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Self-compassion, sleep quality and psychological well-being in type 2 diabetes: a cross-sectional study
INTRODUCTION: Low self-compassion and poor sleep quality have been identified as potential key predictors of distress in type 2 diabetes (T2D). This study investigated relationships between sleep behaviors (sleep duration, social jetlag and daytime sleepiness), diabetes-related distress (DRD) and se...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9528571/ https://www.ncbi.nlm.nih.gov/pubmed/36171016 http://dx.doi.org/10.1136/bmjdrc-2022-002927 |
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author | Gunn, Sarah Henson, Joseph Robertson, Noelle Maltby, John Brady, Emer M Henderson, Sarah Hadjiconstantinou, Michelle Hall, Andrew P Rowlands, Alex V Yates, Thomas Davies, Melanie J |
author_facet | Gunn, Sarah Henson, Joseph Robertson, Noelle Maltby, John Brady, Emer M Henderson, Sarah Hadjiconstantinou, Michelle Hall, Andrew P Rowlands, Alex V Yates, Thomas Davies, Melanie J |
author_sort | Gunn, Sarah |
collection | PubMed |
description | INTRODUCTION: Low self-compassion and poor sleep quality have been identified as potential key predictors of distress in type 2 diabetes (T2D). This study investigated relationships between sleep behaviors (sleep duration, social jetlag and daytime sleepiness), diabetes-related distress (DRD) and self-compassion in people with T2D. RESEARCH DESIGN AND METHODS: This cross-sectional study used data from 467 people with T2D derived from self-report questionnaires, accelerometer-assessed sleep measures and demographic information (clinicaltrials.gov registration: NCT02973412). All participants had a diagnosis of T2D and no comorbid sleep disorder (excluding obstructive sleep apnea). Hierarchical multiple regression and mediation analysis were used to quantify relationships between self-compassion, sleep variables and DRD. RESULTS: Significant predictors of DRD included two negative subscales of the Self-Compassion Scale (SCS), and daytime sleepiness. The ‘overidentified’ and ‘isolation’ SCS subscales were particularly important in predicting distress. Daytime sleepiness also partially mediated the influence of self-compassion on DRD, potentially through self-care around sleep. CONCLUSIONS: Daytime sleepiness and negative self-compassion have clear associations with DRD for people with T2D. The specific negative subscale outcomes suggest that strengthening individuals’ ability to mindfully notice thoughts and experiences without becoming enmeshed in them, and reducing a sense of separateness and difference, might be key therapeutic targets for improving well-being in T2D. Psychological interventions should include approaches focused on reducing negative self-compassion and improving sleep behavior. Equally, reducing DRD may carry beneficial outcomes for sleep and self-compassion. Further work is however crucial to establish causation and long-term impact, and for development of relevant clinical resources. |
format | Online Article Text |
id | pubmed-9528571 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-95285712022-10-04 Self-compassion, sleep quality and psychological well-being in type 2 diabetes: a cross-sectional study Gunn, Sarah Henson, Joseph Robertson, Noelle Maltby, John Brady, Emer M Henderson, Sarah Hadjiconstantinou, Michelle Hall, Andrew P Rowlands, Alex V Yates, Thomas Davies, Melanie J BMJ Open Diabetes Res Care Psychosocial Research INTRODUCTION: Low self-compassion and poor sleep quality have been identified as potential key predictors of distress in type 2 diabetes (T2D). This study investigated relationships between sleep behaviors (sleep duration, social jetlag and daytime sleepiness), diabetes-related distress (DRD) and self-compassion in people with T2D. RESEARCH DESIGN AND METHODS: This cross-sectional study used data from 467 people with T2D derived from self-report questionnaires, accelerometer-assessed sleep measures and demographic information (clinicaltrials.gov registration: NCT02973412). All participants had a diagnosis of T2D and no comorbid sleep disorder (excluding obstructive sleep apnea). Hierarchical multiple regression and mediation analysis were used to quantify relationships between self-compassion, sleep variables and DRD. RESULTS: Significant predictors of DRD included two negative subscales of the Self-Compassion Scale (SCS), and daytime sleepiness. The ‘overidentified’ and ‘isolation’ SCS subscales were particularly important in predicting distress. Daytime sleepiness also partially mediated the influence of self-compassion on DRD, potentially through self-care around sleep. CONCLUSIONS: Daytime sleepiness and negative self-compassion have clear associations with DRD for people with T2D. The specific negative subscale outcomes suggest that strengthening individuals’ ability to mindfully notice thoughts and experiences without becoming enmeshed in them, and reducing a sense of separateness and difference, might be key therapeutic targets for improving well-being in T2D. Psychological interventions should include approaches focused on reducing negative self-compassion and improving sleep behavior. Equally, reducing DRD may carry beneficial outcomes for sleep and self-compassion. Further work is however crucial to establish causation and long-term impact, and for development of relevant clinical resources. BMJ Publishing Group 2022-09-28 /pmc/articles/PMC9528571/ /pubmed/36171016 http://dx.doi.org/10.1136/bmjdrc-2022-002927 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Psychosocial Research Gunn, Sarah Henson, Joseph Robertson, Noelle Maltby, John Brady, Emer M Henderson, Sarah Hadjiconstantinou, Michelle Hall, Andrew P Rowlands, Alex V Yates, Thomas Davies, Melanie J Self-compassion, sleep quality and psychological well-being in type 2 diabetes: a cross-sectional study |
title | Self-compassion, sleep quality and psychological well-being in type 2 diabetes: a cross-sectional study |
title_full | Self-compassion, sleep quality and psychological well-being in type 2 diabetes: a cross-sectional study |
title_fullStr | Self-compassion, sleep quality and psychological well-being in type 2 diabetes: a cross-sectional study |
title_full_unstemmed | Self-compassion, sleep quality and psychological well-being in type 2 diabetes: a cross-sectional study |
title_short | Self-compassion, sleep quality and psychological well-being in type 2 diabetes: a cross-sectional study |
title_sort | self-compassion, sleep quality and psychological well-being in type 2 diabetes: a cross-sectional study |
topic | Psychosocial Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9528571/ https://www.ncbi.nlm.nih.gov/pubmed/36171016 http://dx.doi.org/10.1136/bmjdrc-2022-002927 |
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