Christin Lang

Increased self-reported and objectively assessed physical activity predict sleep quality among adolescents

Both scientists and the general public assume that physical activity (PA) is an effective, non-pharmacological approach to improvement in sleep quality. However, objective and reliable data on this relationship are scarce, particularly for adolescents. Therefore, the aims of the present study were to test the relationship by assessing both PA and sleep subjectively and objectively. A total of 56 adolescent vocational school students (Mean age=17.98, SD=1.36; 28 males, 28 females) participated in the study. Sleep and PA were subjectively assessed via questionnaires. Accelerometers objectively assessed PA, while sleep-EEG devices objectively assessed sleep. The data supported our prediction that adolescents with high PA levels would have longer TST, fewer wakening at night (WASO), fewer symptoms of insomnia, and higher sleep quality. However, gender influenced this pattern of results in that significant findings were only found between high self-reported PA levels and shorter perceived sleep onset latency (SOL). Though self-reported PA levels were a better predictor of good sleep than objectively assessed PA levels, gender was associated with sleep complaints; females reported more sleep complaints. Results indicate that among a non-clinical sample of adolescents increased PA is favorably associated with restoring sleep. Therefore, PA seems beneficial not only for physical and mental health, but also for sleep restoration.

The relationship between physical activity and sleep from mid adolescence to early adulthood. A systematic review of methodological approaches and meta-analysis.

Physical activity (PA) is considered an effective, non-pharmacological approach to improve sleep. However, the accurate measurement of PA and sleep among adolescents is fraught with challenges. Additionally, comparing the results of different studies is often difficult due to the diversity of assessment tools, analyses and data reporting procedures used. While previous reviews have considered variables that may confound this relationship, this systematic review examines the variations in measurement methods. Based on this overview, a meta-analysis was performed to assess possible influences of the various approaches on effect sizes. Twenty-one studies were included in the systematic review, of which 12 were appropriate for meta-analysis. For this, four subgroups were formed: subjective PA and subjective sleep, objective PA and subjective sleep, subjective PA and objective sleep, and objective PA and objective sleep. The majority of studies used subjective measures, often with unknown reliability or validity. Few studies employed objective tools to measure sleep. The results suggest that adolescents with higher subjective and objective PA are more likely to experience good sleep subjectively and objectively. More studies employing subjective and objective measures for both PA and sleep are needed. Researchers should take into account several assessment factors unique to the adolescent population.

The Relationship between Mental Toughness, Stress, and Burnout among Adolescents: A Longitudinal Study with Swiss Vocational Students

Past research has shown that higher stress is associated with increased burnout symptoms. The purpose of this study was to test whether mental toughness protects against symptoms of burnout and whether mental toughness moderates the relationship between perceived stress and burnout over time. Fifty-four vocational students (M age = 18.1 yr., SD = 1.2; 27 males, 27 females) completed self-report questionnaires twice, 10 mo. apart. Perceived stress, mental toughness, and burnout were measured using the Adolescent Stress Questionnaire (ASQ), the Mental Toughness Questionnaire (MTQ), and the Shirom-Melamed Burnout Measure (SMBM). Students who perceived higher stress and lower mental toughness scores reported higher burnout symptoms. Although no significant interaction effects were found between stress and mental toughness in the prediction of burnout, the graphical inspection of the interactions indicated that among students with high stress, those with high mental toughness remained below the cutoff for mild burnout, whereas an increase in burnout symptoms was observable among peers with low mental toughness.

Validation of the German version of the insomnia severity index in adolescents, young adults and adult workers: results from three cross-sectional studies

