Sleep hygiene awareness: its relation to sleep quality and diurnal preference

Journal of Molecular Psychiatry

Aurora Szentagotai-Tatar¹  Bogdan Ioan Voinescu¹ 

[1] Department of Clinical Psychology and Psychotherapy, Laboratory for the Research of Sleep Disorders and Circadian Psychobiology, The International Institute for the Advanced Studies of Psychotherapy and Applied Mental Health, Babeș-Bolyai University, Cluj-Napoca, Romania

关键词: Internet survey;    Diurnal preference;    Sleep quality;    Sleep hygiene;   

Others  :  1133178
DOI  :  10.1186/s40303-015-0008-2

 received in 2014-11-10, accepted in 2015-01-20,  发布年份 2015

【 摘 要 】

Background

Sleep hygiene is a core component for psychological treatments of insomnia and essential for maintaining a satisfactory sleep. Our study aimed to measure the sleep hygiene awareness and the self-reported quality of sleep among three age groups (young adults, adults and middle-aged adults) and to determine their relation. We also measured their relation with diurnal preference.

Methods

Using an online questionnaire, we surveyed six hundred fifty two participants, recruited nationwide from the community and from the students in three main cities in Romania.

Results

Sleep hygiene awareness was moderate on the whole and significantly worse in young adults (compared to the other age groups) and in those complaining of poor sleep (compared to those with good sleep). Sleep quality was average and linked positively with diurnal preference (the more evening oriented, the poorer the sleep). Diurnal preference was not found to play a role regarding sleep hygiene awareness.

Conclusions

Our results suggest that better sleep hygiene awareness does not necessarily guarantee better sleep quality and that it may actually be an indicator of dissatisfaction with the obtained sleep.

