Increased Resilience Weakens the Relationship between Perceived Stress and Anxiety on Sleep Quality: A Moderated Mediation Analysis of Higher Education Students from 7 Countries

Clocks & Sleep

Chang-Chi Lai¹  Kuo-Wei Tseng¹  Wei-Chin Tseng¹  Robin M. Tucker²  Jenifer I. Fenton²  Chen Du²  Pao Ying Hsiao³  Laura Keaver⁴  HeeSoon Lee⁵  Richard Hsiao⁶  Mary-Jon Ludy⁷  Wan Shen⁷  Winnie Chee Siew Swee⁸  Megan Chong Hueh Zan⁸  Min Jung Cho⁹  Jyothi Thrivikraman⁹ 

[1] Department of Exercise and Health Sciences, University of Taipei, Taipei, Taiwan;Department of Food Science and Human Nutrition, Michigan State University, East Lansing, MI 48824, USA;Department of Food and Nutrition, Indiana University of Pennsylvania, Indiana, PA 15705, USA;Department of Health and Nutritional Science, Institute of Technology Sligo, F91 YW50 Sligo, Ireland;Department of Human Services, Bowling Green State University, Bowling Green, OH 43403, USA;Department of Kinesiology, Health, and Sport Science, Indiana University of Pennsylvania, Indiana, PA 15705, USA;Department of Public & Allied Health, Bowling Green State University, Bowling Green, OH 43403, USA;Division of Nutrition and Dietetics, International Medical University, Kuala Lumpur 57000, Malaysia;Global Public Health, Leiden University College, 2595 DG The Hague, The Netherlands;

关键词: COVID-19;    sleep;    stress;    anxiety;    rumination;    psychological resilience;   

DOI  :  10.3390/clockssleep2030025

来源: DOAJ

【 摘 要 】

High levels of perceived stress and anxiety among university students are a global concern and are known to negatively influence sleep. However, few studies have explored how stress response styles, like psychological resilience and rumination, might alter these relationships. Using validated tools, perceived stress, anxiety, stress response styles, and sleep behaviors of undergraduate and graduate students from seven countries during the height of the COVID-19 pandemic were characterized in order to examine the relationships between these factors using mediation and moderation analyses. Students enrolled in universities in China, Ireland, Malaysia, Taiwan, South Korea, the Netherlands, and the United States were recruited in May 2020. A total of 2254 students completed this cross-sectional study. Perceived stress and anxiety were negatively associated with sleep quality through the mediation of rumination. Increased psychological resilience weakened the relationships between perceived stress and anxiety on sleep quality. The majority of students reported that COVID-19 negatively influenced their mental health and sleep quality but not sleep duration. Based on these results, university students would likely benefit from sleep education and mental health promotion programs that include trainings to increase psychological resilience and reduce rumination, particularly during times of increased stress.

【 授权许可】

Unknown