Online Program

Mental and spiritual health as correlates of sleep quality

Tuesday, November 3, 2015

Adam Knowlden, CHES, MBA, MS, Ph.D., Department of Health Science, The University of Alabama, Tuscaloosa, AL
Manoj Sharma, MBBS, MCHES, Ph.D., Behavioral and Environmental Health, School of Public Health, Jackson State University and Walden University, Jackson, MS
Andy Harcrow, Department of Health Science, College of Human Environmental Sciences, University of Alabama, Tuscaloosa, AL
Maranda Burns, The University of Alabama, Tuscaloosa, AL
Background. Sleep quality is associated with less daytime sleepiness, enhanced sense of well-being, optimal psychological functioning, and overall better health. Psychological distress can impede sleep onset and can have a subsequent indirect effect on sleep quality. Spiritual health has been hypothesized to interact with mental health functions and may impact sleep quality. The purpose of this study was to measure and model spiritual and psychological predictors of sleep quality. Methods. Based on a power analysis, a cross-sectional sample of 300 adults was sampled to build a model that could detect statistical significance at the 0.05 level. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). The PSQI is a standardized instrument used to assess sleep quality and sleep disturbances in adults. Mental distress was measured by the Kessler-6 Psychological Distress Scale (K-6). Respondents were grouped into categories of low, moderate, and severe mental distress using established cut-off points. Spirituality was measured using the Beliefs and Values Scale (BVS).  The BVS is a multidimensional scale that measures spiritual belief regardless of religious belief or practice. Results. Model goodness-of-fit was evaluated against a priori indices of Chi-square test (p > 0.05), goodness-of-fit index (> .90), normed fit index (> .90), and root mean square error of approximation (< 0.05). Significant paths were found for all direct path coefficients. Conclusions. The findings of this study demonstrate stress management and spiritual development may influence sleep quality. Integrative health interventions that target spiritual growth and stress may assist in improving sleep quality.

Learning Areas:

Assessment of individual and community needs for health education
Implementation of health education strategies, interventions and programs
Program planning
Public health or related education
Public health or related research
Social and behavioral sciences

Learning Objectives:
Discuss the health relationship between spirituality, mental distress, and sleep quality. Describe the process of developing an instrument that incorporates constructs of spirituality and psychological distress for predicting sleep quality. Evaluate a mental and spiritual health-based intervention designed to improve sleep quality.

Keyword(s): Stress, Mental Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have worked with Dr. Knolwden on this paper and I have been involved in research on this subject for many years.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.