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Attitudes Towards Sleep as a Time Commitment are Associated with Sleep Regularity
Behavioral Sleep Medicine ( IF 3.1 ) Pub Date : 2021-01-15 , DOI: 10.1080/15402002.2020.1860989
Daniel P Windred 1 , Julia E Stone 1 , Elise McGlashan 1 , Sean W Cain 1 , Andrew Phillips 1
Affiliation  

ABSTRACT

Objective: Irregular sleep-wake patterns are associated with poor health outcomes. However, factors that lead individuals to adopt more regular sleep-wake patterns are not well understood. This study aimed to (i) examine the relationship between sleep regularity and attitudes toward sleep in undergraduates; (ii) test an intervention to improve sleep regularity based on personalized feedback; and (iii) investigate whether changes in attitudes toward sleep associate with improved sleep regularity.

Methods: Sleep-wake timing of 45 students (19.7 ± 1.8 years) was monitored daily over two weeks using an app-based diary. The least regular sleepers, calculated using the Sleep Regularity Index (SRI ≤ 81.4; N = 22), completed a four-week randomized control intervention (RCI) designed to improve sleep regularity. The Charlotte Attitudes Toward Sleep (CATS) scale was administered at baseline and post-RCI, with subscales measuring attitudes toward sleep as a time commitment (Time), and as a beneficial/enjoyable behavior (Benefits).

Results: CATS Time was positively associated with SRI at baseline (r2 = 0.16, p =.006) and during the four-week RCI (r2 = 0.29, p =.01). CATS Benefits was not associated with SRI but was associated with sleep quality. There was no significant improvement in SRI during the intervention. The relationship between change in CATS Time and change in SRI (baseline vs. RCI) differed between intervention and control groups (r2 = 0.27, p =.03).

Conclusions: Attitudes toward sleep as a time commitment are associated with sleep regularity and should be considered as a target in future interventions aiming to improve sleep regularity.



中文翻译:

将睡眠作为时间承诺的态度与睡眠规律有关

摘要

目的:不规则的睡眠-觉醒模式与不良的健康结果相关。然而,导致个人采用更规律的睡眠-觉醒模式的因素尚不清楚。本研究旨在 (i) 检验大学生睡眠规律与睡眠态度之间的关系;(ii) 根据个性化反馈测试改善睡眠规律的干预措施;(iii) 调查对睡眠态度的改变是否与睡眠规律的改善有关。

方法:使用基于应用程序的日记在两周内每天监测 45 名学生(19.7 ± 1.8 岁)的睡眠-觉醒时间。使用睡眠规律指数 (SRI ≤ 81.4; N = 22) 计算的最不规律的睡眠者完成了为期 4 周的随机对照干预 (RCI),旨在改善睡眠规律。夏洛特睡眠态度 (CATS) 量表在基线和 RCI 后进行管理,分量表测量对睡眠的态度作为时间承诺 (Time) 和作为有益/愉快的行为 (Benefits)。

结果:CATS 时间在基线 (r 2  = 0.16, p =.006) 和 4 周 RCI 期间 (r 2  = 0.29, p =.01) 与 SRI 呈正相关。CATS 福利与 SRI 无关,但与睡眠质量相关。干预期间SRI没有明显改善。CATS 时间变化与 SRI 变化(基线与 RCI)之间的关系在干预组和对照组之间存在差异(r 2  = 0.27,p =.03)。

结论:将睡眠作为时间承诺的态度与睡眠规律性相关,应将其视为旨在改善睡眠规律性的未来干预措施的目标。

更新日期:2021-01-15
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