Steptoe Andrew, O'Donnell Katie, Marmot Michael, Wardle Jane
Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London, United Kingdom.
J Psychosom Res. 2008 Apr;64(4):409-15. doi: 10.1016/j.jpsychores.2007.11.008.
To discover whether positive affect and purpose in life (eudaimonic well-being) are associated with good sleep independently of health problems and socioeconomic status, and to evaluate their role in mediating the influence of psychosocial risk factors on poor sleep.
A cross-sectional study was carried out with 736 men and women aged 58-72 years, with positive affect assessed by aggregating ecological momentary samples. Sleep problems were assessed with the Jenkins Sleep Problems Scale, and psychosocial risk factors were measured by standardized questionnaires.
Both positive affect and eudaimonic well-being were inversely associated with sleep problems after adjustment for age, gender, household income, and self-rated health (P<.001). Negative psychosocial factors including financial strain, social isolation, low emotional support, negative social interactions, and psychological distress were also related to reported sleep problems. The strength of these associations was reduced by 20-73% when positive affect and eudaimonic well-being were taken into account, suggesting that effects were partly mediated by positive psychological states.
These results suggest that both positive affect and eudaimonic well-being are directly associated with good sleep and may buffer the impact of psychosocial risk factors. The relationships are likely to be bidirectional, with disturbed sleep engendering lower positive affect and reduced psychological well-being, and positive psychological states promoting better sleep.
探究积极情绪和生活目的(幸福感)是否独立于健康问题和社会经济地位与良好睡眠相关,并评估它们在介导心理社会风险因素对睡眠不佳影响方面的作用。
对736名年龄在58 - 72岁的男性和女性进行了一项横断面研究,通过汇总生态瞬时样本评估积极情绪。使用詹金斯睡眠问题量表评估睡眠问题,并用标准化问卷测量心理社会风险因素。
在对年龄、性别、家庭收入和自评健康进行调整后,积极情绪和幸福感均与睡眠问题呈负相关(P <.001)。包括经济压力、社会隔离、低情感支持、负面社会互动和心理困扰在内的负面心理社会因素也与报告的睡眠问题有关。当考虑到积极情绪和幸福感时,这些关联的强度降低了20 - 73%,表明这些影响部分由积极心理状态介导。
这些结果表明,积极情绪和幸福感均与良好睡眠直接相关,并且可能缓冲心理社会风险因素的影响。这种关系可能是双向的,睡眠障碍会导致积极情绪降低和心理健康水平下降,而积极的心理状态则促进更好的睡眠。