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CC BY-NC-ND 4.0 · Sleep Sci 2024; 17(01): e1-e6
DOI: 10.1055/s-0043-1772812
Original Article

Sleep Disorders and Subjective Well-Being in Portuguese Adults: Evidence from a Representative Study

Sara Oliveira
1   Nursing School, University of Minho, Braga, Portugal
,
Cesar Agostinis Sobrinho
2   Faculty of Health Sciences, Klaipeda University, Klaipeda, Lithuania
,
Silvana Martins
1   Nursing School, University of Minho, Braga, Portugal
,
Cláudia Augusto
1   Nursing School, University of Minho, Braga, Portugal
,
Odete Araújo
1   Nursing School, University of Minho, Braga, Portugal
,
Teresa Vieira
1   Nursing School, University of Minho, Braga, Portugal
,
Ana Paula Macedo
1   Nursing School, University of Minho, Braga, Portugal
,
Maria José Silva
1   Nursing School, University of Minho, Braga, Portugal
,
Rafaela Rosário 
1   Nursing School, University of Minho, Braga, Portugal
› Institutsangaben Funding The authors declare that they did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors to conduct the present research.
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Abstract

Objective The quality and quantity of sleep affect people's well-being, as chronic sleep disorders are associated with social, physical, and psychological problems, as well as low self-reported life satisfaction. The present cross-sectional study examined the associations of sleep disorders with self-reported life satisfaction in Portuguese adults.

Materials and Methods Data from a representative sample of the Portuguese population (14,341 participants, aged ≥ 18 years) extracted from the Sixth Portuguese National Health Survey was analyzed. Data on subjective well-being and sleep disorders was collected through a questionnaire, and multivariable regression models were performed to examine the associations between these variables, adjusted for potential confounders such as age, gender, level of schooling, degree of urbanization, and family income.

Results Sleep disorders were negatively associated with self-reported life satisfaction. Having at least one sleep disturbance in the last two weeks was significantly associated with a 3-point decrease in life satisfaction: β = −3.0 (95% confidence interval = −3.2–−2.7).

Discussion Among Portuguese adults, sleep disorders were associated with a decline in life satisfaction. The present study provides new evidence from a representative sample to support the promotion of good sleep hygiene intervention programs.

