Sleep and its variability in relation to behavioral outcomes in school‐age children with overweight and obesity

Tsai, Shin Han; Tung, Yi‐Ching; Huang, Chuen-Min; Lee, Chien‐Chang

doi:10.1002/nur.22308

Cited by 3 publications

(1 citation statement)

References 41 publications

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“…Complementing current research on biological mediators [ 15 – 17 ], our study unveils a novel psychological mediator, elucidating how sleep disturbance might compromise self-control, consequently leading to internalizing symptoms. Drawing insights from established literature [ 66 , 67 ] and the strength model of self-control [ 22 , 68 ], self-control hinges on a finite energy reserve, and its exertion depletes this reserve. Effective sleep, a primary avenue for energy restoration, plays a pivotal role in sustaining self-control.…”

Section: Discussionmentioning

confidence: 99%

Sleep disturbance and internalizing symptoms in adolescents: a moderated mediation model of self-control and mindfulness

Ye,

Jiang,

et al. 2024

BMC Psychiatry

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Objectives Despite accumulating evidence regarding the impact of sleep disturbance on internalizing symptoms among adolescents, the underlying psychological mechanisms remain inadequately explored. This study aimed to investigate a conceptual framework elucidating how sleep disturbance influences internalizing symptoms in adolescents through the mediating role of self-control, with mindfulness as a moderator. Methods In this cross-sectional study, 1876 Chinese adolescents (Mage = 14.88 years, SD = 1.47 years, range = 12–19 years, 44.7% boys) completed the Youth Self-Rating Insomnia Scale (YSIS), Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), Brief Self-control Scale (BSCS), and Mindful Attention Awareness Scale-Children (MAAS-C) to provide data on sleep-related variables, internalizing symptoms (anxiety and depression), self-control, and mindfulness, respectively. The PROCESS macro for SPSS was applied to perform moderated mediation analysis. Results Sleep disturbance demonstrated a significant positive correlation with internalizing symptoms in adolescents, including anxiety (β = 0.481, p < 0.001) and depression (β = 0.543, p < 0.001). Self-control served as a mediator between sleep disturbance and two forms of internalizing symptoms. Moreover, mindfulness moderated the pathways from self-control to internalizing symptoms (for anxiety symptoms: β = 0.007, p < 0.001; for depression symptoms: β = 0.006, p < 0.001), and the mediating relationships were weaker for adolescents exhibiting higher levels of mindfulness. Conclusions Our findings enhance understanding of the impact, pathways, and influencing factors of sleep disturbance on adolescent internalizing symptoms, suggesting the importance of enhancing mindfulness levels in addressing self-control deficits and subsequently reducing internalizing symptoms among adolescents.

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Section: Discussionmentioning

confidence: 99%

Sleep disturbance and internalizing symptoms in adolescents: a moderated mediation model of self-control and mindfulness

Ye,

Jiang,

et al. 2024

BMC Psychiatry

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Sleep disturbance associations between parents and children with overweight and obesity

Tsai,

Tung,

Huang

et al. 2024

Research in Nursing & Health

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This cross‐sectional study examined sleep disturbance associations between parents and their school‐age children with overweight and obesity. A 7‐day wrist‐worn actigraph recording was performed on 246 children aged 6–9 years with overweight and obesity recruited from 10 public elementary schools in Taipei, Taiwan. Children's sleep disturbance was assessed using the Children's Sleep Habits Questionnaire. Parental subjective sleep quality was assessed using the Pittsburgh Sleep Quality Index, with parental depressive symptoms measured using the Epidemiologic Studies‐Depression Scale. General linear models were used to examine sleep disturbance associations within parent‐child dyads. The results showed that 208 (84.6%) children had a clinically significant sleep disturbance score, and 123 (50%) parents had poor sleep quality. Higher children's sleep disturbance scores significantly predicted poorer parental sleep quality (b = 0.11, p < 0.001). Poorer parental sleep quality was associated with more severe sleep disturbances in children (b = 0.46, p < 0.001). This association was independent of children's actigraphic sleep (all p > 0.05) and was not attenuated by adjustment for parental depressive symptoms (b = 0.14, p < 0.001). Findings from our study suggest that sleep disturbances occur in both parents and their school‐age children with overweight and obesity, with a significant bidirectional association between the two. Nurses and healthcare professionals should proactively assess and screen for sleep disturbances in parent‐child dyads of children with overweight and obesity. Future studies should develop family‐based sleep interventions and evaluate their effects on the sleep, health, and well‐being of children with overweight and obesity and their parents.

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Sleep disturbance and internalizing symptoms in adolescents: A moderated mediation model of self-control and mindfulness

Ye,

Jiang,

et al. 2024

Preprint

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Objectives Despite accumulating evidence regarding the impact of sleep disturbance on internalizing symptoms among adolescents, the underlying psychological mechanisms remain inadequately explored. This study aimed to investigate a conceptual framework elucidating how sleep disturbance influences internalizing symptoms in adolescents through the mediating role of self-control, with mindfulness as a moderator. Methods A total of 1876 Chinese adolescents provided data on sleep-related variables, internalizing symptoms (anxiety and depression), mindfulness, and self-control. Utilizing the Process macro for SPSS, a moderated mediation model was analyzed, positing that sleep disturbance would positively relate to internalizing symptoms, with self-control acting as a mediator and mindfulness as a moderator. Results Sleep disturbance demonstrated a significant positive correlation with internalizing symptoms in adolescents, and self-control emerged as a mediating factor in this relationship. Furthermore, mindfulness moderated the pathways from self-control to internalizing symptoms, while the mediating relationships were weaker for adolescents exhibiting higher levels of mindfulness. Conclusions This study highlights the crucial role of self-control as a mediator in the relationship between sleep disturbance and internalizing symptoms in adolescents. Moreover, it underscores the moderating influence of mindfulness on the pathway from self-control to internalizing symptoms. These findings enhance our understanding of the impact, pathways, and influencing factors of sleep disturbance on internalizing symptoms in adolescents, which also suggest the importance of enhancing mindfulness levels in addressing self-control deficits and subsequently reducing internalizing symptoms among adolescents.

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Sleep and its variability in relation to behavioral outcomes in school‐age children with overweight and obesity

Cited by 3 publications

References 41 publications

Sleep disturbance and internalizing symptoms in adolescents: a moderated mediation model of self-control and mindfulness

Sleep disturbance and internalizing symptoms in adolescents: a moderated mediation model of self-control and mindfulness

Sleep disturbance associations between parents and children with overweight and obesity

Sleep disturbance and internalizing symptoms in adolescents: A moderated mediation model of self-control and mindfulness

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