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Cited by 175Sleep and related disordersSleep and Work-Related FatigueSleep and Wakefulness Research

Sleep Quality, Mental and Physical Health: A Differential Relationship

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Clement-Carbonell, Violeta, Portilla-Tamarit, Irene, Rubio-Aparicio, María, Madrid-Valero, Juan J·2021·International Journal of Environmental Research and Public Health
DOI 10.3390/ijerph18020460PMC PMC7826982
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Abstract

This study aimed to explore the association between sleep quality and its components and both dimensions of health-related quality of life (HRQoL) in a sample of young adults. The sample comprised 337 participants with a mean age of 19.6 y (SD = 2.22). Sleep quality and HRQoL were measured through the Pittsburgh Sleep Quality Index and the SF-12, respectively. Regression analyses were used to investigate the association between sleep quality and HRQoL. Our results confirm the significant association between sleep quality and both physical (p = 0.015; β = −0.138; R2 = 0.07) and mental (p < 0.001; β = −0.348; R2 = 0.22) HRQoL in the adjusted models. However, our results also highlight the differential association between sleep quality and mental and physical HRQoL. Whereas all the sleep quality components (except sleep latency; p = 0.349) were significantly associated with mental HRQoL (p < 0.05), just two subscales (subjective sleep quality; p = 0.021; β = −0.143 and sleep disturbances p = 0.002; β = −0.165) showed a significant association. This study showed that there is a stronger association between sleep quality and mental health than sleep quality and physical health in young adults.

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References 37 · Cited by 175

Research works printed but not linked: 25

  1. [4]Wang Y. Mei H. Jiang Y.R. Sun W.Q. Song Y.J. Liu S.J. Jiang F. Relationship between Duration of Sleep and Hypertension in Adults: A Meta-Analysis J. Clin. Sleep Med. 2015 11 1047 1056 10.5664/jcsm.5024 25902823 PMC4543249 · DOI
  2. [5]Karaman S. Karaman T. Dogru S. Onder Y. Citil R. Bulut Y.E. Tapar H. Sahin A. Arici S. Kaya Z. Prevalence of sleep disturbance in chronic pain Eur. Rev. Med. Pharmacol. Sci. 2014 18 2475 2481 25268092
  3. [6]Cappuccio F.P. Taggart F.M. Kandala N.B. Currie A. Peile E. Stranges S. Miller M.A. Meta-analysis of short sleep duration and obesity in children and adults Sleep 2008 31 619 626 10.1093/sleep/31.5.619 18517032 PMC2398753 · DOI · Paper page
  4. [7]Madrid-Valero J.J. Martínez-Selva J.M. Ordoñana J.R. Sleep quality and body mass index: A co-twin study J. Sleep Res. 2017 26 461 467 10.1111/jsr.12493 28101894 · DOI
  5. [9]Gregory A.M. O’Connor T.G. Sleep problems in childhood: A longitudinal study of developmental change and association with behavioral problems J. Am. Acad. Child Adolesc. Psychiatry 2002 41 964 971 10.1097/00004583-200208000-00015 12162632 · DOI
  6. [11]Gregory A.M. Agnew-Blais J.C. Matthews T. Moffitt T.E. Arseneault L. ADHD and Sleep Quality: Longitudinal Analyses From Childhood to Early Adulthood in a Twin Cohort J. Clin. Child Adolesc. Psychol. 2017 46 284 294 10.1080/15374416.2016.1183499 27485465 PMC5484392 · DOI
  7. [12]Brand S. Kirov R. Sleep and its importance in adolescence and in common adolescent somatic and psychiatric conditions Int. J. Gen. Med. 2011 4 425 442 10.2147/IJGM.S11557 21731894 PMC3119585 · DOI
  8. [13]Paus T. Keshavan M. Giedd J.N. Why do many psychiatric disorders emerge during adolescence? Nat. Rev. Neurosci. 2008 9 947 957 10.1038/nrn2513 19002191 PMC2762785 · DOI · Paper page
  9. [18]Kyle S.D. Henry A.L. Sleep is a modifiable determinant of health: Implications and opportunities for health psychology Br. J. Health Psychol. 2017 22 661 670 10.1111/bjhp.12251 28972306 · DOI
  10. [20]Lima D.V.G. Kluthcovsky A.C.G.C. Fernandes L.G.R. Okarenski G. Quality of sleep and use of computers and cell-phones among university students Rev. Assoc. Med. Bras (1992) 2019 65 1454 1458 10.1590/1806-9282.65.12.1454 31994625 · DOI
  11. [21]Randjelović P. Stojiljković N. Radulović N. Ilić I. Stojanović N. Ilić S. The association of smartphone usage with subjective sleep quality and daytime sleepiness among medical students Biol. Rhythm. Res. 2019 857 865 10.1080/09291016.2018.1499374 · DOI
  12. [22]Cheng S.H. Shih C.C. Lee I.H. Hou Y.W. Chen K.C. Chen K.T. Yang Y.K. Yang Y.C. A study on the sleep quality of incoming university students Psychiatr. Res. 2012 197 270 274 10.1016/j.psychres.2011.08.011 22342120 · DOI
  13. [23]Roeser K. Eichholz R. Schwerdtle B. Schlarb A.A. Kübler A. Relationship of sleep quality and health-related quality of life in adolescents according to self- and proxy ratings: A questionnaire survey Front. Psychiatr. 2012 3 76 10.3389/fpsyt.2012.00076 22969731 PMC3432511 · DOI
  14. [24]Chen X. Gelaye B. Williams M. Sleep characteristics and health-related quality of life among a national sample of American young adults: Assessment of possible health disparities Qual. Life Res. 2014 23 613 625 10.1007/s11136-013-0475-9 23860850 PMC4015621 · DOI · Paper page
  15. [25]Rezaei O. Mokhayeri Y. Haroni J. Rastani M.J. Sayadnasiri M. Ghisvand H. Noroozi M. Armoon B. Association between sleep quality and quality of life among students: A cross sectional study Int. J. Adolesc. Med. Health 2017 32 10.1515/ijamh-2017-0111 28915114 · DOI
  16. [26]Darchia N. Oniani N. Sakhelashvili I. Supatashvili M. Basishvili T. Eliozishvili M. Maisuradze L. Cervena K. Relationship between Sleep Disorders and Health Related Quality of LifeResults from the Georgia SOMNUS Study Int. J. Environ. Res. Public Health 2018 15 1588 10.3390/ijerph15081588 PMC6121956 30049991 · DOI
  17. [27]Magee C. Robinson L. Keane C. Sleep quality subtypes predict health-related quality of life in children Sleep Med. 2017 35 67 73 10.1016/j.sleep.2017.04.007 28619184 · DOI
  18. [29]Vilagut G. Valderas J. Ferrer M. Garin O. Lopez-Garcia E. Alonso J. Interpretation of SF-36 and SF-12 questionnaires in Spain: Physical and mental components Med. Clin. 2008 130 726 735 10.1157/13121076 18570798 · DOI
  19. [30]Godwin M. Streight S. Dyachuk E. van den Hooven E.C. Ploemacher J. Seguin R. Cuthbertson S. Testing the Simple Lifestyle Indicator Questionnaire: Initial psychometric study Can. Fam. Phys. 2008 54 76 77 PMC2293321 18208960
  20. [31]Thumann B.F. Börnhorst C. Michels N. Veidebaum T. Solea A. Reisch L. Moreno L.A. Lauria F. Kaprio J. Hunsberger M. Cross-sectional and longitudinal associations between psychosocial well-being and sleep in European children and adolescents J. Sleep Res. 2019 28 e12783 10.1111/jsr.12783 30609160 · DOI
  21. [32]Marques D.R. Meia-Via A.M.S. da Silva C.F. Gomes A.A. Associations between sleep quality and domains of quality of life in a non-clinical sample: Results from higher education students Sleep Health 2017 3 348 356 10.1016/j.sleh.2017.07.004 28923191 · DOI
  22. [33]Xiao Q. Chaput J.P. Olds T. Fogelholm M. Hu G. Lambert E.V. Maher C. Maia J. Onywera V. Sarmiento O.L. Sleep characteristics and health-related quality of life in 9- to 11-year-old children from 12 countries Sleep Health 2020 6 4 14 10.1016/j.sleh.2019.09.006 31699637 · DOI
  23. [35]Blake M.J. Trinder J.A. Allen N.B. Mechanisms underlying the association between insomnia, anxiety, and depression in adolescence: Implications for behavioral sleep interventions Clin. Psychol. Rev. 2018 63 25 40 10.1016/j.cpr.2018.05.006 29879564 · DOI
  24. [36]Casement M. Keenan K. Hipwell A. Guyer A. Forbes E. Neural Reward Processing Mediates the Relationship between Insomnia Symptoms and Depression in Adolescence Sleep 2016 39 439 447 10.5665/sleep.5460 26350468 PMC4712408 · DOI
  25. [37]Payakachat N. Gubbins P.O. Ragland D. Flowers S.K. Stowe C.D. Factors associated with health-related quality of life of student pharmacists Am. J. Pharm. Educ. 2014 78 7 10.5688/ajpe7817 24558275 PMC3930255 · DOI

Authors
Clement-Carbonell, V., Portilla-Tamarit, I., Rubio-Aparicio, M., & Madrid-Valero, J. J.
Affiliations
Department of Health Psychology, Faculty of Health Science, University of Alicante, Carretera de San Vicente del Raspeig s/n, 03690 Alicante, Spain
ORCID
Venue
International Journal of Environmental Research and Public Health
Publisher
MDPI AG
Published
2021-01-08
Volume
18
Issue
2
Pages
460
ISSN
1660-4601 (ISSN-L)
DOI
10.3390/ijerph18020460
PMC
PMC7826982
OpenAlex
W3120440973
Cited by
175
References
37
Citations by year
2026: 33 · 2025: 45 · 2024: 41 · 2023: 34 · 2022: 19 · 2021: 3
FWCI
23.41
Type
journal article
Language
en
Open access
Licence
Locations
  • International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, other-oa)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
  • LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • RUA, Repositorio Institucional de la Universidad de Alicante (Universidad de Alicante) (submittedVersion, other-oa)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
Keywords
sleep quality, health-related quality of life, mental health, physical health, young adults, sleep disorders, subjective sleep quality, sleep latency, Pittsburgh Sleep Quality Index
MeSH terms
Cross-Sectional Studies, Humans, Mental Health, Quality of Life, Regression Analysis, Sleep, Sleep Wake Disorders, Young Adult

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