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Sleep and Vigilance

, Volume 2, Issue 2, pp 173–179 | Cite as

Sleep Quality and Duration Best Predict Quality of Life in College Students

  • Michael D. OliverEmail author
  • Debora R. Baldwin
  • Olivia M. Maples
  • Fadi E. Hakeem
  • Subimal Datta
Original Article

Abstract

Purpose

Sleep is a vital part of everyday life which provides energy for activities of daily living. However, sleep is often sacrificed, particularly during the college years, due to a variety of reasons such as: academic demands, financial concerns, and family stress. The present study investigated the relationship between sufficient sleep and perceived wellness in a college student sample.

Methods

Participants consisted of 140 undergraduate students (88 females; M = 20.71 years, SD 3.27 years), and they were asked to complete an electronic survey package (demographics, sleep quality, and wellness perceptions) administered on the lab computer. Bivariate Pearson correlations and a linear regression analysis were conducted to explore the relationship between sleep and wellness.

Results

Sleep quality was correlated with greater perceived psychological and emotional wellness. Greater sleep duration reflected better social and overall perceived wellness. Individuals who endorsed better overall sleep reported greater perceived physical wellness. The regression analysis revealed that sleep quality and duration were the only significant predictors of wellness perceptions.

Conclusions

Findings suggest that college students who experience insufficient sleep are at a greater risk for decreased quality of life. It is critical that college counselors and administrators educate students on the importance of sleep hygiene and provide interventions to combat problems threatening college student well-being.

Keywords

Sleep quality Sleep duration Wellness College students 

Notes

Compliance with ethical standards

Conflict of Interest

The authors declare no conflict(s) of interest.

