Refreshing Sleep and Sleep Continuity Determine Perceived Sleep Quality

Libman, Eva; Fichten, Catherine S.; Creti, Laura; Conrod, K.; Tran, D; Grad, Roland; Jorgensen, Mary; Amsel, Rhonda; Rizzo, Dorrie; Baltzan, Marc; Pavilanis, Alan; Bailes, Sally

doi:10.1155/2016/7170610

Cited by 38 publications

(32 citation statements)

References 20 publications

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“…Sleep continuity (infrequent nocturnal awakenings) is a hallmark of good sleep [34]. Aging adults [35, 36] and diabetes patients [35] are at particular risk for frequent nocturnal awakenings.…”

Section: Discussionmentioning

confidence: 99%

Relationship between sleep disturbance and self-care in adults with type 2 diabetes

et al. 2018

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Section: Discussionmentioning

confidence: 99%

Relationship between sleep disturbance and self-care in adults with type 2 diabetes

et al. 2018

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“…A similar small percentage continued to experience nonrefreshing sleep, and slightly elevated anxiety and depression. Correlational data indicated that nonrefreshing sleep, an important marker of sleep quality [ 25 ], was significantly related to virtually all nocturnal sleep variables. This pattern of findings may reflect a preexisting tendency to sleep difficulty, anxiety, and impaired mood in a small percentage of mothers that does not respond to what is usually considered as the improved conditions of the 6-month postpartum period.…”

Section: Discussionmentioning

confidence: 99%

Sleep in the Postpartum: Characteristics of First-Time, Healthy Mothers

et al. 2017

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Goals for the present study were to (a) describe the sleep of healthy new mothers over a 6-month postpartum period, (b) examine how sleep quality relates to daytime levels of fatigue and sleepiness, and (c) evaluate the relationship between mothers' and infants' sleep parameters. The sample consisted of 37 healthy, partnered, first-time mothers who had experienced full-term vaginal birth and had a healthy infant. We investigated infants' sleep parameters and mothers' sleep, mood, and daytime functioning 2 and 6 months postpartum. We found that at 2 months postpartum, mothers reported sleeping 6 hours at night and just under one hour during the day. Despite relatively frequent nocturnal awakenings, mothers experienced minimal insomnia, nonrefreshing sleep, anxiety, depression, daytime sleepiness, or fatigue at either 2 or 6 months. The most robust relationship between mothers' and infants' sleep was in the number of nocturnal sleep-wake episodes. Of note is that none of the infant sleep parameters was related to mothers' anxiety, depression, fatigue, sleepiness, or nonrefreshing sleep at either time period. Our results indicate that (1) selected low risk new mothers are resilient in terms of sleep quality, daytime functioning, and mood and (2) these are independent of their infants' sleep parameters.

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“…I sleep about ____ hours per night.”). Sleep quality was assessed with a non-validated question by asking “When you wake up from sleeping, how refreshed do you feel?” (0) “Never refreshed,” (1) “A little or somewhat refreshed,” (2) “Moderately refreshed,” (3) “Mostly refreshed,” (4) “Very refreshed,” because refreshed sleep is a key indicator of high-quality sleep ( Libman et al, 2016 ).…”

Section: Methodsmentioning

confidence: 99%

The Big Three Health Behaviors and Mental Health and Well-Being Among Young Adults: A Cross-Sectional Investigation of Sleep, Exercise, and Diet

et al. 2020

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BackgroundSleep, physical activity, and diet have been associated with mental health and well-being individually in young adults. However, which of these “big three” health behaviors most strongly predicts mental health and well-being, and their higher-order relationships in predictive models, is less known. This study investigated the differential and higher-order associations between sleep, physical activity, and dietary factors as predictors of mental health and well-being in young adults.MethodIn a cross-sectional survey design, 1,111 young adults (28.4% men) ages 18–25 from New Zealand and the United States answered an online survey measuring typical sleep quantity and quality; physical activity; and consumption of raw and processed fruit and vegetables, fast food, sweets, and soda, along with extensive covariates (including demographics, socioeconomic status, body mass index, alcohol use, smoking, and health conditions) and the outcome measures of depressive symptoms [measured by the Center for Epidemiological Depression Scale (CES-D)] and well-being (measured by the Flourishing Scale).ResultsControlling for covariates, sleep quality was the strongest predictor of depressive symptoms and well-being, followed by sleep quantity and physical activity. Only one dietary factor—raw fruit and vegetable consumption—predicted greater well-being but not depressive symptoms when controlling for covariates. There were some higher-order interactions among health behaviors in predicting the outcomes, but these did not survive cross-validation.ConclusionSleep quality is an important predictor of mental health and well-being in young adults, whereas physical activity and diet are secondary but still significant factors. Although strictly correlational, these patterns suggest that future interventions could prioritize sleep quality to maximize mental health and well-being in young adults.

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Refreshing Sleep and Sleep Continuity Determine Perceived Sleep Quality

Cited by 38 publications

References 20 publications

Relationship between sleep disturbance and self-care in adults with type 2 diabetes

Relationship between sleep disturbance and self-care in adults with type 2 diabetes

Sleep in the Postpartum: Characteristics of First-Time, Healthy Mothers

The Big Three Health Behaviors and Mental Health and Well-Being Among Young Adults: A Cross-Sectional Investigation of Sleep, Exercise, and Diet

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