Sleep in a large, multi-university sample of college students: sleep problem prevalence, sex differences, and mental health correlates

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dc.contributor.authorBecker, Stephen P.
dc.contributor.authorJarrett, Matthew A.
dc.contributor.authorLuebbe, Aaron M.
dc.contributor.authorGarner, Annie A.
dc.contributor.authorBurns, G. Leonard
dc.contributor.authorKofler, Michael J.
dc.contributor.otherCincinnati Children's Hospital Medical Center
dc.contributor.otherUniversity of Cincinnati
dc.contributor.otherUniversity of Alabama Tuscaloosa
dc.contributor.otherMiami University
dc.contributor.otherSaint Louis University
dc.contributor.otherWashington State University
dc.contributor.otherFlorida State University
dc.date.accessioned2023-09-28T22:03:55Z
dc.date.available2023-09-28T22:03:55Z
dc.date.issued2018
dc.description.abstractObjectives: To (1) describe sleep problems in a large, multi-university sample of college students; (2) evaluate sex differences; and (3) examine the unique associations of mental health symptoms (i.e., anxiety, depression, attention-deficit/hyperactivity disorder inattention [ADHD-IN], ADHD hyperactivity-impulsivity [ADHD-HI]) in relation to sleep problems. Methods: 7,626 students (70% female; 81% White) ages 18-29 years (M = 19.14, SD = 1.42) from six universities completed measures assessing mental health symptoms and the Pittsburgh Sleep Quality Index (PSQI). Results: A substantial minority of students endorsed sleep problems across specific sleep components. Specifically, 27% described their sleep quality as poor, 36% reported obtaining less than 7 hours of sleep per night, and 43% reported that it takes >30 minutes to fall asleep at least once per week. 62% of participants met cut-off criteria for poor sleep, though rates differed between females (64%) and males (57%). In structural regression models, both anxiety and depression symptoms were uniquely associated with disruptions in most PSQI sleep component domains. However, anxiety (but not depression) symptoms were uniquely associated with more sleep disturbances and sleep medication use, whereas depression (but not anxiety) symptoms were uniquely associated with increased daytime dysfunction. ADHD-IN symptoms were uniquely associatedwith poorer sleep quality and increased daytime dysfunction, whereas ADHD-HI symptoms were uniquely associated with more sleep disturbances and less daytime dysfunction. Lastly, ADHD-IN, anxiety, and depression symptoms were each independently associated with poor sleep status. Conclusions: This study documents a high prevalence of poor sleep among college students, some sex differences, and distinct patterns of mental health symptoms in relation to sleep problems. (c) 2018 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.en_US
dc.format.mediumelectronic
dc.format.mimetypeapplication/pdf
dc.identifier.citationBecker, S. P., Jarrett, M. A., Luebbe, A. M., Garner, A. A., Burns, G. L., & Kofler, M. J. (2018). Sleep in a large, multi-university sample of college students: sleep problem prevalence, sex differences, and mental health correlates. In Sleep Health (Vol. 4, Issue 2, pp. 174–181). Elsevier BV. https://doi.org/10.1016/j.sleh.2018.01.001
dc.identifier.doi10.1016/j.sleh.2018.01.001
dc.identifier.orcidhttps://orcid.org/0000-0001-9046-5183
dc.identifier.orcidhttps://orcid.org/0000-0002-8604-3647
dc.identifier.orcidhttps://orcid.org/0000-0003-4984-9411
dc.identifier.orcidhttps://orcid.org/0000-0001-7267-7836
dc.identifier.urihttps://ir.ua.edu/handle/123456789/12236
dc.languageEnglish
dc.language.isoen_US
dc.publisherElsevier
dc.subjectADHD
dc.subjectAnxiety
dc.subjectDepression
dc.subjectDaytime sleepiness
dc.subjectPSQI
dc.subjectSex differences
dc.subjectUniversity students
dc.subjectATTENTION-DEFICIT/HYPERACTIVITY DISORDER
dc.subjectCOGNITIVE-BEHAVIORAL THERAPY
dc.subjectANXIETY STRESS SCALES
dc.subjectPSYCHOMETRIC EVALUATION
dc.subjectQUALITY
dc.subjectDEPRESSION
dc.subjectUNIVERSITY
dc.subjectCONSEQUENCES
dc.subjectQUANTITY
dc.subjectSYMPTOMS
dc.subjectClinical Neurology
dc.titleSleep in a large, multi-university sample of college students: sleep problem prevalence, sex differences, and mental health correlatesen_US
dc.typeArticle
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