Relationship between resilience and insomnia among the middle-aged and elderly: mediating role of maladaptive emotion regulation strategies

Cheng, Meng-Yin; Wang, Meng-Jia; Chang, Ming‐Ling; Zhang, Ruixing; Gu, Chao-Fan; Zhao, Yutao

doi:10.1080/13548506.2020.1734637

Cited by 32 publications

(20 citation statements)

References 41 publications

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“…Our study also showed that non-insomnia medical staff had better psychological resilience and stronger strength and hardiness. This was in accordance with other studies showing that participants with low resilience directly lead to poor sleep quality (17,20), such as lower sleep efficiency, more awakening times, and lighter sleep than those with higher resilience (22).…”

Section: Discussionsupporting

confidence: 93%

“…Taken together, insomnia is caused by different risk factors, and insomnia is still a major health problem for medical workers. Most previous studies have focused on the relationship between insomnia and the sociodemographic variables, and only a few studies have investigated the relationship between insomnia and psychological resilience (17)(18)(19)(20)(21). Psychological resilience is the ability to adapt to stress and adversity.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and Related Factors of Insomnia Among Chinese Medical Staff in the Middle and Late Stage of COVID-19

Liu

Zhu

et al. 2020

Front. Psychiatry

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Background: The outbreak of novel coronavirus disease (COVID-19) has brought serious psychological pressure to people, especially medical health staff. At present, there are few studies on insomnia and related factors of medical health staff in the middle and late stage of the epidemic of COVID-19. Therefore, the purpose of this study was to investigate the prevalence of insomnia and its related risk factors among medical workers in China in the middle and later stage of COVID-19 epidemic, as well as the relationship between insomnia and psychological resilience.Methods: From February 14 to March 29, 2020, a cross-sectional survey was conducted among 606 medical staff in China through Ranxing Technology's “SurveyStar” network platform. All subjects were assessed with the Insomnia Severity Index (ISI) and simplified Chinese version of Connor-Davidson Resilience scale (CD-RISC-10).Results: In the middle and later stages of the COVID-19 outbreak, the incidence of insomnia among medical staff was 32.0%. Compared with non-insomnia group, the insomnia group had younger age, lower education level, longer daily working hours and less psychological resilience. In addition, the prevalence of insomnia was higher in medical staff with a history of somatic diseases. The severity of insomnia of Chinese medical staff was associated with age, education level, daily working hours, psychological resilience and somatic diseases.Conclusions: Our study shows that nearly 1/3 of Chinese medical workers suffer from insomnia nearly a month after the COVID-19 outbreak. Compared with the general population, medical staff who are working with COVID are more prone to insomnia. Risk factors for insomnia include younger age, lower education level, longer working hours per day, and physical illness. The tenacious dimension of psychological resilience is a protective factor for insomnia.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Prevalence and Related Factors of Insomnia Among Chinese Medical Staff in the Middle and Late Stage of COVID-19

Liu

Zhu

et al. 2020

Front. Psychiatry

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“…However, as expected from previous findings, the results showed a negative correlation between resilience and emotion dysregulation in college students, in that students who reported a lower level of resilience were more likely to exhibit emotion dysregulation in support of hypothesis one (Arici-Ozan et al, 2019;Gloria et al, 2013;Ong et al, 2006;Tugade & Fredrickson, 2004). Furthermore, in support of hypothesis three, resilience moderated increases in depression (Hartley, 2011(Hartley, , 2012Nrugham et al, 2010;Wu et al, 2020), anxiety (Barzilay et al, 2020;Kimhi et al, 2020) and insomnia (Cheng et al, 2020;Palagini et al, 2018) associated with the COVID-19 pandemic. This study found no relationship between resilience and well-being.…”