【 授权许可】

   
2015 Voinescu and Szentagotai; licensee BioMed Central.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]American Academy of Sleep Medicine: International Classification of Sleep Disorders: Diagnostic and Coding Manual. 2nd edition. American Academy of Sleep Medicine, Westchester, IL, USA; 2005.
• [2]Perlis M, Aloia M, Kuhn B: Behavioral Treatments for Sleep Disorders. A Comprehensive Primer of Behavioral Sleep Medicine Interventions. Academic Press, London, UK; 2011.
• [3]Edinger J, Carne C: Overcoming Insomnia: Therapist Guide: A Cognitive-Behavioral Therapy Approach. Treatments That Work. Oxford University Press, New York, USA; 2008.
• [4]Espie C: Overcoming Insomnia and Sleep Problems: A Self-Help Guide Using Cognitive Behavioral Techniques. Robinson Publishing, London; 2006.
• [5]Morin CM, Bootzin RR, Buysse DJ, Edinger JD, Espie CA, Lichstein KL: Psychological and behavioral treatment of insomnia:update of the recent evidence (1998–2004). Sleep 2006, 29(11):1398-414.
• [6]Perlis M, Jungquist C, Smith MT, Posner D: Cognitive Behavioral Treatment of Insomnia: A Session-by-Session Guide. Springer Science, New York; 2005.
• [7]Cheek RE, Shaver JL, Lentz MJ: Variations in sleep hygiene practices of women with and without insomnia. Res Nurs Health 2004, 27(4):225-36. doi:10.1002/nur.20025
• [8]Gellis LA, Lichstein KL: Sleep hygiene practices of good and poor sleepers in the United States: an internet-based study. Behav Ther 2009, 40(1):1-9. doi:10.1016/j.beth.2008.02.001
• [9]Harvey AG: Sleep hygiene and sleep-onset insomnia. J Nerv Ment Dis 2000, 188(1):53-5.
• [10]Stepanski EJ, Wyatt JK: Use of sleep hygiene in the treatment of insomnia. Sleep Med Rev 2003, 7(3):215-25.
• [11]McCrae CS, Rowe MA, Dautovich ND, Lichstein KL, Durrence HH, Riedel BW, et al.: Sleep hygiene practices in two community dwelling samples of older adults. Sleep 2006, 29(12):1551-60.
• [12]Brown FC, Buboltz WC Jr, Soper B: Relationship of sleep hygiene awareness, sleep hygiene practices, and sleep quality in university students. Behav Med 2002, 28(1):33-8. doi:10.1080/08964280209596396
• [13]LeBourgeois MK, Giannotti F, Cortesi F, Wolfson AR, Harsh J: The relationship between reported sleep quality and sleep hygiene in Italian and American adolescents. Pediatrics 2005, 115(1 Suppl):257-65. doi:10.1542/peds. 2004-0815H
• [14]Digdon NL: Circadian preference and college students’ beliefs about sleep education. Chronobiol Int 2010, 27(2):297-317. doi:10.3109/07420520903502895
• [15]Suen LK, Hon KL, Tam WW: Association between sleep behavior and sleep-related factors among university students in Hong Kong. Chronobiol Int 2008, 25(5):760-75. doi:10.1080/07420520802397186
• [16]Hicks RA, Fernandez C, Pellegrini RJ: The changing sleep habits of university students: an update. Percept Mot Skills 2001, 93(3):648. doi:10.2466/pms.2001.93.3.648
• [17]Pallos H, Gergely V, Yamada N, Miyazaki S, Okawa M: The quality of sleep and factors associated with poor sleep in Japanese graduate students. Sleep Biol Rhythms 2007, 5(4):234-8. doi:10.1111/j.1479-8425.2007.00316.x
• [18]Taylor DJ, Gardner CE, Bramoweth AD, Williams JM, Roane BM, Grieser EA, et al.: Insomnia and mental health in college students. Behav Sleep Med 2011, 9(2):107-16. doi:10.1080/15402002.2011.557992
• [19]Voinescu BI, Szentagotai A, David D: Sleep disturbance, circadian preference and symptoms of adult attention deficit hyperactivity disorder (ADHD). J Neural Transm 2012, 119(10):1195-204.
• [20]Lund HG, Reider BD, Whiting AB, Prichard JR: Sleep patterns and predictors of disturbed sleep in a large population of college students. J Adolesc Health 2010, 46(2):124-32. doi:10.1016/j.jadohealth.2009.06.016
• [21]Eller T, Aluoja A, Vasar V, Veldi M: Symptoms of anxiety and depression in Estonian medical students with sleep problems. Depress Anxiety 2006, 23(4):250-6. doi:10.1002/da.20166
• [22]Pilcher JJ, Ginter DR, Sadowsky B: Sleep quality versus sleep quantity: relationships between sleep and measures of health, well-being and sleepiness in college students. J Psychosom Res 1997, 42(6):583-96.
