Mental health shame, self-compassion and sleep in UK nursing students: complete mediation of self-compassion in sleep and mental health

Journal article


Kotera, Y., Cockerill, V., Chircop, J. and Forman, D. 2021. Mental health shame, self-compassion and sleep in UK nursing students: complete mediation of self-compassion in sleep and mental health. Nursing Open. 8 (3). https://doi.org/10.1002/nop2.749
AuthorsKotera, Y., Cockerill, V., Chircop, J. and Forman, D.
Abstract

To explore relationships between mental health problems, mental health shame, self- compassion and average length of sleep in UK nursing students. The increasing mental health problems in nursing students may be related to a strong sense of shame they experience for having a mental health problem. Self-compassion has been identified as a protective factor for mental health and shame in other student populations. Further, studies highlight the importance of sleep relating to mental health.
Design: A cross‐sectional design. A convenient sampling of 182 nursing students at a university in the East Midlands completed a paper-based questionnaire regarding these four constructs, from February to April 2019. Correlation, regression and mediation analyses were conducted.
Mental health problems were positively related to shame, and negatively related to self- compassion and sleep. Mental health shame positively predicted, and self-compassion negatively predicted mental health problems: sleep was not a significant predictor of mental health problems. Lastly, self-compassion completely mediated the impacts of sleep on mental health problems (negative relationship between mental health problems and sleep was fully explained by self-compassion).
The importance of self-compassion was highlighted as it can reduce mental health problems and shame. Self-compassion can protect nursing students from mental distress when they are sleep-deprived.
Impact: Nurses and nursing students are required to work irregular hours (e.g., COVID-19), and mental distress can cause serious consequences in clinical practice. Our findings suggest that nurturing self-compassion can protect their mental health, and the negative impacts of sleep deprivation on mental health.

Keywordsmental health; mental health shame; self-compassion; sleep; self-care; nursing students; mediation analysis
Year2021
JournalNursing Open
Journal citation8 (3)
PublisherWiley
ISSN2054-1058
Digital Object Identifier (DOI)https://doi.org/10.1002/nop2.749
Web address (URL)https://onlinelibrary.wiley.com/doi/10.1002/nop2.749
http://hdl.handle.net/10545/625491
hdl:10545/625491
Output statusPublished
Publication dates23 Dec 2020
Publication process dates
Deposited04 Jan 2021
Accepted02 Dec 2020
ContributorsUniversity of Derby
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English translation and validation of the Ikigai-9 in a UK Sample
Fido, Dean, Kotera, Y. and Asano, Kenichi 2019. English translation and validation of the Ikigai-9 in a UK Sample. International Journal of Mental Health and Addiction. https://doi.org/10.1007/s11469-019-00150-w
Mental health shame of UK construction workers: Relationship with masculinity, work motivation, and self-compassion.
Kotera, Y., Green, Pauline and Sheffield, David 2019. Mental health shame of UK construction workers: Relationship with masculinity, work motivation, and self-compassion. Journal of Work and Organizational Psychology. https://doi.org/10.5093/jwop2019a15
Interprofessional competencies: the poor cousin to clinical skills?
Martin, Priya, Moran, Monica Catherine and Forman, Dawn 2017. Interprofessional competencies: the poor cousin to clinical skills? MedEdPublish. https://doi.org/10.15694/mep.2017.000123
Repositioning interprofessional education from the margins to the centre of Australian health professional education - what is required?
Dunston, Roger, Forman, Dawn, Thistlethwaite, Jill, Steketee, Carole, Rogers, Gary D. and Moran, Monica Catherine 2018. Repositioning interprofessional education from the margins to the centre of Australian health professional education - what is required? Australian Health Review. https://doi.org/10.1071/AH17081
Reactions to symptoms of mental disorder and help seeking in Sabah, Malaysia.
Shoesmith, Wendy Diana, Borhanuddin, Awang Faisal Bin Awang, Yong Pau Lin, Pauline, Abdullah, Ahmad Faris, Nordin, Norhayati, Giridharan, Beena, Forman, Dawn and Fyfe, Sue 2017. Reactions to symptoms of mental disorder and help seeking in Sabah, Malaysia. International Journal of Social Psychiatry. https://doi.org/10.1177/0020764017739643
Towards Another Level of Borderlessness: Qualitative Investigation into Online Learning Experience of Students with Disabilities
Yasuhiro Kotera, Vicky Cockerill, Pauline Green, Lucy Hutchinson and Paula Shaw 2018. Towards Another Level of Borderlessness: Qualitative Investigation into Online Learning Experience of Students with Disabilities. The Learning & Teaching Conference 2018, the University of Derby-Buxton. University of Derby. https://doi.org/10.13140/rg.2.2.19592.88329
Mental wellbeing of caring profession students: relationship with caregiver identity, self-compassion, and intrinsic motivation.
