Effects of perceived stress on college students' sleep quality: a moderated chain mediation model.

Yaqing Huang, Lei Yang, Yang Liu, Shuyue Zhang
Author Information
  1. Yaqing Huang: Faculty of Education, Guangxi Normal University, Guilin, Guangxi, 541004, China.
  2. Lei Yang: School of Psychology and Mental Health, North China University of Science and Technology, Tangshan, Hebei, 063210, China.
  3. Yang Liu: School of Marxism, Beibu Gulf University, Qinzhou, Guangxi, 535011, China.
  4. Shuyue Zhang: Faculty of Education, Guangxi Normal University, Guilin, Guangxi, 541004, China. psyzhangshy2018@mailbox.gxnu.edu.cn.

Abstract

BACKGROUND: Perceived Stress has been shown as a key contributor to sleep quality, but the underlying mechanism between perceived stress and sleep quality remains unknown. This study aimed to investigate the impact of perceived stress on sleep quality of college students and the chain mediating roles of presence of meaning in life (PML) and depression, as well as the moderating role of search for meaning in life (SML).
METHODS: Participants were 8178 college students (4599 boys and 3579 girls; Mage���=���19.10 years, SD���=���1.08) who completed self-report questionnaire, including the Perceived Stress Scale (PSS), the Pittsburgh Sleep Quality Index (PSQI), the Meaning in Life Questionnaire (MLQ), and the Patient Health Questionnaire-9 (PHQ-9).
RESULTS: The results showed that higher perceived stress was directly related to poorer sleep quality. This negative impact on sleep quality was mediated through the chained roles of PML and depression. Additionally, the study found that SML moderates the influence of perceived stress, PML and depression on sleep quality. Specifically, for individuals actively search for meaning, the adverse effects of perceived stress and depression on sleep quality are diminished. Concurrently, the positive influence of PML on sleep quality is enhanced.
CONCLUSION: This study revealed that the PML and depression mediate the effect of perceived stress on sleep quality, with SML playing a significant protective role. These results emphasize the necessity of integrating strategies to enhance PML and SML into interventions designed to improve emotion management and sleep quality among college students.

