Investigating insomnia as a cross-sectional and longitudinal predictor of loneliness: Findings from six samples

Hom, Melanie A.; Hames, Jennifer L.; Bodell, Lindsay P.; Buchman‐Schmitt, Jennifer M.; Chu, Carol; Rogers, Megan L.; Chiurliza, Bruno; Michaels, Matthew S.; Ribeiro, Jessica D.; Nadorff, Michael R.; Winer, E. Samuel; Lim, Ingrid C.; Rudd, M. David; Joiner, Thomas E.

doi:10.1016/j.psychres.2017.03.046

Cited by 62 publications

(62 citation statements)

References 82 publications

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“…the Chicago Health, Aging, and Social Relations Study). There were three cases of sample overlap across articles (Cacioppo et al, 2002a(Cacioppo et al, , 2002bHom et al, 2017aHom et al, , 2017bMcHugh et al, 2011;McHugh and Lawlor, 2013). Sample characteristics for each study are summarized in Table 1 (see Supplementary Appendix B for the race/ethnicity of US samples).…”

Section: Samplementioning

confidence: 99%

“…Both studies that measured sleep quality objectively (Cacioppo et al, 2002a: polysomnography;Kurina et al, 2011: actigraphy) found a bivariate association for a dimension of sleep quality. All studies that assessed sleep adequacy (Jaremka et al, 2014;Segrin and Passalacqua, 2010), sleep satisfaction (Jacobs et al, 2006), or change in sleep (Hom et al, 2017b) detected a bivariate association between these variables and loneliness. None of the studies that examined sleep duration detected an effect (Cacioppo et al, 2002a;Hawkley et al, 2010;Hays and DiMatteo, 1987;Kurina et al, 2011).…”

Section: Cross-sectional Relationship Between Loneliness and Sleepmentioning

confidence: 99%

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Loneliness and sleep: A systematic review and meta-analysis

Griffin

Williams

Ravyts

et al. 2020

Health Psychology Open

118

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Despite the mounting evidence linking loneliness with health, the mechanisms underlying this relationship remain obscure. This systematic review and meta-analysis on the association between loneliness and one potential mechanism—sleep—identified 27 relevant articles. Loneliness correlated with self-reported sleep disturbance ( r = .28, 95% confidence interval (.24, .33)) but not duration, across a diverse set of samples and measures. There was no evidence supporting age or gender as moderators or suggesting publication bias. The longitudinal relationship between loneliness and sleep remains unclear. Loneliness is related to sleep disturbance, but research is necessary to determine directionality, examine the influence of other factors, and speak to causality.

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Section: Samplementioning

confidence: 99%

Section: Cross-sectional Relationship Between Loneliness and Sleepmentioning

confidence: 99%

Loneliness and sleep: A systematic review and meta-analysis

Griffin

Williams

Ravyts

et al. 2020

Health Psychology Open

118

View full text Add to dashboard Cite

show abstract

“…Therefore, those previous studies have shed light on mind–body connections via associations between loneliness and sleep. It has been posited that loneliness might lead to being on a high level of alert for threats during one's sleep (Hom et al, ), whereas positive social relationships are associated with high‐quality sleep (Cacioppo et al, ). The previous studies further highlighted the potential connections among social relationships, loneliness and nighttime sleep in older adults.…”

Section: Introductionmentioning

confidence: 99%

Intergenerational relationships and depressive symptoms among older adults in urban China: The roles of loneliness and insomnia symptoms

2020

Health Soc Care Community

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The prevalence of depressive symptoms in older Chinese adults has increased recently. Intergenerational relationships play an important role in the mental health conditions of older adults, especially in Chinese culture. Therefore, this study aims to unravel the complex connection between intergenerational relationships and depression, and to explore the potential mediating roles of loneliness and nighttime insomnia symptoms within that connection. A cross-sectional household survey was conducted in China with 2038 participants aged 65 years or above. Variables were measured using the Center for Epidemiologic Studies Short Depression Scale, the Intergenerational Relationship Quality Scale for Aging Chinese Parents (IRQS-AP), three nighttime insomnia symptoms extracted from the Insomnia Severity Index and the De Jong Gierveld Six-Item Loneliness Scale. The IRQS-AP includes four subdimensions: consensual-normative solidarity, structural-associational solidarity, affectual closeness and intergenerational conflicts. Path analyses were performed in Mplus to investigate regression coefficients and mediating effects. Results showed that three general intergenerational relationships (consensual-normative solidarity, affectual closeness and intergenerational conflicts) were significantly correlated with all mental health outcomes, including their symptoms of loneliness, insomnia and depression. A serial mediation model suggested that loneliness mediated the connection between those constructs of intergenerational relationships and depression, with an independent path to insomnia symptoms via loneliness. The proposed mediators fully mediated the effects of affectual closeness on depression. Nighttime insomnia symptoms alone mediated only the relationship between intergenerational conflicts and depression independently from paths involving depression. Removal of sleep item from CES-D did not affect the results of paths. Our findings highlight the importance of intergenerational relationships for mental health, especially for the mediating effects of loneliness and nighttime insomnia symptoms on the relationship between intergenerational relationships and depression. Effective mental health services for older adults can address their feelings of loneliness and sleep problems, especially for those who have a poor relationship with their adult children. K E Y W O R D S depression, intergenerational relationships, loneliness, nighttime insomnia symptoms | 1311 FU and JI

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“…In turn, sleep disorders may appear to lead to further HPA axis dysregulation, thereby promoting a vicious cycle of stress and insomnia [27]. From another point of view, there is evidence of a bidirectional association between insomnia and loneliness [28], providing an explanation for the positive effects of family support.…”

Section: Discussionmentioning

confidence: 99%

Sleep Disorders, Perceived Stress and Family Support Among Nursing Staff During the Pandemic Crisis

Tselebis

Lekka

Sikaras

et al. 2020

Preprint

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Background: The covid-19 pandemic is likely to cause mental health issues, especially for healthcare professionals. The aim of this study is to investigate levels of perceived stress, sleep disturbances and sense of family support among nurses in pandemic conditions. Methods: Athens Insomnia Scale (AIS), Perceived Stress Scale (PSS) and Family Support Scale (FSS) were administered in a sample of 150 nurses from different hospital departments during the COVID-19 pandemic. Individual and demographic data were recorded. Results: 120 women and 30 men completed the study questionnaires. Almost half of participants (49.7%) reported the presence of sleep difficulties and more than half (50.3%) experienced increased stress levels. Scores on AIS scale correlated positively with PSS scores (P<0.01), and negatively with FSS scores (P<0.01). A significantly negative correlation was observed between the PSS scores and the FSS scores (p<0.01). Regression model showed ‘scores on PSS scale’ and ‘years of work experience’ were significant predictors of ‘scores on AIS scale’, each explaining 43.6% and 2.3% of the variance. Scores on AIS scale’ and ‘scores on FSS scale’ were significant predictors of PSS explaining 43.7% and 9,2% of the variance . Conclusion: The study confirmed that working with COVID-19 patients has a negative effect on the sleep of nurses, possibly mediated by increased levels of stress. Family support, as a protective factor, appears to moderate the deleterious consequences of stress.

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Investigating insomnia as a cross-sectional and longitudinal predictor of loneliness: Findings from six samples

Cited by 62 publications

References 82 publications

Loneliness and sleep: A systematic review and meta-analysis

Loneliness and sleep: A systematic review and meta-analysis

Intergenerational relationships and depressive symptoms among older adults in urban China: The roles of loneliness and insomnia symptoms

Sleep Disorders, Perceived Stress and Family Support Among Nursing Staff During the Pandemic Crisis

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