Sleep Quality and Body Mass Index in College Students: The Role of Sleep Disturbances

Abstract

Objective: Obesity and its comorbidities have emerged as a leading public health concern. The aim of this study was to explore the relationship between body mass index (BMI) and sleep patterns, including duration and disturbances. Methods: A convenience sample of 515 college students completed an online survey consisting of the Pittsburgh Sleep Quality Index (PSQI), and self-reported height and weight to calculate BMI. Univariate and multivariate logistic regression analyses were performed using components of the PSQI as predictors of overweight (BMI ≥ 25). Results: One-third of the participants had BMI ≥ 25, and 51% were poor-quality sleepers (PSQI > 5). Controlling for age and sex, only sleep disturbances were associated with overweight (odds ratio = 1.66, 95% confidence interval [1.08, 2.57]). Conclusions: Sleep disturbances, rather than sleep duration, predicted overweight among young adults; this is consistent with the most recent evidence in the literature. These findings support expanding the scope of wellness programs to promote healthy sleep among students.     

Development and Evaluation of the Sleep Treatment and Education Program for Students (STEPS)

University students report significantly worse sleep quality than the general population. Sleep problems are related to increased health concerns, irritability, depression, fatigue, and attention and concentration difficulties, along with poor academic performance. Clinical research indicates that psychoeducational interventions are among the most effective methods for improving sleep quality in the general population. Similar studies for university students are lacking. In this study, the authors describe the development of the Sleep Treatment and Education Program for Students (STEPS) and evaluate its effectiveness with a double blind, experimental design. Students in the treatment group reported significantly improved sleep quality and sleep hygiene behaviors at 6 weeks posttreatment.     

Sleep and Behavioral Correlates of Napping Among Young Adults: A Survey of First-Year University Students in Madrid,Spain

Objective: Between November 2002 and March 2003, the authors assessed the prevalence and correlates of napping among Spanish university students. Participants: The sample comprised 1,276 first-year university students; the mean age was 18.74 ± 1.24 years, and 35.45% were men. Methods: The study was cross-sectional, and the students completed self-report, anonymous questionnaires provided during an in-class survey. Results: Almost half (44%) of the sample reported napping (90% did so after lunch for longer than 1 hour). Multiple logistic regression analysis showed that experiencing an irregular sleep-wakefulness pattern, having a morning school schedule, and being male were significant predictor variables of napping. Further significant outcome variables related to napping were having excessive daytime sleepiness, missing classes because of tiredness, better ability to concentrate later in the afternoon, and a perception of deeper nighttime sleep. Conclusions: Habitual napping is common among Spanish university students and associated with an irregular sleep-wakefulness pattern. Taking long postlunch naps seems to be used by students to cope with insufficient sleep and daytime sleepiness.     

Quality Assessment Study of Brief Psychotherapy at a University HMO Setting

Abstract

This paper describes the results of a short-term psychotherapy (four to fifteen sessions) quality assessment study conducted at the University of Massachusetts Mental Health Service. The outcome measures devised and the process of their administration are described. The positive outcome results of this study are encouraging and supportive of the impression that high quality brief psychotherapy can be provided at university counseling services. Student and health maintenance organization (HMO) member consumer evaluation opinions were positive and their utilization of services was found to be psychologically sophisticated and appropriate. A frequency table lists the most common presenting problems of this population. Practical modifications are suggested for future quality assessment research of brief psychotherapy.     

Interdisciplinary Considerations in the Psychotherapy of Psychosomatic Patients

Abstract

Patients with psychosomatic conditions, who comprise a significant proportion of students seeking health care, demonstrate clearly the need for effective functioning of the health care team. These patients usually present themselves with problems of physical illness for practical, social, and psychodynamic reasons. Socially they seek to avoid the stigma attached to acknowledging psychological problems. Psychodynamically, such patients have transformed psychological problems into physical illness and need help in reversing this transformation. Attending only the physical illness or dismissing the patient because “it's all in your head” are inappropriate responses deeply embedded in popular culture. Case illustrations are used to show the need for careful diagnosis from physical and psychological standpoints, for skillful referral and interdisciplinary collaboration, and to show how psychotherapy can reverse the psychosomatic process and the underlying psychological determinants. The illustrations include cases of headache, asthma, ulcers, and disturbances of sleep and appetite. Both specific psychotherapeutic technique and overall theory are discussed.     

