Neha J Goel1,2, Shiri Sadeh-Sharvit3,4,5, Mickey Trockel4, Rachael E Flatt6, Ellen E Fitzsimmons-Craft7, Katherine N Balantekin8, Grace E Monterubio7, Marie-Laure Firebaugh7, Denise E Wilfley7, C Barr Taylor4,5. 1. Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA. 2. Institute for Inclusion, Inquiry and Innovation (iCubed), Virginia Commonwealth University, Richmond, VA, USA. 3. Baruch Ivcher School of Psychology, Interdisciplinary Center, Herzliya, Israel. 4. Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, USA. 5. Center for m2Health, Palo Alto University, Palo Alto, CA, USA. 6. Department of Psychology and Neurosciences, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. 7. Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA. 8. Department of Exercise and Nutrition Sciences, University at Buffalo, Buffalo, NY, USA.
Abstract
Objective: This study examined the associations between insomnia, anxiety, and depression in college women with eating disorders (EDs). Participants: Six hundred and ninety women from 28 US colleges who screened positive for an ED were assessed for psychiatric comorbidities. Women were, on average, 22.12 years old, mostly White (60.1%) and undergraduates (74.3%). Methods: Two mediation models were tested to determine if depression and/or anxiety mediated the relationship between insomnia and ED symptomatology. Results: One-fifth of the sample (21.7%) reported clinically moderate and severe levels of insomnia. Both depression (B = .13, p <. 001) and anxiety (B = .13, p <. 001) significantly mediated the relationship between insomnia and ED psychopathology. Conclusions: Insomnia is relatively common in college-age women with EDs. Findings suggest that this association between ED and sleep disturbances can be explained, in part, by changes in depression and anxiety. Clinicians should consider incorporating mental health assessments for insomnia, depression, and anxiety into current ED prevention, intervention, and screening efforts on college campuses.
Objective: This study examined the associations between insomnia, anxiety, and depression in college women with eating disorders (EDs). Participants: Six hundred and ninety women from 28 US colleges who screened positive for an ED were assessed for psychiatric comorbidities. Women were, on average, 22.12 years old, mostly White (60.1%) and undergraduates (74.3%). Methods: Two mediation models were tested to determine if depression and/or anxiety mediated the relationship between insomnia and ED symptomatology. Results: One-fifth of the sample (21.7%) reported clinically moderate and severe levels of insomnia. Both depression (B = .13, p <. 001) and anxiety (B = .13, p <. 001) significantly mediated the relationship between insomnia and ED psychopathology. Conclusions: Insomnia is relatively common in college-age women with EDs. Findings suggest that this association between ED and sleep disturbances can be explained, in part, by changes in depression and anxiety. Clinicians should consider incorporating mental health assessments for insomnia, depression, and anxiety into current ED prevention, intervention, and screening efforts on college campuses.
Entities:
Keywords:
Anxiety; college students; depression; eating disorders; insomnia
Authors: Vandana Aspen; Hannah Weisman; Anna Vannucci; Najia Nafiz; Dana Gredysa; Andrea E Kass; Mickey Trockel; Corinna Jacobi; Denise E Wilfley; C Barr Taylor Journal: Eat Behav Date: 2014-12
Authors: Gerardo Gómez-García; Magdalena Ramos-Navas-Parejo; Juan-Carlos de la Cruz-Campos; Carmen Rodríguez-Jiménez Journal: Int J Environ Res Public Health Date: 2022-08-22 Impact factor: 4.614
Authors: Jason M Nagata; Idia B Thurston; Bryan T Karazsia; Daniel Woolridge; Sara M Buckelew; Stuart B Murray; Jerel P Calzo Journal: Eat Weight Disord Date: 2020-03-28 Impact factor: 4.652