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      Adolescents’ personal beliefs about sufficient physical activity are more closely related to sleep and psychological functioning than self-reported physical activity: A prospective study

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          Abstract

          Background

          Preliminary evidence among adults suggests that the ways in which individuals think about their physical activity (PA) behavior is more closely associated with their well-being than self-reported PA. This study therefore aimed to examine whether and how self-reported PA and personal beliefs about sufficient PA are associated with sleep and psychological functioning in a sample of Swiss adolescents, using both cross-sectional and prospective data.

          Methods

          An overall sample of 864 vocational students (368 girls, 17.98 ± 1.36 years, mean ± SD) was followed prospectively over a 10-month period. At each measurement occasion, participants filled in a series of self-report questionnaires to assess their PA levels, their personal beliefs about whether or not they engage in sufficient PA, sleep (insomnia symptoms, sleep quality, sleep-onset latency, and number of awakenings), and psychological functioning (depressive symptoms, quality of life, perceived stress, and mental toughness).

          Results

          Adolescents who believe that they are sufficiently physically active to maintain good health reported more restoring sleep. No differences in sleep were found between adolescents who meet PA recommendations vs. those who do not. Additionally, adolescents who believe that they were sufficiently physically active also reported better psychological functioning. This close relationship between adolescents’ beliefs about their PA involvement and their sleep and psychological functioning was corroborated in the prospective analyses.

          Conclusion

          Cognitive factors should be studied more intensively when elucidating the relationship among PA, sleep, and psychological functioning in young people, particularly when aiming to develop new exercise interventions targeting psychological outcomes.

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          Most cited references52

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          High self-control predicts good adjustment, less pathology, better grades, and interpersonal success.

          What good is self-control? We incorporated a new measure of individual differences in self-control into two large investigations of a broad spectrum of behaviors. The new scale showed good internal consistency and retest reliability. Higher scores on self-control correlated with a higher grade point average, better adjustment (fewer reports of psychopathology, higher self-esteem), less binge eating and alcohol abuse, better relationships and interpersonal skills, secure attachment, and more optimal emotional responses. Tests for curvilinearity failed to indicate any drawbacks of so-called overcontrol, and the positive effects remained after controlling for social desirability. Low self-control is thus a significant risk factor for a broad range of personal and interpersonal problems.
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            A cognitive model of insomnia.

            Insomnia is one of the most prevalent psychological disorders, causing sufferers severe distress as well as social, interpersonal, and occupational impairment. Drawing on well-validated cognitive models of the anxiety disorders as well as on theoretical and empirical work highlighting the contribution of cognitive processes to insomnia, this paper presents a new cognitive model of the maintenance of insomnia. It is suggested that individuals who suffer from insomnia tend to be overly worried about their sleep and about the daytime consequences of not getting enough sleep. This excessive negatively toned cognitive activity triggers both autonomic arousal and emotional distress. It is proposed that this anxious state triggers selective attention towards and monitoring of internal and external sleep-related threat cues. Together, the anxious state and the attentional processes triggered by it tricks the individual into overestimating the extent of the perceived deficit in sleep and daytime performance. It is suggested that the excessive negatively toned cognitive activity will be fuelled if a sleep-related threat is detected or a deficit perceived. Counterproductive safety behaviours (including thought control, imagery control, emotional inhibition, and difficulty problem solving) and erroneous beliefs about sleep and the benefits of worry are highlighted as exacerbating factors. The unfortunate consequence of this sequence of events is that the excessive and escalating anxiety may culminate in a real deficit in sleep and daytime functioning. The literature providing preliminary support for the model is reviewed and the clinical implications and limitations discussed.
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              Dispositional optimism and physical well-being: the influence of generalized outcome expectancies on health.

              This article explores the implications that dispositional optimism holds for physical well-being. Research is reviewed that links optimism to a number of different positive health-relevant outcomes, ranging from the development of physical symptoms to recovery from coronary artery bypass surgery. Additional findings are described which suggest that these beneficial effects are partly due to differences between optimists and pessimists in the strategies that they use to cope with stress. A number of other potential mediators are also discussed, including some that are physiologic in nature. The article closes with a discussion of the relationships between our own theoretical account of the effects of optimism and several other conceptual approaches.
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                Author and article information

                Contributors
                Journal
                J Sport Health Sci
                J Sport Health Sci
                Journal of Sport and Health Science
                Shanghai University of Sport
                2095-2546
                2213-2961
                27 March 2018
                May 2019
                27 March 2018
                : 8
                : 3
                : 280-288
                Affiliations
                [a ]School of Psychology, Flinders University, Adelaide, SA 5001, Australia
                [b ]Department of Sport, Exercise and Health, University of Basel, Basel 4052, Switzerland
                [c ]Psychiatric Clinics (UPK), Center for Affective, Stress and Sleep Disorders (ZASS), University of Basel, Basel 4012, Switzerland
                Author notes
                [* ]Corresponding author. markus.gerber@ 123456unibas.ch
                Article
                S2095-2546(18)30024-3
                10.1016/j.jshs.2018.03.002
                6523817
                31193298
                55a49d9b-5f9d-4b41-b2a7-d2519cd73de0
                © 2018 Published by Elsevier B.V. on behalf of Shanghai University of Sport.

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 8 July 2017
                : 15 November 2017
                : 22 January 2018
                Categories
                Original article

                adolescents,beliefs,mental health,physical activity,psychological well-being,public health recommendations,sleep

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