TY - JOUR
T1 - Increased Resilience Weakens the Relationship between Perceived Stress and Anxiety on Sleep Quality
T2 - A Moderated Mediation Analysis of Higher Education Students from 7 Countries
AU - Du, Chen
AU - Zan, Megan Chong Hueh
AU - Cho, Min Jung
AU - Fenton, Jenifer I.
AU - Hsiao, Pao Ying
AU - Hsiao, Richard
AU - Keaver, Laura
AU - Lai, Chang Chi
AU - Lee, Hee Soon
AU - Ludy, Mary Jon
AU - Shen, Wan
AU - Swee, Winnie Chee Siew
AU - Thrivikraman, Jyothi
AU - Tseng, Kuo Wei
AU - Tseng, Wei Chin
AU - Tucker, Robin M.
N1 - Publisher Copyright:
© 2020 by the authors.
PY - 2020/9
Y1 - 2020/9
N2 - 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.
AB - 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.
KW - COVID-19
KW - anxiety
KW - psychological resilience
KW - rumination
KW - sleep
KW - stress
KW - university students
UR - http://www.scopus.com/inward/record.url?scp=85105483284&partnerID=8YFLogxK
U2 - 10.3390/clockssleep2030025
DO - 10.3390/clockssleep2030025
M3 - Article
AN - SCOPUS:85105483284
SN - 2624-5175
VL - 2
SP - 334
EP - 353
JO - Clocks and Sleep
JF - Clocks and Sleep
IS - 3
ER -