescent mental health from a major international population study of young people using a scoping review methodology and applying a bio-ecological framework. Population data has been collected from more than 1.5 million adolescents over 37 years by the Health Behaviour in School-Aged Children: WHO Cross-National (HBSC) Study. The paper reviews the contribution that this long standing study has made to our understanding of the individual, developmental, social, economic, cultural determinants of adolescent mental health by organising the findings of 104 empirical papers that met inclusion criteria, into individual, microsystem, mesosystem and macrosystem levels of the framework. Of these selected papers, 68 were based on national data and the other 36 were based on international data, from varying numbers of countries. Each paper was allocated to a system level in the bio-ecological framework according to the level of its primary focus. The majority (51 papers) investigate individual level determinants. A further 28 concentrate primarily on the microsystem level, 6 on the mesosystem level, and 29 on the macrosystem level. The paper identifies where there is evidence on the determinants of mental health, summarises what we have learned, and highlights research gaps. Implications for the future development of this population health study are discussed in terms of how it may continue to illuminate our understanding of adolescent mental health in a changing world and where new directions are required.

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“…A systematic review has shown that job stress increased the odds of insomnia . On the other hand, a recent study showed that sleeplessness is likely to mediate the association between school pressure and psychological symptoms . It is likely that a stressful environment can lead to sleeplessness and thus to further psychological problems when working with patients.…”

Section: Discussionmentioning

confidence: 99%

“…Being physically active has been shown to reduce psychological symptoms in general . A Japanese study amongst dental students demonstrated that regular exercising was associated with lower stress levels .…”

Section: Discussionmentioning

confidence: 99%

Self‐reported psychological problems amongst undergraduate dental students: A pilot study in seven European countries

Stangvaltaite‐Mouhat

Pūrienė

Chałas

et al. 2020

Eur J Dental Education

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Aim:To map psychological problems amongst undergraduate dental students with a focus on different time points in clinical work in seven Eastern European and Scandinavian countries. Materials and Methods:A total of 1063 3rd-and 5th-year dental students (response rate 70%) participated in this pilot study and completed a pre-tested, structured questionnaire, which collected information on sociodemographic characteristics and self-reported psychological problems. Data were analysed by bivariate and multivariate methods. Results:The majority of participants were female and were younger than male participants. Most participants, though more females than males, agreed that the clinical work of dentistry was psychologically difficult. Almost half of participants felt nervous before working with patients (N = 506, 48%) and experienced a lot of stress whilst working with patients (N = 488, 46%); almost one-third (N = 287, 27%) felt anxious/worried after working with patients. Being a 3rd-and 4th-year student (vs 5th-year) reduced the odds for anxiety after working with patients; being a 3rd-year student (vs 5th-year) increased the odds for stress whilst working with patients.Studying in countries other than Norway reduced the odds for stress whilst working with patients. Less than good self-perceived health, presence of psychological health complaints before starting dental education, female gender and lack of physical activity increased the odds for psychological problems. Conclusion:A high number of undergraduate dental students reported psychological problems in connection with clinical work. It is unlikely that "one size fits all"; therefore, further qualitative investigations on stressors in clinical learning environments should be done in order to design tailor-made supportive strategies. K E Y W O R D Sclinical learning environment, dental education, dental students, professional hazards, psychological health, stress

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Does Sleep Mediate the Association between School Pressure, Physical Activity, Screen Time, and Psychological Symptoms in Early Adolescents? A 12-Country Study

Cited by 48 publications

References 45 publications

<p>Effects of Job Stressors, Stress Response, and Sleep Disturbance on Presenteeism in Office Workers</p>

<p>Effects of Job Stressors, Stress Response, and Sleep Disturbance on Presenteeism in Office Workers</p>

A bio-ecological framing of evidence on the determinants of adolescent mental health - A scoping review of the international Health Behaviour in School-Aged Children (HBSC) study 1983–2020

Self‐reported psychological problems amongst undergraduate dental students: A pilot study in seven European countries

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