Stress Management

Study: Sleep and stress levels

College students can take many steps in their everyday lives to improve their mental health, one of the main factors is sleep (1).

Poor sleep in college students can impact tension, irritability, depression, confusion, reduced life satisfaction, or poor academic performance (2).

Yet more than 75% of students report getting less than 8 hours of sleep on average on weeknights over the last 2 weeks according to the Fall 2024 ACHA-NCHA IIIb Reference Group survey of 33,763 college students across 48 institutions (3).

A recent study looked at sleep and stress levels (4)

32 college students recorded their daily sleep duration using a wristband for six days and took a survey of stress, resilience, and sleep quality.

What were the results? 

  • Poor sleep quality is associated with greater perceived stress (4)

  • Lack of sleep can make students more vulnerable to stressful situations(4)

  • Insufficient sleep for five consecutive nights can alter the evaluation of neutral and pleasant stimuli, leading to a more negative perception (4)

  • Improving self control impacted the relationship between sleep and stress (4)

What are some caveats?

  • The findings of this study build on another study which showed that sleep deprivation can increase the stress hormone cortisol by up to 21% (5)
  • This is 1 small study and further research is needed
  • Participants were recruited through convenience sampling, which may introduce selection bias (4)
  • While sleep duration was measured objectively using a Fitbit, and self-reported data  of the study can be subject to inaccuracies due to bias and social desirability bias(4)

Strategies to manage stress can be found here: https://u.osu.edu/emotionalfitness/2014/08/15/stress-and-what-to-do-about-it/

Strategies for sleep can be found here: https://u.osu.edu/emotionalfitness/2017/12/31/poor-sleep-and-poor-grades-might-go-together/

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By Ryan S Patel DO, FAPA OSU-CCS Psychiatrist

Contact: patel.2350@osu.edu

Disclaimer: This article is intended to be informative only. It is advised that you check with your own physician/mental health provider before implementing any changes.  With this article, the author is not rendering medical advice, nor diagnosing, prescribing, or treating any condition, or injury; and therefore claims no responsibility to any person or entity for any liability, loss, or injury caused directly or indirectly as a result of the use, application, or interpretation of the material presented.

References:

  1. Patel R. Mental Health For College Students Chapter 7. Sleep strategies to improve mental health.
  2. Buboltz WC Jr, Brown F, Soper B. Sleep habits and patterns of college students: a preliminary study. J Am Coll Health. 2001 Nov;50(3):131-5. doi: 10.1080/07448480109596017. PMID: 11765249.
  3. American College Health Association. American College Health Association-National College Health Assessment III: Reference Group Executive Summary Fall 2024. Silver Spring, MD: American College Health Association; 2025.
  4. Tafoya SA, Aldrete-Cortez V, Tafoya-Ramos F, Fouilloux-Morales C, Díaz-Olavarrieta C. Sleep and Perceived Stress: An Exploratory Mediation Analysis of the Role of Self-Control and Resilience among University Students. Int J Environ Res Public Health. 2023 Aug 11;20(16):6560. doi: 10.3390/ijerph20166560. PMID: 37623146; PMCID: PMC10454638.
  5. Lamon S, Morabito A, Arentson-Lantz E, Knowles O, Vincent GE, Condo D, Alexander SE, Garnham A, Paddon-Jones D, Aisbett B. The effect of acute sleep deprivation on skeletal muscle protein synthesis and the hormonal environment. Physiol Rep. 2021 Jan;9(1):e14660. doi: 10.14814/phy2.14660. PMID: 33400856; PMCID: PMC7785053.

Does yoga help quickly with stress?

72.8 % of respondents indicated moderate to severe psychological distress according to a fall 2021 survey from the American College Health Association, of a reference group of 33,204 college students across the country (1).

Previous posts discuss a variety of strategies to help with stress.

A recent study looked at the immediate and lasting benefit of yoga for stress (2).

What was the study (2)?

Tong and colleagues (2) studied healthy undergraduate students from four yoga and four fitness classes in Study 1 (n = 191) and Study 2 (n = 143), respectively.

