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2021 ; 77
(ä): 339-345
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Perceived stress and sleep quality among the non-diseased general public in China
during the 2019 coronavirus disease: a moderated mediation model
#MMPMID32482485
Zhao X
; Lan M
; Li H
; Yang J
Sleep Med
2021[Jan]; 77
(ä): 339-345
PMID32482485
show ga
BACKGROUND: The 2019 coronavirus disease (COVID-19) has spread worldwide, and its
associated stressors have resulted in decreased sleep quality among front-line
workers. However, in China, the general public displayed more psychological
problems than the front-line workers during the pandemic. Therefore, we
investigated the influence of perceived stress on the sleep quality of the
non-diseased general public and developed a moderated mediation model to explain
said relationship. METHODS: Questionnaire-based surveys were conducted online
from February 18-25, 2020 with 1630 Chinese participants (aged 18-68 years).
RESULTS: Around one-third (36.38%) of participants were poor sleepers during the
COVID-19 pandemic. Moreover, higher perceived stress was significantly associated
with higher anxiety levels, which, in turn, was associated with lower sleep
quality. Self-esteem moderated the indirect effect of perceived stress on sleep
quality through its moderation of the effect of perceived stress on anxiety. This
indicated that the mediation effect of anxiety was stronger in those with low
levels of self-esteem than in those with high levels of self-esteem. CONCLUSIONS:
These findings suggest that both the sleep quality and perceived stress levels of
the non-diseased general public required attention during the COVID-19 pandemic.
Our findings also identify personality characteristics related to better sleep
quality, demonstrating the important role of self-esteem in environmental
adaptation.
|Adult
[MESH]
|Aged
[MESH]
|Aged, 80 and over
[MESH]
|Anxiety/epidemiology/*psychology
[MESH]
|China/epidemiology
[MESH]
|Depression/epidemiology/*psychology
[MESH]
|Exercise/psychology
[MESH]
|Female
[MESH]
|Humans
[MESH]
|Male
[MESH]
|Mental Health/*statistics & numerical data
[MESH]
|Middle Aged
[MESH]
|Quarantine/psychology
[MESH]
|Risk Factors
[MESH]
|Sleep
[MESH]
|Sleep Wake Disorders/epidemiology/*psychology
[MESH]