• [23]Curcio G, Ferrara M, De Gennaro L: Sleep loss, learning capacity and academic performance. Sleep Med Rev 2006, 10(5):323-37. doi:10.1016/j.smrv.2005.11.001
• [24]Edwards BA, O’Driscoll DM, Ali A, Jordan AS, Trinder J, Malhotra A: Aging and sleep: physiology and pathophysiology. Semin Respir Crit Care Med 2010, 31(5):618-33. doi:10.1055/s-0030-1265902
• [25]Bin YS, Marshall NS, Glozier N: Secular trends in adult sleep duration: a systematic review. Sleep Med Rev 2012, 16(3):223-30. doi:10.1016/j.smrv.2011.07.003
• [26]Carrier J, Monk TH, Buysse DJ, Kupfer DJ: Sleep and morningness-eveningness in the ‘middle’ years of life (20–59 y). J Sleep Res 1997, 6(4):230-7.
• [27]Taillard J, Philip P, Bioulac B: Morningness/eveningness and the need for sleep. J Sleep Res 1999, 8(4):291-5.
• [28]Adan A, Fabbri M, Natale V, Prat G: Sleep Beliefs Scale (SBS) and circadian typology. J Sleep Res 2006, 15(2):125-32. doi:10.1111/j.1365-2869.2006.00509.x
• [29]Caci H, Deschaux O, Adan A, Natale V: Comparing three morningness scales: age and gender effects, structure and cut-off criteria. Sleep Med 2009, 10(2):240-5. doi:10.1016/j.sleep.2008.01.007
• [30]Paine SJ, Gander PH, Travier N: The epidemiology of morningness/eveningness: influence of age, gender, ethnicity, and socioeconomic factors in adults (30–49 years). J Biol Rhythms 2006, 21(1):68-76. doi:10.1177/0748730405283154
• [31]Monk TH: Aging human circadian rhythms: conventional wisdom may not always be right. J Biol Rhythms 2005, 20(4):366-74. doi:10.1177/0748730405277378
• [32]Voinescu B, Coogan AN, Orasan R: Sleep beliefs, subjective sleep quality and diurnal preference - findings from depressed patients. J Cogn Behav Psychot 2010, 10(1):1-12. doi:10.1207/s15327752jpa6703_130165-1781(89)90047-4
• [33]Espie CA, Kyle SD, Hames P, Gardani M, Fleming L, Cape J: The sleep condition indicator: a clinical screening tool to evaluate insomnia disorder. BMJ open 2014, 4(3):e004183. doi:10.1136/bmjopen-2013-004183
• [34]Voinescu B, Szentagotai A: Categorical and dimensional assessment of insomnia in the general population. J Cogn Behav Psychot 2013, 13(1a):197-209.
• [35]Voinescu BI, Coogan AN, Thome J, Orasan R: Psychometric properties of the romanian version of the composite scale of morningness in healthy adults. Cogn Creier Comport Brain Behav 2010, 14(1):37-46.
• [36]Smith CS, Reilly C, Midkiff K: Evaluation of three circadian rhythm questionnaires with suggestions for an improved measure of morningness. J Appl Psychol 1989, 74(5):728-38.
• [37]Kovacic Z, Marendic M, Soljic M, Pecotic R, Kardum G, Dogas Z: Knowledge and attitude regarding sleep medicine of medical students and physicians in Split. Croatia Croat Med J 2002, 43(1):71-4.
• [38]Ellis J, Hampson SE, Cropley M: Sleep hygiene or compensatory sleep practices: an examination of behaviours affecting sleep in older adults. Psychol Health Med 2002, 7(2):156-61. doi:10.1080/13548500120116094
• [39]Díaz-Morales JF, Prieto PD, Barreno CE, Mateo MJC, Randler C: Sleep beliefs and chronotype among adolescents: the effect of a sleep education program. Biol Rhythm Res 2012, 43(4):397-412. doi:10.1080/09291016.2011.597620
• [40]Magnúsdóttir SD, Ribacke M: Patients’ knowledge and attitudes regarding sleep and hypnotics. Scand J Prim Health Care 1996, 14(2):106-10. doi:10.3109/02813439608997079
• [41]Gallasch J, Gradisar M: Relationships between sleep knowledge, sleep practice and sleep quality. Sleep Biol Rhythm 2007, 5(1):63-73.
• [42]Altun I, Cinar N, Dede C: The contributing factors to poor sleep experiences in according to the university students: a cross-sectional study. J Res Med Sci 2012, 17(6):557-61.
• [43]Sivagnanam G, Thirumalaikolundusubramanian P, Sugirda P, Rajeswari J, Namasivayam K, Gitanjali B: Study of the knowledge, beliefs, and practice of sleep among medical undergraduates of Tamilnadu, India. MedGenMed 2004, 6(4):5.
• [44]Yang CM, Lin SC, Hsu SC, Cheng CP: Maladaptive sleep hygiene practices in good sleepers and patients with insomnia. J Health Psychol 2010, 15(1):147-55. doi:10.1177/1359105309346342
