Dataset Information

Affect, emotion dysregulation and sleep quality among low-income women.

ABSTRACT: OBJECTIVES:To examine the underlying mechanisms through which steady state emotions, specifically affect and emotion regulation, influence sleep quality among young adult low-income women. DESIGN:Cross-sectional. SETTING:Stress and Health Study (2006-2012) in southeast Texas. PARTICIPANTS:A subgroup (n=392) of racially and ethnically diverse young adult women ages 18-31. MEASUREMENTS:Participants provided measures of positive and negative affect, difficulties in emotion regulation, and sleep quality. Structural equation models were designed to identify differential mediating roles of emotion dysregulation in the association between both positive and negative affect and sleep quality. RESULTS:The relationship between positive affect and improved sleep quality operated completely through domains of emotion regulation (?= -0.054, 95% CI: -0.08 to -0.03), whereas the adverse effects of negative affect exhibited both direct (?= 0.142, 95% CI: 0.06 to 0.23) and indirect (?= 0.124, 95% CI: 0.08 to 0.16) effects on poor sleep. Negative affect was associated with poor sleep quality via two pathways-it directly influenced sleep quality and it indirectly influenced sleep quality among women experiencing difficulties in emotion regulation. CONCLUSIONS:Therapies targeting improvement and maintenance of healthy emotion regulation domains, while delineating the positive affect state from the negative affect state, may lessen the burden of poor sleep quality among low-income women.

SUBMITTER: Hoag JR

PROVIDER: S-EPMC5325685 | biostudies-literature | 2016 Dec

REPOSITORIES: biostudies-literature

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Affect, emotion dysregulation and sleep quality among low-income women.

Hoag Jessica R JR Tennen Howard H Stevens Richard G RG Coman Emil E Wu Helen H

Sleep health 20160926 4

<h4>Objectives</h4>To examine the underlying mechanisms through which steady state emotions, specifically affect and emotion regulation, influence sleep quality among young adult low-income women.<h4>Design</h4>Cross-sectional.<h4>Setting</h4>Stress and Health Study (2006-2012) in southeast Texas.<h4>Participants</h4>A subgroup (n=392) of racially and ethnically diverse young adult women ages 18-31.<h4>Measurements</h4>Participants provided measures of positive and negative affect, difficulties ...[more]

PMID: 28243627

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Project description:BACKGROUND:Low-income Hispanic women are at-risk of poor prenatal diet quality. Correlates associated with prenatal diet quality in this group of women are understudied. OBJECTIVE:The objective of this study was to examine the associations between financial, cultural, psychosocial, and lifestyle correlates and prenatal diet quality in low-income Hispanic women. DESIGN:This cross-sectional analysis used data from pregnant women enrolled in the Starting Early Trial, a randomized-controlled trial of a primary-care based child obesity prevention program beginning in pregnancy. The trial enrolled women from clinics affiliated with a large urban medical center in New York City from 2012 to 2014. Financial, cultural, psychosocial, and lifestyle variables were collected using a comprehensive baseline questionnaire. Usual dietary intakes over the past year were assessed using the Block Food Frequency Questionnaire 2005 bilingual version. PARTICIPANTS:The study enrolled low-income Hispanic women between 28 and 32 gestational weeks (N=519). MAIN OUTCOME MEASURES:Prenatal diet quality was measured by the Healthy Eating Index 2015. STATISTICAL ANALYSES PERFORMED:Unadjusted and adjusted multivariable linear regression analyses were performed to determine independent associations between financial, cultural, psychosocial, and lifestyle correlates and Healthy Eating Index 2015 total score. RESULTS:Overall prenatal diet quality was poor (mean Healthy Eating Index 2015 total score=69.0±9.4). Most women did not meet the maximum score for total vegetables (65.3%), whole grains (97.1%), dairy (74.8%), fatty acids (84.4%), refined grains (79.8%), sodium (97.5%), saturated fats (92.9%), and added sugars (66.5%). Women who reported screen time ?2 hours/day, physical activity before and/or during pregnancy, and being born outside the United States had higher mean Healthy Eating Index 2015 total score than women with screen time >2 hours/day, no physical activity, and those born in the United States. CONCLUSIONS:Prenatal diet quality of low-income pregnant Hispanic women was suboptimal. This cross-sectional study revealed associations between cultural and lifestyle factors and prenatal diet quality in low-income Hispanic women. Longitudinal studies are needed to determine long-term influences and specific behaviors to target for effective intervention studies.

Project description:OBJECTIVE:The present study examined whether different sleep health parameters (duration, timing, and quality) are associated with obesity-related eating behaviors including emotional overeating, food responsiveness, enjoyment of food, satiety responsiveness, and eating in the absence of hunger (EAH), during toddlerhood. DESIGN:Among 134 low-income 33-month-old children, parents reported on child sleep parameters, including sleep quality (Children's Sleep Wake Scale; CSWS) and usual bedtimes and wake times on weekdays and weekends (weeknight sleep duration, weekday-to-weekend bedtime delay). Child eating behaviors were assessed using both observed and parent-report measures. Child Emotional Overeating, Food Responsiveness, Enjoyment of Food, and Satiety Responsiveness were measured by parent report using the Child Eating Behavior Questionnaire-Toddler. Observed child EAH was evaluated by measuring kilocalories of palatable foods consumed following a meal. Multivariable linear regression was used to examine the associations between sleep parameters and eating behaviors. RESULTS:Poorer child sleep quality was associated with greater Emotional Overeating (standardized ??=?-0.20 (SE 0.09), p?<?.05) and greater Food Responsiveness (??=?-0.18 (SE 0.09), p?<?.05). Shorter child nighttime sleep duration was associated with greater EAH kcal consumed (standardized ??=?-0.22 (SE 0.09), p?<?.05). Child bedtime delay was not associated with any of the eating behaviors, and no child sleep variables were associated with either Enjoyment of Food or Satiety Responsiveness. CONCLUSIONS:Shorter nocturnal sleep duration and poorer sleep quality during toddlerhood were associated with some, but not all, of the obesity-related eating behaviors. Poor sleep health may promote childhood obesity risk through different eating behavior pathways. As children growing up in poverty may experience greater sleep decrements, sleep duration and sleep quality may be important targets for intervention among low-income families with young children.

Dataset Information

Affect, emotion dysregulation and sleep quality among low-income women.

Publications

Affect, emotion dysregulation and sleep quality among low-income women.

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