Lower Psychological Well-being Research Articles

Associations of psychological wellbeing with COVID-19 hospitalization and mortality in adults aged 50 years or older from 25 European countries and Israel.

Lower psychological wellbeing is associated with poor outcomes in a variety of diseases and healthy populations. However, no study has investigated whether psychological wellbeing is associated with the outcomes of COVID-19. This study aimed to determine whether individuals with lower psychological wellbeing are more at risk for poor outcomes of COVID-19. Data were from the Survey of Health, Aging, and Retirement in Europe (SHARE) in 2017 and SHARE's two COVID-19 surveys in June-September 2020 and June-August 2021. Psychological wellbeing was measured using the CASP-12 scale in 2017. The associations of the CASP-12 score with COVID-19 hospitalization and mortality were assessed using logistic models adjusted for age, sex, body mass index, smoking, physical activity, household income, education level, and chronic conditions. Sensitivity analyses were performed by imputing missing data or excluding cases whose diagnosis of COVID-19 was solely based on symptoms. A confirmatory analysis was conducted using data from the English Longitudinal Study of Aging (ELSA). Data analysis took place in October 2022. In total, 3,886 individuals of 50 years of age or older with COVID-19 were included from 25 European countries and Israel, with 580 hospitalized (14.9%) and 100 deaths (2.6%). Compared with individuals in tertile 3 (highest) of the CASP-12 score, the adjusted odds ratios (ORs) of COVID-19 hospitalization were 1.81 (95% CI, 1.41-2.31) for those in tertile 1 (lowest) and 1.37 (95% CI, 1.07-1.75) for those in tertile 2. As for COVID-19 mortality, the adjusted ORs were 2.05 (95% CI, 1.12-3.77) for tertile 1 and 1.78 (95% CI, 0.98-3.23) for tertile 2, compared with tertile 3. The results were relatively robust to missing data or the exclusion of cases solely based on symptoms. This inverse association of the CASP-12 score with COVID-19 hospitalization risk was also observed in ELSA. This study shows that lower psychological wellbeing is independently associated with increased risks of COVID-19 hospitalization and mortality in European adults aged 50 years or older. Further study is needed to validate these associations in recent and future waves of the COVID-19 pandemic and other populations.

Attachment-based retrospective classifications of parental caregiving in childhood related to psychological well-being and mental health in young adults

Adverse interpersonal experiences in childhood have been shown to be associated with low psychological well-being and poor mental health in adulthood. In this study, the Parental Caregiving Style Questionnaire (PCS-Q) was used for the retrospective classification of parental caregiving, a measure distinguishing between warm/responsive, ambivalent/inconsistent and cold/rejecting parenting, analogous to the three-category model of attachment. Furthermore, self-esteem, satisfaction with the romantic relationship and life, depression and anxiety were measured with self-report scales. 197 students took part in this study, of whom 74 answered the PCS-Q a second time two months later. Most participants classified the parental caregiving style as warm/responsive, especially with regard to the mother. The PCS-Q showed a high test-retest reliability. Warm/responsive parenting was associated with higher self-esteem and life satisfaction and with lower depression and anxiety than the other two parenting styles. Satisfaction with the romantic relationship, however, did not differ substantially between the three groups. The findings largely support the assumption that early attachment experiences have an impact on later well-being and mental health. The German version of the PCS-Q presented here can be used in research and clinical practice as an economic measure with direct reference to the model of attachment styles.

Resilience as a Mediator for Relationships Between Religiosity and Social Support With Parents’ Psychological Well-Being

During the Covid-19 pandemic, parents of students who carried out online learning were prone to experiencing low psychological well-being. Resilience is considered essential in mediating the relationship between religiosity and social support with psychological well-being. However, this role has yet to be tested empirically. This study examines the role of resilience as a mediator of the relationship between religiosity and social support with the psychological well-being of parents of students who carry out online learning during the Covid-19 pandemic. The research respondents totalled 281 parents living in the ex-Karesidenan Surakarta using the accidental sampling technique. Data analysis in this study used a simple mediation analysis with PROCESS macro analysis assisted by the SPSS v22.0 data analysis program. The study’s results prove that resilience mediates religiosity, social support, and psychological well-being. The mediation role of resilience is partial. The results of this study can be the basis for creating programs to improve the psychological well-being of parents through increased resilience, religiosity and social support.

The Lower the Physical Function, the Higher the Quality of Life in Japanese Adolescents with Cerebral Palsy

Aims To investigate the factors that contribute to subjective quality of life (QOL) in adolescents with cerebral palsy (CP). Methods We evaluated the subjective QOL in 51 adolescents with CP through interviews using the Japanese version of KIDSCREEN-27 (J-KIDSCREEN-27) and compared the scores with those of 60 typically developing adolescents. Correlations of subjective QOL with age, sex, the levels of functions (gross motor, manipulation, and communication), intelligence, the level of activity of daily living (ADL), and the type of educational support were examined. Thereafter, we investigated the predictors of the subjective QOL by multiple regression analysis. Results The total QOL scores and individual J-KIDSCREEN-27 domains were not significantly different from those of typically developing adolescents. Sex, manipulation and communication functions, and intelligence had no relationship with subjective QOL. Gross motor function and ADL level negatively correlated with satisfaction with the school environment. Multiple regression analysis revealed that higher age predicts lower psychological well-being, lower gross motor function predicts higher satisfaction with the school environment, and attending schools or classes for special needs predicts higher physical well-being. Conclusions Seeking adequate support for mildly affected adolescents attending regular classes will be the key to further improving subjective QOL in adolescents with CP.

Cannabis and Palliative Care Utilization among Non-Terminal Cancer Patients in the Illinois Medical Cannabis Program

High-quality palliative care has been shown to provide benefits for cancer patients, including greater longevity when initiated earlier in treatment. Previous research conducted among terminal patients in the Illinois Medical Cannabis Program has suggested that cannabis may be used as a complement to palliative care and as an alternative to prescription opioid medications. However, there is little research exploring this phenomenon among non-terminal cancer patients receiving palliative care. In this study, we used primary cross-sectional survey data to (1) identify the factors associated with the utilization of palliative care, (2) examine the associations between the utilization of palliative care and self-reported improvements in physical and psychological symptoms, and (3) estimate the differences in the average 30-day pain levels for non-terminal cancer patients receiving palliative care who reported using opioids compared with other non-terminal cancer patients in palliative care who did not report using opioids. In our sample, 87 out of 542 (16%) non-terminal cancer patients were receiving palliative care, and of these 87 patients, 54 (62%) reported opioid use in the past 12 months. Non-terminal cancer patients in the sample who reported low psychological well-being, frequent gastrointestinal symptoms, and prescription opioid use in the past 12 months had greater odds of palliative care utilization. Palliative care utilization was also positively associated with self-reported improvements in gastrointestinal symptoms. The concurrent use of cannabis and prescription opioids was associated with higher average 30-day pain levels and with higher average pain levels at the initiation of cannabis use among those non-terminal cancer patients engaged in palliative care services.

The effect of internet-based acceptance and commitment therapy (iACT) on psychological well-being among working women with a pre-school child: A randomized controlled trial

IntroductionWorking mothers with small child face work and life difficulties and show low psychological well-being (PWB). ObjectivesThis randomized controlled trial aimed to examine the effectiveness of a newly developed, fully automated internet-based Acceptance and Commitment Therapy (iACT) program, ‘Happiness Mom,’ on improving Ryff's PWB of working mothers with a preschool child. MethodsThe eligible participants were working mothers with at least one preschool child and were randomly assigned to either an iACT intervention group (n = 424) or a wait-list control group (n = 417). The intervention contained eight modules for 10 weeks. Primary outcomes were measured in six dimensions of Ryff's PWB (Ryff, 1989a; 1989b), using self-administered questionnaires at baseline, three months, and six months after the baseline. A mixed model for repeated measures conditional growth model analysis was conducted using a group*time interaction as an intervention effect. ResultsA total of 841 eligible working mothers participated in this study. For the main pooled analysis, positive relationship with others was significantly improved in the intervention group (pooled effect 0.41 [95% CI 0.08–0.74], t = 2.44, p = 0.015), while the effect size was small (Cohen's d = 0.18). There was no significant effect on autonomy, environmental mastery, personal growth, purpose in life, and self-acceptance. ConclusionsThe study demonstrated that the fully automated iACT program was effective in improving PWB in working mothers. However, the effect was small and shown in the limited domain of PWB. Further program improvement is required to achieve a greater effect size and impact on a wider range of PWB.

Infidelity in the Adolescence Stage: The Roles of Negative Affect, Hostility, and Psychological Well-Being

Infidelity is a relational process common in all types of romantic relationships and has been established as one of the main causes of relationship breakdown. However, little is known about this type of transgression in adolescent romantic relationships, although it manifests as a fairly frequent behavior involving different motivations. Even less is known about the emotional impact of infidelity on the offending person and its association with hostile behavior and psychological well-being. Through an experimental study (N = 301 Spanish adolescents (190 female and 111 male; Mage = 15.59, SD = 0.69; range from 15 to 17), we sought to analyze the effect of manipulating two types of motivations for infidelity (sexual vs. emotional dissatisfaction) on negative affect, hostility, and psychological well-being. The main results revealed that committing infidelity motivated by hypothetical sexual (vs. emotional) dissatisfaction was indirectly related to lower psychological well-being through its effects on increased negative affect and hostility. Last but not least, we discuss these findings, highlighting the possible implications of infidelity for the psychosocial and psychosexual development of adolescents.

Directly-measured smartphone screen time predicts well-being and feelings of social connectedness

Previous findings on the relationship between smartphone use and well-being have been mixed. This may be partially due to a reliance on cross-sectional study designs and self-reported smartphone usage. In the current study, we collected screen time data by directly tracking participants’ ( N = 325, ages 14−80 years, 58% women) smartphone usage over a period of 6 days. We combined this tracking with ecological momentary assessment, asking participants three times per day about their psychological well-being and feelings of social connectedness. Smartphone screen time was determined for the hour directly before each assessment. Results revealed that at times when participants used their smartphone more in the hour before an assessment, they reported lower psychological well-being and lower social connectedness. A bidirectional relationship emerged between smartphone screen time and social connectedness, suggesting a potential “vicious cycle” whereby smartphone usage leads to reduced social connectedness, which promotes more smartphone usage.

Heatwave and mental health

Physical health has been associated with ambient temperature and heatwave. With the frequent occurrence of heatwave, the adaptive effects and mechanisms on mental health remain uncertain. On the basis of the China Health and Nutrition Survey, we estimated the relationship between heatwaves and self-assessed mental health scores in the Chinese population aged 50 and above. This study has identified that with each additional heatwave event, mental health scores decreased by an average of 0.027 points, which is equivalent to 0.3% of the average level. Heat is more likely to affect groups with low education, no medical insurance, and living in rural areas. In mechanistic exploration, we found that stress emotion is a fully mediating effect. Heat led to reduced health activities and more frequent drinking, which may lead to lower psychological well-being. Moreover, good dietary preference is a regulator that can help mitigate the adverse effects of heat on mental health. This study corroborates the impact of heat on spiritual welfare, and demonstrates the mechanisms and channels of impact, which can help reduce global economic losses due to mental health problems.

Decision regret in breast cancer patients after adjuvant radiotherapy

PurposeBreast cancer patients often engage in shared decision-making to select an individualized treatment regimen from multiple options. However, dissatisfaction with treatment outcomes can lead to decision regret. We evaluated decision regret and physical and psychological well-being among breast cancer patients who underwent adjuvant radiotherapy and explored their associations with patient, tumor, treatment, and symptom characteristics. MethodsThis cross-sectional study involved retrospectively obtaining clinical data and data collected through interviews carried out as part of regular long-term medical aftercare. Decision regret regarding the radiotherapy was assessed using the Ottawa Decision Regret Scale, physical and psychological well-being were assessed using the PROMIS Global Health-10 questionnaire, and patients were asked about their treatment outcomes and symptoms. The questionnaire was administered 14 months to 4 years after completion of radiotherapy. ResultsOf the 172 included breast cancer patients, only 13.9% expressed high decision regret, with most patients expressing little or no decision regret. More decision regret was associated with volumetric modulated arc therapy, chest wall irradiation, use of docetaxel as a chemotherapy agent, lymphangiosis carcinomatosa, new heart disease after radiotherapy, and lower psychological well-being. ConclusionAlthough most patients reported little or no decision regret, we identified several patient, treatment, and symptom characteristics associated with more decision regret. Our findings suggest that psychological well-being influences patients’ satisfaction with therapy decisions, implying that practitioners should pay special attention to maintaining psychological well-being during shared decision-making and ensuring that psychological assessment and treatment is provided after cancer therapy to deal with long-term effects of radiotherapy.

Working from Home and Worker Well-being: New Evidence from Germany

The COVID-19 pandemic piqued interest in remote work, but research yields mixed findings on the impact of working from home on workers’ well-being and job attitudes. The authors develop a conceptual distinction between working from home that occurs during regular work hours (replacement work-from-home) and working from home that occurs outside of those hours (extension work-from-home). Using linked establishment-employee survey data from Germany, the authors find that extension work-from-home is associated with lower psychological well-being, higher turnover intentions, and higher work-to-family and family-to-work conflicts. By contrast, replacement work-from-home is associated with better well-being and higher job satisfaction, but higher work-to-family conflict. Extension work-from-home has more negative effects for women’s well-being and work-to-family conflict. This distinction clarifies the conditions under which remote work can have positive consequences for workers and for organizations.

Physical Activity, Seasonal Sensitivity and Psychological Well-Being of People of Different Age Groups Living in Extreme Environments.

Physical activity can prevent many organic and mental pathologies. For people living in extreme southern high-latitude environments, weather conditions can affect these activities, altering their psychological well-being and favoring the prevalence of seasonal sensitivity (SS). This study aims to determine the relationships between the practice of physical activity, seasonal sensitivity and well-being in people living in high southern latitudes. A cross-sectional study was conducted, using the Seasonal Pattern Assessment Questionnaire (SPAQ), applying a psychological well-being scale, and determining sports practice according to the recommendations of the World Health Organization (WHO) for the 370 male (n = 209; 55%) and female (n = 173; 45%) participants. The main results indicated that 194 people (52 ± 7.7 years) reported physical activity. High-intensity physical activity practitioners recorded a significantly lower proportion of SS. In terms of psychological well-being, an adverse effect was found between the Seasonal Score Index (SSI) and five subcategories of the Ryff well-being scale. In conclusion, those who perform high-intensity physical activity have a lower SS, and those who have a higher SS have a lower psychological well-being.

Age at Diagnosis of Type 2 Diabetes and Depressive Symptoms, Diabetes-Specific Distress, and Self-Compassion.

To investigate the association between age at diagnosis of type 2 diabetes and depressive symptoms, diabetes-specific distress, and self-compassion among adults with type 2 diabetes. This analysis used data from the Chronotype of Patients with Type 2 Diabetes and Effect on Glycemic Control (CODEC) cross-sectional study. Information was collected on depressive symptoms, diabetes-specific distress, and self-compassion, measured using validated self-report questionnaires, in addition to sociodemographic and clinical data. Multivariable regression models, adjusted for diabetes duration, sex, ethnicity, deprivation status, prescription of antidepressants (selective serotonin reuptake inhibitors), and BMI were used to investigate the association between age at diagnosis of type 2 diabetes and each of the three psychological outcomes. A total of 706 participants were included; 64 (9.1%) were diagnosed with type 2 diabetes at <40 years, 422 (59.8%) between 40 and 59 years, and 220 (31.2%) at ≥60 years of age. After adjustment for key confounders, including diabetes duration, younger age at diagnosis was significantly associated with higher levels of depressive symptoms (βadj: -0.18 [95% CI -0.25 to -0.10]; P < 0.01) and diabetes-specific distress (βadj: -0.03 [95% CI -0.04 to -0.02]; P < 0.01) and lower levels of self-compassion (βadj: 0.01 [95% CI 0.00 to 0.02]; P < 0.01). Diagnosis of type 2 diabetes at a younger age is associated with lower psychological well-being, suggesting the need for clinical vigilance and the availability of age-appropriate psychosocial support.

Impact of Parental Deprivation and Psychological Well-Being among Adolescent Orphans: A Systematic Review

The aim of this review is to systematically synthesize the published research work describing the impact of parental deprivation and psychological wellbeing outcomes among children and adolescents (ages 7–17 years). A range of psychological wellbeing outcomes was assessed (e.g., internalizing behaviors, psychotic symptoms, etc.) to fully understand the relationship between parental deprivation and psychological wellbeing in the context of orphan adolescents. Methods: Researches published in peer-reviewed journals from 2008 to 2021 were included. This study used online platform i.e., Research Gate, Google Scholar, Psyinfo, PubMed, Medline, and Web of Science and found 20 articles from different countries (Saudi Arabia, Nepal, South Africa, India, China, Zimbabwe, Russia, and Ethiopia) that met the inclusion criteria. Results:&nbsp;There were 4 cross-sectional studies, 7 descriptive studies, 3 qualitative studies, 4 comparative studies, 2 mixed exploratory studies.&nbsp; Results suggest that orphans have low levels of psychological stability, low level of self-esteem, and higher levels of mental health problems like anxiety, social dysfunction, and depression than non-orphans. Conclusion:Orphans suffered from low psychological well-being and poor mental health. However, both orphans and non-orphans have had good decision-making skills in social situations.

Evaluation of the Psychological Wellbeing of Special Science School Home Economics Teachers

Due to the nature of the teaching profession, teachers at various institutions of learning across the world, particularly in the Nigerian setting, are obligated to take on more academic responsibilities than necessary. According to the literature, researchers attempt to assess the psychological health of instructors around the globe, but no such study has been done in Nigeria with respect to home economics teachers at special science schools. This study, which examined the psychological wellbeing of home economics teachers at Nigerian special science schools, was inspired by the knowledge gap in the field. A cross-sectional survey research design with 156 home economics teachers randomly selected from the population of all home economics teachers in all the special science schools in Enugu State, Nigeria, served as the foundation for this study. A 42-item measure measuring psychological wellbeing was used to collect the data. The scale's psychometric characteristics were accurately estimated. Percentage, bar charts, and t-test of independent samples were used to analyze the data. The findings revealed that the majority of home economics teachers at Nigerian special science schools were found to have very low psychological wellbeing. Further investigation indicated that school location has no significant influence on the psychological wellbeing of home economics teachers. The researcher recommends that the post-primary school management board should establish a supportive academic environment that will promote the psychological wellbeing of the home economics teachers in special science schools.

The viral picture of well-being: Biggest concerns, losses, and unintended gifts of COVID-19 in the Philippines.

The COVID-19 pandemic revealed more than anticipated about global human functioning and resiliency. This Philippines-based study replicated a recent U.S. COVID analysis on psychological well-being (PWB). Factors examined herein were grouped into categories for analysis: 1) predictors of PWB, 2) areas of greatest stress or worry (biggest concerns), 3) perceived or real losses across SES, and 4) identified "unintended gifts" across PWB. Participants (n = 1345) were volunteers who responded to an online survey from August to September 2021, peak of the Delta variant. Three general groups of predictors (biological, psychological, and socio-economic) contributed to PWB. A regression model containing a total of 11 variables was significant, F(11, 1092) = 116.02, p < .00, explaining 53.9% of the variance. The model indicated PWB was significantly predicted by physical health, age, spirituality, emotional loneliness, social loneliness, sense of agency, and income. The strongest predictors of PWB were a sense of agency, social loneliness, and spirituality. Qualitative data analysis was conducted examining biggest concerns, losses due to COVID, and unintended gifts. Top ranking participant concerns were the health of family and friends, personal wellness, and governmental inefficiency/lack of concern. Losses compared to pre-COVID life were analyzed by SES group, with the most frequent responses being missing face-to-face interactions and the freedom to go/do what they please. Low SES groups were most likely to endorse missing everyday routine and experiencing changes in housing conditions due to the pandemic. Unintended gifts of COVID explored by PWB, high PWB individuals significantly appreciated intentional time with family and friends, deepening their spiritual lives, the ability to work from home, less pollution, and more time for physical exercise. Low PWB individuals reported nothing gained, except more time playing video games and watching TV. Those with higher PWB identified more unintended gifts of COVID and coped more actively.

Psikolojik Sağlamlık ve Başa Çıkma Becerilerinin Sosyal Medya Bağımlılığını Yordama Düzeyi

Social media addiction is fundamentally evaluated as a behavioral addiction. The studies on this issue stress the relation of long-term social media usage that may transform into addiction with chronical stress, depression, low psychological well-being and decreased life satisfaction. This study aims to examine the relationship between psychological resilience and coping skills of young adults and their levels of social media addiction. Participants of the study consists of total 436 young adults, 296 (68%) of which are female and 140 (32%) of which are male. “Social Media Addiction Scale”, “The Brief Resilience Scale” and “COPE Inventory- Brief Form” are applied to the participants. The results indicated that mean scores of social media addiction scales show low levels of social media addiction by the participants. According to multiple regression analysis results, psychological resilience, acceptance, substance use, focusing on and venting of emotions, and turning to religion have significant effect on predicting social media addiction. Psychological resilience is a predictor of social media addiction in negative direction. On the other hand, there is a relationship between emotion-oriented and unfunctional coping strategies and social media addiction.

DECREASED FREQUENCY OF SMALL TALK DURING COVID-19 PANDEMIC AND MENTAL HEALTH: LONGITUDINAL SURVEYS IN JAPAN

Abstract The coronavirus disease 2019 (COVID-19) has drastically reduced opportunities for small talk. As small talk involves socializing, such deprivation can be stressful. This study examined the association between the change in frequency of small talk before and during the pandemic and the mental health of middle-aged and older people. We conducted web-based longitudinal questionnaire surveys from March to May 2020 and from September to October 2021 among members of a Japanese social networking service. We analyzed 867 responses of people who participated in both surveys (mean age, 68.0 ± 8.0 years; men, 68.1%). This study was approved by the Research Ethics Committee of University of Tokyo. Change in small talk frequency before and during the pandemic was assessed using a single item, “Have the opportunities for small talk (including face-to-face, phone, video call, etc.) with someone other than cohabiting family members changed?” We divided the responses into “increase,” “no change,” and “decrease.” Mental health outcomes included psychological well-being and loneliness. A total of 57.0%, 34.4%, and 8.7% reported “decrease,” “no change,” and “increase,” respectively, from before to during the pandemic. After adjusting for potential covariates, multiple regression analyses showed that people who felt their small talk frequency decreased during the pandemic compared to pre-pandemic period had lower psychological well-being and greater loneliness than those who did not. We observed no interaction between change in small talk frequency and age/sex. Our study quantitatively revealed the importance of small talk during the pandemic in maintaining mental health.

Worries and Psychological Well-Being in Potential Hematopoietic Stem Cell Donors Before Donation—A Swedish National Study

The physical risks involved in donating hematopoietic stem cells have been thoroughly studied, but little is known about the psychological risks potential donors might face before donation. The aim of this study was to describe potential the pre-donation worries and psychological well-being of hematopoietic stem cell donors and investigate possible associations between donor characteristics and psychological well-being. In a cross-sectional, national cohort study, we describe pre-donation worries and psychological well-being and investigate possible associations between donor characteristics and psychological well-being. A questionnaire was sent to prospective adult hematopoietic stem cells donors. The study included 210 participants, 47% of whom were related and 53% unrelated to the recipient. Of the participants, 39% reported great worry about the recipient and 12% great worry about themselves as potential donors. Symptoms of anxiety were expressed by 21%, whereas symptoms of depression were uncommon and perceived general mental health was slightly lower than in the Swedish population. Great worry about oneself, lower age, and female sex were related to increased anxiety and lower mental health. This study highlighted that some potential donors report high levels of pre-donation worry and that greater worry about oneself, lower age, and female sex are associated with lower psychological well-being. Although further studies are needed to investigate this psychological risk over time, it is clear that some potential donors are particularly vulnerable.

Sleep timing, sleep regularity, and psychological health in early late life women: Findings from the Study of Women's Health Across the Nation (SWAN)

ObjectivesTo examine the associations of actigraphy-assessed sleep timing and regularity with psychological health in early late life women, whose circadian rhythms may be impacted by aging. DesignCross-sectional. ParticipantsA racially/ethnically diverse sample of 1197 community-dwelling women (mean age 65 years) enrolled in the Study of Women's Health Across the Nation. MeasuresActigraphy-assessed sleep measures included timing (mean midpoint from sleep onset to wake-up) and regularity (standard deviation of midpoint in hours). Psychological health measures included a composite well-being score, the Center for Epidemiological Studies Depression Scale, and the Generalized Anxiety Disorder-7 Scale. Linear and logistic regression models, adjusted for covariates (including sleep duration), tested associations between sleep and psychological health measures. ResultsAfter covariate adjustment, a sleep midpoint outside of 2:00-4: 00 AM was significantly associated with depressive symptoms (β = 0.88, 95% CI = 0.06, 1.70) and scoring above the cut-point for clinically significant depressive symptoms (OR = 1.72, 95% CI = 1.15, 2.57). Sleep irregularity was significantly associated with lower psychological well-being (β = -0.18, 95% CI = −0.33, −0.03), depressive (β = 1.36, 95% CI = 0.29, 2.44) and anxiety (β = 0.93, 95% CI = 0.40, 1.46) symptoms, and scoring above the cut-point for clinically significant depressive (OR = 1.68, 95% CI = 1.01, 2.79) and anxiety (OR = 1.62, 95% CI = 1.07, 2.43) symptoms. ConclusionAbove and beyond sleep duration, a sleep midpoint outside of 2:00-4:00 AM was associated with depressive symptoms while sleep irregularity was associated with multiple psychological health domains in late life women.