“…novel study investigated temporal relationships between sleep disturbance, mental health and social well-being in a general population within Meru County, Kenya. Similar to patterns identified elsewhere (e.g.Franzen & Buysse, 2022;Hertenstein et al, 2019;Freeman et al, 2020;Shalev, Liberzon, & Marmar, 2017;Audigier et al, 2023), sleep disturbance predicted more symptoms of depression, anxiety, PTSD, and less social support after 11 weeks of follow-up.By contrast, and unexpected by us, sleep disturbance was not predicted by any previous primary measure (i.e., anxiety symptoms, depressive symptoms, or social support) when we adjusted for socioeconomic status variables. These findings suggest that sleep quality is fundamental to mental health and social functioning serving as a precedent rather than an outcome.…”