TY - JOUR
T1 - Depression and anxiety mediate the relationship between insomnia and eating disorders in college women
AU - Goel, Neha J.
AU - Sadeh-Sharvit, Shiri
AU - Trockel, Mickey
AU - Flatt, Rachael E.
AU - Fitzsimmons-Craft, Ellen E.
AU - Balantekin, Katherine N.
AU - Monterubio, Grace E.
AU - Firebaugh, Marie Laure
AU - Wilfley, Denise E.
AU - Taylor, C. Barr
N1 - Funding Information:
This research was supported by funding from the National Institutes of Health (NIH) R01 MH100455, K08 MH120341, T32 HL007456, and T32 HL130357. The authors would like to thank all participating universities, research participants, and study staff for their time and dedication to this trial, without whom this work would not be possible. We would also like to thank Drs. Andrea Kass Graham, Dawn Eichen, Corinna Jacobi, and Megan Jones Bell for their contributions to this grant.
Publisher Copyright:
© 2020 Taylor & Francis Group, LLC.
PY - 2021
Y1 - 2021
N2 - Objective: This study examined the associations between insomnia, anxiety, and depression in college women with eating disorders (EDs). Participants: Six hundred and ninety women from 28 US colleges who screened positive for an ED were assessed for psychiatric comorbidities. Women were, on average, 22.12 years old, mostly White (60.1%) and undergraduates (74.3%). Methods: Two mediation models were tested to determine if depression and/or anxiety mediated the relationship between insomnia and ED symptomatology. Results: One-fifth of the sample (21.7%) reported clinically moderate and severe levels of insomnia. Both depression (B =.13, p <. 001) and anxiety (B =.13, p <. 001) significantly mediated the relationship between insomnia and ED psychopathology. Conclusions: Insomnia is relatively common in college-age women with EDs. Findings suggest that this association between ED and sleep disturbances can be explained, in part, by changes in depression and anxiety. Clinicians should consider incorporating mental health assessments for insomnia, depression, and anxiety into current ED prevention, intervention, and screening efforts on college campuses.
AB - Objective: This study examined the associations between insomnia, anxiety, and depression in college women with eating disorders (EDs). Participants: Six hundred and ninety women from 28 US colleges who screened positive for an ED were assessed for psychiatric comorbidities. Women were, on average, 22.12 years old, mostly White (60.1%) and undergraduates (74.3%). Methods: Two mediation models were tested to determine if depression and/or anxiety mediated the relationship between insomnia and ED symptomatology. Results: One-fifth of the sample (21.7%) reported clinically moderate and severe levels of insomnia. Both depression (B =.13, p <. 001) and anxiety (B =.13, p <. 001) significantly mediated the relationship between insomnia and ED psychopathology. Conclusions: Insomnia is relatively common in college-age women with EDs. Findings suggest that this association between ED and sleep disturbances can be explained, in part, by changes in depression and anxiety. Clinicians should consider incorporating mental health assessments for insomnia, depression, and anxiety into current ED prevention, intervention, and screening efforts on college campuses.
KW - Anxiety
KW - college students
KW - depression
KW - eating disorders
KW - insomnia
UR - http://www.scopus.com/inward/record.url?scp=85078779884&partnerID=8YFLogxK
U2 - 10.1080/07448481.2019.1710152
DO - 10.1080/07448481.2019.1710152
M3 - Article
C2 - 31971482
AN - SCOPUS:85078779884
SN - 0744-8481
VL - 69
SP - 976
EP - 981
JO - Journal of American College Health
JF - Journal of American College Health
IS - 8
ER -