Top

Gepubliceerd in:

21-04-2021

The role of mindfulness in associations among depression symptoms, sleep duration, and insulin resistance in adolescents

Auteurs: Emma L. M. Clark, Lauren D. Gulley, Mark A. Prince, Milena Casamassima, Natalia Sanchez, Virginia Jimenez, Sarah A. Johnson, Reagan L. Miller, Isabella Conte, Jill L. Kaar, Stacey L. Simon, Christopher Melby, Rachel G. Lucas-Thompson, Lauren B. Shomaker

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 5/2021

Abstract

Sleep difficulties may be one explanatory factor in the association between depression and insulin resistance; yet, explicit tests of this hypothesis are lacking. We determined if there was an indirect effect of depression symptoms on insulin resistance through sleep duration in adolescents at risk for excess weight gain. We also investigated whether dispositional mindfulness moderated the interconnections among depression, sleep, and insulin resistance. Ninety adolescents (14.2 ± 1.6y; 50% female) at risk for excess weight gain (body mass index [BMI, kg/m²] z score 1.6 ± 0.6) participated in the cross-sectional, baseline phase of a health behaviors study. Depression was assessed with the Center for Epidemiologic Studies–Depression Scale, sleep duration with the Sleep Habits Survey, and mindfulness with the Mindful Attention and Awareness Scale. Homeostatic model assessment of insulin resistance was determined from fasting insulin and glucose. The product-of-coefficients method was used to test the indirect effect of depression on insulin resistance through sleep duration, accounting for age, sex, BMIz, puberty, and socioeconomic status (SES). Dispositional mindfulness was tested as a moderator of the associations among depression, sleep, and insulin resistance. There was a significant indirect effect of depression on insulin resistance through sleep duration, controlling for age, sex, BMIz, puberty, and SES, 95%CI [0.001, 0.05]. Dispositional mindfulness moderated the association between sleep duration and insulin resistance, such that lower sleep duration related to greater insulin resistance only among adolescents with lower mindfulness (p < .001). Short sleep may be one explanatory factor in the depression-insulin resistance connection in adolescents at risk for excess weight gain. Adolescents with poorer mindfulness and short sleep are at highest risk for insulin resistance, whereas higher mindfulness may be protective.

vorige artikel Charity-based incentives motivate young adult cancer survivors to increase physical activity: a pilot randomized clinical trial

volgende artikel Web-based cognitive behavior therapy for chronic pain patients with aberrant drug-related behavior: How did it work and for whom?

Adam, T. C., Hasson, R. E., Ventura, E. E., et al. (2010). Cortisol is negatively associated with insulin sensitivity in overweight Latino youth. Journal of Clinical Endocrinology and Metabolism, 95(10), 4729–4735. https://doi.org/10.1210/jc.2010-0322CrossRefPubMedPubMedCentral

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/https://doi.org/10.1176/appi.books.9780890425596

Berkowitz, S. A., Traore, C. Y., Singer, D. E. et al. (2015). Evaluating area-based socioeconomic status indicators for monitoring disparities within health care systems: Results from a primary care network. Health Services Research, 50(2), 398–417. https://doi.org/10.1111/1475-6773.12229CrossRefPubMed

Blake, M. J., Snoep, L., Raniti, M. et al. (2017). A cognitive-behavioral and mindfulness-based group sleep intervention improves behavior problems in at-risk adolescents by improving perceived sleep quality. Behavior Research and Therapy, 99, 147–156. https://doi.org/10.1016/j.brat.2017.10.006CrossRef

Bogusch, L. M., Fekete, E. M., & Skinta, M. D. (2016). Anxiety and depressive symptoms as mediators of trait mindfulness and sleep quality in emerging adults. Mindfulness, 7(4), 962–970. https://doi.org/10.1007/s12671-016-0535-7CrossRef

Braveman, P. A., Cubbin, C., Egerter, S. et al. (2005). Socioeconomic status in health research: One size does not fit all. JAMA, 294(22), 2879–2888. https://doi.org/10.1001/jama.294.22.2879CrossRefPubMed

Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822–848. https://doi.org/10.1037/0022-3514.84.4.822CrossRefPubMed

