The mediating effect of sleep satisfaction on the relationship between stress and perceived health of adolescents suffering atopic disease: Secondary analysis of data from the 2013 9th Korea Youth Risk Behavior Web-based Survey

Won-Oak Oh, Yeo Jin Im, Min Hyun Suk

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background Difficulty in sleep is one disturbing symptom in adolescents with atopic diseases including asthma, allergic rhinitis, and atopic dermatitis. Assuming psychological stress can affect adolescents’ health status, impaired sleep quality can be one mediator that negatively impacts the health status of adolescents with atopic disease. Objectives This study aimed to identify the mediating effect of sleep satisfaction on the relationship between stress and perceived health status in Korean adolescents with atopic disease and to examine the differences among three types of atopic disease. Design A cross-sectional descriptive study was completed based on secondary analysis of raw data from the 2013 9th Korea Youth Risk Behavior Web-based Survey. Settings and participants The 21,154 adolescents (29.2%) ever diagnosed and treated for at least one atopic disease regardless of the symptom presence in a recent year were extracted out of 72,435 survey participants. Then, the 13,216 individuals with exclusively single atopic diseases were included in analyzing the mediation model. Methods Variables including demographics, stress, perceived health status, and sleep satisfaction were included. Pearson correlation, one-way ANOVA, path analysis to define direct/indirect effects with bootstrapping analysis, and multi-group variance analysis were conducted. Results High levels of stress in adolescents with atopic diseases had a significant and direct effect on their negative health status perception for all atopic disease groups. A significant negative mediating effect of sleep satisfaction was identified on the relationship between stress and perceived health status, irrespective of the type of atopic disease. Total effect and remaining direct effect on the path from stress and perceived health status via sleep satisfaction was high in adolescents with atopic dermatitis and allergic rhinitis compared to those with asthma. Conclusions To improve sleep satisfaction for adolescents with atopic diseases, interventions are needed to enhance the adolescents’ perceived health status through stress reduction and sleep quality improvement.

Original languageEnglish
Pages (from-to)132-138
Number of pages7
JournalInternational Journal of Nursing Studies
Volume63
DOIs
Publication statusPublished - 2016 Nov 1

Fingerprint

Korea
Risk-Taking
Sleep
Health Status
Atopic Dermatitis
Analysis of Variance
Asthma
Surveys and Questionnaires
Adolescent Health
Quality Improvement
Psychological Stress
Cross-Sectional Studies
Demography

Keywords

  • Adolescent
  • Allergic rhinitis
  • Asthma
  • Atopic dermatitis
  • Health
  • Psychological stress
  • Sleep deprivation

ASJC Scopus subject areas

  • Nursing(all)

Cite this

@article{db1eeb3d43f243f88f96ef5875f6988b,
title = "The mediating effect of sleep satisfaction on the relationship between stress and perceived health of adolescents suffering atopic disease: Secondary analysis of data from the 2013 9th Korea Youth Risk Behavior Web-based Survey",
abstract = "Background Difficulty in sleep is one disturbing symptom in adolescents with atopic diseases including asthma, allergic rhinitis, and atopic dermatitis. Assuming psychological stress can affect adolescents’ health status, impaired sleep quality can be one mediator that negatively impacts the health status of adolescents with atopic disease. Objectives This study aimed to identify the mediating effect of sleep satisfaction on the relationship between stress and perceived health status in Korean adolescents with atopic disease and to examine the differences among three types of atopic disease. Design A cross-sectional descriptive study was completed based on secondary analysis of raw data from the 2013 9th Korea Youth Risk Behavior Web-based Survey. Settings and participants The 21,154 adolescents (29.2{\%}) ever diagnosed and treated for at least one atopic disease regardless of the symptom presence in a recent year were extracted out of 72,435 survey participants. Then, the 13,216 individuals with exclusively single atopic diseases were included in analyzing the mediation model. Methods Variables including demographics, stress, perceived health status, and sleep satisfaction were included. Pearson correlation, one-way ANOVA, path analysis to define direct/indirect effects with bootstrapping analysis, and multi-group variance analysis were conducted. Results High levels of stress in adolescents with atopic diseases had a significant and direct effect on their negative health status perception for all atopic disease groups. A significant negative mediating effect of sleep satisfaction was identified on the relationship between stress and perceived health status, irrespective of the type of atopic disease. Total effect and remaining direct effect on the path from stress and perceived health status via sleep satisfaction was high in adolescents with atopic dermatitis and allergic rhinitis compared to those with asthma. Conclusions To improve sleep satisfaction for adolescents with atopic diseases, interventions are needed to enhance the adolescents’ perceived health status through stress reduction and sleep quality improvement.",
keywords = "Adolescent, Allergic rhinitis, Asthma, Atopic dermatitis, Health, Psychological stress, Sleep deprivation",
author = "Won-Oak Oh and Im, {Yeo Jin} and Suk, {Min Hyun}",
year = "2016",
month = "11",
day = "1",
doi = "10.1016/j.ijnurstu.2016.08.012",
language = "English",
volume = "63",
pages = "132--138",
journal = "International Journal of Nursing Studies",
issn = "0020-7489",
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T1 - The mediating effect of sleep satisfaction on the relationship between stress and perceived health of adolescents suffering atopic disease

