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06-02-2021 | ORIGINAL PAPER

Compassion Mediates Poor Sleep Quality and Mental Health Outcomes

Auteurs: Jeffrey J. Kim, Melissa Oldham, Antonio T. Fernando, James N. Kirby

Gepubliceerd in: Mindfulness | Uitgave 5/2021

Abstract

Objectives

Poor sleep quality has been associated with suboptimal physical and mental health outcomes. Self-compassion has been shown to protect against the effects of poor sleep quality and promote positive mental health benefits. However, the attenuating role of fears of compassion on these relationships is less well known. Herein we examine the mediating role of self-compassion and fears of compassion on the relationship between poor sleep quality and mental health and wellbeing outcomes.

Methods

Two independent community and student samples within either a university setting or online research setting participated in the research. This was a 2-sample cross-sectional survey design (N = 196, sample 1; N = 151, sample 2) which was conducted March–July 2019. In both samples, we examined self-compassion and fears of compassion as focal mediators of poor sleep quality and mental health outcomes.

Results

Mediation analyses with non-parametric bootstrapping identified that self-compassion partially mediated the relationship between poor sleep quality and mental health outcomes (p < .001, R² = .20). Fears of self-compassion partially mediated the relationship between poor sleep quality and mental health wellbeing (p < .001, R² = .09) and fully mediated the relationship between poor sleep quality and psychological distress (p < .001, R² = .09).

Conclusions

We provide empirical evidence for how both self-compassion and fears of compassion can mediate the relationship between poor sleep quality, psychological distress, and mental health wellbeing. Our results provide important suggestions for future work in therapy, clinical studies of sleep, and the utility of the fears of compassion scale as a key psychometric instrument for use within the field.

vorige artikel The Effectiveness of a Teacher-Delivered Mindfulness-Based Curriculum on Adolescent Social-Emotional and Executive Functioning

volgende artikel Self-Compassion, Internalized Weight Stigma, Psychological Well-Being, and Eating Behaviors in Women

Baethge, A., Vahle-Hinz, T., & Rigotti, T. (2019). Coworker support and its relationship to allostasis during a workday: A diary study on trajectories of heart rate variability during work. Journal of Applied Psychology, 105(5), 506–526. https://doi.org/10.1037/apl0000445. CrossRef

Barnard, L. K., & Curry, J. F. (2011). Self-compassion: Conceptualizations, correlates, & interventions. Review of General Psychology, 15(4), 289–303. https://doi.org/10.1037/a0025754. CrossRef

Brüning, F., Noya, S. B., Bange, T., Koutsouli, S., Rudolph, J. D., Tyagarajan, S., Cox, J., Mann, M., Brown, S. A., & Robles, M. S. (2019). Sleep-wake cycles drive daily dynamics of synaptic phosphorylation sleep-wake cycles drive daily dynamics of synaptic phosphorylation. Science, 366, eaav3617. https://doi.org/10.1126/science.aav3617. CrossRefPubMed

Burton, A. R., Rahman, K., Kadota, Y., Lloyd, A., & Vollmer-Conna, U. (2010). Reduced heart rate variability predicts poor sleep quality in a case-control study of chronic fatigue syndrome. Experimental Brain Research, 204(1), 71–78. https://doi.org/10.1007/s00221-010-2296-1. CrossRefPubMed

Butz, S., & Stahlberg, D. (2018). Can self-compassion improve sleep quality via reduced rumination? Self and Identity, 17(6), 666–686. https://doi.org/10.1080/15298868.2018.1456482. CrossRef

Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research, 28, 193–213. CrossRef

Catarino, F., Gilbert, P., McEwan, K., & Baião, R. (2014). Compassion motivations: Distinguishing submissive compassion from genuine compassion and its association with shame, submissive behavior, depression, anxiety and stress. Journal of Social and Clinical Psychology, 33(5), 399–412. https://doi.org/10.1521/jscp.2014.33.5.399. CrossRef

Cirelli, C., & Tononi, G. (2019). Linking the need to sleep with synaptic function. Science, 366(6462), 189–190. https://doi.org/10.1126/science.aay5304. CrossRefPubMed

Danielsson, N. S., Harvey, A. G., MacDonald, S., Jansson-Fröjmark, M., & Linton, S. J. (2013). Sleep disturbance and depressive symptoms in adolescence: The role of catastrophic worry. Journal of Youth and Adolescence, 42(8), 1223–1233. https://doi.org/10.1007/s10964-012-9811-6. CrossRefPubMed

