title: Affect, emotion dysregulation and sleep quality among low-income women.
abstract: To examine the underlying mechanisms through which steady state emotions, specifically affect and emotion regulation, influence sleep quality among young adult low-income women.
  
  
  
  Cross-sectional.
  
  
  
  Stress and Health Study (2006-2012) in southeast Texas.
  
  
  
  A subgroup (n=392) of racially and ethnically diverse young adult women ages 18-31.
  
  
  
  Participants provided measures of positive and negative affect, difficulties in emotion regulation, and sleep quality. Structural equation models were designed to identify differential mediating roles of emotion dysregulation in the association between both positive and negative affect and sleep quality.
  
  
  
  The relationship between positive affect and improved sleep quality operated completely through domains of emotion regulation (β= -0.054, 95% CI: -0.08 to -0.03), whereas the adverse effects of negative affect exhibited both direct (β= 0.142, 95% CI: 0.06 to 0.23) and indirect (β= 0.124, 95% CI: 0.08 to 0.16) effects on poor sleep. Negative affect was associated with poor sleep quality via two pathways-it directly influenced sleep quality and it indirectly influenced sleep quality among women experiencing difficulties in emotion regulation.
  
  
  
  Therapies targeting improvement and maintenance of healthy emotion regulation domains, while delineating the positive affect state from the negative affect state, may lessen the burden of poor sleep quality among low-income women.
authors.affiliation: Public Health, Department of Community Medicine and Health Care, University of Connecticut Health Center, 263 Farmington Ave, Farmington, CT, USA, 06030-6325. Electronic address: hoag@uchc.edu.
authors.forename: Jessica R
authors.initials: JR
authors.lastname: Hoag
authors.affiliation: Department of Community Medicine and Health Care, University of Connecticut Health Center, 263 Farmington Ave, Farmington, CT, USA, 06030-6325.
authors.forename: Howard
authors.initials: H
authors.lastname: Tennen
authors.affiliation: Department of Community Medicine and Health Care, University of Connecticut Health Center, 263 Farmington Ave, Farmington, CT, USA, 06030-6325.
authors.forename: Richard G
authors.initials: RG
authors.lastname: Stevens
authors.affiliation: Health Disparities Institute, University of Connecticut Health Center, 195 Farmington Ave, MC-6035 Suite 3020, Farmington, CT, USA, 06030-6035.
authors.forename: Emil
authors.initials: E
authors.lastname: Coman
authors.affiliation: Department of Psychiatry, University of Connecticut Health Center, 263 Farmington Ave, Farmington, CT, USA, 06030-6325.
authors.forename: Helen
authors.initials: H
authors.lastname: Wu
mesh_terms: D000293:Adolescent; D000328:Adult; D000339:Affect; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D011203:Poverty / Q000523:psychology*; D012890:Sleep / Q000502:physiology*; D007319:Sleep Initiation and Maintenance Disorders / Q000503:physiopathology* / Q000523:psychology*; D013781:Texas; D055815:Young Adult
keywords: affect; emotion regulation; mediation model; sleep quality; women