Kotera, Y., Green, Pauline and Van Gordon, William 2018. Mental wellbeing of caring profession students: relationship with caregiver identity, self-compassion, and intrinsic motivation. Mindfulness & Compassion.
The relationship between work motivation and worker profile in UK hospitality workers.
Kotera, Y., Adhikari, Prateek and Van Gordon, William 2018. The relationship between work motivation and worker profile in UK hospitality workers. International Journal of Education, Psychology and Counseling.
Mental health attitudes, self-criticism, compassion and role identity among UK social work students.
Kotera, Y., Green, Pauline Catherine and Sheffield, David 2018. Mental health attitudes, self-criticism, compassion and role identity among UK social work students. The British Journal Of Social Work. https://doi.org/10.1093/bjsw/bcy072
Ethical judgement in UK business students: relationship with motivation, self-compassion and mental health.
Kotera, Y., Conway, E. and Van Gordon, William 2018. Ethical judgement in UK business students: relationship with motivation, self-compassion and mental health. International Journal of Mental Health and Addiction. https://doi.org/10.1007/s11469-018-0034-2
The applications of neuro-linguistic programming in organizational settings: A systematic review of psychological outcomes.
Kotera, Y., Sheffield, David and Van Gordon, William 2018. The applications of neuro-linguistic programming in organizational settings: A systematic review of psychological outcomes. Human Resource Development Quarterly. https://doi.org/10.1002/hrdq.21334
Motivation types and mental health of UK hospitality workers.
Kotera, Y., Adhikari, Prateek and Van Gordon, William 2018. Motivation types and mental health of UK hospitality workers. International Journal of Mental Health and Addiction. https://doi.org/10.1007/s11469-018-9874-z
Self-criticism and self-reassurance as mediators between mental health attitudes and symptoms: Attitudes towards mental health problems in Japanese workers.
Kotera, Y., Gilbert, Paul, Asano, Kenichi, Ishimura, Ikuo and Sheffield, David 2018. Self-criticism and self-reassurance as mediators between mental health attitudes and symptoms: Attitudes towards mental health problems in Japanese workers. Asian Journal of Social Psychology. https://doi.org/10.1111/ajsp.12355
Ontological addiction theory: Attachment to me, mine, and I.
Van Gordon, William, Shonin, Edo, Diouri, Sofiane, Garcia-Campayo, Javier, Kotera, Y. and Griffiths, Mark D. 2018. Ontological addiction theory: Attachment to me, mine, and I. Journal of Behavioral Addictions. https://doi.org/10.1556/2006.7.2018.45
Mental health of UK university business students: Relationship with shame, motivation and self-compassion
Kotera, Y., Conway, E. and Van Gordon, William 2018. Mental health of UK university business students: Relationship with shame, motivation and self-compassion. Journal of Education for Business. https://doi.org/10.1080/08832323.2018.1496898
Exploring emptiness and its effects on non-attachment, mystical experiences, and psycho-spiritual wellbeing: a quantitative and qualitative study of advanced meditators.
Van Gordon, William, Shonin, Edo, Dunn, Thomas J., Sapthiang, Supakyada, Kotera, Y., Garcia-Campayo, Javier and Sheffield, David 2018. Exploring emptiness and its effects on non-attachment, mystical experiences, and psycho-spiritual wellbeing: a quantitative and qualitative study of advanced meditators. Explore: The Journal of Science and Healing. https://doi.org/10.1016/j.explore.2018.12.003
Development and validation of the inspirational leaders survey.
Pates, John, Kotera, Y. and Clancy, David 2018. Development and validation of the inspirational leaders survey. International Journal of Work Innovation. https://doi.org/10.1504/IJWI.2017.10012540
A qualitative investigation into the experience of neuro-linguistic programming certification training among Japanese career consultants
Kotera, Y. 2017. A qualitative investigation into the experience of neuro-linguistic programming certification training among Japanese career consultants. British Journal of Guidance & Counselling. https://doi.org/10.1080/03069885.2017.1320781
The development of fears of compassion scale Japanese version.
Asano, Kenichi, Tsuchiya, Masao, Ishimura, Ikuo, Lin, Shuzhen, Matsumoto, Yuki, Miyata, Haruko, Kotera, Y., Shimizu, Eiji and Gilbert, Paul 2017. The development of fears of compassion scale Japanese version. PLos ONE. https://doi.org/10.1371/journal.pone.0185574
Relationship between types of work motivation and worker profile in UK hospitality workers.
Kotera, Y., Adhikari, Prateek and Van Gordon, William 2017. Relationship between types of work motivation and worker profile in UK hospitality workers. Global Academic Excellence.
