Skip to main content
Have a personal or library account? Click to login
Understanding the Relationship Between Loneliness and Sleep, and Their Influence on Mental Health of a High-Adversity-Exposed School Sample of Kenyan Adolescents Cover

Understanding the Relationship Between Loneliness and Sleep, and Their Influence on Mental Health of a High-Adversity-Exposed School Sample of Kenyan Adolescents

Open Access
|Aug 2025

Figures & Tables

Table 1

Association between loneliness and sleep impairment (controlled for ACEs).

SLEEP IMPAIRMENTLONELINESS
Model 1B (SE)pB (SE)p
ACEs‑T.59 (.15)<.001.80 (.25).002
18.1%<.00113.2%.002
Model 2 (either predictor)
ACEs‑T.28 (.13).030.20 (.22).367
Loneliness.38 (.06)<.001NANA
Sleep ImpairmentNANA1.02 (.16)<.001
R²∆ (for the added predictor)32.0%<.00133.9%<.001
R²‑Total (for joint effect for the two predictors)50.1%47.1%

[i] Note: Correlation between sleep impairment and loneliness was r = .68 (p < .001).

Table 2

ACEs, loneliness and sleep impairment as predictors for common adolescent mental health problems.

PROMIS‑ANXIETYPROMIS‑DEPRESSIONPROMIS‑ANGER
Model 1B (SE)pB (SE)pB (SE)p
ACEs‑T.65 (.32).047.83 (.31).009.39 (.20).054
5.7 %9.7 %5.3%
Model 2
ACEs‑T.24 (.32).452.28 (.28).307.17 (.20).416
Loneliness.51 (.14)<.001.68 (.13)<.001.28 (.09).003
R²∆ (Loneliness)14.9%27.4%11.8%
Model 3
ACEs‑T–.03 (.30).918.30 (.31).327–.05 (.18).797
Sleep Impairment1.15 (.21)<.001.89 (.22)<.001.74 (.13)<.001
R²∆ (Sleep Impairment)28.3%27.2%30.4%
Model 4
ACEs‑T–.05 (.30).859.19 (.29).500–.05 (.19).801
Loneliness.12 (.17).492.56 (.16)<.001–.002 (.10).983
Sleep Impairment1.03 (.28)<.001.32 (.26).225.74 (.17)<.001
R²∆ (for Loneliness and Sleep Impairment joint effect)28.8%28.8%30.4%
R²‑Total (for all 3 predictors)34.5%34.8%35.8%
DOI: https://doi.org/10.5334/aogh.4810 | Journal eISSN: 2214-9996
Language: English
Submitted on: May 15, 2025
Accepted on: Jul 16, 2025
Published on: Aug 14, 2025
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2025 Manasi Kumar, Shillah Mwaniga Mwavua, Sabrina Cheng, Alicia Chung, Leonard Njeru Njiru, Georgina Obonyo, Mohammad Dayow, Keng-Yen Huang, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.