A simple way to improve resilience, flourishing, and gratitude

Previous post discussed how erratic sleep impacts your grades (1).

A recent study (2) looked sleep and its relationship with resiliency, gratitude, and flourishing.

What was the study? (2)

90 young adults age 18 to 24.

Participants were randomly assigned to 1 of 3 conditions:

  • A naturalistic sleep condition, participants were not given any guidelines on bedtimes or wake times.
  • A sleep restriction condition, participants were instructed to maintain a bedtime of 2:00 AM and a wake time of 7:30 AM.
  • A sleep extension condition, participants were instructed to keep a bedtime of 10:30 PM and wake time of 7:30 AM.
  • Sleep was monitored using an electronic wrist band and a sleep diary.

What were the results? (2)

  • Participants who extended their sleep by 46 minutes a night felt more resilience, gratitude, life satisfaction, and purpose in life.
  • Participants who restricted their sleep by an average of 37 minutes a night experienced drops in mood, resilience, flourishing and gratitude.
  • They also found that these benefits were not fully explained by mood changes.
  • The study also found that well-rested individuals showed increased expressions of gratitude and a more positive social outlook.

What are some ways of improving sleep?

The American Academy of Sleep Medicine suggests the following ways to improve sleep (3):

  • Keep a consistent sleep schedule.
  • Get up at the same time every day, even on weekends or during vacations.
  • The National Sleep Foundation recommends 7 to 9 hours of sleep for young adults (5).
  • Don’t go to bed unless you are sleepy.
  • If you don’t fall asleep after 20 minutes, get out of bed.
  • Establish a relaxing bedtime routine.
  • Use your bed only for sleep and sex.
  • Make your bedroom quiet and relaxing. Keep the room at a comfortable, cool temperature.
  • Limit exposure to bright light in the evenings.
  • Turn off electronic devices at least 30 minutes before bedtime.
  • Don’t eat a large meal before bedtime. If you are hungry at night, eat a light, healthy snack.
  • Exercise regularly and maintain a healthy diet.
  • Avoid consuming caffeine in the late afternoon or evening.
  • Avoid consuming alcohol before bedtime.
  • Reduce your fluid intake before bedtime.

Anything else?

  • This is one study and further research is needed
  • This is a shorter term study and longer term follow up is needed
  • The study does not explore whether 8 hours or more of sleep provides further benefits in young adults
  • The bodies and brains of young adults are still developing, making the importance of adequate sleep even more critical
  • Some people may need to eliminate caffeine or alcohol completely and this is discussed further here (6).
  • Avoid electronics before bedtime (4), if you have to use electronics in the evenings for work deadlines, consider night-mode and or BLUEBLOCKERS.

Consider seeking professional help: https://u.osu.edu/emotionalfitness/category/mental-health-treatment-options/

There are many steps you can take in your everyday life to improve your mental health, they are discussed on this blog and here(6).

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By 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. https://u.osu.edu/emotionalfitness/2017/12/31/poor-sleep-and-poor-grades-might-go-together/
  2. Do, A. H., Schnitker, S. A., & Scullin, M. K. (2024). Gratitude, flourishing and prosocial behaviors following experimental sleep restriction and sleep extension. The Journal of Positive Psychology, 1–12. https://doi.org/10.1080/17439760.2024.2394452
  3. http://www.sleepeducation.org/essentials-in-sleep/healthy-sleep-habits
  4. Hartstein, Lauren E. et al. The impact of screen use on sleep health across the lifespan: A National Sleep Foundation consensus statement. Sleep Health: Journal of the National Sleep Foundation, Volume 10, Issue 4, 373 – 384
  5. Hirshkowitz, Max et al. National Sleep Foundation’s updated sleep duration recommendations: final report. Sleep Health: Journal of the National Sleep Foundation, Volume 1, Issue 4, 233 – 243
  6. Patel R. Mental Health For College StudentsChapter 15, Page 494-500.

 

 

 

Using Systems + Goals to increase success

“You do not rise to the level of your goals. You fall to the level of your systems.  Your goal is your desired outcome. Your system is the collection of daily habits that will get you there.” James Clear (6)

Many people start the new year by setting goals but less than 10 % of people keep their New Year’s resolutions each year (1, 2).

Is there a better way?

