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Does loneliness mediate the stress-sleep quality relation? The Hordaland Health Study

Published online by Cambridge University Press:  22 February 2011

Mette M. Aanes ,
Jørn Hetland ,
Ståle Pallesen  and
Maurice B. Mittelmark
Mette M. Aanes*
Affiliation:
Faculty of Psychology, University of Bergen, Bergen, Norway
Jørn Hetland
Affiliation:
Faculty of Psychology, University of Bergen, Bergen, Norway
Ståle Pallesen
Affiliation:
Faculty of Psychology, University of Bergen, Bergen, Norway Norwegian Competence Center for Sleep Disorders, Haukeland University Hospital, Bergen, Norway
Maurice B. Mittelmark
Affiliation:
Faculty of Psychology, University of Bergen, Bergen, Norway
*
Correspondence should be addressed to: Mette M. Aanes, Research Centre for Health Promotion, Faculty of Psychology, Christiesgt. 13, Bergen 5015, Norway. Phone: +47 55 58 32 40; Fax: +47 55 58 99 69. Email: [email protected].
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Abstract

Background: Sleep problems are common in the general population. A strong association between stress due to inadequate social relationships or loneliness and sleep problems has been found. This paper aims to investigate stress in close social relationships in relation to disrupted sleep patterns in middle-aged and older adults. In addition, in exploring the underlying processes involved in poor social interactions, loneliness is assumed to be a mediator in the stress-sleep quality relation.

Methods: Data from a community sample of 7074 Norwegian middle-aged and older adults in the Hordaland Health Study (HUSK) were used to examine the mediating role of loneliness.

Results: A significant association between interpersonal stress and both nocturnal sleep problems and daytime sleepiness was found in both age groups. This relation was mediated by loneliness (indirect path) as well as effected by a direct path (RMSEA = 0.051; CFI = 0.93). The size of the indirect effect varied with age. Nocturnal sleep problems were fully mediated by loneliness in the older group, while 74% of the total effect was mediated through loneliness in the middle-aged group. For daytime sleepiness, a partial mediation of 36% and 40% was observed for the two groups respectively.

Conclusions: The mediation effects found in this study indicate that the wider social aspects of an individual's life should be taken into account when planning interventions for improving sleep quality in the elderly.

Keywords

interpersonal stresslonelinessnocturnal sleep problemspoor sleep qualitydaytime sleepiness
Type
Research Article
Information
International Psychogeriatrics , Volume 23 , Issue 6 , August 2011 , pp. 994 - 1002
Copyright
Copyright © International Psychogeriatric Association 2011