BackgroundA variety of objective and subjective methods exist to assess insomnia. The Insomnia Severity Index (ISI) was developed to provide a brief self-report instrument useful to assess people’s perception of sleep complaints. The ISI was developed in English, and has been translated into several languages including German. Surprisingly, the psychometric properties of the German version have not been evaluated, although the ISI is often used with German-speaking populations.MethodsThe psychometric properties of the ISI are tested in three independent samples: 1475 adolescents, 862 university students, and 533 police and emergency response service officers. In all three studies, participants provide information about insomnia (ISI), sleep quality (Pittsburgh Sleep Quality Index), and psychological functioning (diverse instruments). Descriptive statistics, gender differences, homogeneity and internal consistency, convergent validity, and factorial validity (including measurement invariance across genders) are examined in each sample.ResultsThe findings show that the German version of the ISI has generally acceptable psychometric properties and sufficient concurrent validity. Confirmatory factor analyses show that a 1-factor solution achieves good model fit. Furthermore, measurement invariance across gender is supported in all three samples.ConclusionsWhile the ISI has been widely used in German-speaking countries, this study is the first to provide empirical evidence that the German version of this instrument has good psychometric properties and satisfactory convergent and factorial validity across various age groups and both men and women. Thus, the German version of the ISI can be recommended as a brief screening measure in German-speaking populations.

The relationship between meeting vigorous physical activity recommendations and burnout symptoms among adolescents: an exploratory study with vocational students.

This study examines how students who met the current recommendations for vigorous physical activity (VPA) of the American College of Sports Medicine (ACSM) and the Centers of Disease Control and Prevention (CDC) differ from peers who did not reach these standards with regard to self-reported burnout, before and after controlling for light physical activity and moderate physical activity. A sample of 144 vocational students (Mage =16.2 years, SD = 1.13, 98 males) completed the International Physical Activity Questionnaire, the Shirom-Melamed Burnout Measure, and the School Burnout Inventory. Bivariate correlations revealed that only VPA was associated with reduced burnout. Both the ACSM and CDC guidelines were useful to identify significant differences in burnout symptoms between students who met versus did not meet the standards. Health policy makers should develop strategies to integrate more VPA into the lives of adolescent students so as to reach a minimum of 60 min per week.

Longitudinal relationships between perceived stress, exercise self-regulation and exercise involvement among physically active adolescents

Abstract Stress exposure may undermine exercisers’ capability to self-regulate their exercise behaviour. This longitudinal study examined the interplay between perceived stress, exercise self-regulation (assessment of action and coping planning) and participation in vigorous exercise in vocational students. Moreover, this study examined whether high exercise self-regulation moderates the assumed negative relationship between stress and exercise. A sample of 580 physically active vocational students ( ± s 17.8 ± 1.3 years, 33.8% girls) was assessed. All participants completed two identical validated questionnaires assessing stress, exercise self-regulation and exercise with a span of 10 months in between survey completion periods. The cross-sectional analyses show that high exercise self-regulation attenuated the assumed negative relationship between stress and exercise. In the longitudinal analyses, however, only a non-significant trend was found. Significant longitudinal relationships existed between exercise self-regulation and exercise involvement. Latent difference score models revealed that a drop in the exercise self-regulation was associated with a concurrent decrease in exercise participation. Cross-lagged panel analyses showed that high exercise self-regulation levels positively predicted exercise behaviour, but an inverse relationship was not supported. The findings suggested that higher exercise self-regulation levels were positively associated with future exercise involvement in currently active adolescents. While partial support was found that exercise self-regulation moderated the influence of stress on exercise, the findings demonstrated that higher exercise self-regulation levels had a positive impact on future exercise involvement in already active individuals.

Effects of a physical education-based coping training on adolescents’ coping skills, stress perceptions and quality of sleep