• [45]Bosie GD, Tefera TW, Hailu GS: Knowledge, attitude and practice with respect to sleep among undergraduate medical students of Mekelle University. Sleep Biol Rhythms 2012, 10(4):264-9. doi:10.1111/j.1479-8425.2012.00569.x
• [46]Chung MH, Chang FM, Yang CC, Kuo TB, Hsu N: Sleep quality and morningness-eveningness of shift nurses. J Clin Nurs 2009, 18(2):279-84. doi:10.1111/j.1365-2702.2007.02160.x
• [47]Mongrain V, Carrier J, Dumont M: Circadian and homeostatic sleep regulation in morningness-eveningness. J Sleep Res 2006, 15(2):162-6. doi:10.1111/j.1365-2869.2006.00532.x
• [48]Martin JS, Hebert M, Ledoux E, Gaudreault M, Laberge L: Relationship of chronotype to sleep, light exposure, and work-related fatigue in student workers. Chronobiol Int 2012, 29(3):295-304. doi:10.3109/07420528.2011.653656
• [49]Soehner AM, Kennedy KS, Monk TH: Circadian preference and sleep-wake regularity: associations with self-report sleep parameters in daytime-working adults. Chronobiol Int 2011, 28(9):802-9. doi:10.3109/07420528.2011.613137
• [50]Leger D, Roscoat E, Bayon V, Guignard R, Paquereau J, Beck F: Short sleep in young adults: Insomnia or sleep debt? Prevalence and clinical description of short sleep in a representative sample of 1004 young adults from France. Sleep Med 2011, 12(5):454-62. doi:10.1016/j.sleep.2010.12.012
• [51]Fernandez-Mendoza J, Ilioudi C, Montes MI, Olavarrieta-Bernardino S, Aguirre-Berrocal A, De La Cruz-Troca JJ, et al.: Circadian preference, nighttime sleep and daytime functioning in young adulthood. Sleep Biol Rhythm 2010, 8(1):52-62. doi:10.1111/j.1479-8425.2010.00430.x
• [52]Lehnkering H, Siegmund R: Influence of chronotype, season, and sex of subject on sleep behavior of young adults. Chronobiol Int 2007, 24(5):875-88. doi:10.1080/07420520701648259
• [53]Brick CA, Seely DL, Palermo TM: Association between sleep hygiene and sleep quality in medical students. Behav Sleep Med 2010, 8(2):113-21. doi:10.1080/15402001003622925
• [54]Ohayon MM, Carskadon MA, Guilleminault C, Vitiello MV: Meta-analysis of quantitative sleep parameters from childhood to old age in healthy individuals: developing normative sleep values across the human lifespan. Sleep 2004, 27(7):1255-73.
• [55]Foley DJ, Vitiello MV, Bliwise DL, Ancoli-Israel S, Monjan AA, Walsh JK: Frequent napping is associated with excessive daytime sleepiness, depression, pain, and nocturia in older adults: findings from the national sleep foundation ‘2003 sleep in America’ poll. Am J Geriatr Psychiatr 2007, 15(4):344-50.
• [56]Jefferson CD, Drake CL, Scofield HM, Myers E, McClure T, Roehrs T, et al.: Sleep hygiene practices in a population-based sample of insomniacs. Sleep 2005, 28(5):611-5.
• [57]Morgenthaler TI, Lee-Chiong T, Alessi C, Friedman L, Aurora RN, Boehlecke B, et al.: Practice parameters for the clinical evaluation and treatment of circadian rhythm sleep disorders. An american academy of sleep medicine report. Sleep 2007, 30(11):1445-59.
• [58]Billows M, Gradisar M, Dohnt H, Johnston A, McCappin S, Hudson J: Family disorganization, sleep hygiene, and adolescent sleep disturbance. Journal of clinical child and adolescent psychology: the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53 2009, 38(5):745-52. doi:10.1080/15374410903103635
• [59]Barber L, Grawitch MJ, Munz DC. Are Better Sleepers More Engaged Workers? A Self-regulatory Approach to Sleep Hygiene and Work Engagement. Stress and health: journal of the International Society for the Investigation of Stress. 2012. doi:10.1002/smi.2468.
• [60]Chen PH, Kuo HY, Chueh KH: Sleep hygiene education: efficacy on sleep quality in working women. J Nurs Res 2010, 18(4):283-9. doi:10.1097/JNR.0b013e3181fbe3fd
• [61]Skinner K, Louw J: The feminization of psychology: data from South Africa. Int J Psychol 2009, 44(2):81-92. doi:10.1080/00207590701436736
• [62]Mastin DF, Bryson J, Corwyn R: Assessment of sleep hygiene using the sleep hygiene index. J Behav Med 2006, 29(3):223-7. doi:10.1007/s10865-006-9047-6