References

  1. 1.
    Datta S, Oliver MD. Cellular and molecular mechanisms of REM sleep homeostatic drive: a plausible component for behavioral plasticity. Front Neural Circuits. 2017;11:63.  https://doi.org/10.3389/fncir.2017.00063.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Deak MC, Stickgold R. Sleep and cognition. Wiley Interdiscip Rev Cogn Sci. 2010;1(4):491–500.  https://doi.org/10.1002/wcs.52.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Altevogt BM, Colten HR, editors. Sleep disorders and sleep deprivation: an unmet public health problem. Washington, DC: National Academies Press; 2006.Google Scholar
  4. 4.
    Yang Q, Durmer JL, Wheaton AG, Jackson SL, Zhang Z. Sleep duration and excess heart age among US adults. Sleep Health. 2018;4(5):448–55.  https://doi.org/10.1016/j.sleh.2018.07.001.CrossRefPubMedGoogle Scholar
  5. 5.
    Luyster FS, Strollo PJ, Zee PC, Walsh JK. Sleep: a health imperative. Sleep. 2012;35(6):727–34.  https://doi.org/10.5665/sleep.1846.CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Yoo SS, Gujar N, Hu P, Jolesz FA, Walker MP. The human emotional brain without sleep—a prefrontal amygdala disconnect. Curr Biol. 2007;17(20):R877–R878.  https://doi.org/10.1016/j.cub.2007.08.007.CrossRefPubMedGoogle Scholar
  7. 7.
    Bryant PA, Trinder J, Curtis N. Sick and tired: does sleep have a vital role in the immune system? Nat Rev Immunol. 2004;4(6):457.  https://doi.org/10.1038/nri1369.CrossRefPubMedGoogle Scholar
  8. 8.
    Rogers NL, Szuba MP, Staab JP, Evans DL, Dinges DF. Neuroimmunologic aspects of sleep and sleep loss. Semin Clin Neuropsychiatry. 2001;6(4):295–307.CrossRefGoogle Scholar
  9. 9.
    Knutson KL, Spiegel K, Penev P, Van Cauter E. The metabolic consequences of sleep deprivation. Sleep Med Rev. 2007;11(3):163–78.  https://doi.org/10.1016/j.smrv.2007.01.002.CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Van Cauter E, Spiegel K, Tasali E, Leproult R. Metabolic consequences of sleep and sleep loss. Sleep Med. 2008;9:S23–S28.  https://doi.org/10.1016/S1389-9457(08)70013-3.CrossRefPubMedPubMedCentralGoogle Scholar
  11. 11.
    Hillman D, Mitchell S, Streatfeild J, Burns C, Bruck D, Pezzullo L. The economic cost of inadequate sleep. Sleep. 2018;41(8):zsy083.  https://doi.org/10.1093/sleep/zsy083.CrossRefGoogle Scholar
  12. 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.  https://doi.org/10.1080/08964280209596396.CrossRefPubMedGoogle Scholar
  13. 13.
    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.  https://doi.org/10.1016/S0022-3999(97)00004-4.CrossRefPubMedGoogle Scholar
  14. 14.
    Ichiba T, Gorlova S, Nagashima Y, Aitake M, Hori E, Nishijo H. Association between sleep quality and subjective fatigue in night-shift nurses with good and poor sleep. Sleep Vigil. 2018;2(1):63–9.  https://doi.org/10.1007/s41782-018-0036-y.CrossRefGoogle Scholar
  15. 15.
    Poulin-Collins C, Desjardins S. Can napping among university students be linked to quality of sleep and academic performance? Sleep Med. 2017;40:e267–e268.  https://doi.org/10.1016/j.sleep.2017.11.784.CrossRefGoogle Scholar
  16. 16.
    Wallace DD, Boynton MH, Lytle LA. Multilevel analysis exploring the links between stress, depression, and sleep problems among two-year college students. J Am Coll Health. 2017;65(3):187–96.  https://doi.org/10.1080/07448481.2016.1269111.CrossRefPubMedGoogle Scholar
  17. 17.
    Gaultney JF. The prevalence of sleep disorders in college students: impact on academic performance. J Am Coll Health. 2010;59(2):91–7.  https://doi.org/10.1080/07448481.2010.483708.CrossRefPubMedGoogle Scholar
  18. 18.
    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.  https://doi.org/10.1016/j.jadohealth.2009.06.016.CrossRefPubMedGoogle Scholar
  19. 19.
    Chen MY, Wang EK, Jeng YJ. Adequate sleep among adolescents is positively associated with health status and health-related behaviors. BMC Public Health. 2006;6(1):59.  https://doi.org/10.1186/1471-2458-6-59.CrossRefPubMedPubMedCentralGoogle Scholar
  20. 20.
    Peach H, Gaultney JF. Charlotte Attitudes Towards Sleep (CATS) Scale: a validated measurement tool for college students. J Am Coll Health. 2017;65(1):22–31.  https://doi.org/10.1080/07448481.2016.1231688.CrossRefPubMedGoogle Scholar
  21. 21.
    Carpenter JS, Andrykowski MA. Psychometric evaluation of the Pittsburgh sleep quality index. J Psychosom Res. 1998;45(1):5–13.  https://doi.org/10.1016/S0022-3999(97)00298-5.CrossRefPubMedGoogle Scholar
  22. 22.
    Adams T, Bezner J, Steinhardt M. The conceptualization and measurement of perceived wellness: integrating balance across and within dimensions. Am J Health Promot. 1997;11(3):208–1.  https://doi.org/10.4278/0890-1171-11.3.208.CrossRefPubMedGoogle Scholar
  23. 23.
    Harari MJ, Waehler CA, Rogers JR. An empirical investigation of a theoretically based measure of perceived wellness. J Couns Psychol. 2005;52(1):93–103.  https://doi.org/10.1037/0022-0167.52.1.93.CrossRefGoogle Scholar
  24. 24.
    Seun-Fadipe CT, Mosaku KS. Sleep quality and psychological distress among undergraduate students of a Nigerian university. Sleep Health. 2017;3(3):190–4.  https://doi.org/10.1016/j.sleh.2017.02.004.CrossRefPubMedGoogle Scholar