ABSTRACT Background: Although most adolescents successfully manage the transition between childhood and adulthood, the speed and magnitude of these changes may exceed the coping abilities of a significant number of young people. For vocational students, additional responsibilities arise during the vocational school transition and the need to balance academic and job-related requirements. An expanding body of literature suggests that adolescence is a vulnerable period for the development of psychiatric diseases and as such, the need to develop an adequate coping repertoire is receiving increasing attention globally. The growing awareness of long-term consequences of stress has led governments to instill school-based resilience promotion programs. For instance, the new physical education (PE) curriculum of vocational (vocational education and training (VET)) students in Switzerland addresses stress management, because stress-related diseases at the workplace have become commonplace among young professionals. Purpose: Our aim was to develop, implement and evaluate a PE-based coping training (EPHECT) for VET students. Therefore, we adapted components of extant field-tested coping training programs and tailored them to the unique needs of VET students. To facilitate the standardization of the program, each teacher received a teaching manual. Moreover, drawing upon experiential learning theory, we introduced the contents of the coping training in PE class through practical, movement-based exercises in PE. Students also received a workbook for use at home. Participants and research design: In this cluster randomized controlled trial, eight classes from a Swiss vocational school participated (N = 131, Mage = 16.22 ± 1.12, 35% females). Two trained PE teachers implemented the program with students in the intervention group (IG = 67) for three months, while students in the other four classes maintained regular PE (CG = 64) to comprise the control group. To evaluate the coping training, all participants completed several self-report psychological questionnaires (assessing stress, coping and sleep) at baseline and follow-up. IG students completed further questions with regard to intervention fidelity at follow-up. Data analysis: To evaluate possible effects of the coping training on stress, coping and sleep, a 2 × 2 repeated-measures analysis of variance design was executed with time (pre vs. post) and group (IG vs. CG) as within- and between-subject factors. Findings: Over time, IG students significantly increased their adaptive coping compared to CG students, while stress and sleep remained relatively stable for both. Regularly completing one’s homework reinforced this effect because it was significantly associated with students’ reflection and compliance. Conclusion: A complete and accurate implementation of a PE-based coping training can make a positive contribution to the development of adaptive coping skills among adolescents attending vocational schools. This PE-based program allows students to experience their responses to stress directly and offers opportunities to experiment with different coping strategies. Adaptive coping skills are vital for successful stress management and the prevention of stress-related disorders across the work domain and in everyday life.

Adolescents’ personal beliefs about sufficient physical activity are more closely related to sleep and psychological functioning than self-reported physical activity: A prospective study

Background Preliminary evidence among adults suggests that the ways in which individuals think about their physical activity (PA) behavior is more closely associated with their well-being than self-reported PA. This study therefore aimed to examine whether and how self-reported PA and personal beliefs about sufficient PA are associated with sleep and psychological functioning in a sample of Swiss adolescents, using both cross-sectional and prospective data. Methods An overall sample of 864 vocational students (368 girls, 17.98 ± 1.36 years, mean ± SD) was followed prospectively over a 10-month period. At each measurement occasion, participants filled in a series of self-report questionnaires to assess their PA levels, their personal beliefs about whether or not they engage in sufficient PA, sleep (insomnia symptoms, sleep quality, sleep-onset latency, and number of awakenings), and psychological functioning (depressive symptoms, quality of life, perceived stress, and mental toughness). Results Adolescents who believe that they are sufficiently physically active to maintain good health reported more restoring sleep. No differences in sleep were found between adolescents who meet PA recommendations vs. those who do not. Additionally, adolescents who believe that they were sufficiently physically active also reported better psychological functioning. This close relationship between adolescents’ beliefs about their PA involvement and their sleep and psychological functioning was corroborated in the prospective analyses. Conclusion Cognitive factors should be studied more intensively when elucidating the relationship among PA, sleep, and psychological functioning in young people, particularly when aiming to develop new exercise interventions targeting psychological outcomes.

Teaching Stress Management in Physical Education: A Quasi-Experimental Study with Vocational Students

ABSTRACT The aim was to develop, implement, and evaluate a physical education-based coping training program for vocational students. Two vocational schools participated in the quasi-experimental pilot study (EPHECT I). One school received the intervention (intervention group: n = 434), while the other school maintained regular physical education classes (control group: n = 430). Repeated measures ANCOVAs were used to examine the effects on coping and perceived stress. Additionally, effects were compared among students who reported low versus elevated life satisfaction. Finally, the implementation rate was considered as a moderating factor. Overall, no significant time by group effects were found between the intervention group and the control group. However, a reduction in maladaptive coping occurred among students of the intervention group who reported low life satisfaction. The implementation rate did not moderate the findings. Despite a relatively low implementation rate, the intervention program reduced maladaptive coping strategies in adolescents with low life satisfaction. Program monitoring needs to be increased in future research.