How much yoga was done? (2)

Study 1 evaluated the immediate effect (a 60-minute practice) while Study 2 evaluated the durable effect (a 12-week intervention) (2).

What type of yoga was done in this study (2) ?

Both studies involved Hatha yoga which comprised of meditation (5 min), breathing (5 min), posture-holding exercise  (including 12 postures after warm-up such as waist rotating, downward facing dog, cat stretch, warrior, 40 min), and 10 minutes of relaxation practice (2).

What were the results (2)?

Study 1 Showed that immediate stress reduction and mindfulness was greater in the yoga group than in the fitness group (2).

Study 2 showed that effect of yoga on stress reduction through mindfulness was a lasting one (2).

Both yoga and exercise showed benefits in reducing stress (2).

What are some caveats?

  • Further study is needed.
  • There are many forms of yoga. Students may find some forms of yoga more helpful than others.
  • Check with your healthcare provider to make sure that doing yoga is safe and appropriate for you.
  • Additional resources:
  • Yoga classes through OSU Wellness
  • Group fitness classes through OSU RPAC
  • Online resources for yoga
  • Yoga classes in the community

 

By R. Ryan S Patel DO, FAPA OSU-CCS Psychiatrist

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 Disclaimer: This article is intended to be informative only. It is advised that you check with your own physician/mental health provider before implementing any changes. With this article, the author is not rendering medical advice, nor diagnosing, prescribing, or treating any condition, or injury; and therefore claims no responsibility to any person or entity for any liability, loss, or injury caused directly or indirectly as a result of the use, application, or interpretation of the material presented.  Permission to use/cite this article: contact patel.2350@osu.edu

References:

  1. American College Health Association. American College Health Association-National College Health Assessment III: Reference Group Executive Summary Fall 2021. Silver Spring, MD: American College Health Association; 2022.
  2. Jiajin Tong, Xin Qi, Zhonghui He, Senlin Chen, Scott J. Pedersen, P. Dean Cooley, Julie Spencer-Rodgers, Shuchang He & Xiangyi Zhu (2021) The immediate and durable effects of yoga and physical fitness exercises on stress, Journal of American College Health, 69:6, 675-683, DOI: 10.1080/07448481.2019.1705840

Virtual Hope Box for stress and emotional regulation

While there are many options to help with mental health, one particular app called the Virtual Hope Box (VHB) can be useful for coping with unpleasant emotions and thoughts which can impact a variety of mental health symptoms.

Is there research to show that this app is helpful?

  • This app can help with emotional regulation and reducing stress according to a randomized controlled trial (1). Future studies are ongoing.
  • Numerous research studies support many features of the app like relaxation skills and distraction techniques.

What is the cost?

  • Free. It was developed via a government grant and was awarded the DoD Innovation Award in 2014.

What are the features of the VHB app?

  • It comes with preloaded features like inspirational tools, relaxation skills, coping tools, distraction techniques, emergency contact numbers.
  • It can also be customized to include your own music, images, phone numbers of supportive contacts, and reminders of reasons for living.
  • You can fill out coping cards and activity planners with help of a mental health professional.
  • These features are shown in the image below:

Screenshot ImageScreenshot ImageScreenshot Image

Additional resources:

By R. Ryan S Patel DO, FAPA OSU-CCS Psychiatrist

Disclaimer: This article is intended to be informative only. It is advised that you check with your own physician/mental health provider before implementing any changes. With this article, the author is not rendering medical advice, nor diagnosing, prescribing, or treating any condition, or injury; and therefore claims no responsibility to any person or entity for any liability, loss, or injury caused directly or indirectly as a result of the use, application, or interpretation of the material presented.

References:

  1. Bush NE, Smolenski DJ, Denneson LM, Williams HB, Thomas EK, Dobscha SK. A virtual hope box: randomized controlled trial of a smartphone app for emotional regulation and coping with distress. Psychiatr Serv. 2017 Apr 1;68(4):330–6. doi: 10.1176/appi.ps.201600283.