Journal article
Sleep and happiness in urban-dwelling older adults in Ghana: A serial multiple mediation model of generalized anxiety and depressive symptoms
American journal of geriatric psychiatry, Vol.31(11), pp.953-964
11/2023
PMID: 37270306
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Abstract
Objective: Sleep problems (SP) are highly prevalent and seriously affect health and well-being in old age. The aim of this study was to examine the association between SP and happiness in an urban-dwelling older sample. We further explore the effects of generalized anxiety and depressive symptoms in the SP-happiness link using serial mediating modeling.
Methods: Data came from the 2016-2018 Aging, Health, Psychological Well-being, and Health-seeking Behavior Study in Ghana (n=661). We measured happiness with the cross-culturally validated item on a five-point scale. The GAD-7 and the CESD-8, respectively, assessed generalized anxiety and depressive symptoms. Participants reported nighttime and daytime SP in the last 30 days. The SPSS-based Hayes' PROCESS macro-program (Model 6) was constructed to quantify the hypothesized mediation effect.
Results: The analysis included 661 adults aged ≥50 years (mean age=65.53 [SD]=11.89 years; 65.20% women). After full adjustment, path models showed that SP was negatively associated with happiness (β=−.1277, 95%CI=−.15950 to −.096). Bootstrapping estimates revealed that SP–happiness link was serially mediated via generalized anxiety representing 8.77%, depressive symptoms yielding 18.95%, and anxiety symptoms→depressive symptoms accounting for 26.70% of the total effect.
Conclusions: Generalized anxiety and depressive symptoms may explain the negative association between SP and happiness in urban-dwelling older adults in the SSA context. Interventions to improve happiness through sleep quality should include mental health. Longitudinal and cross-cultural data are warranted to assess the bi-directionality of this relationship.
Details
- Title
- Sleep and happiness in urban-dwelling older adults in Ghana: A serial multiple mediation model of generalized anxiety and depressive symptoms
- Creators
- Razak Gyasi (Author) - Southern Cross UniversityAndré Hajek - University Medical Center Hamburg-EppendorfRichmond Owusu - University of GhanaPeter Bai James (Contributor) - Southern Cross UniversityMary Sefa Boampong - Kwame Nkrumah University of Science and TechnologyBurnett Tetteh Accam - Kwame Nkrumah University of Science and TechnologyKabila Abass - Kwame Nkrumah University of Science and TechnologyEllis Owusu-Dabo - Kwame Nkrumah University of Science and TechnologyDavid R Phillips - Lingnan University
- Publication Details
- American journal of geriatric psychiatry, Vol.31(11), pp.953-964
- Publisher
- Elsevier Inc.
- Grant note
- Research Grants Council (RGC)Lingnan University, Hong Kong: RPG1129310
This work was supported by the Research Grants Council (RGC) and Lingnan University, Hong Kong [grant number RPG1129310] . The funders had no role in study design, data collection, and analysis, decision to pub- lish, or preparation of the manuscript. The authors declare no con fl ict of interest .
- Identifiers
- 991013115713802368
- Copyright
- © 2023 Published by Elsevier Inc. on behalf of American Association for Geriatric Psychiatry.
- Academic Unit
- National Centre for Naturopathic Medicine
- Language
- English
- Resource Type
- Journal article