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A Cluster Analysis of Sleep Quality, Self-Care Behaviors, and Mental Health Risk in Australian University Students

机译:澳大利亚大学生睡眠质量、自我护理行为和心理健康风险的聚类分析

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Background: University students have high levels of poor sleep quality (SQ) and mental health, and low adherence to healthy nutrition and physical activity (PA). Objective: This study examined what clusters of self-care behaviors (SCB) were associated with SQ and mental health in Australian university students. Method: 355 Australian university students, ranging in age from 18 to 24 years (M = 20, SD = 1.5, 286 females) completed surveys relating to fruit and vegetable consumption, alcohol binge behavior, PA, mental health measured by the Depression Anxiety Stress Scales 21, and SQ measured by the Pittsburgh SQ Index (PSQI). Fruit and vegetable consumption, alcohol binge behavior, and PA were assessed according to current Australian guidelines. Results: Almost two thirds of participants (62.0) met the criteria for poor SQ. Good SQ was significantly associated with meeting PA guideline levels (r(b) = .14) and inversely associated with higher levels of depression (r(pb) = -.34), anxiety (r(pb) = -.36), and stress levels (r(pb) = -.42). Four distinct SCB and mental health risk clusters were created. The "healthiest SCB" cluster had 1.6 times better SQ than the average. This cluster had higher levels of moderate and vigorous PA, higher levels of fruit consumption, and less binge drinking, the least sedentary behavior, and the lowest levels of depression, anxiety, and stress compared to the other clusters. Conclusion: This research corroborates with previous literature on the importance of regular vigorous PA as a lifestyle intervention to facilitate better sleep outcomes and improved mental health outcomes in university students.
机译:背景:大学生的睡眠质量 (SQ) 和心理健康水平很高,对健康营养和身体活动 (PA) 的依从性较低。目的:本研究探讨哪些自我护理行为集群(SCB)与澳大利亚大学生的SQ和心理健康相关。方法:355 名年龄在 18 至 24 岁之间的澳大利亚大学生(M = 20,SD = 1.5,286 名女性)完成了与水果和蔬菜消费、酗酒行为、PA、抑郁焦虑压力量表 21 测量的心理健康以及匹兹堡 SQ 指数 (PSQI) 测量的 SQ 相关的调查。水果和蔬菜消费、酗酒行为和 PA 根据澳大利亚现行指南进行评估。结果:近三分之二的参与者(62.0%)符合不良SQ的标准,良好的SQ与达到PA指南水平(r(b)=.14)显著相关,与较高的抑郁水平(r(pb)=-.34)、焦虑(r(pb)=-.36)和压力水平(r(pb)=-.42)呈负相关。创建了四个不同的 SCB 和心理健康风险集群。“最健康的SCB”集群的SQ是平均水平的1.6倍。与其他集群相比,该集群具有更高水平的中度和剧烈 PA、更高水平的水果消费、更少的暴饮暴食、最少的久坐行为以及最低水平的抑郁、焦虑和压力。结论:这项研究证实了先前关于定期剧烈 PA 作为生活方式干预的重要性的文献,以促进大学生更好的睡眠结果和改善心理健康结果。

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