Perceived cognitive deficits and depressive symptoms in patients with multiple sclerosis: Perceived stress and sleep quality as mediators

Lamis, Dorian A.; Hirsch, Jameson K.; Pugh, Kelley C.; Topciu, Raluca A.; Nsamenang, Sheri A.; Goodman, Andrew; Duberstein, Paul R.

doi:10.1016/j.msard.2018.07.019

Cited by 26 publications

(24 citation statements)

References 74 publications

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“…The link between perceived cognitive de cits and depressive symptoms is partially explained by quality of sleep and perceptions of stress [24], anxiety, as well. Anxiety levels closely mirrored the daily number of new cases and were strongly associated with the intensity of the outbreak [25].…”

Section: Negative Relationship Between Health Behavior and Perceived mentioning

confidence: 99%

Perceived Stress and Its Impact on Health Behavior of Chinese Residents during the Epidemic of COVID-19: An Internet Survey

Yao

Luo

et al. 2020

Preprint

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Background An outbreak of 2019 novel coronavirus disease(COVID-19) could cause a severe respiratory illness, which may come from Spray or ordinary contact, then pose a great threat to life. Meanwhile, epidemic may trigger excessive stress and have a terrible impact on mental health even health behaviors, especially some special individuals. So this study paved the way for psychological interventions focused on specific groups during the COVID-19 epidemic. Methods An internet survey was conducted on 2,449 residents in 20 provinces including Chongqing, Sichuan and Gansu et al, in order to collect the data of Chinese residents' perceived stress, COVID-19 awareness and health behaviors. SAS9.4 was used to analyze the relationship between health behaviors and perceived stress, and logistic regression was used to explore the influencing factors of health risk stress. Results The residents' perceived stress score was 22.25±7.2(total score was 56), and the incidence of health risk stress was 39.89% (977/2449). As perceived stress increased, the frequency of health behaviors such as washing hands and wearing a mask decreased in turn. Age, cognition of susceptibility to COVID-19, life-threaten level, cognition of the importance of home isolation, and cognition of the difference between common cold and COVID-19 were related to the occurrence of health risk stress. Conclusions There was a negative correlation between residents' health behaviors and perceived stress during the COVID-19 outbreak. It is of great significance to improve the public's awareness of the COVID-19, to provide good social support and psychological intervention for people with health risk stress and to promote their health behaviors.

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Section: Negative Relationship Between Health Behavior and Perceived mentioning

confidence: 99%

Perceived Stress and Its Impact on Health Behavior of Chinese Residents during the Epidemic of COVID-19: An Internet Survey

Yao

Luo

et al. 2020

Preprint

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“…Previous studies demonstrated that a higher tendency toward rumination was associated with insomnia and poor sleep quality [ 28 , 29 , 30 , 31 ]. Recent work also demonstrated that rumination could serve as a potential mediator between stressful life events and sleep problems [ 32 , 33 ], and post-stressor rumination predicted longer sleep-onset latency [ 34 ]. Therefore, the degree of rumination could affect the relationships between stress, anxiety, and sleep.…”

Section: Introductionmentioning

confidence: 99%

Increased Resilience Weakens the Relationship between Perceived Stress and Anxiety on Sleep Quality: A Moderated Mediation Analysis of Higher Education Students from 7 Countries

Zan

Cho

et al. 2020

Clocks & Sleep

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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.

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“…A high level of rumination is also related with worse sleep quality in teenage participants (26, 27). Studies also indicate that rumination may serve as a potential mediator in the relationship between stressful life events and later sleep-related difficulties (28, 29). For example, Zoccola and his colleagues first used portable sleep monitors to measure objective sleep-onset latency, and they found that poststressor rumination could positively predict longer sleep-onset latency (30).…”

Section: Introductionmentioning

confidence: 99%

Relationship Between Stressful Life Events and Sleep Quality: Rumination as a Mediator and Resilience as a Moderator

Wang

et al. 2019

Front. Psychiatry

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Purpose: The aim of this study was to investigate the relationship between stressful life events and sleep quality and to probe the role of rumination and resilience in the relationship. Method: The Adolescent Self-Rating Life Events Checklist, Ruminative Responses Scale, Connor–Davidson Resilience Scale, and Pittsburgh Sleep Quality Index were used among 1,065 college students. Statistical Product and Service Solutions (SPSS) 20.0 and the SPSS macro Process, which were specifically developed for assessing complex models including both mediators and moderators, were used to analyze the data. Results: High scores of stressful life events predicted worse sleep quality. Rumination partially mediated the relations between stressful life events and sleep quality. Resilience moderated the direct and indirect paths leading from stressful life events to sleep quality. Conclusions: The results demonstrate that stressful life events can directly affect the sleep quality of college students and indirectly through rumination. Additionally, increasing psychological resilience could decrease both the direct effect and the indirect effect of stressful life events affecting sleep quality. The results of this study may contribute to a better understanding of the effects, as well as the paths and conditions, of stressful life events on sleep quality in college students. Moreover, these findings can provide constructive suggestions for improving college students’ sleep quality.

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Perceived cognitive deficits and depressive symptoms in patients with multiple sclerosis: Perceived stress and sleep quality as mediators

Cited by 26 publications

References 74 publications

Perceived Stress and Its Impact on Health Behavior of Chinese Residents during the Epidemic of COVID-19: An Internet Survey

Perceived Stress and Its Impact on Health Behavior of Chinese Residents during the Epidemic of COVID-19: An Internet Survey

Increased Resilience Weakens the Relationship between Perceived Stress and Anxiety on Sleep Quality: A Moderated Mediation Analysis of Higher Education Students from 7 Countries

Relationship Between Stressful Life Events and Sleep Quality: Rumination as a Mediator and Resilience as a Moderator

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