Diefenbach, G. J., Rabany, L., Hallion, L. S., Tolin, D. F., Goethe, J. W., Gueorguieva, R., Zertuche, L., & Assaf, M. (2019). Sleep improvements and associations with default mode network functional connectivity following rTMS for generalized anxiety disorder. Brain Stimulation, 12(1), 184–186. https://doi.org/10.1016/j.brs.2018.09.004. CrossRefPubMed

Diekelmann, S., Büchel, C., Born, J., & Rasch, B. (2011). Labile or stable: Opposing consequences for memory when reactivated during waking and sleep. Nature Neuroscience, 14(3), 381–386. https://doi.org/10.1038/nn.2744. CrossRefPubMed

Friedrich, A., & Schlarb, A. A. (2018). Let’s talk about sleep: A systematic review of psychological interventions to improve sleep in college students. Journal of Sleep Research, 27(1), 4–22. https://doi.org/10.1111/jsr.12568. CrossRefPubMed

Gilbert, P. (2014). The origins and nature of compassion focused therapy. British Journal of Clinical Psychology, 53(1), 6–41. https://doi.org/10.1111/bjc.12043.

Gilbert, P., Mcewan, K., Matos, M., & Rivis, A. (2011). Fears of compassion: Development of three self-report measures. Psychology and Psychotherapy: Theory, Research and Practice, 84(3), 239–255. https://doi.org/10.1348/147608310X526511. CrossRef

Gilbert, P., McEwan, K., Gibbons, L., Chotai, S., Duarte, J., & Matos, M. (2012). Fears of compassion and happiness in relation to alexithymia, mindfulness, and self-criticism. Psychology and Psychotherapy: Theory, Research and Practice, 85(4), 374–390. https://doi.org/10.1111/j.2044-8341.2011.02046.x. CrossRef

Gilbert, P., Catarino, F., Duarte, C., Matos, M., Kolts, R., Stubbs, J., & Basran, J. (2017). The development of compassionate engagement and action scales for self and others. Journal of Compassionate Health Care, 4(1), 1–24. https://doi.org/10.1186/s40639-017-0033-3. CrossRef

Harvey, A. G., Murray, G., Chandler, R. A., & Soehner, A. (2011). Sleep disturbance as transdiagnostic: Consideration of neurobiological mechanisms. Clinical Psychology Review, 31(2), 225–235. https://doi.org/10.1016/j.cpr.2010.04.003. CrossRefPubMed

Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis (Second ed.). New York: Guilford Press.

Hu, Y., Wang, Y., Sun, Y., Arteta-Garcia, J., & Purol, S. (2018). Diary study: The protective role of self-compassion on stress-related poor sleep quality. Mindfulness, 9(6), 1931–1940. https://doi.org/10.1007/s12671-018-0939-7. CrossRef

Irwin, M. R. (2019). Sleep and inflammation: Partners in sickness and in health. Nature Reviews Immunology, 19, 702–715. https://doi.org/10.1038/s41577-019-0190-z. CrossRefPubMed

Jackowska, M., Dockray, S., Endrighi, R., Hendrickx, H., & Steptoe, A. (2012). Sleep problems and heart rate variability over the working day. Journal of Sleep Research, 21(4), 434–440. https://doi.org/10.1111/j.1365-2869.2012.00996.x. CrossRefPubMed

Kelly, A. C., Carter, J. C., Zuroff, D. C., & Borairi, S. (2013). Self-compassion and fear of self-compassion interact to predict response to eating disorders treatment: A preliminary investigation. Psychotherapy Research, 23(3), 252–264. https://doi.org/10.1080/10503307.2012.717310. CrossRefPubMed

Kelly, A. C., Vimalakanthan, K., & Carter, J. C. (2014). Understanding the roles of self-esteem, self-compassion, and fear of self-compassion in eating disorder pathology: An examination of female students and eating disorder patients. Eating Behaviors, 15(3), 388–391. https://doi.org/10.1016/j.eatbeh.2014.04.008. CrossRefPubMed

Keyes, C. L. M. (2002). The mental health continuum: From languishing to flourishing in life. Journal of Health and Social Research, 43, 207–222.

Kim, C., & Ko, H. (2018). The impact of self-compassion on mental health, sleep, quality of life and life satisfaction among older adults. Geriatric Nursing, 39(6), 623–628. https://doi.org/10.1016/j.gerinurse.2018.06.005. CrossRefPubMed

Kim, J. J., Parker, S. L., Henderson, T., & Kirby, J. N. (2020a). Physiological fractals: Visual and statistical evidence across timescales and experimental states. Journal of the Royal Society Interface, 3(34), 20200334. https://doi.org/10.1098/rsif.2020.0334. CrossRef

Kim, J. J., Cunnington, R., & Kirby, J. N. (2020b). The neurophysiological basis of compassion: An fMRI meta-analysis of compassion and its related neural processes. Neuroscience and Biobehavioral Reviews, 108, 112–123. https://doi.org/10.1016/j.neubiorev.2019.10.023. CrossRefPubMed

Kim, J., Gerrish, R., Gilbert, P., & Kirby, J. N. (2020c). Stressed, depressed, and rank obsessed: Individual differences in compassion and neuroticism predispose toward rank-based depressive symptomatology. Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1111/papt.12270.

