Modelling the relationship between poor sleep and problem anger in veterans: A dynamic structural equation modelling approach.

Published on Nov 1, 2021in Journal of Psychosomatic Research3.006
· DOI :10.1016/J.JPSYCHORES.2021.110615
Olivia Metcalf11
Estimated H-index: 11
(University of Melbourne),
Jonathon Little2
Estimated H-index: 2
(University of Melbourne)
+ 9 AuthorsMalcolm Hopwood25
Estimated H-index: 25
(University of Melbourne)
Abstract null null Objective null Problem anger and poor sleep are common, particularly in military and veteran populations, but the nature of the relationship is poorly understood, and treatment approaches would benefit from improved understanding of how these constructs interact. Ecological momentary assessment (EMA) is suitable for monitoring day-to-day fluctuations in symptoms, and modelling dynamic relationships between variables. null null null Methods null This study aimed to examine these fluctuations and relationships involving sleep quality and anger experiences among veterans. A sample of n = 60 veterans with problem anger as assessed by the recommended cut off on the Dimensions of Anger Reactions 5 scale (DAR-5) completed daily assessments of sleep quality and four times daily assessments of anger frequency, over a 10-day period. null null null Results null A Dynamic Structural Equation Model (DESM) estimated and revealed a unidirectional relationship across daily measurements, in that previous night poor sleep quality was associated with more frequent anger on the next day (φASi Estimate −0.791, one-tailed p = .075), but not the reverse. null null null Conclusions null These are the first longitudinal, naturalistic findings in relation to anger and sleep in a sample self-identifying with significant anger problems. The observed patterns point to the need for further research on mechanisms underpinning this relationship, and raises potential for early intervention for problem anger to include a focus on improving sleep quality.
#1Sean Cowlishaw (UoB: University of Bristol)H-Index: 23
#2Olivia Metcalf (University of Melbourne)H-Index: 11
Last. David Forbes (University of Melbourne)H-Index: 66
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Anger is an important dimension of affect and a prominent feature of posttraumatic mental health, but it is commonly overlooked in postdisaster settings. We aimed to examine the distribution and implications of significant anger problems in the aftermath of a natural disaster, via analyses of Beyond Bushfires survey data from 736 residents of rural communities 5 years after the 2009 Black Saturday bushfires in Victoria, Australia. Assessments included the five-item Dimensions of Anger Reaction (...
#5David Forbes (University of Melbourne)H-Index: 66
Problematic anger is intense anger associated with elevated generalized distress and that interferes with functioning. It also confers a heightened risk for the development of mental health problems. In military personnel and veterans, previous studies examining problematic anger have been constrained by sample size, cross-sectional data, and measurement limitations. The current study used Millennium Cohort survey data (N = 90,266) from two time points (2013 and 2016 surveys) to assess the assoc...
#1Zlatan Krizan (Iowa State University)H-Index: 22
#2Garrett Hisler (Iowa State University)H-Index: 10
: Despite extensive ties between sleep disruption, anger, and aggression, it is unclear whether sleep loss plays a causal role in shaping anger. On one hand, negative affect and distress frequently follow curtailed sleep, suggesting increased anger responses. On the other hand, fatigue and withdrawal also follow, potentially muting anger. To examine these competing possibilities, 142 community residents were randomly assigned to either maintain or restrict their sleep over 2 days. Before and aft...
#1Daniel McNeish (ASU: Arizona State University)H-Index: 24
Advances in data collection have made intensive longitudinal data easier to collect, unlocking potential for methodological innovations to model such data. Dynamic structural equation modeling (DSE...
#1Sofia Triantafillou (UPenn: University of Pennsylvania)H-Index: 7
#2Sohrab Saeb (NU: Northwestern University)H-Index: 12
Last. Konrad P. Kording (UPenn: University of Pennsylvania)H-Index: 63
view all 5 authors...
BACKGROUND: Sleep disturbances play an important role in everyday affect and vice versa. However, the causal day-to-day interaction between sleep and mood has not been thoroughly explored, partly because of the lack of daily assessment data. Mobile phones enable us to collect ecological momentary assessment data on a daily basis in a noninvasive manner. OBJECTIVE: This study aimed to investigate the relationship between self-reported daily mood and sleep quality. METHODS: A total of 208 adult pa...
#1Monika Konjarski (La Trobe University)H-Index: 2
#2Greg Murray (Swinburne University of Technology)H-Index: 45
Last. Melinda L. Jackson (RMIT: RMIT University)H-Index: 25
view all 4 authors...
An intimate relationship exists between sleep and affective states. Disturbances in sleep are common across a spectrum of psychopathologies, and are recognised as precipitating or prodromal factors for mood disorders. Conversely, affective states can impact sleep quality and ability to fall asleep. However, one of the main limitations of this literature is that studies have typically assessed sleep and mood at one time point and studies are often laboratory-based, where measurement of both sleep...
#1Garrett Hisler (Iowa State University)H-Index: 10
#2Zlatan Krizan (Iowa State University)H-Index: 22
Abstract This study investigated whether trait anger linked to actual sleep behavior and what anger tendencies play the most important role for particular aspects of sleep. Data from 436 adults in Midlife of the United States Study were used to link anger tendencies to both objectively (actigraphy) and subjectively (daily diary) assessed sleep across a week. Overall, individuals who had poor anger control also had worse objectively and subjectively measured sleep and these relations were robust ...
#1Zlatan Krizan (Iowa State University)H-Index: 22
#2Anne D. Herlache (Iowa State University)H-Index: 2
#1Stephen F. Smagula (University of Pittsburgh)H-Index: 17
#2Katie L. Stone (CPMC: California Pacific Medical Center)H-Index: 97
Last. Jane A. Cauley (University of Pittsburgh)H-Index: 169
view all 4 authors...
Summary No systematic review of epidemiological evidence has examined risk factors for sleep disturbances among older adults. We searched the PubMed database combining search terms targeting the following domains 1) prospective, 2) sleep, and 3) aging, and identified 21 relevant population-based studies with prospective sleep outcome data. Only two studies utilized objective measures of sleep disturbance, while six used the Pittsburgh sleep quality index (PSQI) and thirteen used insomnia symptom...
#1John W. Burns (Rush University Medical Center)H-Index: 21
#2James Gerhart (Rush University Medical Center)H-Index: 17
Last. Francis J. Keefe (Duke University)H-Index: 122
view all 10 authors...
OBJECTIVE: To determine the degree to which anger arousal and anger regulation (expression, inhibition) in the daily lives of people with chronic pain were related to spouse support, criticism, and hostility as perceived by patients and as reported by spouses. METHOD: Married couples (N = 105, 1 spouse with chronic low back pain) completed electronic daily diaries, with assessments 5 times/day for 14 days. On these diaries, patients completed items on their own anger arousal, anger expression, a...
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