The Influence of the Burden of Nurturing and Depression on Sleep Quality in Female Full-Time Homemakers : The Moderated Mediating Effect of Monthly Income
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Objectives: This study investigated sleep quality in female full-time homemakers and evaluated the relationship of sleep disturbance with psychological and socio-environmental factors. Methods: This cross-sectional study adopted a structured survey and sequential recruitment method for randomized participation of community-dwelling full-time female homemakers. Sleep quality and mental health were measured using the Korean version of the Pittsburgh Sleep Quality Index (K-PSQI), Korean version of the Beck Depression Inventory-II (K-BDI-II), Korean version of the Beck Anxiety Inventory (K-BAI), and Korean version of the Beck Hopelessness Scale (K-BHS). The willingness- to-pay (WTP) method was selected to measure the self-evaluated monetary value of household service work. The relationship among the main relevant factors was statistically analyzed through a mediation model. Results: A total of 166 participants were analyzed and classified having poor versus good sleep quality (poor : 24.1%, n = 40 ; good : 75.9%, n = 126 ; cut-off point = 9 on the K-PSQI). Significant between-group differences were observed in mental health status (K-BDI-II, p < 0.001 ; K-BAI, p < 0.001 ; K-BHS, p = 0.003). The moderated mediation model was verified, indicating that depression may mediate the association between nurturing burden and sleep disturbance. The path from nurturing burden to depression may be moderated by average monthly household income. Conclusion: A relatively high portion of full-time female homemakers may suffer from sleep disturbance and interactions between psychological and socio-environmental factors might determine sleep quality, suggesting the need for public health policies targeting improvement of sleep quality and mental health among full-time homemakers.
Abstract
Objectives: This study investigated sleep quality in female full-time homemakers and evaluated the relationship of sleep disturbance with psychological and socio-environmental factors. Methods: This cross-sectional study adopted a structured survey and sequential recruitment method for randomized participation of community-dwelling full-time female homemakers. Sleep quality and mental health were measured using the Korean version of the Pittsburgh Sleep Quality Index (K-PSQI), Korean version of the Beck Depression Inventory-II (K-BDI-II), Korean version of the Beck Anxiety Inventory (K-BAI), and Korean version of the Beck Hopelessness Scale (K-BHS). The willingness- to-pay (WTP) method was selected to measure the self-evaluated monetary value of household service work. The relationship among the main relevant factors was statistically analyzed through a mediation model. Results: A total of 166 participants were analyzed and classified having poor versus good sleep quality (poor : 24.1%, n = 40 ; good : 75.9%, n = 126 ; cut-off point = 9 on the K-PSQI). Significant between-group differences were observed in mental health status (K-BDI-II, p < 0.001 ; K-BAI, p < 0.001 ; K-BHS, p = 0.003). The moderated mediation model was verified, indicating that depression may mediate the association between nurturing burden and sleep disturbance. The path from nurturing burden to depression may be moderated by average monthly household income. Conclusion: A relatively high portion of full-time female homemakers may suffer from sleep disturbance and interactions between psychological and socio-environmental factors might determine sleep quality, suggesting the need for public health policies targeting improvement of sleep quality and mental health among full-time homemakers.
참고문헌 (48)
- Al-Abri MA, "Sleep deprivation and depression: a bi-directional association", Sultan Qaboos Univ Med J, 15, pp.e4~ (2015)
- Alvaro PK, "A systematic review assessing bidirectionality between sleep disturbances, anxiety, and depression", Sleep, 36, pp.1059~1068 (2013)
- Arber S, "Gender and socio-economic patterning of self-reported sleep problems in Britain", Soc Sci Med, 68, pp.281~289 (2009)
- American Psychiatric Association, "Diagnostic and Statistical Manual of mental disorders (DSM-5®)" (2013), American Psychiatric Pub
- Augustin M, "Willingness to pay for a cure of low-risk melanoma patients in Germany", PloS One, 13, pp.e0197780~ (2018)
- 배하나, "성인에서의 한글판 로젠버그 자기존중감 척도의 신뢰도와 타당도 연구", Mood and Emotion, 12(1), pp.43~49 (2014), 대한우울조울병학회
- Bala MV, "Willingness to pay as a measure of health benefits", Pharmacoeconomics, 15, pp.9~18 (1999)
- Baron RM, "The moderator–mediator variable distinction in social psychological research : conceptual, strategic, and statistical considerations", J Pers Soc Psychol, 51, pp.1173~ (1986)
- Basner M, "American time use survey : sleep time and its relationship to waking activities", Sleep, 30, pp.1085~1095 (2007)