Kim, J. J., Kent, K. M., Cunnington, R., Gilbert, P., & Kirby, J. N. (2020d). Attachment styles modulate neural markers of threat and imagery when engaging in self-criticism. Scientific Reports, 10(13776), 1–10. https://doi.org/10.1038/s41598-020-70772-x. CrossRef

Kim, J. J., Henderson, T., Best, T., Cunnington, R., & Kirby, J. N. (2020e). Neural and self-report markers of reassurance: A generalized additive modelling approach. Frontiers in Psychiatry, 11(September), 1–7. https://doi.org/10.3389/fpsyt.2020.566141. CrossRef

Kim, J., Parker, S., Doty, J., Cunnington, R., Gilbert, P., & Kirby, J. (2020f). Neurophysiological and behavioural markers of compassion. Scientific Reports, 10(1), 6789. https://doi.org/10.1038/s41598-020-63846-3. CrossRefPubMedPubMedCentral

Kirby, J. N., Doty, J. R., Petrocchi, N., & Gilbert, P. (2017a). The current and future role of heart rate variability for assessing and training compassion. Frontiers in Public Health, 5, 40. https://doi.org/10.3389/fpubh.2017.00040. CrossRefPubMedPubMedCentral

Kirby, J. N., Tellegen, C. L., & Steindl, S. R. (2017b). A meta-analysis of compassion-based interventions: Current state of knowledge and future directions. Behavior Therapy, 48(6), 778–792. https://doi.org/10.1016/j.beth.2017.06.003. CrossRefPubMed

Kirby, J. N., Day, J., & Sagar, V. (2019). The ‘flow’ of compassion: A meta-analysis of the fears of compassion scales and psychological functioning. Clinical Psychology Review, 70, 26–39. https://doi.org/10.1016/j.cpr.2019.03.001. CrossRefPubMed

Krystal, A. D. (2020). Sleep therapeutics and neuropsychiatric illness. Neuropsychopharmacology, 45, 166–175. https://doi.org/10.1038/s41386-019-0474-9. CrossRefPubMed

Li, Y., Wu, Y., Zhai, L., Wang, T., Sun, Y., & Zhang, D. (2017). Longitudinal association of sleep duration with depressive symptoms among middle-aged and older Chinese. Scientific Reports, 7(1), 1–7. https://doi.org/10.1038/s41598-017-12182-0. CrossRef

Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the depression anxiety stress scales (dass) with the beck depression and anxiety inventories. Behaviour Research and Therapy, 33(3), 335–343. https://doi.org/10.1016/0005-7967(94)00075-U. CrossRefPubMed

Marshall, L., Helgadottir, H., Molle, M., & Born, J. (2006). Boosting slow oscillations during sleep potentiates memory. Nature, 444, 610–613. https://doi.org/10.1038/nature05278

Matos, M., Duarte, C., Duarte, J., Pinto-gouveia, J., Petrocchi, N., Basran, J., & Gilbert, P. (2017). Psychological and physiological effects of compassionate mind training: A pilot randomised controlled study. Mindfulness, 8(6), 1699–1712. https://doi.org/10.1007/s12671-017-0745-7. CrossRef

McEwan, K., Gilbert, P., Dandeneau, S., Lipka, S., Maratos, F., Paterson, K. B., & Baldwin, M. (2014). Facial expressions depicting compassionate and critical emotions: The development and validation of a new emotional face stimulus set. PLoS One, 9(2), e88783. https://doi.org/10.1371/journal.pone.0088783. CrossRefPubMedPubMedCentral

Medic, G., Wille, M., & Hemels, M. E. H. (2017). Short- and long-term health consequences of sleep disruption. Nature and Science of Sleep, 9, 151–161. https://doi.org/10.2147/NSS.S134864. CrossRefPubMedPubMedCentral

Milojevich, H. M., & Lukowski, A. F. (2016). Sleep and mental health in undergraduate students with generally healthy sleep habits. PLoS One, 11(6), 1–14. https://doi.org/10.1371/journal.pone.0156372. CrossRef

Mutz, J., Edgcumbe, D. R., Brunoni, A. R., & Fu, C. H. Y. (2018). Efficacy and acceptability of non-invasive brain stimulation for the treatment of adult unipolar and bipolar depression: A systematic review and meta-analysis of randomised sham-controlled trials. Neuroscience and Biobehavioral Reviews, 92, 291–303. https://doi.org/10.1016/j.neubiorev.2018.05.015. CrossRefPubMed

