The Impact of Sleep Quality and Education Level on the Relationship between Depression and Suicidal Ideation in Parents of Adolescents.

Ji Yeon Shim,Yoo Mi Jeong,Il Hyun Lee,Sook Lee

doi:10.3390/healthcare9091171

Abstract

This study aimed to analyze the moderating effect of sleep quality and the moderated moderation effect of education level on the relationship between depression and suicidal ideations among middle-aged parents of adolescent children. This is a secondary analysis of a survey collected from a cross-sectional study. The inclusion criteria were middle-aged parents of adolescent children in D city, South Korea, who answered the survey questionnaires. A total of 178 completed questionnaires were used for the analysis. The moderating effect of sleep quality (B = −0.03, p = 0.736) and education level (B = −1.80, p = 0.029) on the relationship between depression and suicidal ideations was shown. It was confirmed that the moderating effect of sleep quality on the effect of depression on suicidal ideations differed according to the subject’s education level. The findings have implications for mental healthcare providers who can be educated on sleep hygiene based on the subject’s education level.

Highlights

Suicide is considered a worldwide problem affecting all age groups and is the 10th leading cause of death in the United States
Hypothesis 4 (H4): The education level will have a moderated moderation effect on the sleep quality that moderates the effects of depression on suicidal ideations
Compared to 11.58 ± 6.99 points in other age groups in Korea [44], the participants in this study had relatively good sleep quality. This differs from previous reports that found that adults in their thirties and fifties have shorter sleep times when compared to other age groups and that middle-aged parents with children under the age of 18 have shorter sleep times than middle-aged parents with children in other age groups [16,18]. This is because factors other than sleep time act in evaluating the sleep quality, so children of different age groups or adults of different age groups should be used for comparative research using the same tool in the future

Summary

Introduction

Suicide is considered a worldwide problem affecting all age groups and is the 10th leading cause of death in the United States. Middle-aged parents with adolescent children feel more stress, emptiness, loneliness, and lower life satisfaction and fullness than middle-aged parents with children of any other age group [5]. Life stress and depression are typical psychosocial factors affecting suicidal ideations in middle-aged adults [12]. In middle-aged women, the incidence of depression is higher due to physiological changes and role conflicts, such as changes in female hormones during menopause, life stress, feelings of loss due to their child’s independence, and the increased burden of middle-aged parental support [14,15]

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Discussion

Conclusion