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DOI: 10.1055/s-0043-1772812
Sleep Disorders and Subjective Well-Being in Portuguese Adults: Evidence from a Representative Study
Funding The authors declare that they did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors to conduct the present research.![](https://www.thieme-connect.de/media/10.1055-s-00056804/202401/lookinside/thumbnails/10-1055-s-0043-1772812_1012-1.jpg)
Abstract
Objective The quality and quantity of sleep affect people's well-being, as chronic sleep disorders are associated with social, physical, and psychological problems, as well as low self-reported life satisfaction. The present cross-sectional study examined the associations of sleep disorders with self-reported life satisfaction in Portuguese adults.
Materials and Methods Data from a representative sample of the Portuguese population (14,341 participants, aged ≥ 18 years) extracted from the Sixth Portuguese National Health Survey was analyzed. Data on subjective well-being and sleep disorders was collected through a questionnaire, and multivariable regression models were performed to examine the associations between these variables, adjusted for potential confounders such as age, gender, level of schooling, degree of urbanization, and family income.
Results Sleep disorders were negatively associated with self-reported life satisfaction. Having at least one sleep disturbance in the last two weeks was significantly associated with a 3-point decrease in life satisfaction: β = −3.0 (95% confidence interval = −3.2–−2.7).
Discussion Among Portuguese adults, sleep disorders were associated with a decline in life satisfaction. The present study provides new evidence from a representative sample to support the promotion of good sleep hygiene intervention programs.
Publication History
Received: 14 October 2022
Accepted: 08 May 2023
Article published online:
20 February 2024
© 2024. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Nedeltcheva AV, Scheer FA. Metabolic effects of sleep disruption, links to obesity and diabetes. Curr Opin Endocrinol Diabetes Obes 2014; 21 (04) 293-298
- 2 Knutson KL. Does inadequate sleep play a role in vulnerability to obesity?. Am J Hum Biol 2012; 24 (03) 361-371
- 3 Dong L, Martinez AJ, Buysse DJ, Harvey AG. A composite measure of sleep health predicts concurrent mental and physical health outcomes in adolescents prone to eveningness. Sleep Health 2019; 5 (02) 166-174
- 4 Bonanno L, Metro D, Papa M. et al. Assessment of sleep and obesity in adults and children: Observational study. Medicine (Baltimore) 2019; 98 (46) e17642
- 5 Perlis ML, Posner D, Riemann D, Bastien CH, Teel J, Thase M. Insomnia. Lancet 2022; 400 (10357): 1047-1060
- 6 Pérez-Carbonell L, Mignot E, Leschziner G, Dauvilliers Y. Understanding and approaching excessive daytime sleepiness. Lancet 2022; 400 (10357): 1033-1046
- 7 Grandner MA, Martin JL, Patel NP. et al. Age and sleep disturbances among American men and women: data from the U.S. Behavioral Risk Factor Surveillance System. Sleep 2012; 35 (03) 395-406
- 8 Whinnery J, Jackson N, Rattanaumpawan P, Grandner MA. Short and long sleep duration associated with race/ethnicity, sociodemographics, and socioeconomic position. Sleep 2014; 37 (03) 601-611
- 9 Becker SP, Jarrett MA, Luebbe AM, Garner AA, Burns GL, Kofler MJ. Sleep in a large, multi-university sample of college students: sleep problem prevalence, sex differences, and mental health correlates. Sleep Health 2018; 4 (02) 174-181
- 10 Ohayon MM, Carskadon MA, Guilleminault C, Vitiello MV. Meta-analysis of quantitative sleep parameters from childhood to old age in healthy individuals: developing normative sleep values across the human lifespan. Sleep 2004; 27 (07) 1255-1273
- 11 Neikrug AB, Ancoli-Israel S. Sleep disorders in the older adult - a mini-review. Gerontology 2010; 56 (02) 181-189
- 12 Schlarb AA, Reis D, Schröder A. Sleep Characteristics, Sleep Problems, and Associations to Quality of Life among Psychotherapists. Sleep Disord 2012; 2012: 806913
- 13 Nutt D, Wilson S, Paterson L. Sleep disorders as core symptoms of depression. Dialogues Clin Neurosci 2008; 10 (03) 329-336
- 14 Oh C-M, Kim HY, Na HK, Cho KH, Chu MK. The Effect of Anxiety and Depression on Sleep Quality of Individuals With High Risk for Insomnia: A Population-Based Study. Front Neurol 2019; 10: 849
- 15 Fang H, Tu S, Sheng J, Shao A. Depression in sleep disturbance: A review on a bidirectional relationship, mechanisms and treatment. J Cell Mol Med 2019; 23 (04) 2324-2332
- 16 Lacruz ME, Schmidt-Pokrzywniak A, Dragano N. et al. Depressive symptoms, life satisfaction and prevalence of sleep disturbances in the general population of Germany: results from the Heinz Nixdorf Recall study. BMJ Open 2016; 6 (01) e007919