贫困生就业困境及途径的探析

高校毕业生面临着越来越严峻的就业压力,而对于贫困大学生这一特殊群体更是一种不容乐观的形势,如何解决这一群体的就业问题关系重大。家庭经济困难和自身的因素是导致他们就业压力的重要因素,解决贫困生就业困难,需懂得改变贫困的方法,坚持锻炼并保持身体和心理的不贫困。     

Informed Consent: Provider Responsibilities in Psychotherapy

Abstract

When a psychotherapist and patient meet for the first time, there may be a multiplicity of assumptions on both sides about expectations and goals. This paper describes that crucial relationship and the work that must take place in order that a patient gives a relatively informed consent about the therapeutic process. Due to the many variables and unknowns, there is no such thing as an absolute informed consent in psychotherapy. A relatively informed patient, however, is one who is better prepared to enter into a therapeutic alliance. These important concepts are illustrated with case examples.     

Daytime Sleepiness,Poor Sleep Quality,Eveningness Chronotype,and Common Mental Disorders Among Chilean College Students

Abstract

Objectives: To evaluate whether daytime sleepiness, poor sleep quality, and morningness and eveningness preferences are associated with common mental disorders (CMDs) among college students. Methods: A total of 963 college students completed self-administered questionnaires that collected information about sociodemographic characteristics, sleep quality characteristics, CMDs, and other lifestyle behaviors. Results: The prevalence of CMDs was 24.3% (95% confidence interval [CI] [21.5%, 27.1%]) among all students. Prevalence estimates of both excessive daytime sleepiness and poor sleep quality were higher among females (35.4% and 54.4%) than males (22.0% and 45.8%). Cigarette smoking was statistically significantly and positively associated with having CMDs (p = .034). Excessive daytime sleepiness (odds ratio [OR] = 3.65; 95% CI [2.56, 4.91]) and poor sleep quality (OR = 4.76; 95% CI [3.11, 7.29]) were associated with increased odds of CMDs. Conclusion: Given the adverse health consequences associated with both sleep disorders and CMDs, improving sleep hygiene among college students is imperative to public health.     

A Study on the Sleep Patterns and Problems of University Business Students in Hong Kong

Abstract

Objective: To investigate sleep patterns and problems of university business students. Participants: Undergraduate Chinese business students in Hong Kong. Methods: Self-reported questionnaires were completed during class lectures and through online system. Results: Of the 620 participating students (mean age 19.9 years), sleep duration was significantly shorter during weekdays (6.9 hours) than weekends (8.6 hours). Two thirds of students reported sleep deprivation. The following factors were associated with being a “poor sleeper” (Pittsburgh Sleep Quality Index > 5): attending early morning lectures (odds ratio [OR] = 1.90), living on-campus (OR = 1.89), Sleep Sufficiency Index less than 0.8 (OR = 2.55), sleep debt (differences of total time-in-bed between weekday and weekend ≥ 75 minutes) (OR = 1.58), and minor psychiatric disturbances (OR = 2.82). Conclusions: Poor sleep quality and sleep deprivation were prevalent in university business students in Hong Kong, especially for those attending early morning lectures and living on-campus. Systemic education on the importance of sleep and stress and time management is needed for university students.     

Sleep Patterns of College Students at a Public University

Objective: The authors' purpose in this study was to determine the sleep patterns of college students to identify problem areas and potential solutions. Participants: A total of 313 students returned completed surveys. Methods: A sleep survey was e-mailed to a random sample of students at a North Central university. Questions included individual sleep patterns, problems, and possible influencing factors. Results: Most students reported later bedtimes and rise times on weekends than they did on weekdays. More than 33% of the students took longer than 30 minutes to fall asleep, and 43% woke more than once nightly. More than 33% reported being tired during the day. The authors found no differences between freshmen, sophomores, juniors, seniors, and graduate students for time to fall asleep, number of night wakings, or total time slept each night. Conclusions: Many students have sleep problems that may interfere with daily performance, such as driving and academics. Circadian rhythm management, sleep hygiene, and white noise could ameliorate sleep difficulties.     