Neff, K. D. (2003). The development and validation of a scale to measure self-compassion. Self and Identity, 2, 223–250. https://doi.org/10.1080/15298860390209035. CrossRef

Noya, S. B., Colameo, D., Brüning, F., Spinnler, A., Mircsof, D., Opitz, L., & Brown, S. A. (2019). The forebrain synaptic transcriptome is organized by clocks but its proteome is driven by sleep. Science, 366(6462), eaav2646. https://doi.org/10.1126/SCIENCE.AAV2642. CrossRef

Okano, K., Kaczmarzyk, J. R., Dave, N., Gabrieli, J. D. E., & Grossman, J. C. (2019). Sleep quality, duration, and consistency are associated with better academic performance in college students. NPJ Science of Learning, 4(1), 16. https://doi.org/10.1038/s41539-019-0055-z. CrossRefPubMedPubMedCentral

Perugini, M. L. L., de la Iglesia, G., Castro Solano, A., & Keyes, C. L. M. (2017). The mental health continuum–short form (MHC–SF) in the Argentinean context: Confirmatory factor analysis and measurement invariance. Europe's Journal of Psychology, 13(1), 93–108. https://doi.org/10.5964/ejop.v13i1.1163. CrossRef

Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36(4), 717–731. https://doi.org/10.1002/jcp.28952. CrossRef

Preacher, K. J., Rucker, D. D., & Hayes, A. F. (2007). Addressing moderated mediation hypotheses: Theory, methods, and prescriptions. Multivariate Behavioral Research, 42(1), 185–227. https://doi.org/10.1080/00273170701341316. CrossRefPubMed

Scheer, F. A. J. L., Hilton, M. F., Mantzoros, C. S., & Shea, S. A. (2009). Adverse metabolic and cardiovascular consequences of circadian misalignment. Proceedings of the National Academy of Sciences of the United States of America, 106(11), 4453–4458. https://doi.org/10.1073/pnas.0808180106. CrossRefPubMedPubMedCentral

Spira, A. P., Beaudreau, S. A., Stone, K. L., Kezirian, E. J., Lui, L. Y., Redline, S., & Stewart, A. (2012). Reliability and validity of the Pittsburgh sleep quality index and the Epworth sleepiness scale in older men. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 67 A(4), 433–439. https://doi.org/10.1093/gerona/glr172. CrossRef

Stein, P. K., & Pu, Y. (2012). Heart rate variability, sleep and sleep disorders. Sleep Medicine Reviews, 16(1), 47–66. https://doi.org/10.1016/j.smrv.2011.02.005. CrossRefPubMed

Stickley, A., Leinsalu, M., DeVylder, J. E., Inoue, Y., & Koyanagi, A. (2019). Sleep problems and depression among 237 023 community-dwelling adults in 46 low- and middle-income countries. Scientific Reports, 9(1), 1–10. https://doi.org/10.1038/s41598-019-48334-7. CrossRef

Svendsen, J. L., Osnes, B., Binder, P. E., Dundas, I., Visted, E., Nordby, H., & Sørensen, L. (2016). Trait self-compassion reflects emotional flexibility through an association with high vagally mediated heart rate variability. Mindfulness, 7(5), 1103–1113. https://doi.org/10.1007/s12671-016-0549-1. CrossRefPubMedPubMedCentral

Tononi, G., & Cirelli, C. (2013). Sleep and the price of plasticity: From synaptic and cellular homeostasis to memory consolidation and integration. Neuron, 81(1), 12–34. https://doi.org/10.1016/j.neuron.2013.12.025. CrossRef

Tran, T. D., Tran, T., & Fisher, J. (2013). Validation of the depression anxiety stress scales (DASS) 21 as a screening instrument for depression and anxiety in a rural community-based cohort of northern Vietnamese women. BMC Psychiatry, 13(1), 1. https://doi.org/10.1186/1471-244X-13-24. CrossRef

Urrila, A. S., Artiges, E., Massicotte, J., Miranda, R., Vulser, H., Bézivin-Frere, P., & Martinot, J. L. (2017). Sleep habits, academic performance, and the adolescent brain structure. Scientific Reports, 7(April 2016), 1–9. https://doi.org/10.1038/srep41678. CrossRef

Titel: Compassion Mediates Poor Sleep Quality and Mental Health Outcomes
Auteurs: Jeffrey J. Kim
Melissa Oldham
Antonio T. Fernando
James N. Kirby
Publicatiedatum: 06-02-2021
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 5/2021
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-021-01595-8

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