Abstract
Introduction: The college years are characterized by psychosocial and biological phenomena that may impact mental health, such as heightened sensitivity to social stressors and compromises in sleep quantity and quality. The current study uses a biopsychosocial approach to examine the associations among interpersonal stress, Fear of Missing Out (FoMO), insomnia, and mental health. Methods: Survey data were collected from 283 undergraduate students (90% female) with a mean age of 21.4 years. A path analysis was utilized to test a mediational model linking interpersonal stress and FoMO with mental health through a mediator of insomnia. We hypothesized that higher levels of interpersonal stress and FoMO would be associated with higher levels of insomnia symptoms, which would in turn be associated with poorer mental health. Results: As predicted, insomnia partially mediated significant associations of interpersonal stress and FoMO with mental health. The association of interpersonal stress with insomnia and mental health was more robust than the association of FoMO with these variables. Conclusions: The pathway from interpersonal stress and/or FoMO, through insomnia, to compromises in mental health may be modifiable through behavioral interventions focusing on coping skills, sleep hygiene, and even technology-related habit changes. Recommendations to help disrupt this pathway, particularly among college students, are discussed.
Highlights
The college years are characterized by psychosocial and biological phenomena that may impact mental health, such as heightened sensitivity to social stressors and compromises in sleep quantity and quality
Higher of interpersonal stress and Fear of Missing Out (FoMO) were associated with higher levels of insomnia, which in turn were levels of interpersonal stress and FoMO were associated with higher levels of insomnia, which in turn associated with poorer mental health
Compared to FoMO, interpersonal stress was more robustly associated with insomnia symptoms
Summary
The college years are characterized by psychosocial and biological phenomena that may impact mental health, such as heightened sensitivity to social stressors and compromises in sleep quantity and quality. A recent survey of college counseling centers revealed a 30% increase in self-referrals between 2009 and 2015, with 61% of these undergraduates endorsing anxiety and 49% endorsing symptoms of depression [1]. This increasing demand tends to outweigh available university counseling resources [2]. It is critical to examine the psychological, social, and biological phenomena that characterize college students and may help to explain variance in their mental health.
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