Sleep and Happiness in Urban-Dwelling Older Adults in Ghana: A Serial Multiple Mediation Model of Generalized Anxiety and Depressive Symptoms

Razak M Gyasi; André Hajek; Richmond Owusu; Peter Bai James; Mary Sefa Boampong; Burnett Tetteh Accam; Kabila Abass; Ellis Owusu-Dabo; David R Phillips

doi:10.1016/j.jagp.2023.05.004

Sleep and Happiness in Urban-Dwelling Older Adults in Ghana: A Serial Multiple Mediation Model of Generalized Anxiety and Depressive Symptoms

Standard

Sleep and Happiness in Urban-Dwelling Older Adults in Ghana: A Serial Multiple Mediation Model of Generalized Anxiety and Depressive Symptoms. / Gyasi, Razak M; Hajek, André; Owusu, Richmond; James, Peter Bai; Boampong, Mary Sefa; Accam, Burnett Tetteh; Abass, Kabila; Owusu-Dabo, Ellis; Phillips, David R.

In: AM J GERIAT PSYCHIAT, Vol. 31, No. 11, 11.2023, p. 953-964.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Gyasi, RM, Hajek, A, Owusu, R, James, PB, Boampong, MS, Accam, BT, Abass, K, Owusu-Dabo, E & Phillips, DR 2023, 'Sleep and Happiness in Urban-Dwelling Older Adults in Ghana: A Serial Multiple Mediation Model of Generalized Anxiety and Depressive Symptoms', AM J GERIAT PSYCHIAT, vol. 31, no. 11, pp. 953-964. https://doi.org/10.1016/j.jagp.2023.05.004

APA

Gyasi, R. M., Hajek, A., Owusu, R., James, P. B., Boampong, M. S., Accam, B. T., Abass, K., Owusu-Dabo, E., & Phillips, D. R. (2023). Sleep and Happiness in Urban-Dwelling Older Adults in Ghana: A Serial Multiple Mediation Model of Generalized Anxiety and Depressive Symptoms. AM J GERIAT PSYCHIAT, 31(11), 953-964. https://doi.org/10.1016/j.jagp.2023.05.004

Vancouver

Gyasi RM, Hajek A, Owusu R, James PB, Boampong MS, Accam BT et al. Sleep and Happiness in Urban-Dwelling Older Adults in Ghana: A Serial Multiple Mediation Model of Generalized Anxiety and Depressive Symptoms. AM J GERIAT PSYCHIAT. 2023 Nov;31(11):953-964. https://doi.org/10.1016/j.jagp.2023.05.004

Bibtex

@article{51c0c91968814b79a4433539fefcf4e7,

title = "Sleep and Happiness in Urban-Dwelling Older Adults in Ghana: A Serial Multiple Mediation Model of Generalized Anxiety and Depressive Symptoms",

abstract = "OBJECTIVE: Sleep problems (SP) are highly prevalent and seriously affect health and well-being in old age. The aim of this study was to examine the association between SP and happiness in an urban-dwelling older sample. The authors further explore the effects of generalized anxiety and depressive symptoms in the SP-happiness link using serial mediating modeling.METHODS: Data came from the 2016 to 2018 Aging, Health, Psychological Well-being, and Health-seeking Behavior Study in Ghana (n = 661). The authors measured happiness with the cross-culturally validated item on a five-point scale. The GAD-7 and the CESD-8, respectively, assessed generalized anxiety and depressive symptoms. Participants reported nighttime and daytime SP in the last 30 days. The SPSS-based Hayes' PROCESS macro program (Model 6) was constructed to quantify the hypothesized mediation effect.RESULTS: The analysis included 661 adults aged greater than or equal to 50 years (mean age = 65.53 [SD] = 11.89 years; 65.20% women). After full adjustment, path models showed that SP was negatively associated with happiness (β = -0.1277, 95%CI = -0.15950 to -0.096). Bootstrapping estimates revealed that the SP-happiness link was serially mediated via generalized anxiety representing 8.77%, depressive symptoms yielding 18.95%, and anxiety symptoms→depressive symptoms accounting for 26.70% of the total effect.CONCLUSION: Generalized anxiety and depressive symptoms may explain the negative association between SP and happiness in urban-dwelling older adults in the sub-Saharan African (SSA) context. Interventions, social and clinical, to improve happiness through sleep quality should include ways to improve mental health. Longitudinal and cross-cultural data are warranted to assess the bi-directionality of this relationship.",

author = "Gyasi, {Razak M} and Andr{\'e} Hajek and Richmond Owusu and James, {Peter Bai} and Boampong, {Mary Sefa} and Accam, {Burnett Tetteh} and Kabila Abass and Ellis Owusu-Dabo and Phillips, {David R}",

year = "2023",

month = nov,

doi = "10.1016/j.jagp.2023.05.004",

language = "English",

volume = "31",

pages = "953--964",

journal = "AM J GERIAT PSYCHIAT",

issn = "1064-7481",

publisher = "Lippincott Williams and Wilkins",

number = "11",

}

RIS

TY - JOUR

T1 - Sleep and Happiness in Urban-Dwelling Older Adults in Ghana: A Serial Multiple Mediation Model of Generalized Anxiety and Depressive Symptoms

