Neha A John-Henderson1, Benjamin Oosterhoff2, Karalee M Kothe3, Taylor D Kampf3, Brad Hall4, Lester R Johnson4, Mary Ellen LaFromboise4, Melveena Malatare4, Emily M Salois5, Alexandra K Adams5, Jason R Carter6. 1. Montana State University, Department of Psychology, Bozeman, Montana, USA; Montana State University, Center for American Indian and Rural Health Equity, Bozeman, Montana, USA. Electronic address: neha.johnhenderson@montana.edu. 2. Montana State University, Department of Psychology, Bozeman, Montana, USA; Montana State University, Center for American Indian and Rural Health Equity, Bozeman, Montana, USA. 3. Montana State University, Department of Psychology, Bozeman, Montana, USA. 4. Browning, Montana, United States. 5. Montana State University, Center for American Indian and Rural Health Equity, Bozeman, Montana, USA. 6. Montana State University, Department of Psychology, Bozeman, Montana, USA; Montana State University, Department of Human Health and Development, Bozeman, Montana, USA.
Abstract
BACKGROUND: Sleep is largely understudied in American Indians (AIs), even though sleep is implicated in the chronic diseases which disproportionately affect AI communities. OBJECTIVE: To investigate relationships between daily self-reported loneliness and sleep as measured with actigraphy. METHODS: In a sample of 98 Blackfeet adults living on the Blackfeet reservation in Montana, we used Ecological Momentary Assessment and actigraphy over a week-long period to investigate relationships between loneliness and sleep. Loneliness was measured daily using the Short Loneliness Scale and actigraphy was used to measure total sleep time, sleep onset latency (SOL), wake after sleep onset (WASO), and sleep efficiency (SE). RESULTS: Using a series of generalized linear mixed-effects models controlling for demographic characteristics, anxiety and depressive symptoms, and adverse childhood experiences, we found that those who were lonelier had higher WASO and SOL, and lower SE relative to those who were less lonely. Within-subject effects indicate that participants who were lonelier for a given day relative to their own weekly average had higher WASO that night relative to their own weekly average. CONCLUSIONS: Our findings provide initial preliminary evidence suggesting that loneliness may be a psychosocial factor which contributes to poor sleep in AI communities.
BACKGROUND: Sleep is largely understudied in American Indians (AIs), even though sleep is implicated in the chronic diseases which disproportionately affect AI communities. OBJECTIVE: To investigate relationships between daily self-reported loneliness and sleep as measured with actigraphy. METHODS: In a sample of 98 Blackfeet adults living on the Blackfeet reservation in Montana, we used Ecological Momentary Assessment and actigraphy over a week-long period to investigate relationships between loneliness and sleep. Loneliness was measured daily using the Short Loneliness Scale and actigraphy was used to measure total sleep time, sleep onset latency (SOL), wake after sleep onset (WASO), and sleep efficiency (SE). RESULTS: Using a series of generalized linear mixed-effects models controlling for demographic characteristics, anxiety and depressive symptoms, and adverse childhood experiences, we found that those who were lonelier had higher WASO and SOL, and lower SE relative to those who were less lonely. Within-subject effects indicate that participants who were lonelier for a given day relative to their own weekly average had higher WASO that night relative to their own weekly average. CONCLUSIONS: Our findings provide initial preliminary evidence suggesting that loneliness may be a psychosocial factor which contributes to poor sleep in AI communities.
Authors: Luciane de Souza; Ana Amélia Benedito-Silva; Maria Laura Nogueira Pires; Dalva Poyares; Sergio Tufik; Helena Maria Calil Journal: Sleep Date: 2003-02-01 Impact factor: 5.849
Authors: Neha A John-Henderson; Betty Henderson-Matthews; Scott R Ollinger; Jerry Racine; Megan R Gordon; Aidan A Higgins; Wil C Horn; Sequoia A Reevis; Jolynn A Running Wolf; Davida Grant; Agnieszka Rynda-Apple Journal: Am J Community Psychol Date: 2019-07-10
Authors: Janette Beals; Douglas K Novins; Nancy R Whitesell; Paul Spicer; Christina M Mitchell; Spero M Manson Journal: Am J Psychiatry Date: 2005-09 Impact factor: 18.112
Authors: Neha A John-Henderson; Benjamin Oosterhoff; Brad Hall; Lester Johnson; Mary Ellen Lafromboise; Melveena Malatare; Emily Salois; Jason R Carter Journal: Sleep Med Date: 2021-07-03 Impact factor: 4.842