ArticleSocial science & medicine (1982)2021
Beyond single sleep measures: A composite measure of sleep health and its associations with psychological and physical well-being in adulthood.
Article in Social science & medicine (1982), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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Who cites it
33 citing papers in PubMed.
- Trial
- Associations between multidimensional sleep measures and domain-specific cognitive function across repeated observations in adults aged 55 years and older.GeroScience · 2026Article
- Bidirectional associations between daily sleep and pain severity in adults with rheumatoid arthritis: A daily diary and actigraphy study.The journal of pain · 2026Article
- Coupling of within-person changes in sleep quality and subjective cognition in community-dwelling adults.Aging & mental health · 2026Article
- No evidence of reactivity in accelerometry-based measurement of physical activity and sleep.British journal of health psychology · 2026Article
- Sleep variability as an important marker of treatment outcomes in a clinical sample receiving psychotherapy treatment for alcohol use disorder.Alcohol, clinical & experimental research · 2026Article
- Sleep, PTSD, and suicide risk in U.S. veterans.Frontiers in sleep · 2026Article
- Sleep Rhythmicity as a Core Domain of Multidimensional Sleep Health Associated with Cognitive Impairment in Older Men.Nature and science of sleep · 2026Article
- Multidimensional sleep health and psychological distress: associations in a Community-Dwelling population.Sleep & breathing = Schlaf & Atmung · 2025Article
- Multidimensional sleep health linked to quality of life among Chinese adults.Health and quality of life outcomes · 2025Article
- Exploring nightly variability and clinical influences on sleep measures: insights from a digital brain health platform.Sleep medicine · 2025Article
- Multidimensional sleep health and cognitive function across adulthood.Sleep health · 2025Article
- Back pain precedes sleep problems in older men.Innovation in aging · 2025Article
- Designing work for healthy sleep: A multidimensional, latent transition approach to employee sleep health.Journal of occupational health psychology · 2024Article
- Conceptualizing Sleep Satisfaction: A Rapid Review.Behavioral sciences (Basel, Switzerland) · 2024Review
- Ten-Year Stability of an Insomnia Sleeper Phenotype and Its Association With Chronic Conditions.Psychosomatic medicine · 2024Article
- The Association of Multidimensional Sleep Health With HbA1c and Depressive Symptoms in African American Adults With Type 2 Diabetes.Psychosomatic medicine · 2024Article
- Multidimensional Sleep Health Problems Across Middle and Older Adulthood Predict Early Mortality.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024Article
- Objectively regular sleep patterns and mortality in a prospective cohort: The Multi-Ethnic Study of Atherosclerosis.Journal of sleep research · 2024Article
- Association between personality characteristics and sleep quality among Chinese middle-aged and older adults: evidence from China family panel studies.BMC public health · 2023Article
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Authors and funding
2 authors.
Funding
Abstract
rationaleSleep is important for many functions including body and mind restoration. Studies report the association of sleep with stress and physical deterioration, often focusing only on sleep duration; yet, sleep health needs to be understood by multiple dimensions to comprehensively capture its impact on well-being.
objectiveThis study examined cross-sectional and longitudinal associations of multidimensional sleep health with perceived stress and chronic physical conditions.
methodsWe used a sample of 441 adults (M age = 57 years) who participated in the biomarker project of the Midlife in the United States Study. Participants provided self-report and actigraphy sleep data in 2004-2009 (T1). We created a composite score of sleep health (Range = 0-6; higher indicating more sleep problems) encompassing: actigraphy-measured regularity, timing, efficiency, duration, and self-reported satisfaction and alertness. Participants responded to the perceived stress scale and chronic physical conditions checklist at T1; chronic physical conditions were reassessed in 2013-2015 (T2).
resultsCross-sectionally, a composite score of sleep health problems was uniquely associated with higher perceived stress and more chronic conditions, explaining additional variance that each individual sleep variable did not explain. Sleep duration - one of the most commonly researched dimensions of sleep - was not associated with either perceived stress or chronic conditions. Longitudinally, for individuals who had fewer chronic conditions at T1, having more sleep health problems was associated with an increase in chronic conditions at T2. Among the multiple dimensions, sleep satisfaction was most consistently and strongly associated with the outcomes.
conclusionFindings suggest the importance of considering multiple sleep dimensions concerning psychological and physical well-being in adulthood.
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