Insomnia May Mediate the Relationship Between Stress and Anxiety: A Cross-Sectional Study in University Students

Manzar, Dilshad; Salahuddin, Mohammed; Pandi-Perumal, Seithikurippu R.; BaHammam, Ahmed S.

doi:10.2147/nss.s278988

Cited by 24 publications

(16 citation statements)

References 55 publications

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“…Another key nding is that during the new wave of COVID- We also found that anxiety-depression comorbidity was signi cant positive associated with insomnia among Chinese medical college students, the results of this study was similar to those of previous studies (47). After binary logistic regression analysis, we found that anxiety-depression comorbidity may be a potential risk factor for insomnia in medical students.…”

Section: Discussionsupporting

confidence: 87%

Prevalence and factors associated with insomnia among medical students in China during the COVID-19 pandemic: characterization and associated factors

Zhang

et al. 2022

Preprint

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Background Insomnia has become an important issue in recent years. Insomnia is affected by many factors. Previous research has shown that during the COVID-19 epidemic, there would be a long-term negative effect on the mental health of medical college students. The state of medical college students’ insomnia directly determines the results of medical education and the career development prospects of the medical students themselves. Therefore, it is very important to understand the insomnia situation of medical students in the post-epidemic era. Methods This study was conducted 2 years after the global COVID-19 pandemic (April 1-April 23, 2022). The study used an online questionnaire, administered through a web-based survey platform. The Athens Insomnia Scale (AIS), Fear of COVID‐19 Scale (FCV-19S), GAD-2, PHQ-2, and socio-demographic information were surveyed by the Questionnaire Star platform. Results The prevalence of insomnia was 27.8.0% (636/2289). Chi-squared tests revealed that, loneliness(P<0.001), depression and anxiety co-morbidities(P<0.001), age(P<0.001), and grade(P<0.001) strong associations of insomnia. Fear of COVID-19 was highly correlated with insomnia (P<0.001). adapting to online classes(P<0.001) was a protective factor of smartphone addiction. Conclusions The aim of this study was to investigate the prevalence of insomnia and identify associated influencing factors among college students in Anhui Province, China. This survey shows that Insomnia was highly prevalent among the Chinese medical college students during the COVID-19 pandemic. These negative insomnia issues could decline learning enthusiasm, productivity, and eventually, affecting the medical college student academic performance. Therefore, the government and schools should formulate targeted programs and strategies to reduce insomnia among medical college students.

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Section: Discussionsupporting

confidence: 87%

Prevalence and factors associated with insomnia among medical students in China during the COVID-19 pandemic: characterization and associated factors

Zhang

et al. 2022

Preprint

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“…However, it is a little lower than another Chinese study and a Russian study, which showed mean SDS scores for university students of 44.4 (SD 9.9) and 47.8 (SD 10), respectively [ 35 , 36 ]. In contrast, the mean GAD-7 scores reported in previous studies (including a Chinese, an Ethiopian, and an American study) were more than 6 in university students [ 37 , 38 , 39 ]. These scores were higher than our study’s (mean GAD-7 score = 3.85).…”

Section: Discussioncontrasting

confidence: 68%

Duration of Keeping an Exercise Habit and Mental Illness and Life Attitude among University Students

Kong

Chen

Gong

2022

IJERPH

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Physical exercise has beneficial effects on human health, and several studies have examined the association between exercise and mental health. However, most of these studies focused on exercise intensity, duration, or frequency. Evidence for the association between the duration of maintaining an exercise habit and mental illness is lacking, especially in young adulthood—a crucial period that bridges adolescence and adulthood. This study investigated the association between the duration of keeping an exercise habit and mental illness and life attitude among Chinese university students. A total of 11,392 university students participated in this study (6866 men and 4526 women). The duration of keeping an exercise habit was evaluated using a questionnaire with relevant questions. Exercise habit was defined as exercising for longer than 30 min per session and more than twice a week. Mental illness consisted of two elements: depressive symptoms—assessed using the Zung Self-rating Depression Scale, and anxiety symptoms—assessed using the seven-item Generalized Anxiety Disorder scale. Life attitude was assessed using a questionnaire with relevant questions. Multivariate logistic regression analysis examined the adjusted association between the duration of keeping an exercise habit and mental illness and life attitude. In the final adjusted model, compared to the no exercise category, the odds ratios and 95% confidence intervals (CIs) of depressive symptoms were 0.80 (0.70, 0.91) for those with an exercise habit of 1–4 months, and 0.72 (0.63, 0.83) for those with one of >4 months (p for trend <0.001). Additionally, when compared to participants with no exercise habit, the adjusted odds ratios (95% CIs) for anxiety symptoms were 1.01 (0.90, 1.14) for those with a habit of 1–4 months and 0.78 (0.69, 0.88) for those with one of >4 months (p for trend =0.001). A longer duration of keeping an exercise habit was also significantly associated with positive life attitudes. Our results showed that a long duration of keeping an exercise habit was significantly associated with a lower prevalence of mental illness among university students. Further, maintaining a more prolonged exercise habit may benefit individuals’ mental health in young adulthood.

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“…During the COVID-19 pandemic, individuals with higher anxiety levels were more likely to have higher subjective stress levels and associated poor sleep quality [ 56 ]. During the COVID-19 pandemic, recent research of over a thousand people found that the severity of insomnia predicted psychological distress and suicidal ideation [ 57 ].…”

Section: Discussionmentioning

confidence: 99%

Sleep Quality Worsens While Perceived Stress Improves in Healthcare Workers over Two Years during the COVID-19 Pandemic: Results of a Longitudinal Study

et al. 2022

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The purpose of the study was to measure changes in sleep quality and perceived stress and their interrelationships in a sample of healthcare workers two years post the COVID-19 pandemic. Using a cohort design, data were collected from frontline healthcare workers (FLHCW, n = 70) and non-frontline healthcare workers (NFLHCW, n = 74) in April 2020 (T1) and in February 2022 (T2). The Pittsburgh Sleep Quality Index (PSQI) and the Perceived Stress Scale (PSS-10) were administered at both time points. There were no differences in sleep quality or perceived stress between FLHCW and NFLHCW at either timepoint. For the entire sample, the PSQI scores at T2 were significantly higher than at T1 (7.56 ± 3.26 and 7.25 ± 3.29, respectively) (p = 0.03, Cohen’s d = 0.18). PSS-10 scores at T2 were significantly lower than at T1 (19.85 ± 7.73 and 21.13 ± 7.41, respectively) (p = 0.001, Cohen’s d = 0.78). Baseline sleep quality PSQI (T1) was a significant predictor for changes in sleep quality. During the initial months of the outbreak of the COVID-19 pandemic, poor sleep quality and perceived stress were common for healthcare workers. Two years into the pandemic, the perceived stress was reduced, but sleep quality worsened.

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Insomnia May Mediate the Relationship Between Stress and Anxiety: A Cross-Sectional Study in University Students

Cited by 24 publications

References 55 publications

Prevalence and factors associated with insomnia among medical students in China during the COVID-19 pandemic: characterization and associated factors

Prevalence and factors associated with insomnia among medical students in China during the COVID-19 pandemic: characterization and associated factors

Duration of Keeping an Exercise Habit and Mental Illness and Life Attitude among University Students

Sleep Quality Worsens While Perceived Stress Improves in Healthcare Workers over Two Years during the COVID-19 Pandemic: Results of a Longitudinal Study

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