Caldwell, K., Harrison, M., Adams, M. et al. (2010). Developing mindfulness in college students through movement-based courses: Effects on self-regulatory self-efficacy, mood, stress, and sleep quality. Journal of American College Health, 58(5), 433–442. https://doi.org/10.1080/07448480903540481CrossRefPubMed

Creswell, J. D., & Lindsay, E. K. (2014). How does mindfulness training affect health? A mindfulness stress buffering account. Current Directions in Psychological Science, 23(6), 401–407. https://doi.org/10.1177/0963721414547415CrossRef

Creswell, J. D., Lindsay, E. K., Villalba, D. K. et al. (2019). Mindfulness training and physical health: Mechanisms and outcomes. Psychosomatic Medicine, 81(3), 224–232. https://doi.org/10.1097/PSY.0000000000000675CrossRefPubMed

Dunning, D. L., Griffiths, K., Kuyken, W. et al. (2019). Research review: The effects of mindfulness-based interventions on cognition and mental health in children and adolescents–a meta-analysis of randomized controlled trials. Journal of Child Psychology and Psychiatry and Allied Disciplines, 60(3), 244–258

Dutil, C., & Chaput, J. P. (2017). Inadequate sleep as a contributor to type 2 diabetes in children and adolescents. Nutrition & Diabetes, 7(5), e266. https://doi.org/10.1038/nutd.2017.19CrossRef

Epel, E., Daubenmier, J., Moskowitz, J. T. et al. (2009). Can meditation slow rate of cellular aging? Cognitive stress, mindfulness, and telomeres. Annals of the New York Academy of Sciences, 1172, 34–53. https://doi.org/10.1111/j.1749-6632.2009.04414.xCrossRefPubMedPubMedCentral

Field, A. E., Cook, N. R., & Gillman, M. W. (2005). Weight status in childhood as a predictor of becoming overweight or hypertensive in early adulthood. Obesity Research, 13(1), 163–169. https://doi.org/10.1038/oby.2005.21CrossRefPubMedPubMedCentral

Flint, J., Kothare, S. V., Zihlif, M. et al. (2007). Association between inadequate sleep and insulin resistance in obese children. Journal of Pediatrics, 150(4), 364–369. https://doi.org/10.1016/j.jpeds.2006.08.063CrossRef

George, L., Bacha, F., Lee, S. et al. (2011). Surrogate estimates of insulin sensitivity in obese youth along the spectrum of glucose tolerance from normal to prediabetes to diabetes. Journal of Clinical Endocrinology and Metabolism, 96(7), 2136–2145. https://doi.org/10.1210/jc.2010-2813CrossRefPubMedPubMedCentral

Gungor, N., Saad, R., Janosky, J. et al. (2004). Validation of surrogate estimates of insulin sensitivity and insulin secretion in children and adolescents. Journal of Pediatrics, 144(1), 47–55. https://doi.org/10.1016/j.jpeds.2003.09.045CrossRef

Hannon, T. S., Li, Z., Tu, W. et al. (2014). Depressive symptoms are associated with fasting insulin resistance in obese youth. Pediatric Obesity, 9(5), e103-107. https://doi.org/10.1111/ijpo.237CrossRefPubMedPubMedCentral

Hayes, A. F. (2009). Beyond Baron and Kenny: Statistical mediation analysis in the new millennium. Communication Monographs, 76(4), 408–420. https://doi.org/10.1080/03637750903310360CrossRef

Hayes, A. F. (2018). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach (2nd ed.). (New York: Guilford Press).

Hirshkowitz, M., Whiton, K., Albert, S. M. et al. (2015). National Sleep Foundation’s sleep time duration recommendations: methodology and results summary. Sleep Health, 1(1), 40–43. https://doi.org/10.1016/j.sleh.2014.12.010CrossRefPubMed

Holt, R. I., de Groot, M., & Golden, S. H. (2014). Diabetes and depression. Current Diabetes Reports, 14(6), 491. https://doi.org/10.1007/s11892-014-0491-3CrossRefPubMedPubMedCentral

Howell, A. J., Digdon, N. L., & Buro, K. (2010). Mindfulness predicts sleep-related self-regulation and well-being. Personality and Individual Differences, 48(4), 419–424. https://doi.org/10.1016/j.paid.2009.11.009CrossRef

Javaheri, S., Storfer-Isser, A., Rosen, C. L. et al. (2011). Association of short and long sleep durations with insulin sensitivity in adolescents. Journal of Pediatrics, 158(4), 617–623. https://doi.org/10.1016/j.jpeds.2010.09.080CrossRef

Kabat-Zinn, J. (1991). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. Dell Publishing.

Kan, C., Silva, N., Golden, S. H. et al. (2013). A systematic review and meta-analysis of the association between depression and insulin resistance. Diabetes Care, 36(2), 480–489. https://doi.org/10.2337/dc12-1442CrossRefPubMedPubMedCentral

Kuczmarski, R. J., Ogden, C. L., Guo, S. S. et al. (2002). 2000 CDC growth charts for the United States: methods and development. Vital Health Stat 11(246), 1–190. https://www.ncbi.nlm.nih.gov/pubmed/12043359

Lazarus, R. S., & Folkman, S. (1984). Coping and adaptations. In W. Gentry (Ed.), The handbook of behavioral medicine (pp. 282–325).

Leproult, R., Holmbäck, U., & Van Cauter, E. (2014). Circadian misalignment augments markers of insulin resistance and inflammation, independently of sleep loss. Diabetes, 63(6), 1860–1869. https://doi.org/10.2337/db13-1546CrossRefPubMedPubMedCentral

Loucks, E. B., Gilman, S. E., Britton, W. B. et al. (2016). Associations of mindfulness with glucose regulation and diabetes. American Journal of Health Behavior, 40(2), 258–267. https://doi.org/10.5993/AJHB.40.2.11CrossRefPubMedPubMedCentral

Lovato, N., & Gradisar, M. (2014). A meta-analysis and model of the relationship between sleep and depression in adolescents: Recommendations for future research and clinical practice. Sleep Medicine Reviews, 18(6), 521–529. https://doi.org/10.1016/j.smrv.2014.03.006CrossRefPubMed

Lucas-Thompson, R. G., Miller, R. L., Seiter, N. S. et al. (2019). Dispositional mindfulness predicts cortisol, cardiovascular, and psychological stress responses in adolescence. Psychoneuroendocrinology, 110, 104405. https://doi.org/10.1016/j.psyneuen.2019.104405CrossRefPubMedPubMedCentral

Maslowsky, J., & Ozer, E. J. (2014). Developmental trends in sleep duration in adolescence and young adulthood: Evidence from a national United States sample. Journal of Adolescent Health, 54(6), 691–697. https://doi.org/10.1016/j.jadohealth.2013.10.201CrossRef

Matthews, K. A., Dahl, R. E., Owens, J. F. et al. (2012). Sleep duration and insulin resistance in healthy black and white adolescents. Sleep, 35(10), 1353–1358. https://doi.org/10.5665/sleep.2112CrossRefPubMedPubMedCentral

Matthews, K. A., Hall, M. H., Cousins, J. et al. (2016). Getting a good night’s sleep in adolescence: Do strategies for coping with stress matter? Behavior Sleep Medicine, 14(4), 367–377. https://doi.org/10.1080/15402002.2015.1007994CrossRef

Metz, S. M., Frank, J. L., Reibel, D. et al. (2013). The effectiveness of the Learning to BREATHE program on adolescent emotion regulation. Research in Human Development, 10(3), 252–272. https://doi.org/10.1080/15427609.2013.818488CrossRef

Mi, S. J., Kelly, N. R., Brychta, R. J. et al. (2019). Associations of sleep patterns with metabolic syndrome indices, body composition, and energy intake in children and adolescents. Pediatric Obesity, 14(6), e12507. https://doi.org/10.1111/ijpo.12507CrossRefPubMedPubMedCentral