Disney strategy for Japanese university students' career guidance: a mixed methods pilot study
Kotera, Y. and Sheffield, David 2017. Disney strategy for Japanese university students' career guidance: a mixed methods pilot study. Journal of the National Institute for Career Education and Counselling. https://doi.org/10.20856/jnicec.3808
Using a research-informed interprofessional curriculum framework to guide reflection and future planning of interprofessional education in a multi-site context
Moran, Monica Catherine, Steketee, Carole, Forman, Dawn and Dunston, Roger 2015. Using a research-informed interprofessional curriculum framework to guide reflection and future planning of interprofessional education in a multi-site context. Journal of Research in Interprofessional Practice and Education.
Introducing the individual teamwork observation and feedback tool (iTOFT): Development and description of a new interprofessional teamwork measure
Thistlethwaite, J., Dallest, K., Moran, M. C., Dunston, R., Roberts, C., Eley, D., Bogossian, F., Forman, D., Bainbridge, L., Drynan, D. and Fyfe, S. 2016. Introducing the individual teamwork observation and feedback tool (iTOFT): Development and description of a new interprofessional teamwork measure. Journal of Interprofessional Care. 30 (4), pp. 526-528. https://doi.org/10.3109/13561820.2016.1169262
Curriculum renewal in interprofessional education in health: establishing leadership and capacity
Forman, D. 2016. Curriculum renewal in interprofessional education in health: establishing leadership and capacity. Office for Learning and Teaching Australia.
Leadership and collaboration: Further developments for interprofessional education
Forman, Dawn, Jones, Marion and Thistlethwaite, Jill 2015. Leadership and collaboration: Further developments for interprofessional education. Palgrave Macmillan.
Work based assessment of teamwork: an interprofessional approach.
Forman, D. 2015. Work based assessment of teamwork: an interprofessional approach. Office for Learning and Teaching Australia.
Using a research-informed interprofessional curriculum framework to guide reflection and future planning of interprofessional education in a multi-site context
Forman, D. 2015. Using a research-informed interprofessional curriculum framework to guide reflection and future planning of interprofessional education in a multi-site context. Journal of Research in Interprofessional Practice and Education. 5 (1).
Looking to the future: Framing the implementation of interprofessional education and practice with scenario planning
Forman, Dawn, Nicol, Pam and Nicol, Paul 2015. Looking to the future: Framing the implementation of interprofessional education and practice with scenario planning. Education for Health. 28 (3), pp. 162-168. https://doi.org/10.4103/1357-6283.178608
Interprofessional education for first year psychology students: career plans, perceived relevance and attitudes
Roberts, Lynne D. and Forman, Dawn 2015. Interprofessional education for first year psychology students: career plans, perceived relevance and attitudes. Journal of Interprofessional Care. 29 (3), pp. 188-194. https://doi.org/10.3109/13561820.2014.967754
Engaging Leaders: The challenge of inspiring collective commitment in universities
Gentle, P. and Forman, D. 2014. Engaging Leaders: The challenge of inspiring collective commitment in universities. Routledge.
Competencies and frameworks in interprofessional education: A comparative analysis
Thistlethwaite, Jill, Forman, Dawn, Matthews, Lynda, Rogers, Gary, Steketee, Carole and Yassine, Tagrid 2014. Competencies and frameworks in interprofessional education: A comparative analysis. Academic Medicine: Journal of the Association of American Medical Colleges. 89 (6), pp. 869-875. https://doi.org/0.1097/ACM.0000000000000249
Attributes of effective interprofessional placement facilitation
Forman, D. 2014. Attributes of effective interprofessional placement facilitation. Journal of Research in Interprofessional Practice and Education. https://doi.org/10.22230/jripe.2014v4n2a155
Evaluating an interprofessional disease state and medication management review model
Hoti, Kreshnik, Forman, Dawn and Hughes, Jeffery 2014. Evaluating an interprofessional disease state and medication management review model. Journal of Interprofessional Care. 28 (2), pp. 168-170. https://doi.org/10.3109/13561820.2013.852523
Leadership development for interprofessional education and collaborative practice
Forman, Dawn, Jones, Marion and Thistlethwaite, Jill 2014. Leadership development for interprofessional education and collaborative practice. Palgrave Macmillan.
Curriculum renewal for interprofessional education in health
Forman, D. 2014. Curriculum renewal for interprofessional education in health. Office for Learning and Teaching Australia.
Interprofessional health education in Australia: Three research projects informing curriculum renewal and development
Steketee, Carole, Forman, Dawn, Dunston, Roger, Yassine, Tagrid, Matthews, Lynda, Saunders, Rosemary, Nicol, Pam and Alliex, Selma 2014. Interprofessional health education in Australia: Three research projects informing curriculum renewal and development. Applied Nursing Research. 27 (2), pp. 115-120. https://doi.org/10.1016/j.apnr.2014.03.002
Issues, applications and outcomes in interprofessional education
Forman, Dawn 2014. Issues, applications and outcomes in interprofessional education. Education for Health. 27 (1), pp. 75-77. https://doi.org/10.4103/1357-6283.134329