@article{ref1,
title="Elevated insomnia symptom severity in university students: the role of sexual orientation and internalizing symptoms",
journal="Journal of American college health",
year="2023",
author="Christensen, Kara A. and Seager van Dyk, Ilana and Klaver, Ellen",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVES: Sexual minority (SM) individuals experience a disproportionate health burden relative to their heterosexual peers; however, less is known about their experience of insomnia. Participants: The sample consisted of a subset of students, N = 1543, M(age) = 21.25 years, SD = 3.95, in the 2019-2020 Healthy Minds Study. Adjusting for non-response weights, approximately 16.95% of the sample identified as a sexual minority. <br><br>METHODS: Participants completed measures of insomnia (Insomnia Severity Index) and psychopathology symptoms (PHQ-9 for depression and GAD-7 for generalized anxiety). <br><br>RESULTS: Sexual orientation was significantly positively associated with insomnia severity, such that SM students exhibited higher insomnia symptom severity, B = 1.71, SE = 0.35, p < .001, 95% CI [1.01, 2.40]. Including depression and anxiety symptom severity in the model completely attenuated this effect. <br><br>CONCLUSIONS: Insomnia symptoms in SM students may be understood in the context of internalizing symptoms; however, study design precluded examining causal pathways.<p /> <p>Language: en</p>",
language="en",
issn="0744-8481",
doi="10.1080/07448481.2022.2145897",
url="http://dx.doi.org/10.1080/07448481.2022.2145897"
}