Misra, M., Bredella, M. A., Tsai, P. et al. (2008). Lower growth hormone and higher cortisol are associated with greater visceral adiposity, intramyocellular lipids, and insulin resistance in overweight girls. American Journal of Physiology: Endocrinology and Metabolism, 295(2), E385-392. https://doi.org/10.1152/ajpendo.00052.2008CrossRefPubMedPubMedCentral

Morris, N. M., & Udry, J. R. (1980). Validation of a self-administered instrument to assess stage of adolescent development. Journal of Youth and Adolescence, 9(3), 271–280. https://doi.org/10.1007/BF02088471CrossRefPubMed

Nagel, K. E., Dearth-Wesley, T., Herman, A. N. et al. (2020). The association between dispositional mindfulness and glycemic control in type 1 diabetes during early adulthood: Differences by age and adverse childhood experiences. Pediatric Diabetes, 21(4), 681–691. https://doi.org/10.1111/pedi.13000CrossRefPubMed

Pallozzi, R., Wertheim, E., Paxton, S. et al. (2017). Trait mindfulness measures for use with adolescents: A systematic review. Mindfulness, 8(1), 110–125. https://doi.org/10.1007/s12671-016-0567-zCrossRef

Phillips, G. A., Shadish, W. R., Murray, D. M. et al. (2006). The Center for Epidemiologic Studies Depression Scale with a young adolescent population: A confirmatory factor analysis. Multivariate Behavior Research, 41(2), 147–163. https://doi.org/10.1207/s15327906mbr4102_3CrossRef

Pivarunas, B., Kelly, N. R., Pickworth, C. K., Cassidy, O., Radin, R. M., Shank, L. M., Vannucci, A., Courville, A. B., Chen, K. Y., Tanofsky-Kraff, M., Yanovski, J. A., & Shomaker, L. B. (2015). Mindfulness and eating behavior in adolescent girls at risk for type 2 diabetes. International Journal of Eating Disorders, 48(6), 563–569. https://doi.org/10.1002/eat.22435CrossRef

Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods Instruments and Computers, 36(4), 717–731. https://doi.org/10.3758/BF03206553CrossRef

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

Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401. https://doi.org/10.1177/014662167700100306CrossRef

Rawat, A., Gangwar, A. K., Tiwari, S., Kant, S., Garg, R. K., & Singh, P. K. (2019). Sleep quality and insulin resistance in adolescent subjects with different circadian preference: A cross-sectional study. Journal of Family Medicine in Primary Care, 8(7), 2502–2505. https://doi.org/10.4103/jfmpc.jfmpc_400_19CrossRef

Reutrakul, S., & Van Cauter, E. (2018). Sleep influences on obesity, insulin resistance, and risk of type 2 diabetes. Metabolism, 84, 56–66. https://doi.org/10.1016/j.metabol.2018.02.010CrossRefPubMed

Shomaker, L. B., Bruggink, S., Pivarunas, B., Skoranski, A., Foss, J., Chaffin, E., Dalager, S., Annameier, S., Quaglia, J., Brown, K. W., Broderick, P., & Bell, C. (2017). Pilot randomized controlled trial of a mindfulness-based group intervention in adolescent girls at risk for type 2 diabetes with depressive symptoms. Complementary Therapies in Medicine, 32, 66–74. https://doi.org/10.1016/j.ctim.2017.04.003CrossRefPubMedPubMedCentral

Shomaker, L. B., Berman, Z., Burke, M., Annameier, S. K., Pivarunas, B., Sanchez, N., Smith, A. D., Hendrich, S., Riggs, N. R., Legget, K. T., Cornier, M., Melby, C., Johnson, S. A., & Lucas-Thompson, R. G. (2019). Mindfulness-based group intervention in adolescents at-risk for excess weight gain: A randomized controlled pilot study. Appetite 140, 213-222. https://doi.org/10.1016/j.appet.2019.05.022

Shomaker, L. B., Pivarunas, B., Annameier, S. K., Gulley, L., Quaglia, J., Brown, K. W., Broderick, P., & Bell, C. (2019). One-year follow-up of a randomized controlled trial piloting a mindfulness-based group intervention for adolescent insulin resistance. Frontiers in Psychology, 10, 1040. https://doi.org/10.3389/fpsyg.2019.01040CrossRefPubMedPubMedCentral