Keywords

adult - sleep disorders - motivation - happiness


Publikationsverlauf

Eingereicht: 14. Oktober 2022

Angenommen: 08. Mai 2023

Artikel online veröffentlicht:
20. Februar 2024

© 2024. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Nedeltcheva AV, Scheer FA. Metabolic effects of sleep disruption, links to obesity and diabetes. Curr Opin Endocrinol Diabetes Obes 2014; 21 (04) 293-298
    CrossrefPubMedSuche in Google Scholar
  • 2 Knutson KL. Does inadequate sleep play a role in vulnerability to obesity?. Am J Hum Biol 2012; 24 (03) 361-371
    CrossrefPubMedSuche in Google Scholar
  • 3 Dong L, Martinez AJ, Buysse DJ, Harvey AG. A composite measure of sleep health predicts concurrent mental and physical health outcomes in adolescents prone to eveningness. Sleep Health 2019; 5 (02) 166-174
    CrossrefPubMedSuche in Google Scholar
  • 4 Bonanno L, Metro D, Papa M. et al. Assessment of sleep and obesity in adults and children: Observational study. Medicine (Baltimore) 2019; 98 (46) e17642
    CrossrefPubMedSuche in Google Scholar
  • 5 Perlis ML, Posner D, Riemann D, Bastien CH, Teel J, Thase M. Insomnia. Lancet 2022; 400 (10357): 1047-1060
    CrossrefPubMedSuche in Google Scholar
  • 6 Pérez-Carbonell L, Mignot E, Leschziner G, Dauvilliers Y. Understanding and approaching excessive daytime sleepiness. Lancet 2022; 400 (10357): 1033-1046
    CrossrefPubMedSuche in Google Scholar
  • 7 Grandner MA, Martin JL, Patel NP. et al. Age and sleep disturbances among American men and women: data from the U.S. Behavioral Risk Factor Surveillance System. Sleep 2012; 35 (03) 395-406
    PubMedSuche in Google Scholar
  • 8 Whinnery J, Jackson N, Rattanaumpawan P, Grandner MA. Short and long sleep duration associated with race/ethnicity, sociodemographics, and socioeconomic position. Sleep 2014; 37 (03) 601-611
    CrossrefPubMedSuche in Google Scholar
  • 9 Becker SP, Jarrett MA, Luebbe AM, Garner AA, Burns GL, Kofler MJ. Sleep in a large, multi-university sample of college students: sleep problem prevalence, sex differences, and mental health correlates. Sleep Health 2018; 4 (02) 174-181
    CrossrefPubMedSuche in Google Scholar
  • 10 Ohayon MM, Carskadon MA, Guilleminault C, Vitiello MV. Meta-analysis of quantitative sleep parameters from childhood to old age in healthy individuals: developing normative sleep values across the human lifespan. Sleep 2004; 27 (07) 1255-1273
    CrossrefPubMedSuche in Google Scholar
  • 11 Neikrug AB, Ancoli-Israel S. Sleep disorders in the older adult - a mini-review. Gerontology 2010; 56 (02) 181-189
    CrossrefPubMedSuche in Google Scholar
  • 12 Schlarb AA, Reis D, Schröder A. Sleep Characteristics, Sleep Problems, and Associations to Quality of Life among Psychotherapists. Sleep Disord 2012; 2012: 806913
    CrossrefPubMedSuche in Google Scholar
  • 13 Nutt D, Wilson S, Paterson L. Sleep disorders as core symptoms of depression. Dialogues Clin Neurosci 2008; 10 (03) 329-336
    CrossrefPubMedSuche in Google Scholar
  • 14 Oh C-M, Kim HY, Na HK, Cho KH, Chu MK. The Effect of Anxiety and Depression on Sleep Quality of Individuals With High Risk for Insomnia: A Population-Based Study. Front Neurol 2019; 10: 849
    CrossrefPubMedSuche in Google Scholar
  • 15 Fang H, Tu S, Sheng J, Shao A. Depression in sleep disturbance: A review on a bidirectional relationship, mechanisms and treatment. J Cell Mol Med 2019; 23 (04) 2324-2332
    CrossrefPubMedSuche in Google Scholar
  • 16 Lacruz ME, Schmidt-Pokrzywniak A, Dragano N. et al. Depressive symptoms, life satisfaction and prevalence of sleep disturbances in the general population of Germany: results from the Heinz Nixdorf Recall study. BMJ Open 2016; 6 (01) e007919
    CrossrefPubMedSuche in Google Scholar
  • 17 Zhao SZ, Wang MP, Viswanath K. et al. Short Sleep Duration and Insomnia Symptoms were Associated with Lower Happiness Levels in Chinese Adults in Hong Kong. Int J Environ Res Public Health 2019; 16 (12) 2079
    CrossrefPubMedSuche in Google Scholar
  • 18 Laposky AD, Van Cauter E, Diez-Roux AV. Reducing health disparities: the role of sleep deficiency and sleep disorders. Sleep Med 2016; 18: 3-6
    CrossrefPubMedSuche in Google Scholar
  • 19 Johnson DA, Billings ME, Hale L. Environmental Determinants of Insufficient Sleep and Sleep Disorders: Implications for Population Health. Curr Epidemiol Rep 2018; 5 (02) 61-69
    CrossrefPubMedSuche in Google Scholar
  • 20 Neto F. The satisfaction with Life Scale: psychometrics properties in an adolescent sample. J Youth Adolesc 1993; 22 (02) 125-134
    CrossrefSuche in Google Scholar
  • 21 Diener E, Emmons RA, Larsen RJ, Griffin S. The Satisfaction With Life Scale. J Pers Assess 1985; 49 (01) 71-75
    CrossrefPubMedSuche in Google Scholar
  • 22 Medic G, Wille M, Hemels ME. Short- and long-term health consequences of sleep disruption. Nat Sci Sleep 2017; 9: 151-161