Section: Discussionsupporting

confidence: 84%

“…Previous studies have found that resilience is negatively correlated with anxiety and depression in college students, and positively correlated with well-being ( Hartley, 2011 ; 2012 ; Wu et al, 2020 ). Resilience is also negatively correlated with insomnia, wherein individuals with lower levels of resilience experience higher levels of sleep disturbances and insomnia ( Cheng et al, 2020 ; Palagini et al, 2018 ). During the COVID-19 pandemic, when faced with the threat of the virus and the uncertainty regarding a vaccine or cure, increased levels of resilience correlate with lower levels of anxiety ( Kimhi et al, 2020 ).…”

mentioning

confidence: 99%

Moderating effects of emotion regulation difficulties and resilience on students’ mental health and well-being during the COVID-19 pandemic

Rufino

Babb

Johnson

2022

Journal of Adult and Continuing Education

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This study examined whether emotion regulation difficulties and resilience in college students moderated changes in mental health over the course of the COVID-19 pandemic. Participants ( N = 321) completed surveys assessing mental health, in addition to levels of emotion dysregulation, and resilience during the pandemic, then utilized an anchoring prompt to recall mental health experiences before the pandemic. Correlations revealed participants with higher levels of emotion dysregulation also reported lower levels of resilience. Analyses using the SPSS Macro MEMORE ( Montoya, 2019 ) revealed participants with higher levels of emotion regulation difficulties had greater increases in depression and insomnia, and greater decreases in well-being over the course of the COVID-19 pandemic, while participants with lower levels of resilience had greater increases in depression, anxiety, and insomnia over the course of the pandemic. These results highlight the importance of additional support services and mental health training at universities to meet college students’ immediate and long-term emotional needs stemming from the pandemic.

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“…Substance use is consistently cited as a major maladaptive coping strategy in most studies; substance use, including drugs and alcohol, leads to insomnia symptoms [ 39 , 40 ]. Some cross-sectional studies have reported that self-blame is associated with insomnia severity and poor sleep quality [ 4 , 41 ]. A longitudinal study similar to ours suggested that maladaptive coping strategies, such as substance use and behavioral disengagement, are the mechanisms by which stress exposure leads to insomnia [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Associations between coping strategies and insomnia: a longitudinal study of Japanese workers

Otsuka

Itani

Matsumoto

et al. 2021

Sleep

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Study Objectives Coping with stress is important, because stress disturbs sleep. However, only a few longitudinal studies have investigated the association between coping and insomnia. We examined whether individuals with insomnia symptoms used more maladaptive coping strategies than individuals without insomnia symptoms, and evaluated the association between insomnia symptoms and coping strategies. Methods In this prospective cohort study, Japanese workers were enrolled and observed over a 2-year period. During both years, self-administered questionnaires on coping and insomnia symptoms were administered. Coping was assessed using the Brief Coping Orientation to Problems Experienced, and insomnia symptoms were examined using the Athens Insomnia Scale. Generalized estimating equation modeling identified the effects of coping strategies on insomnia severity. Results In total, 1,358 of 1,855 workers at baseline were followed up. Individuals with insomnia symptoms showed a higher use of maladaptive coping strategies and less use of humor and instrumental support than individuals without insomnia symptoms. Active coping, humor, emotional support, and instrumental support were negatively associated with insomnia severity. In contrast, venting, substance use, behavioral disengagement, and self-blame were positively associated with insomnia severity. Conclusions This study showed that individuals with insomnia symptoms use both adaptive and maladaptive coping strategies and are more likely to use maladaptive strategies than individuals without insomnia symptoms. In the future, interventions focused on educating people about adaptive coping strategies should be conducted to determine whether coping strategies may prevent insomnia symptoms.

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Relationship between resilience and insomnia among the middle-aged and elderly: mediating role of maladaptive emotion regulation strategies

Cited by 32 publications

References 41 publications

Prevalence and Related Factors of Insomnia Among Chinese Medical Staff in the Middle and Late Stage of COVID-19

Prevalence and Related Factors of Insomnia Among Chinese Medical Staff in the Middle and Late Stage of COVID-19

Moderating effects of emotion regulation difficulties and resilience on students’ mental health and well-being during the COVID-19 pandemic

Associations between coping strategies and insomnia: a longitudinal study of Japanese workers

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