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References

Aanes, M. M., Mittelmark, M. B. and Hetland, J. (2010). Interpersonal stress and poor health: the mediating role of loneliness. Journal of European Psychologist, 15, 3–11.CrossRefGoogle Scholar
Åkerstedt, T. (2006). Psychological stress and impaired sleep. Scandinavian Journal of Work and Environmental Health, 32, 493–501.CrossRefGoogle ScholarPubMed
Åkerstedt, T., Fredlund, P., Gillberg, M. and Jansson, B. (2002). Work load and work hours in relation to disturbed sleep and fatigue in large representative sample. Journal of Psychosomatic Research, 53, 585–588.CrossRefGoogle ScholarPubMed
Åkerstedt, T., Kecklund, G. and Axelsson, J. (2007). Impaired sleep after bedtime stress and worries. Biological Psychology, 76, 170–173.CrossRefGoogle ScholarPubMed
Altena, E., Van Der Werf, Y. D., Strijers, R. L. M. and van Someren, E. J. W. (2008). Sleep loss affects vigilance: effects of chronic insomnia and sleep therapy. Journal of Sleep Research, 17, 335–343.CrossRefGoogle ScholarPubMed
Baumeister, R. F. and Leary, M. R. (1995). The need to belong: desire for interpersonal attachment as a fundamental human-motivation. Psychological Bulletin, 117, 497–529.CrossRefGoogle ScholarPubMed
Bentler, P. M. (1992). EQS Structural Equations Program Manual. Los Angeles, CA: BMDP Statistical Software.Google Scholar
Blunch, N. J. (2008). Introduction to Structural Equation Modeling: Using SPSS and Amos. California: SAGE Publications Inc.Google Scholar
Borkovec, T. D., Robinson, E., Pruzinsky, T. and Dupree, J. A. (1983). Preliminary exploration of worry: some characteristics and processes. Behaviour Research and Therapy, 23, 481–482.CrossRefGoogle Scholar
Brown, M. W. and Cudeck, R. (1993). Alternative ways of assessing model fit. In Bollen, K. A. and Long, J. S. (eds.), Testing Structural Equation Models(pp. 445–455). Newbury Park, CA: Sage.Google Scholar
Cacioppo, J. T. and Hawkley, L. C. (2003). Social isolation and health, with emphasis on underlying mechanisms. Perspectives in Biology and Medicine, 46, 539–552.CrossRefGoogle ScholarPubMed
Cacioppo, J. T. and Patrick, W. (2009). Loneliness: Human Nature and the Need for Social Connection. New York: W. W. Norton & Company.Google Scholar
Cacioppo, J. T. et al. (2002). Do lonely days invade the nights? Potential social modulation of sleep efficacy. Psychological Science, 30, 384–387.CrossRefGoogle Scholar
Cacioppo, J. T., Fowler, J. H. and Christakis, N. A. (2009). Alone in the crowd: the structure and spread of loneliness in a large social network. Journal of Personality and Social Psychology, 97, 977–991. doi: 10.1037/90016076.CrossRefGoogle Scholar
Carstensen, L.L., Pasupahti, M., Mayr, U. and Nesselroade, J. (2000). Emotional experiences in everyday life across the life span. Journal of Personality and Social Psychology, 79, 644–655.CrossRefGoogle Scholar
Edinger, J. D., Means, M. K., Carney, C. E. and Krystal, A. D. (2008). Psychomotor performance deficits and their relation to prior nights’ sleep among individuals with primary insomnia. Sleep, 31, 599–607.CrossRefGoogle ScholarPubMed
Flanders, J. P. (1982). A general systems approach to loneliness. In Peplau, L. A. and Perlman, D. (eds.). Loneliness: A Sourcebook of Current Theory, Research and Therapy. (pp. 166–182). New York: John Wiley and Sons.Google Scholar
Fung, H. H., Carstensen, L. L. and Lang, F. R. (2001). Age-related patterns in social networks among European Americans and African Americans: implications for soci emotional selectivity across the life span. International Journal of Aging and Human Development, 52, 185–206.CrossRefGoogle Scholar
Goldman, S. E. et al. (2007). Poor sleep is associated with poorer physical performance and greater functional limitations in older women. Sleep, 30, 1317–1324.CrossRefGoogle ScholarPubMed
Hall, M. et al. (2000). Symptoms of stress and depression as correlates of sleep in primary insomnia. Psychosomatic Medicine, 62, 227–230.CrossRefGoogle ScholarPubMed
Harvey, A. G., Tang, N. K. and Browning, L. (2005). Cognitive approaches to insomnia. Clinical Psychology Review, 25, 593–611.CrossRefGoogle ScholarPubMed
Hawkley, L. C. and Cacioppo, J. T. (2007). Aging and loneliness: downhill quickly? Current Directions in Psychological Science, 16, 187–191.CrossRefGoogle Scholar
Hawkley, L. C., Preacher, J. K. and Cacioppo, J. T. (2010). Loneliness impairs daytime functioning but not sleep duration. Health Psychology, 29, 124–129.CrossRefGoogle Scholar
Kelly, E. W. (2003). Worry content associated with decreased sleep-length among college students: sleep deprivation leads to increased worrying. College Student Journal, 37, 93–95.Google Scholar
Kraft, P. and Loeb, M. (1997). Sogn og Fjordane prosjektet. Oslo: National Institute of Public Health.Google Scholar
Mellor, D., Stokes, M., Firth, L., Hayashi, Y. and Cummins, R. (2008). Need for belonging, relationship satisfaction, loneliness, and life satisfaction. Personality and Individual Differences, 45, 213–218.CrossRefGoogle Scholar
Mittelmark, M. B, Aaro, L. E., Henriksen, S. G., Siqveland, J. and Torsheim, T. (2004). Chronic interpersonal stress in the community and associations with psychological distress: a social psychology perspective. International Journal of Mental Health Promotion, 6, 4–16.CrossRefGoogle Scholar
Newsom, J. T., Mahan, T. L., Rook, K. S. and Krause, N. (2008). Stable negative social exchanges and health. Health Psychology, 27, 78–86.CrossRefGoogle ScholarPubMed
Pennebaker, J. W. (1982). The Psychology of Symptoms. New York: Springer.CrossRefGoogle Scholar
Rook, K. S. (2000). The evolution of social relationships in later adulthood. In Qualls, S. and Abeles, N. (eds.), Psychology and the Aging Revolution (pp. 173–191). Washington, DC: American Psychological Association.Google Scholar
Roth, P. L. (1994). Missing data: a conceptual review for applied psychologists. Personnel Psychology, 47, 537–561.CrossRefGoogle Scholar
Ryff, C. D., Singer, B. H. and Dienberg Lover, G. (2004). Positive health: connecting well-being with biology. Philosophical Transactions of the Royal Society of London, 359, 1383–1394.CrossRefGoogle ScholarPubMed
Sorkin, D. H. and Rook, K. S. (2006). Dealing with negative social exchanges in later life: Coping responses, goals, and effectiveness. Psychology and Aging, 21, 715–725.CrossRefGoogle ScholarPubMed
Tang, N. K. Y. and Harvey, A. G. (2004). Effects of cognitive arousal and physiological arousal on sleep perception, Sleep, 27, 69–78.CrossRefGoogle ScholarPubMed