    CrossrefPubMedSuche in Google Scholar
  • 23 Axelsson J, Ingre M, Kecklund G, Lekander M, Wright KP, Sundelin T. Sleepiness as motivation: a potential mechanism for how sleep deprivation affects behavior. Sleep 2020; 43 (06) zsz291
    CrossrefPubMedSuche in Google Scholar
  • 24 Steptoe A, Deaton A, Stone AA. Subjective wellbeing, health, and ageing. Lancet 2015; 385 (9968) 640-648
    CrossrefPubMedSuche in Google Scholar
  • 25 Antonovsky A. Unraveling the Mystery of Health. London: Jossey-Bass; 1988
    Suche in Google Scholar
  • 26 Bauer GF, Roy M, Bakibinga P. et al. Future directions for the concept of salutogenesis: a position article. Health Promot Int 2020; 35 (02) 187-195
    CrossrefPubMedSuche in Google Scholar
  • 27 Fox EC, Wang K, Aquino M. et al. Sleep debt at the community level: impact of age, sex, race/ethnicity and health. Sleep Health 2018; 4 (04) 317-324
    CrossrefPubMedSuche in Google Scholar
  • 28 Grandner MA. Sleep, Health, and Society. Sleep Med Clin 2017; 12 (01) 1-22
    CrossrefPubMedSuche in Google Scholar
  • 29 van der Helm E, Gujar N, Walker MP. Sleep deprivation impairs the accurate recognition of human emotions. Sleep 2010; 33 (03) 335-342
    CrossrefPubMedSuche in Google Scholar
  • 30 Shaffery J, Hoffmann R, Armitage R. The neurobiology of depression: perspectives from animal and human sleep studies. Neuroscientist 2003; 9 (01) 82-98
    CrossrefPubMedSuche in Google Scholar
  • 31 Abbruzzese L, Magnani N, Robertson IH, Mancuso M. Age and Gender Differences in Emotion Recognition. Front Psychol 2019; 10: 2371
    CrossrefPubMedSuche in Google Scholar
  • 32 Diener E, Ryan K. Subjective Well-Being: A General Overview. S Afr J Psychol 2009; 39: 391-406
    CrossrefSuche in Google Scholar
  • 33 Blasco-Belled A, Rogoza R, Torrelles-Nadal C, Alsinet C. Emotional Intelligence Structure and Its Relationship with Life Satisfaction and Happiness: New Findings from the Bifactor Model. J Happiness Stud 2020; 21 (06) 2031-2049
    CrossrefSuche in Google Scholar
  • 34 Riera-Sampol A, Bennasar-Veny M, Tauler P, Nafría M, Colom M, Aguilo A. Association between Depression, Lifestyles, Sleep Quality and Sense of Coherence in a Population with Cardiovascular Risk. Nutrients 2021; 13 (02) 585
    CrossrefPubMedSuche in Google Scholar
  • 35 Gulia KK, Kumar VM. Sleep disorders in the elderly: a growing challenge. Psychogeriatrics 2018; 18 (03) 155-165
    CrossrefPubMedSuche in Google Scholar
  • 36 Ostir GV, Markides KS, Black SA, Goodwin JS. Emotional well-being predicts subsequent functional independence and survival. J Am Geriatr Soc 2000; 48 (05) 473-478
    CrossrefPubMedSuche in Google Scholar
  • 37 Lacruz ME, Emeny RT, Baumert J, Ladwig KH. Prospective association between self-reported life satisfaction and mortality: results from the MONICA/KORA Augsburg S3 survey cohort study. BMC Public Health 2011; 11: 579
    CrossrefPubMedSuche in Google Scholar
  • 38 Diener E, Diener M, Diener C. Factors predicting the subjective well-being of nations. J Pers Soc Psychol 1995; 69 (05) 851-864
    CrossrefPubMedSuche in Google Scholar
  • 39 Gustafsson TM, Isacson DG, Thorslund M. Mortality in elderly men and women in a Swedish municipality. Age Ageing 1998; 27 (05) 585-593
    CrossrefPubMedSuche in Google Scholar
  • 40 Grandner MA, Jackson NJ, Izci-Balserak B. et al. Social and Behavioral Determinants of Perceived Insufficient Sleep. Front Neurol 2015; 6: 112
    CrossrefPubMedSuche in Google Scholar
  • 41 Diener E, Seligman M. Beyond Money: Toward an Economy of Well-Being. Psychol Sci Public Interest 2004; 5 (01) 1-31
    CrossrefPubMedSuche in Google Scholar
  • 42 Jean-Louis G, Grandner M. Importance of recognizing sleep health disparities and implementing innovative interventions to reduce these disparities. Sleep Med 2016; 18: 1-2
    CrossrefPubMedSuche in Google Scholar
  • 43 Stamatakis KA, Kaplan GA, Roberts RE. Short sleep duration across income, education, and race/ethnic groups: population prevalence and growing disparities during 34 years of follow-up. Ann Epidemiol 2007; 17 (12) 948-955
    CrossrefPubMedSuche in Google Scholar
  • 44 Witter RA, Okun MA, Stock WA, Haring MJ. Education and Subjective Well-Being: A Meta-Analysis. Educ Eval Policy Anal 1984; 6 (02) 165-173
    CrossrefSuche in Google Scholar
  • 45 López-Ortega M, Torres-Castro S, Rosas-Carrasco O. Psychometric properties of the Satisfaction with Life Scale (SWLS): secondary analysis of the Mexican Health and Aging Study. Health Qual Life Outcomes 2016; 14 (01) 170
    CrossrefPubMedSuche in Google Scholar
  • 46 Colten H.R., Altevogt B.M.. , & Institute of Medicine (US) Committee on Sleep Medicine and Research (Eds.) 2006. Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem. National Academies Press; US:
    Suche in Google Scholar