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Low mindfulness is related to poor sleep quality from middle adolescents to emerging adults: a process model involving resilience and emotional dysfunction.

Huaiyuan Zhou, Ziqing Zhu, Xiangang Feng, Ruibin Zhang

BMC Psychiatry August 28, 2023 DOI: 10.1186/s12888-023-05092-1 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational cross-sectional survey Peer reviewed
Sample size 497
Population People in middle adolescence to emerging adulthood (approximately ages 15-25); 317 females, mean age 18.27 years (SD 0.76)
Measures Five Facet Mindfulness Questionnaire, Connor-Davidson Resilience Scale, Pittsburgh Sleep Quality Index, Depression Anxiety Stress Scales
Topics Meditation
Keywords Humans Sleep deprivation Reproducibility of results Mental health Comprehension Neuropsychological tests Psychometrics Models, psychological Adolescent Female Resilience, psychological Young adult Bias Emotional regulation Mediation analysis Sleep quality Perceived stress Emotional dysfunction Emerging adult Trait mindfulness Middle adolescence
Key findings Trait mindfulness was positively associated with sleep quality, with resilience and emotional dysfunction each mediating this relationship and forming a sequential mediating pathway from resilience to emotional dysfunction. The mindfulness facet 'acting with awareness' showed significant indirect effects on sleep quality through both mediators. The authors argue these mechanisms may explain how low mindfulness relates to poor sleep quality.

Abstract

Objectives: Transitions from middle adolescence into merging adulthood, a life stage between age 15-25, has a high prevalence of sleep problems. Mindfulness is a trait defined as being attentive to the present moment which positively relates to sleep quality. In this study, we aimed to investigate how resilience and emotional dysfunction may influence the relationship between trait mindfulness and sleep quality.

Methods: The Five Facet Mindfulness Questionnaire, Connor-Davidson Resilience Scale, Pittsburgh Sleep Quality Index and Depression Anxiety Stress Scales were used to measure the key variables through an online survey of 497 participants between middle adolescence and emerging adults (317 females, mean age 18.27 ± 0.76 years). A process model was built to investigate the mediating roles of resilience and emotional dysfunction in the impact of trait mindfulness on sleep quality, together with the relationships between their specific components.

Results: We found a positive association between mindfulness and sleep quality through resilience and through emotional dysfunction, and through the sequential pathway from resilience to emotional dysfunction. Of note, acting with awareness (mindfulness facet) showed significant indirect effects on sleep quality, mediated by resilience and emotional dysfunction.

Conclusions: Our findings may unveil the underlying mechanisms of how low mindfulness induces poor sleep quality. The findings indicate that conceiving mindfulness as a multifaceted construct facilitates comprehension of its components, relationships with other variables, and underscores its potential clinical significance given its critical implications for mental health.

Comparable studies

Other cross-sectional and survey studies on meditation, most cited first.

Study Year Design Participants
Construct Validity of the Five Facet Mindfulness Questionnaire in Meditating and Nonmeditating Samples Experienced meditators and nonmeditating comparison groups 2008 Cross-sectional study
Neural Correlates of Dispositional Mindfulness During Affect Labeling Adult participants 2007 Observational cross-sectional n = 27
Assessing mindfulness in children and adolescents: Development and validation of the Child and Adolescent Mindfulness Measure (CAMM). School-aged children and adolescents 2011 Cross-sectional validation study n = 1,413
Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators Experienced meditators and demographically matched nonmeditators 2012 Cross-sectional study n = 152
Mechanisms of Action in the Inverse Relationship Between Mindfulness and Psychological Distress Undergraduates 2008 Cross-sectional, correlational

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