Keywords

References

  1. Pers Individ Dif. 2021 Nov;182:111062 [PMID: 34177027]
  2. J Sleep Res. 2018 Jun;27(3):e12648 [PMID: 29383787]
  3. J Relig Health. 2021 Feb;60(1):34-49 [PMID: 33389439]
  4. J Youth Adolesc. 2022 Aug;51(8):1622-1635 [PMID: 35478302]
  5. Int J Environ Res Public Health. 2020 Mar 05;17(5): [PMID: 32150909]
  6. Health Qual Life Outcomes. 2020 Jul 1;18(1):210 [PMID: 32611434]
  7. Am Psychol. 2014 Sep;69(6):561-74 [PMID: 24490907]
  8. Neurosci Res. 2023 Apr 26;: [PMID: 37116584]
  9. J Psychosom Res. 2000 Nov;49(5):299-310 [PMID: 11164054]
  10. Front Psychol. 2023 Feb 06;14:1094488 [PMID: 36814669]
  11. J Sleep Res. 2019 Apr;28(2):e12783 [PMID: 30609160]
  12. J Affect Disord. 2021 Mar 1;282:545-553 [PMID: 33433384]
  13. J Appl Psychol. 2003 Oct;88(5):879-903 [PMID: 14516251]
  14. Cogn Emot. 2020 Mar;34(2):188-200 [PMID: 30961457]
  15. Qual Life Res. 2005 Oct;14(8):1943-52 [PMID: 16155782]
  16. J Child Psychol Psychiatry. 2020 Oct;61(10):1126-1137 [PMID: 32557672]
  17. Asia Pac Psychiatry. 2020 Sep;12(3):e12381 [PMID: 32011101]
  18. Front Psychiatry. 2022 Dec 22;13:1018525 [PMID: 36620676]
  19. Healthcare (Basel). 2023 Dec 29;12(1): [PMID: 38200981]
  20. Psychiatry Res. 1989 May;28(2):193-213 [PMID: 2748771]
  21. Front Psychol. 2022 Oct 25;13:1001548 [PMID: 36389477]
  22. J Sleep Res. 2023 Jun;32(3):e13774 [PMID: 36367212]
  23. Aging Ment Health. 2015;19(12):1063-70 [PMID: 25555243]
  24. J Health Soc Behav. 1983 Dec;24(4):385-96 [PMID: 6668417]
  25. Lancet. 2012 Mar 17;379(9820):1056-67 [PMID: 22305766]
  26. J Psychosom Res. 2009 Oct;67(4):353-8 [PMID: 19773029]
  27. JAMA Netw Open. 2021 Mar 1;4(3):e212373 [PMID: 33749768]
  28. Sleep Med Clin. 2022 Jun;17(2):173-191 [PMID: 35659072]
  29. BMC Med Educ. 2023 Nov 22;23(1):893 [PMID: 37993921]
  30. Nat Sci Sleep. 2021 Oct 05;13:1747-1758 [PMID: 34675723]
  31. Pediatrics. 2020 May;145(Suppl 2):S204-S209 [PMID: 32358212]
  32. J Pers. 2008 Apr;76(2):199-228 [PMID: 18331281]
  33. Psychiatry Res. 2018 Feb;260:331-337 [PMID: 29227897]
  34. Sleep Med Rev. 2022 Feb;61:101565 [PMID: 34922108]
  35. Behav Res Ther. 2002 Aug;40(8):869-93 [PMID: 12186352]
  36. Psychol Rep. 2017 Jun;120(3):383-390 [PMID: 28558607]
  37. Clocks Sleep. 2020 Aug 11;2(3):334-353 [PMID: 33089208]
  38. Prog Neuropsychopharmacol Biol Psychiatry. 2005 Dec;29(8):1195-200 [PMID: 16213079]
  39. BMC Psychiatry. 2023 Jun 1;23(1):388 [PMID: 37264378]
  40. J Adolesc Health. 2010 Feb;46(2):124-32 [PMID: 20113918]
  41. Explore (NY). 2021 Mar-Apr;17(2):170-177 [PMID: 33246805]
  42. Sleep Med. 2021 Jan;77:339-345 [PMID: 32482485]
  43. J Cell Mol Med. 2019 Apr;23(4):2324-2332 [PMID: 30734486]

MeSH Term

Humans
Female
Male
Stress, Psychological
Students
Young Adult
Sleep Quality
Depression
Universities
Adult
Surveys and Questionnaires
Adolescent
Mediation Analysis
Self Report

Word Cloud

Created with Highcharts 10.0.0sleepqualitystressperceivedPMLmeaningdepressioncollegelifeSMLPerceivedstudystudentsStressimpactchainrolesrolesearchSleepresultsinfluenceBACKGROUND:shownkeycontributorunderlyingmechanismremainsunknownaimedinvestigatemediatingpresencewellmoderatingMETHODS:Participants81784599boys3579girlsMage���=���1910 yearsSD���=���108completedself-reportquestionnaireincludingScalePSSPittsburghQualityIndexPSQIMeaningLifeQuestionnaireMLQPatientHealthQuestionnaire-9PHQ-9RESULTS:showedhigherdirectlyrelatedpoorernegativemediatedchainedAdditionallyfoundmoderatesSpecificallyindividualsactivelyadverseeffectsdiminishedConcurrentlypositiveenhancedCONCLUSION:revealedmediateeffectplayingsignificantprotectiveemphasizenecessityintegratingstrategiesenhanceinterventionsdesignedimproveemotionmanagementamongEffectsstudents'quality:moderatedmediationmodelDepressionPresenceSearch

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