Article

Predicting sleep quality from stress and prior sleep - A study of day-to-day covariation across six weeks

Stress Research Institute, Stockholm University, 10691 Stockholm, Sweden.
Sleep Medicine (Impact Factor: 3.1). 05/2012; 13(6):674-9. DOI: 10.1016/j.sleep.2011.12.013
Source: PubMed

ABSTRACT The connection between stress and sleep is well established in cross-sectional questionnaire studies and in a few prospective studies. Here, the intention was to study the link between stress and sleep on a day-to-day basis across 42 days.
Fifty participants kept a sleep/wake diary across 42 days and responded to daily questions on sleep and stress. The results were analyzed with a mixed model approach using stress during the prior day to predict morning ratings of sleep quality.
The results showed that bedtime stress and worries were the main predictors of sleep quality, but that, also, late awakening, short prior sleep, high quality of prior sleep, and good health the prior day predicted higher sleep quality.
Stress during the day predicts subsequent sleep quality on a day-to-day basis across 42 days. The observed range of variation in stress/worries was modest, which is why it is suggested that the present data underestimates the impact of stress on subsequent sleep quality.

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    • "One of these factors is subjective sleep quality: a negative relationship between stress and sleep quality was found in several cross-sectional studies (e.g., Akerstedt, Fredlund, Gillberg, & Jansson, 2002; Knudsen, Ducharme, & Roman, 2007). This effect was also shown in an everyday life study using an end-of-day measurement of stress (Akerstedt et al., 2012). Furthermore , subjective sleep quality has also been found to be a predictor of fatigue (Akerstedt et al., 2014; Lavidor, Weller, & Babkoff, 2003). "
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