- 17 Zhao SZ, Wang MP, Viswanath K. et al. Short Sleep Duration and Insomnia Symptoms were Associated with Lower Happiness Levels in Chinese Adults in Hong Kong. Int J Environ Res Public Health 2019; 16 (12) 2079
- 18 Laposky AD, Van Cauter E, Diez-Roux AV. Reducing health disparities: the role of sleep deficiency and sleep disorders. Sleep Med 2016; 18: 3-6
- 19 Johnson DA, Billings ME, Hale L. Environmental Determinants of Insufficient Sleep and Sleep Disorders: Implications for Population Health. Curr Epidemiol Rep 2018; 5 (02) 61-69
- 20 Neto F. The satisfaction with Life Scale: psychometrics properties in an adolescent sample. J Youth Adolesc 1993; 22 (02) 125-134
- 21 Diener E, Emmons RA, Larsen RJ, Griffin S. The Satisfaction With Life Scale. J Pers Assess 1985; 49 (01) 71-75
- 22 Medic G, Wille M, Hemels ME. Short- and long-term health consequences of sleep disruption. Nat Sci Sleep 2017; 9: 151-161
- 23 Axelsson J, Ingre M, Kecklund G, Lekander M, Wright KP, Sundelin T. Sleepiness as motivation: a potential mechanism for how sleep deprivation affects behavior. Sleep 2020; 43 (06) zsz291
- 24 Steptoe A, Deaton A, Stone AA. Subjective wellbeing, health, and ageing. Lancet 2015; 385 (9968) 640-648
- 25 Antonovsky A. Unraveling the Mystery of Health. London: Jossey-Bass; 1988
- 26 Bauer GF, Roy M, Bakibinga P. et al. Future directions for the concept of salutogenesis: a position article. Health Promot Int 2020; 35 (02) 187-195
- 27 Fox EC, Wang K, Aquino M. et al. Sleep debt at the community level: impact of age, sex, race/ethnicity and health. Sleep Health 2018; 4 (04) 317-324
- 28 Grandner MA. Sleep, Health, and Society. Sleep Med Clin 2017; 12 (01) 1-22
- 29 van der Helm E, Gujar N, Walker MP. Sleep deprivation impairs the accurate recognition of human emotions. Sleep 2010; 33 (03) 335-342
- 30 Shaffery J, Hoffmann R, Armitage R. The neurobiology of depression: perspectives from animal and human sleep studies. Neuroscientist 2003; 9 (01) 82-98
- 31 Abbruzzese L, Magnani N, Robertson IH, Mancuso M. Age and Gender Differences in Emotion Recognition. Front Psychol 2019; 10: 2371
- 32 Diener E, Ryan K. Subjective Well-Being: A General Overview. S Afr J Psychol 2009; 39: 391-406
- 33 Blasco-Belled A, Rogoza R, Torrelles-Nadal C, Alsinet C. Emotional Intelligence Structure and Its Relationship with Life Satisfaction and Happiness: New Findings from the Bifactor Model. J Happiness Stud 2020; 21 (06) 2031-2049
- 34 Riera-Sampol A, Bennasar-Veny M, Tauler P, Nafría M, Colom M, Aguilo A. Association between Depression, Lifestyles, Sleep Quality and Sense of Coherence in a Population with Cardiovascular Risk. Nutrients 2021; 13 (02) 585
- 35 Gulia KK, Kumar VM. Sleep disorders in the elderly: a growing challenge. Psychogeriatrics 2018; 18 (03) 155-165
- 36 Ostir GV, Markides KS, Black SA, Goodwin JS. Emotional well-being predicts subsequent functional independence and survival. J Am Geriatr Soc 2000; 48 (05) 473-478
- 37 Lacruz ME, Emeny RT, Baumert J, Ladwig KH. Prospective association between self-reported life satisfaction and mortality: results from the MONICA/KORA Augsburg S3 survey cohort study. BMC Public Health 2011; 11: 579
- 38 Diener E, Diener M, Diener C. Factors predicting the subjective well-being of nations. J Pers Soc Psychol 1995; 69 (05) 851-864
- 39 Gustafsson TM, Isacson DG, Thorslund M. Mortality in elderly men and women in a Swedish municipality. Age Ageing 1998; 27 (05) 585-593
- 40 Grandner MA, Jackson NJ, Izci-Balserak B. et al. Social and Behavioral Determinants of Perceived Insufficient Sleep. Front Neurol 2015; 6: 112
- 41 Diener E, Seligman M. Beyond Money: Toward an Economy of Well-Being. Psychol Sci Public Interest 2004; 5 (01) 1-31
- 42 Jean-Louis G, Grandner M. Importance of recognizing sleep health disparities and implementing innovative interventions to reduce these disparities. Sleep Med 2016; 18: 1-2
- 43 Stamatakis KA, Kaplan GA, Roberts RE. Short sleep duration across income, education, and race/ethnic groups: population prevalence and growing disparities during 34 years of follow-up. Ann Epidemiol 2007; 17 (12) 948-955
- 44 Witter RA, Okun MA, Stock WA, Haring MJ. Education and Subjective Well-Being: A Meta-Analysis. Educ Eval Policy Anal 1984; 6 (02) 165-173
- 45 López-Ortega M, Torres-Castro S, Rosas-Carrasco O. Psychometric properties of the Satisfaction with Life Scale (SWLS): secondary analysis of the Mexican Health and Aging Study. Health Qual Life Outcomes 2016; 14 (01) 170
- 46 Colten H.R., Altevogt B.M.. , & Institute of Medicine (US) Committee on Sleep Medicine and Research (Eds.) 2006. Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem. National Academies Press; US: