Increased Resilience Weakens the Relationship between Perceived Stress and Anxiety on Sleep Quality: A Moderated Mediation Analysis of Higher Education Students from 7 Countries
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,...
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doaj-c39b16a28a95475b8f7c3271df571a732021-04-02T10:59:01ZengMDPI AGClocks & Sleep2624-51752020-08-0122533435310.3390/clockssleep2030025Increased Resilience Weakens the Relationship between Perceived Stress and Anxiety on Sleep Quality: A Moderated Mediation Analysis of Higher Education Students from 7 CountriesChen Du0Megan Chong Hueh Zan1Min Jung Cho2Jenifer I. Fenton3Pao Ying Hsiao4Richard Hsiao5Laura Keaver6Chang-Chi Lai7HeeSoon Lee8Mary-Jon Ludy9Wan Shen10Winnie Chee Siew Swee11Jyothi Thrivikraman12Kuo-Wei Tseng13Wei-Chin Tseng14Robin M. Tucker15Department of Food Science and Human Nutrition, Michigan State University, East Lansing, MI 48824, USADivision of Nutrition and Dietetics, International Medical University, Kuala Lumpur 57000, MalaysiaGlobal Public Health, Leiden University College, 2595 DG The Hague, The NetherlandsDepartment of Food Science and Human Nutrition, Michigan State University, East Lansing, MI 48824, USADepartment of Food and Nutrition, Indiana University of Pennsylvania, Indiana, PA 15705, USADepartment of Kinesiology, Health, and Sport Science, Indiana University of Pennsylvania, Indiana, PA 15705, USADepartment of Health and Nutritional Science, Institute of Technology Sligo, F91 YW50 Sligo, IrelandDepartment of Exercise and Health Sciences, University of Taipei, Taipei, TaiwanDepartment of Human Services, Bowling Green State University, Bowling Green, OH 43403, USADepartment of Public & Allied Health, Bowling Green State University, Bowling Green, OH 43403, USADepartment of Public & Allied Health, Bowling Green State University, Bowling Green, OH 43403, USADivision of Nutrition and Dietetics, International Medical University, Kuala Lumpur 57000, MalaysiaGlobal Public Health, Leiden University College, 2595 DG The Hague, The NetherlandsDepartment of Exercise and Health Sciences, University of Taipei, Taipei, TaiwanDepartment of Exercise and Health Sciences, University of Taipei, Taipei, TaiwanDepartment of Food Science and Human Nutrition, Michigan State University, East Lansing, MI 48824, USAHigh 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.https://www.mdpi.com/2624-5175/2/3/25COVID-19sleepstressanxietyruminationpsychological resilience |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Chen Du Megan Chong Hueh Zan Min Jung Cho Jenifer I. Fenton Pao Ying Hsiao Richard Hsiao Laura Keaver Chang-Chi Lai HeeSoon Lee Mary-Jon Ludy Wan Shen Winnie Chee Siew Swee Jyothi Thrivikraman Kuo-Wei Tseng Wei-Chin Tseng Robin M. Tucker |
spellingShingle |
Chen Du Megan Chong Hueh Zan Min Jung Cho Jenifer I. Fenton Pao Ying Hsiao Richard Hsiao Laura Keaver Chang-Chi Lai HeeSoon Lee Mary-Jon Ludy Wan Shen Winnie Chee Siew Swee Jyothi Thrivikraman Kuo-Wei Tseng Wei-Chin Tseng Robin M. Tucker 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 COVID-19 sleep stress anxiety rumination psychological resilience |
author_facet |
Chen Du Megan Chong Hueh Zan Min Jung Cho Jenifer I. Fenton Pao Ying Hsiao Richard Hsiao Laura Keaver Chang-Chi Lai HeeSoon Lee Mary-Jon Ludy Wan Shen Winnie Chee Siew Swee Jyothi Thrivikraman Kuo-Wei Tseng Wei-Chin Tseng Robin M. Tucker |
author_sort |
Chen Du |
title |
Increased Resilience Weakens the Relationship between Perceived Stress and Anxiety on Sleep Quality: A Moderated Mediation Analysis of Higher Education Students from 7 Countries |
title_short |
Increased Resilience Weakens the Relationship between Perceived Stress and Anxiety on Sleep Quality: A Moderated Mediation Analysis of Higher Education Students from 7 Countries |
title_full |
Increased Resilience Weakens the Relationship between Perceived Stress and Anxiety on Sleep Quality: A Moderated Mediation Analysis of Higher Education Students from 7 Countries |
title_fullStr |
Increased Resilience Weakens the Relationship between Perceived Stress and Anxiety on Sleep Quality: A Moderated Mediation Analysis of Higher Education Students from 7 Countries |
title_full_unstemmed |
Increased Resilience Weakens the Relationship between Perceived Stress and Anxiety on Sleep Quality: A Moderated Mediation Analysis of Higher Education Students from 7 Countries |
title_sort |
increased resilience weakens the relationship between perceived stress and anxiety on sleep quality: a moderated mediation analysis of higher education students from 7 countries |
publisher |
MDPI AG |
series |
Clocks & Sleep |
issn |
2624-5175 |
publishDate |
2020-08-01 |
description |
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. |
topic |
COVID-19 sleep stress anxiety rumination psychological resilience |
url |
https://www.mdpi.com/2624-5175/2/3/25 |
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