The Mediating Role of Emotion Dysregulation and Problematic Internet Use in the Relationship Between Negative Affect and Excessive Daytime Sleepiness: A Structural Equation Model

Overview

Journal Nat Sci Sleep

Publisher Dove Medical Press

Date 2022 Mar 3

PMID 35237080

Authors

Anna Guerrini Usubini

Grazia Terrone

Giorgia Varallo

Roberto Cattivelli

Giuseppe Plazzi

Gianluca Castelnuovo

Adriano Schimmenti

Alessandro Musetti

Christian Franceschini

Affiliations

Soon will be listed here.

Abstract

Purpose: The present study aimed to explore the mediating role of emotion dysregulation and problematic Internet use in the relationship between negative affect and excessive daytime sleepiness.

Methods: This cross-sectional study included 664 Italian adults aged between 18 and 70 years (M = 32.13; SD = 11.71). Participants were asked to complete the Depression Anxiety Stress Scale, the Difficulties in Emotion Regulation Scale, the Compulsive Internet Use Scale-7, and the Epworth Sleepiness Scale to assess negative affect, emotion dysregulation, problematic internet use, and excessive daytime sleepiness, respectively.

Results: According to our results there are significant associations between negative affect, emotion dysregulation, problematic Internet use, and daytime sleepiness. Moreover, the structural equation model showed good fit indices. Emotion dysregulation and problematic Internet use partially mediated the relationship between negative mood and excessive daytime sleepiness.

Conclusion: By exploring the role of emotion dysregulation on the association between excessive daytime sleepiness and its possible predictors, our study might represent an important step toward the implementation of psychological intervention for reducing excessive daytime sleepiness. Emotion dysregulation appears to play a significant role in explaining the relationship between negative affect, problematic Internet use, and excessive daytime sleepiness. Thus, it should be considered a treatment target for reducing excessive daytime sleepiness.

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References

Singh L, Suchandra K, Pattajoshi A, Mamidipalli S, Kamal H, Singh S . Internet addiction and daytime sleepiness among professionals in India: A web-based survey. Indian J Psychiatry. 2019; 61(3):265-269. PMC: 6532455. DOI: 10.4103/psychiatry.IndianJPsychiatry_412_18. View

Shapira N, Lessig M, Goldsmith T, Szabo S, Lazoritz M, Gold M . Problematic internet use: proposed classification and diagnostic criteria. Depress Anxiety. 2003; 17(4):207-16. DOI: 10.1002/da.10094. View

Giardina A, Di Blasi M, Schimmenti A, King D, Starcevic V, Billieux J . Online Gaming and Prolonged Self-Isolation: Evidence from Italian Gamers During the Covid-19 Outbreak. Clin Neuropsychiatry. 2021; 18(1):65-74. PMC: 8629072. DOI: 10.36131/cnfioritieditore20210106. View

Varghese N, Santoro E, Lugo A, Madrid-Valero J, Ghislandi S, Torbica A . The Role of Technology and Social Media Use in Sleep-Onset Difficulties Among Italian Adolescents: Cross-sectional Study. J Med Internet Res. 2021; 23(1):e20319. PMC: 7862002. DOI: 10.2196/20319. View

Di Blasi M, Giardina A, Giordano C, Lo Coco G, Tosto C, Billieux J . Problematic video game use as an emotional coping strategy: Evidence from a sample of MMORPG gamers. J Behav Addict. 2019; 8(1):25-34. PMC: 7044601. DOI: 10.1556/2006.8.2019.02. View

Alcantara C, Biggs M, Davidson K, Delaney J, Jackson C, Zee P . Sleep Disturbances and Depression in the Multi-Ethnic Study of Atherosclerosis. Sleep. 2015; 39(4):915-25. PMC: 4791625. DOI: 10.5665/sleep.5654. View

Theorell-Haglow J, Lindberg E, Janson C . What are the important risk factors for daytime sleepiness and fatigue in women?. Sleep. 2006; 29(6):751-7. DOI: 10.1093/sleep/29.6.751. View

Mume C . Excessive daytime sleepiness among depressed patients. Libyan J Med. 2017; 5(1):4626. PMC: 3066783. DOI: 10.3402/ljm.v5i0.4626. View

Rahman S, St Hilaire M, Lockley S . The effects of spectral tuning of evening ambient light on melatonin suppression, alertness and sleep. Physiol Behav. 2017; 177:221-229. PMC: 5536841. DOI: 10.1016/j.physbeh.2017.05.002. View

10.

Bjorvatn B, Pallesen S, Gronli J, Sivertsen B, Lehmann S . Prevalence and correlates of insomnia and excessive sleepiness in adults with obstructive sleep apnea symptoms. Percept Mot Skills. 2014; 118(2):571-86. DOI: 10.2466/15.06.PMS.118k20w3. View

11.

Beard K, Wolf E . Modification in the proposed diagnostic criteria for Internet addiction. Cyberpsychol Behav. 2001; 4(3):377-83. DOI: 10.1089/109493101300210286. View

12.

Meerkerk G, Van den Eijnden R, Vermulst A, Garretsen H . The Compulsive Internet Use Scale (CIUS): some psychometric properties. Cyberpsychol Behav. 2008; 12(1):1-6. DOI: 10.1089/cpb.2008.0181. View

13.

Demir G, Arslan S, Kocoglu-Tanyer D . Daytime Sleepiness in University Students and Internet Addiction as the Determinant. J Addict Nurs. 2020; 31(3):153-160. DOI: 10.1097/JAN.0000000000000346. View

14.

Lopes C, Esteves A, Bittencourt L, Tufik S, Mello M . Relationship between the quality of life and the severity of obstructive sleep apnea syndrome. Braz J Med Biol Res. 2008; 41(10):908-13. DOI: 10.1590/s0100-879x2008005000036. View

15.

Sameer H, Imran N, Tarar T, Khawaja I . Association of Excessive Daytime Sleepiness With Psychological Distress in Medical Students. Prim Care Companion CNS Disord. 2020; 22(1). DOI: 10.4088/PCC.19m02531. View

16.

Chellappa S, Araujo J . Excessive daytime sleepiness in patients with depressive disorder. Braz J Psychiatry. 2006; 28(2):126-9. DOI: 10.1590/s1516-44462006000200010. View

17.

Weinstein A, Lejoyeux M . Internet addiction or excessive internet use. Am J Drug Alcohol Abuse. 2010; 36(5):277-83. DOI: 10.3109/00952990.2010.491880. View

18.

Guerrini Usubini A, Cattivelli R, Varallo G, Castelnuovo G, Molinari E, Giusti E . The Relationship between Psychological Distress during the Second Wave Lockdown of COVID-19 and Emotional Eating in Italian Young Adults: The Mediating Role of Emotional Dysregulation. J Pers Med. 2021; 11(6). PMC: 8235082. DOI: 10.3390/jpm11060569. View

19.

Smith S, Rossdale J, Serry Y, Sekaran A, Drakatos P, Steier J . Multiple dimensions of excessive daytime sleepiness. J Thorac Dis. 2018; 10(Suppl 1):S170-S176. PMC: 5803055. DOI: 10.21037/jtd.2017.11.32. View

20.

Schimmenti A, Passanisi A, Caretti V, La Marca L, Granieri A, Iacolino C . Traumatic experiences, alexithymia, and Internet addiction symptoms among late adolescents: A moderated mediation analysis. Addict Behav. 2015; 64:314-320. DOI: 10.1016/j.addbeh.2015.11.002. View