Erectile dysfunction is a marker for obstructive sleep apnea

Purpose: To investigate the prevalence of erectile dysfunction (ED) in patients with obstructive sleep apnea (OSA) with and without any other comorbidities.

Methods: The patient group was newly diagnosed as having OSA (apnea–hypopnea index [AHI]?>?5/h) using a polysomnographic examination. A group of subjects with simple snoring were included into the control group. Clinically relevant comorbidities were systematically assessed in face-to-face interviews. All patients were asked to complete the 15-item International Index of Erectile Function (IIEF-15) questionnaire for the evaluation of ED. The patients with OSA and ED were evaluated according to these comorbidities.

Results: Of the 94 patients, 39 patients were excluded because of severe diseases. OSA was observed in 38 (69.1%) of the 55 patients. ED was seen in 24 (63.2%) patients with OSA, and in 8 (47.1%) patients without OSA (p?>?0.05). There were no statistical differences between the groups’ ages, IIEF scores, and body mass index (BMI) scores. There were statistically significant differences between the groups’ AHI scores (p?p?Conclusion: The rate of ED was higher in patients with OSA who had no other comorbidities. Therefore, ED can be a sensitive marker of OSA.     

Gender discrimination and career decision-making difficulties among female Chinese college students: The buffering role of coping styles

The current study examined the relationship between gender discrimination and a form of career decision-making difficulties: emotional and personality-related career decision-making difficulties among female Chinese college students. It further examined the buffering effect of coping styles on the above relationship. A series of hierarchical regression analyses were conducted on a sample of 1427 female Chinese college students from 19 universities located in different regions in China. Results indicated that only suppressive style of coping served as a buffer on the relationship between gender discrimination and career decision-making difficulties. Also, gender discrimination, reflective style of coping, and reactive style of coping were positively associated with career decision-making difficulties. These results supported the need to develop career interventions focusing on discussion of gender discrimination, its impact on one's career decisions, as well as teaching distraction coping strategies in reducing the negative impact of gender discrimination on career decision-making difficulties among female Chinese college students.     

Career decision-making difficulties among career-decided college students

The procedures developed by Gati and colleagues to interpret scores in the Career Decision Difficulties Questionnaire were implemented to examine difficulties’ profiles among self-identified decided college students who reported being either comfortable or uncomfortable with their career choice. Of the 583 participants, 92.5% were career decided and 7.5% were undecided. Close to half (47.2%) of the career-decided students self-identified as uncomfortable with their career choice and reported similar career decision-making difficulties as their undecided peers. The most salient difficulties among decided uncomfortable students were general indecisiveness and lack of knowledge regarding occupations and the decision-making process. Greater difficulties related to lack of knowledge about oneself, and internal conflicts predicted membership in the decided uncomfortable group versus the decided comfortable group. Results indicated that career-decided students are not a homogenous group. Implications of the findings for career counseling with decided uncomfortable college students are discussed.     

Mindfulness and health behaviors in college students: The moderating role of sleep

Abstract

Objective: To examine the moderating effects of subjective sleep quality (SSQ) and sleep duration on the relationships between mindfulness and health behaviors (i.e. nutrition and exercise) among undergraduate students. The unique influence of the five facets (i.e. factors) of mindfulness (i.e. observing, describing, acting with awareness, nonreactivity to inner experience and nonjudging of inner experience) on students’ health behaviors was also explored. Participants: Three hundred fifty seven undergraduate students enrolled in U.S. colleges. Methods: Students completed an online survey. Hierarchical multiple regression analyses were conducted to determine whether SSQ moderated the relationship between mindfulness and nutrition behavior. Results: SSQ moderated the relationship between mindfulness and nutrition behavior. The observe facet of mindfulness was the most predictive of nutrition behavior, whereas the observe and describe facets were the most predictive of exercise behavior. Conclusions: Interventions that target mindfulness and sleep quality may help promote healthy eating and increased exercise engagement in college students.     