  25. 25.
    Wong ML, Lau EY, Wan JH, Cheung SF, Hui CH, Mok DS. The interplay between sleep and mood in predicting academic functioning, physical health and psychological health: a longitudinal study. J Psychosom Res. 2013;74(4):271–7.  https://doi.org/10.1016/j.jpsychores.2012.08.014.CrossRefPubMedGoogle Scholar
  26. 26.
    Veatch OJ, Sutcliffe JS, Warren ZE, Keenan BT, Potter MH, Malow BA. Shorter sleep duration is associated with social impairment and comorbidities in ASD. Autism Res. 2017;10(7):1221–38.  https://doi.org/10.1002/aur.1765.CrossRefPubMedGoogle Scholar
  27. 27.
    Mazurek MO, Sohl K. Sleep and behavioral problems in children with autism spectrum disorder. J Autism Dev Disord. 2016;46(6):1906–15.  https://doi.org/10.1007/s10803-016-2723-7.CrossRefPubMedGoogle Scholar
  28. 28.
    Hoevenaar-Blom MP, Spijkerman AM, Kromhout D, van den Berg JF, Verschuren WM. Sleep duration and sleep quality in relation to 12-year cardiovascular disease incidence: the MORGEN study. Sleep. 2011;34(11):1487–92.  https://doi.org/10.5665/sleep.1382.CrossRefPubMedPubMedCentralGoogle Scholar
  29. 29.
    Gong QH, Li H, Zhang XH, Zhang T, Cui J, Xu GZ. Associations between sleep duration and physical activity and dietary behaviors in Chinese adolescents: results from the youth behavioral risk factor surveys of 2015. Sleep Med. 2017;37:168–73.  https://doi.org/10.1016/j.sleep.2017.06.024.CrossRefPubMedGoogle Scholar
  30. 30.
    Frange C, de Queiroz SS, da Silva Prado JM, Tufik S, de Mello MT. The impact of sleep duration on self-rated health. Sleep Sci. 2014;7(2):107–13.  https://doi.org/10.1016/j.slsci.2014.09.006.CrossRefPubMedPubMedCentralGoogle Scholar
  31. 31.
    Cappuccio FP, D'Elia L, Strazzullo P, Miller MA. Sleep duration and all-cause mortality: a systematic review and meta-analysis of prospective studies. Sleep. 2010;33(5):585–92.  https://doi.org/10.1093/sleep/33.5.585.CrossRefPubMedPubMedCentralGoogle Scholar
  32. 32.
    Andersen ML, Araujo P, Frange C, Tufik S. Sleep disturbance and pain: a tale of two common problems. Chest. 2018.  https://doi.org/10.1016/j.chest.2018.07.019.CrossRefPubMedGoogle Scholar
  33. 33.
    Jike M, Itani O, Watanabe N, Buysse DJ, Kaneita Y. Long sleep duration and health outcomes: a systematic review, meta-analysis and meta-regression. Sleep Med Rev. 2017;39:25–36.  https://doi.org/10.1016/j.smrv.2017.06.011.CrossRefPubMedGoogle Scholar
  34. 34.
    Lebensohn P, Dodds S, Benn R, Brooks AJ, Birch M. Resident wellness behaviors. Fam Med. 2013;45(8):541–9.PubMedGoogle Scholar
  35. 35.
    Eliasson AH, Eliasson AH, Lettieri CJ. Differences in sleep habits, study time, and academic performance between US-born and foreign-born college students. Sleep Breath. 2017;21(2):529–33.  https://doi.org/10.1007/s11325-016-1412-2.CrossRefPubMedGoogle Scholar
  36. 36.
    Gomes AA, Tavares J, de Azevedo MH. Sleep and academic performance in undergraduates: a multi-measure, multi-predictor approach. Chronobiol Int. 2011;28(9):786–801.  https://doi.org/10.3109/07420528.2011.606518.CrossRefPubMedGoogle Scholar
  37. 37.
    Kahlhöfer J, Karschin J, Breusing N, Bosy-Westphal A. Relationship between actigraphy-assessed sleep quality and fat mass in college students. Obesity. 2016;24(2):335–41.  https://doi.org/10.1002/oby.21326.CrossRefPubMedGoogle Scholar
  38. 38.
    Quick V, Byrd-Bredbenner C, Shoff S, White AA, Lohse B, Horacek T, Colby S, Brown O, Kidd T, Greene G. Relationships of sleep duration with weight-related behaviors of US college students. Behav Sleep Med. 2016;14(5):565–80.  https://doi.org/10.1080/15402002.2015.1065411.CrossRefPubMedGoogle Scholar
  39. 39.
    McKnight-Eily LR, Eaton DK, Lowry R, Croft JB, Presley-Cantrell L, Perry GS. Relationships between hours of sleep and health-risk behaviors in US adolescent students. Prev Med. 2011;53(4–5):271–3.  https://doi.org/10.1016/j.ypmed.2011.06.020.CrossRefPubMedGoogle Scholar
  40. 40.
    Smaldone A, Honig JC, Byrne MW. Sleepless in America: inadequate sleep and relationships to health and well-being of our nation's children. Pediatrics. 2007;119(Supplement 1):S29–37.  https://doi.org/10.1542/peds.2006-2089F.CrossRefPubMedGoogle Scholar
  41. 41.
    Hirshkowitz M, Whiton K, Albert SM, Alessi C, Bruni O, DonCarlos L, Hazen N, Herman J, Hillard PJ, Katz ES, Kheirandish-Gozal L. National Sleep Foundation’s updated sleep duration recommendations. Sleep Health. 2015;1(4):233–43.  https://doi.org/10.1016/j.sleh.2015.10.004.CrossRefPubMedGoogle Scholar
  42. 42.
    Verkooijen S, de Vos N, Bakker-Camu BJ, Branje SJ, Kahn RS, Ophoff RA, Plevier CM, Boks MP. Sleep disturbances, psychosocial difficulties and health risk behaviour in 16,781 Dutch adolescents. Acad Pediatr. 2018;18(6):655–61.  https://doi.org/10.1016/j.acap.2018.03.003.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  1. 1.The Pat Summitt Clinic Cognitive Neurophysiology Lab, Department of NeurologyThe University of Tennessee Graduate School of MedicineKnoxvilleUSA
  2. 2.Department of PsychologyThe University of Tennessee-KnoxvilleKnoxvilleUSA
  3. 3.Department of AnesthesiologyThe University of Tennessee Graduate School of MedicineKnoxvilleUSA

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