Shomaker, L. B., Tanofsky-Kraff, M., Stern, E. A., Miller, R., Zocca, J. M., Field, S. E., Yanovski, S. Z., Hubbard, V. S., & Yanovski, J. A. (2011). Longitudinal study of depressive symptoms and progression of insulin resistance in youth at risk for adult obesity. Diabetes Care, 34(11), 2458–2463. https://doi.org/10.2337/dc11-1131CrossRefPubMedPubMedCentral

Simon, S. L., Behn, C. D., Cree-Green, M., Kaar, J. L., Pyle, L., Hawkins, S. M. M., Rahat, H., Garcia-Reyes, Y., Wright, K. P., Jr., & Nadeau, K. J. (2019). Too late and not enough: School year sleep duration, timing, and circadian misalignment are associated with reduced insulin sensitivity in adolescents with overweight/obesity. Journal of Pediatrics, 205(257–264), e251. https://doi.org/10.1016/j.jpeds.2018.10.027CrossRef

Stockings, E., Degenhardt, L., Lee, Y. Y., Mihalopoulos, C., Liu, A., Hobbs, M., & Patton, G. (2015). Symptom screening scales for detecting major depressive disorder in children and adolescents: A systematic review and meta-analysis of reliability, validity and diagnostic utility. Journal of Affective Disorders, 174, 447–463. https://doi.org/10.1016/j.jad.2014.11.061CrossRefPubMed

Suglia, S. F., Koenen, K. C., Boynton-Jarrett, R., Chan, P. S., Clark, C. J., Danese, A., Faith, M. S., Goldstein, B. I., Hayman, L. L., Isasi, C. R., Pratt, C. A., Slopen, N., Sumner, J. A., Turer, A., Turer, C. B., & Zachariah, J. P. (2018). Childhood and adolescent adversity and cardiometabolic outcomes: A scientific statement from the American Heart Association. Circulation, 137(5), e15–e28. https://doi.org/10.1161/CIR.0000000000000536CrossRefPubMed

Turner, T., & Hingle, M. (2017). Evaluation of a mindfulness-based mobile app aimed at promoting awareness of weight-related behaviors in adolescents: A pilot study. JMIR Research Protocols, 6(4), e67. https://doi.org/10.2196/resprot.6695CrossRefPubMedPubMedCentral

Wolfson, A. R., & Carskadon, M. A. (1998). Sleep schedules and daytime functioning in adolescents. Child Development, 69(4), 875–887. https://doi.org/10.2307/1132351CrossRefPubMed

Wolfson, A. R., Carskadon, M. A., Acebo, C., Seifer, R., Fallone, G., Labyak, S. E., & Martin, J. L. (2003). Evidence for the validity of a sleep habits survey for adolescents. Sleep, 26(2), 213–216. https://doi.org/10.1093/sleep/26.2.213CrossRefPubMed

Titel: The role of mindfulness in associations among depression symptoms, sleep duration, and insulin resistance in adolescents
Auteurs: Emma L. M. Clark
Lauren D. Gulley
Mark A. Prince
Milena Casamassima
Natalia Sanchez
Virginia Jimenez
Sarah A. Johnson
Reagan L. Miller
Isabella Conte
Jill L. Kaar
Stacey L. Simon
Christopher Melby
Rachel G. Lucas-Thompson
Lauren B. Shomaker
Publicatiedatum: 21-04-2021
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 5/2021
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-021-00225-x

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 5/2021

Past-year discrimination and cigarette smoking among sexual minority women: investigating racial/ethnic and sexual identity differences

Charity-based incentives motivate young adult cancer survivors to increase physical activity: a pilot randomized clinical trial

Gender differences in the relationship between social support and strain and mortality among a national sample of adults

Profiles of partner health linked to a partner-focused intervention following patient initial implantable cardioverter defibrillator (ICD)

Web-based cognitive behavior therapy for chronic pain patients with aberrant drug-related behavior: How did it work and for whom?

Adaptive, behavioral intervention impact on weight gain, physical activity, energy intake, and motivational determinants: results of a feasibility trial in pregnant women with overweight/obesity