Well Let s Talk about SLEEP: Sleep & Wellbeing in College Students
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1 Well Let s Talk about SLEEP: Sleep & Wellbeing in College Students Esther Yuet Ying Lau PhD (Clin.Psy), R.Psych (B.C., Canada), Reg.Clin.Psy (HKPS) Assistant Professor, Department of Psychological Studies, HKIEd Honorary Assistant Professor, Department of Psychiatry, HKU
2 Background Overview of College Students Sleep Pattern College students are found to have a distinctive pattern of sleep behaviors from non-college aged peers Sleep deprivation Poor sleep quality Eveningness chronotype Excessive daytime sleepiness Common biological factors (e.g. pubertal development) Different psychosocial factors Academic-related activities (e.g. Early morning lectures) Social life (e.g. On-campus residence, use of computers) Brown & Buboltz, 2002; Gray & Watson, 2002; Lund et al., 2010; Sing & Wong, 2010; Tsui & Wing, 2009
3 Sleep in college: Phenomenon Decreasing sleep hours in college
4 Sleep and the (resting) brain
5 Greer, Goldstein & Walker, 2013 Sleep and emotional functions Altered activation of the prefrontal cortex and limbic system (compared to the well-rested) Lack of frontal regulation of emotional response from the limbic cortex
6 A Local Study To explore if students wellbeing and academic functioning is predicted by their sleep characteristics longitudinally
7 Sleep in local college students HK and Macau college students (n=972) 3 academic semesters for directional relationship Sleep behaviors, mood, quality of life and academic performance A structural equation modeling with boot-strapping to estimate directional relationship
8 Sleep in local college students mean=6.6 hours
9 Consequence of poor sleep Poor sleep behaviors affect negative affect, GPA and health even after controlling for the corresponding baseline level and demographic factors
10 Consequence of poor sleep
11 What to do with poor sleep? Sleep opportunity (nighttime) Sleeping earlier at night? Sleep opportunity (daytime) Choosing afternoon class? Daytime napping?
12 Daytime napping in HK college students Wong, M. L., Lau, E. Y. Y, Hui, C. H., Cheung, S. F., & Mok, D. S. Y. (2012). How along may I nap without disrupting my nighttime sleep? Journal of Sleep Research, 21, 148
13 Napping and Performance
14 A Local Study To assess if daytime napping affects college students cognitive and emotional functioning
15 Design and Procedures Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 Actigraph-watch, sleep diary, questionnaire Neuropsy Ax Exp Tasks Neuropsy Ax Exp Tasks Da y 6 Neuropsy Ax Exp Tasks Neuropsy Ax Exp Tasks
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18 Inhibitory Control
19 Designed by Phoebe Hung and Kristy Lau Daytime nap and nighttime sleep Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 Actigraphy sleep diary Nap and Wake group did not differ on the self-reported and objectively-measured sleep duration and quality significantly before (day 1-5) and after (day 6-7) the intervention day (ps>.05)
20 Take home message Local college students had restricted sleep and poor sleep quality which predicted poor academic performance, physical and psychological health; Daytime napping is common among college students Napping for <90 minutes before 5pm was not only unrelated to nighttime sleep behaviors, but benefited cognitive and affective functions which had been shown to be affected by restricted sleep or poor sleep quality
21 Medical students: a special population in sleep research? Academic demand? Stress from demanding medical training? Prevalence of poor sleep quality is higher
22 Sleep & Asian medical students
23 Sleep & local medical students
24 Sleep & academic performance Positive correlation between usual bedtimes and usual rise times and written examination result Positive correlation between subjective sleep quality and clinical skills assessment result
25 Take home message Medical students had poorer sleep quality, which was associated with stress and academic performance Improving their sleep is important, as their future job continues to be cognitively and emotionally demanding While academic demand remains Education on stress management? Promotion of healthier life style?
26 CAMPUS FACILITIEZZZ
27 Acknowledgements Collaborators Dr. SF CHEUNG Dr. KF CHUNG Dr. CH HUI Prof. TMC LEE Dr. DSY MOK Dr. CH TSENG Prof. YK WING HKU Sleepers! Jacky, Lawrence, Kristy, Cecilia, Gervais, Phoebe, Edith, Florence, Shirley, Winglan, Jacklyn, Jacqueline, Tiffany, Martin, Lucy, Karen, Lawrence
28 QUESTION COMMENT FEEDBACK THANKZZZ
29
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