T2 - Secondary analysis of data from the 2013 9th Korea Youth Risk Behavior Web-based Survey

AU - Oh, Won-Oak

AU - Im, Yeo Jin

AU - Suk, Min Hyun

PY - 2016/11/1

Y1 - 2016/11/1

N2 - Background Difficulty in sleep is one disturbing symptom in adolescents with atopic diseases including asthma, allergic rhinitis, and atopic dermatitis. Assuming psychological stress can affect adolescents’ health status, impaired sleep quality can be one mediator that negatively impacts the health status of adolescents with atopic disease. Objectives This study aimed to identify the mediating effect of sleep satisfaction on the relationship between stress and perceived health status in Korean adolescents with atopic disease and to examine the differences among three types of atopic disease. Design A cross-sectional descriptive study was completed based on secondary analysis of raw data from the 2013 9th Korea Youth Risk Behavior Web-based Survey. Settings and participants The 21,154 adolescents (29.2%) ever diagnosed and treated for at least one atopic disease regardless of the symptom presence in a recent year were extracted out of 72,435 survey participants. Then, the 13,216 individuals with exclusively single atopic diseases were included in analyzing the mediation model. Methods Variables including demographics, stress, perceived health status, and sleep satisfaction were included. Pearson correlation, one-way ANOVA, path analysis to define direct/indirect effects with bootstrapping analysis, and multi-group variance analysis were conducted. Results High levels of stress in adolescents with atopic diseases had a significant and direct effect on their negative health status perception for all atopic disease groups. A significant negative mediating effect of sleep satisfaction was identified on the relationship between stress and perceived health status, irrespective of the type of atopic disease. Total effect and remaining direct effect on the path from stress and perceived health status via sleep satisfaction was high in adolescents with atopic dermatitis and allergic rhinitis compared to those with asthma. Conclusions To improve sleep satisfaction for adolescents with atopic diseases, interventions are needed to enhance the adolescents’ perceived health status through stress reduction and sleep quality improvement.

AB - Background Difficulty in sleep is one disturbing symptom in adolescents with atopic diseases including asthma, allergic rhinitis, and atopic dermatitis. Assuming psychological stress can affect adolescents’ health status, impaired sleep quality can be one mediator that negatively impacts the health status of adolescents with atopic disease. Objectives This study aimed to identify the mediating effect of sleep satisfaction on the relationship between stress and perceived health status in Korean adolescents with atopic disease and to examine the differences among three types of atopic disease. Design A cross-sectional descriptive study was completed based on secondary analysis of raw data from the 2013 9th Korea Youth Risk Behavior Web-based Survey. Settings and participants The 21,154 adolescents (29.2%) ever diagnosed and treated for at least one atopic disease regardless of the symptom presence in a recent year were extracted out of 72,435 survey participants. Then, the 13,216 individuals with exclusively single atopic diseases were included in analyzing the mediation model. Methods Variables including demographics, stress, perceived health status, and sleep satisfaction were included. Pearson correlation, one-way ANOVA, path analysis to define direct/indirect effects with bootstrapping analysis, and multi-group variance analysis were conducted. Results High levels of stress in adolescents with atopic diseases had a significant and direct effect on their negative health status perception for all atopic disease groups. A significant negative mediating effect of sleep satisfaction was identified on the relationship between stress and perceived health status, irrespective of the type of atopic disease. Total effect and remaining direct effect on the path from stress and perceived health status via sleep satisfaction was high in adolescents with atopic dermatitis and allergic rhinitis compared to those with asthma. Conclusions To improve sleep satisfaction for adolescents with atopic diseases, interventions are needed to enhance the adolescents’ perceived health status through stress reduction and sleep quality improvement.

KW - Adolescent

KW - Allergic rhinitis

KW - Asthma

KW - Atopic dermatitis

KW - Health

KW - Psychological stress

KW - Sleep deprivation

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JO - International Journal of Nursing Studies

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