AU - Gyasi, Razak M

AU - Hajek, André

AU - Owusu, Richmond

AU - James, Peter Bai

AU - Boampong, Mary Sefa

AU - Accam, Burnett Tetteh

AU - Abass, Kabila

AU - Owusu-Dabo, Ellis

AU - Phillips, David R

PY - 2023/11

Y1 - 2023/11

N2 - OBJECTIVE: Sleep problems (SP) are highly prevalent and seriously affect health and well-being in old age. The aim of this study was to examine the association between SP and happiness in an urban-dwelling older sample. The authors further explore the effects of generalized anxiety and depressive symptoms in the SP-happiness link using serial mediating modeling.METHODS: Data came from the 2016 to 2018 Aging, Health, Psychological Well-being, and Health-seeking Behavior Study in Ghana (n = 661). The authors measured happiness with the cross-culturally validated item on a five-point scale. The GAD-7 and the CESD-8, respectively, assessed generalized anxiety and depressive symptoms. Participants reported nighttime and daytime SP in the last 30 days. The SPSS-based Hayes' PROCESS macro program (Model 6) was constructed to quantify the hypothesized mediation effect.RESULTS: The analysis included 661 adults aged greater than or equal to 50 years (mean age = 65.53 [SD] = 11.89 years; 65.20% women). After full adjustment, path models showed that SP was negatively associated with happiness (β = -0.1277, 95%CI = -0.15950 to -0.096). Bootstrapping estimates revealed that the SP-happiness link was serially mediated via generalized anxiety representing 8.77%, depressive symptoms yielding 18.95%, and anxiety symptoms→depressive symptoms accounting for 26.70% of the total effect.CONCLUSION: Generalized anxiety and depressive symptoms may explain the negative association between SP and happiness in urban-dwelling older adults in the sub-Saharan African (SSA) context. Interventions, social and clinical, to improve happiness through sleep quality should include ways to improve mental health. Longitudinal and cross-cultural data are warranted to assess the bi-directionality of this relationship.

AB - OBJECTIVE: Sleep problems (SP) are highly prevalent and seriously affect health and well-being in old age. The aim of this study was to examine the association between SP and happiness in an urban-dwelling older sample. The authors further explore the effects of generalized anxiety and depressive symptoms in the SP-happiness link using serial mediating modeling.METHODS: Data came from the 2016 to 2018 Aging, Health, Psychological Well-being, and Health-seeking Behavior Study in Ghana (n = 661). The authors measured happiness with the cross-culturally validated item on a five-point scale. The GAD-7 and the CESD-8, respectively, assessed generalized anxiety and depressive symptoms. Participants reported nighttime and daytime SP in the last 30 days. The SPSS-based Hayes' PROCESS macro program (Model 6) was constructed to quantify the hypothesized mediation effect.RESULTS: The analysis included 661 adults aged greater than or equal to 50 years (mean age = 65.53 [SD] = 11.89 years; 65.20% women). After full adjustment, path models showed that SP was negatively associated with happiness (β = -0.1277, 95%CI = -0.15950 to -0.096). Bootstrapping estimates revealed that the SP-happiness link was serially mediated via generalized anxiety representing 8.77%, depressive symptoms yielding 18.95%, and anxiety symptoms→depressive symptoms accounting for 26.70% of the total effect.CONCLUSION: Generalized anxiety and depressive symptoms may explain the negative association between SP and happiness in urban-dwelling older adults in the sub-Saharan African (SSA) context. Interventions, social and clinical, to improve happiness through sleep quality should include ways to improve mental health. Longitudinal and cross-cultural data are warranted to assess the bi-directionality of this relationship.

U2 - 10.1016/j.jagp.2023.05.004

DO - 10.1016/j.jagp.2023.05.004

M3 - SCORING: Journal article

C2 - 37270306

VL - 31

SP - 953

EP - 964

JO - AM J GERIAT PSYCHIAT

JF - AM J GERIAT PSYCHIAT

SN - 1064-7481

IS - 11

ER -