First, to set effective goals, consider the following:

  • For goal setting, consider S.M.A.R.T. goals (Specific, Measurable, Achievable, Realistic, Time bound) (4).
  • A goal card (5) may also be helpful.

After effective goal setting, focus on the system:

In his book Atomic Habits, author James Clear suggests the following strategies to think of systems (6):

  • Goals are good for setting a direction, but systems are best for making sustained progress (6).
  • For example, you might ahave a goal to clean up a messy room (6). But if you maintain the same sloppy, pack-rat habits (system) that led to a messy room in the first place, soon you’ll be looking at a new pile of clutter and hoping for another burst of motivation (6).
  • If you’re a student, instead of getting an A, a better goal could be to become a better student (a system).  This would shift your focus to the daily process:
    • How often and how much you study
    • Improve your study skills
    • With whom and where you study
    • How you address difficult topics
    • Your eating, sleeping, and exercise habits.
    • Your method for tracking progress before grades/exam. This could be in terms of quizzing or testing yourself, etc.

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. https://www.iflscience.com/brain/psychology-new-year-s-resolutions/
  2. Norcross, John & Mrykalo, Marci & Blagys, Matthew. (2002). Auld Lang Syne: Success Predictors, Change Processes, and Self-Reported Outcomes of New Year’s Resolvers and Nonresolvers. Journal of clinical psychology. 58. 397-405. 10.1002/jclp.1151.
  3. https://www.healthdirect.gov.au/goal-setting#:~:text=Setting%20goals%20is%20an%20effective,the%20recovery%20from%20mental%20illness.
  4. https://www.cdc.gov/dhdsp/evaluation_resources/guides/writing-smart-objectives.htm
  5. Goal card: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5954583/figure/fig1-2055102918774674/
  6. Atomic Habits: Tiny Changes, Remarkable Results by James Clear

Study: Impact of Gratitude on depression, suicidal ideation, and self-esteem

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

One definition of gratitude is a state of mind where one feels and expresses thankfulness consistently over time and across situations (1).

In a previous post, we reviewed the role of specific gratitude exercise on happiness, stress, and depression (2, 3).

A recent study looked at the relationship of a person’s gratitude levels on depression, suicidal-ideation, and self-esteem among college students.

What did the study involve?
• 814 college students, with a mean age of 20.13 years (4).

• Participants completed questionnaires measuring gratitude, depression, suicidal ideation, and self esteem (4).
• The relationship between these four factors was analyzed (4).

What did the results show? (4)
• Participants with higher levels of gratefulness tended to have a higher level of self-esteem (4).
• Higher self-esteem decreased suicidal-ideation (4).
• Participants with higher levels of gratefulness tended to be less depressed, which also reduced suicidal-ideation (4).

What are some caveats?
• This was a small study looking at correlations, which does not necessarily tell us about cause and effect (causation).
• Specific factors that increased the gratitude of participants was not examined.
• Individual responses may vary.

Where can I learn more about gratitude?

Here is a link on a specific gratitude exercise: https://u.osu.edu/emotionalfitness/2015/12/

https://www.innerbody.com/ways-to-cultivate-gratitude

 

What are some resources to improve depression?

Counseling at the OSU Student Life Counseling and Consultation Service
Holiday stress article from the Mayo Clinic
Mindfulness and Body scan techniques at the OSU Wexner Medical Center
Depression information at the National Institute of Mental Health
Anonymous mental health screen
Depression and Bipolar Support Alliance

National Alliance on Mental Illness (NAMI)

Could gratitude practices help you feel better?

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. Emmons, R. A. & Crumpler, C. A. (2000). Gratitude as a human strength:
    Appraising the evidence. Journal of Social and Clinical Psychology, 19, 56–69.
  2. https://u.osu.edu/emotionalfitness/2015/12/
  3. Oleary K, Dockray S. The Effects of Two Novel Gratitude and Mindfulness Interventions on Well-Being. THE JOURNAL OF ALTERNATIVE AND COMPLEMENTARY MEDICINE. Volume 21, Number 4, 2015, pp. 243–245.
  4. Lin CC. The relationships among gratitude, self-esteem, depression, and suicidal
    ideation among undergraduate students.  Scandinavian Journal of Psychology, 2015, 56, 700–707. DOI: 10.1111/sjop.12252