The relationship between sleep and autonomic health

Abstract

Objective: To examine the relationship between sleep and resting autonomic nervous system (ANS) functioning in college students. Participants: Participants were 141 undergraduate students (52 males) recruited from a large southeastern university during September–October 2017. Methods: Participants completed self-report inventories (demographic and sleep characteristics). Resting state skin conductance (SC) and heart rate variability (HRV) were measured in a laboratory setting for ANS functioning. Results: SC was positively associated with sleep quality (p?=?0.027), sleep latency (p?=?0.040), and use of sleep medication (p?<?0.001). Analyses yielded a negative association between the standard deviation of the normal-normal interval of heart beats (SDNN) and the self-reported amount of time to fall asleep each night (p?=?0.041). Sleep efficiency was negatively correlated with low frequency HRV (p?=?0.002). Conclusions: Sleep components are associated with resting ANS activity, and targeted interventions focused on improved ANS functioning may benefit sleep quality in college students.     

Youth Program Quality Survey: Youth Assessment of Program Quality

The Youth Program Quality survey, a 24-item survey of youth participant perceptions of program quality, based on program elements identified by the National Research Council (NRC) and Institute of Medicine, was developed and piloted with 614 younger teens (ages 10–13 years) and 486 older teens (ages 14–17 years) who attended 4-H camps and conferences. Evidence is presented for content and construct validity. In addition, the overall instrument demonstrated high reliability, as measured by Cronbach's alpha, generally ranging from .70 to .96, and moderate subscale reliability of .60 or higher on four factors in the younger sample (α=.60 or higher on four factors in the older sample). Results are discussed in terms of goodness of fit to the National Research Council model, the significance of youth voice in assessment of program quality, developmental differences in perceptions of quality, and programming design. Recommendations are offered for practice, research, and policy.     

Impact of Dietary Acculturation on the Food Habits,Weight, Blood Pressure,and Fasting Blood Glucose Levels of International College Students

Abstract

Objective: This study was conducted to determine the impact of dietary acculturation on the health status of newly arrived international students at Virginia Tech in Fall 2010. Participants: Thirty-five international students, 18–36 years of age, completed the study. Methods: Data were collected at 3 different time periods (V1, V2, and V3) approximately 6 weeks apart. A food frequency– and dietary pattern–related questionnaire was administered and numerically coded responses were analyzed. Twenty-four-hour dietary recall data were also collected at V1, V2, and V3. Body weight, fasting blood glucose level, and blood pressure of study participants were also determined at each time period. Results: Total sample population (TSP) had a significant increase in mean weight of 2.79 lb from visit 1 (V1) to visit 3 (V3) (p = .0082). Ten participants gained an average of 9.0 lb (participants who gained weight; n = 10). There was also an increase in the frequency of consumption of high-calorie American food items from V1 to V3. However, there were no significant changes in mean systolic blood pressure and mean fasting blood glucose was significantly lower at V3 than at V1. Conclusions: There was a gradual shift in the dietary patterns of international students towards the American diet. Dietary acculturation led to weight gain among some of the students, which may potentially have a negative impact on their health status if continued for longer time periods.     

Effects of a Career Course on Chinese High School Students' Career Decision-Making Readiness

Career decision-making is a critical task for high school students, yet little is known about how career interventions affect their decision-making skills and self-efficacy. We investigated the outcome of a career intervention in a Chinese high school setting to determine whether it would reduce the difficulties students faced in making a career decision and elevate their self-efficacy in career exploration. A career intervention course was delivered to 413 high school students (228 female, 185 male) who completed a demographic questionnaire, the Major Decision-Making Self-Efficacy Scale (Peng & Long, 2003), and the Career Decision-Making Difficulties Questionnaire–Chinese Version (Shen, 2005) before and after the intervention. Results indicated that the intervention had a positive impact on reducing students' difficulties making career decisions but had mixed results on career self-efficacy. Proactive, systematic, multilevel, and structured interventions over longer periods of time would likely help youth develop their career decision-making skills.     

Lesbians in Psychotherapy

SUMMARY

Using self-report measures, this study explored the relationship of attachment style and internalized shame among 100 self-identified lesbians. The participants were in the highest stage of lesbian identity integration (Cass's model, stage 6, synthesis) and were in ongoing interpersonal psychotherapy. Compared to earlier research on a non-clinical national sample of 317 self-identified lesbians, this sample of mid-life lesbians (predominantly European-American and college educated) reported higher levels of secure attachment and lower (non-clinical) levels of internalized shame. Collectively, scores of the four attachment styles predicted 43% of the variability in internalized shame. Secure attachment significantly predicted reduced shame. This article includes a discussion of theoretical and practical implications of the findings.