- Beck AT, "Manual for the beck anxiety inventory" (1990), Psychological Corporation
- Beck AT, "Beck Depression Inventory-II", San Antonio, 78, pp.490~498 (1996)
- Beck AT, "BHS, Beck Hopelessness Scale:Manual" (1988), Psychological corporation San Antonio
- Berry JO, "The Parental Stress Scale : initial psychometric evidence", J Soc Pers Relat, 12, pp.463~472 (1995)
- Bird CE, "Gender differences in the social and economic burdens of parenting and psychological distress", J Marriage Fam, pp.809~823 (1997)
- Blümel JE, "A multinational study of sleep disorders during female mid-life", Maturitas, 72, pp.359~366 (2012)
- Bobinac A, "Willingness to pay for a quality-adjusted life-year : The individual perspective", Value in Health, 13, pp.1046~1055 (2010)
- Broomfield NM, "Towards a valid, reliable measure of sleep effort", J Sleep Res, 14, pp.401~407 (2005)
- Buysse DJ, "The Pittsburgh Sleep Quality Index : a new instrument for psychiatric practice and research", Psychiatry Res, 28, pp.193~213 (1989)
- Cerolini S, "Emotional experience, presence and severity of insomnia and depressive symptoms : an ecological study of their effects on sleep quality", Ment Health Fam Med, 12, pp.282~287 (2016)
- 장인수, "기혼 여성과 남성의 가사노동시간 차이와 영향요인 분석", 여성연구, 95(4), pp.41~72 (2017), 한국여성정책연구원[DOI]
- Chen YY, "Can social factors explain sex differences in insomnia? Findings from a national survey in taiwan", J Epidemiol Community Health, 59, pp.488~494 (2005)
- Curran PJ, "The robustness of test statistics to nonnormality and specification error in confirmatory factor analysis", Psychol Methods, 1, pp.16~ (1996)
- Daltio CS, "Willingness to pay in caregivers of patients affected by schizophrenia", J Mental Health Policy Econ, 20, pp.3~10 (2017)
- Erdfelder E, "Gpower : a general power analysis program", Behav Res Methods Instrum Comput, 28, pp.1~11 (1996)
- Ford DE, "Epidemiologic study of sleep disturbances and psychiatric disorders : an opportunity for prevention", JAMA, 262, pp.1479~1484 (1989)
- Gellis LA, "Socioeconomic status and insomnia", J Abnorm Psychol, 114, pp.111~ (2005)
- Gillin J, "Are sleep disturbances risk factors for anxiety, depressive and addictive disorders", Acta Psychiatr Scand, 98, pp.39~43 (1998)
- Goldsmith RE, "Dimensionality of the Rosenberg Self-Esteem Scale", J Soc Behav Pers, 1, pp.253~ (1986)
- Grandner MA, "Who gets the best sleep? Ethnic and socioeconomic factors related to sleep complaints", Sleep Med, 11, pp.470~478 (2010)
- Grove JL, "Prospective association between suicide cognitions and emotional responses to a laboratory stressor : the mediating role of nightly subjective sleep quality", J Affect Disord, 265, pp.77~84 (2020)
- Hayes AF, "Introduction to mediation, moderation, and conditional process analysis: a regression-based approach" (2017), Guilford publications
- Kahn M, "Sleep and emotions : bidirectional links and underlying mechanisms", Int J Psychophysiol, 89, pp.218~228 (2013)
- Karacan I, "Prevalence of sleep disturbance in a primarily urban Florida County", Soc Sci Med, 10, pp.239~244 (1976)
- 김성건, "한국판 벡절망척도의 신뢰도 및 타당도 연구", 신경정신의학, 54(1), pp.84~90 (2015), 대한신경정신의학회[DOI]
- 임선영, "한국판 벡 우울 척도 2판의 타당화 연구", 대한불안의학회지, 7(1), pp.48~53 (2011), 대한불안의학회
- 김무경, "한국판 글라스고 수면 노력 척도의 타당화 연구", 인지행동치료, 14(2), pp.319~337 (2014), 한국인지행동치료학회
- Morphy H, "Epidemiology of insomnia : a longitudinal study in a uk population", Sleep, 30, pp.274~280 (2007)
- Palagini L, "REM sleep dysregulation in depression : state of the art", Sleep Med Rev, 17, pp.377~390 (2013)
- Papadimitriou GN, "Sleep disturbance in anxiety disorders", Int Rev Psychiatry, 17, pp.229~236 (2005)
- Patel NP, "“Sleep disparity” in the population: poor sleep quality is strongly associated with poverty and ethnicity", BMC Public Health, 10, pp.475~ (2010)
- Raymo JM, "Gender equity, opportunity costs of parenthood, and educational differences in unintended first births : insights from japan", Popul Res Policy Rev, 34, pp.179~199 (2015)
- Moon SJ, "The benefit and cost of full-time housewife occupation", Fam Environ Res, 32, pp.15~28 (1994)
- Sohn SI, "The reliability and validity of the Korean version of the Pittsburgh Sleep Quality Index", Sleep Breath, 16, pp.803~812 (2012)
- Unpaid work and policy-making: towards a broader perspective of work and employment, "Swiebel J", United Nations, Department of Economic and Social Affairs, ~ (1999)
- Trull TJ, "Using experience sampling methods", ecological momentary assessment (ESM, pp.2009, ~
- Tsuno N, "Sleep and depression", J Clin Psychiatry, 66, pp.1254~1269 (2005)
- Weyerer S, "Prevalence and treatment of insomnia in the community : results from the upper bavarian field study", Sleep, 14, pp.392~398 (1991)
- Yook S, "A clinical study on the Korean version of Beck Anxiety Inventory : comparative study of patient and non-patient", Korean J Clin Psychol, 16, pp.185~197 (1997)
