Reducing Perceived Stress Improves Sleep Quality: A Longitudinal Outcomes Study

Eliasson, Arn H.; Kashani, Mariam; Mayhew, Maren S.; Ude, Assumpta; Hoffman, Jacqueline; Vernalis, Marina

doi:10.1378/chest.10417

Cited by 19 publications

(11 citation statements)

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“…can alter individuals' sleep (eg, leading to lower sleep quality, longer sleep latency, increased awareness during the night, and more sleep complaints) [3e5]. Previous studies showed that perceived stress is a major obstacle to sleep and eroded sleep quality [6,7]. Specifically, the higher the perceived stress, the worse the sleep quality [8e13], and the reduction in perceived stress predicted an improvement in sleep quality [7].…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies showed that perceived stress is a major obstacle to sleep and eroded sleep quality [6,7]. Specifically, the higher the perceived stress, the worse the sleep quality [8e13], and the reduction in perceived stress predicted an improvement in sleep quality [7]. Notably, researchers revealed that front-line workers (eg, medical staff) had poor sleep quality during COVID-19 in China [2]; however, a recent study investigated the vicarious traumatization in the general public and front-line medical staff and found the general public displayed more vicarious traumatization than did front-line medical staff during the pandemic [14].…”

Section: Introductionmentioning

confidence: 99%

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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

et al. 2021

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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 18e25, 2020 with 1630 Chinese participants (aged 18e68 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 nondiseased 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 selfesteem in environmental adaptation.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Perceived stress and sleep quality among the non-diseased general public in China during the 2019 coronavirus disease: a moderated mediation model

et al. 2021

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“…Sleep problem has been identified as another health consequence of stress (13,14). A longitudinal study reveals that reductions in perceived stress correlate significantly with improvements in sleep quality (15). During the COVID-19 pandemic, worldwide researchers focus on sleep quality as an important health indicator [e.g., (5,(16)(17)(18)].…”

Section: Introductionmentioning

confidence: 99%

Perceived Stress, Hope, and Health Outcomes Among Medical Staff in China During the COVID-19 Pandemic

et al. 2021

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This study investigated the buffering role of hope between perceived stress and health outcomes among front-line medical staff treating patients with suspected COVID-19 infection in Shenzhen, China. In the cross-sectional study with online questionnaires, medical staff's perceived stress, anxiety, depression, sleep quality, and hope were measured by the 10-item Chinese Perceived Stress Scale, Hospital Anxiety and Depression Scale, the Pittsburgh Sleep Quality Index, and the Locus-of-Hope Scale, respectively. A total of 319 eligible front-line medical staff participated. The prevalence of anxiety (29.70%), depression (28.80%), poor sleep quality (38.90%) indicated that a considerable proportion of medical staff experienced mood and sleep disturbances during the COVID-19 pandemic. Internal locus-of-hope significantly moderated the effects of stress on anxiety, depression, and sleep quality. Moreover, external family locus-of-hope and external peer locus-of-hope significantly moderated the association between perceived stress and depression. The prevalence of symptoms indicates that both mental and physical health outcomes of front-line medical staff deserve more attention. Internal and external locus-of-hope functioned differently as protective factors for medical staffs' health and might be promising targets for intervention.

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“…Understanding the role of sleep as a possible link between stress and CVD is especially appealing because sleep behaviors can be taught and improved. Furthermore, it has been shown that improving sleep quality through the implementation of behavior modification does lower perceived stress levels (Eliasson et al 2010). Disrupted sleep is thus a modifiable risk factor for stress levels and may therefore be, in extension, a modifiable risk factor for CVD.…”

Section: Introductionmentioning

confidence: 99%

Perceived stress correlates with disturbed sleep: A link connecting stress and cardiovascular disease

Kashani¹,

Eliasson²,

Vernalis³

2011

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The association between stress and cardiovascular disease (CVD) risk is becoming established. A mechanistic link clarifying the intermediate steps between the experience of stress and the development of CVD would support this association. We sought to examine the role of perceived stress as a factor associated with disturbed sleep with the goal of providing an explanation for the stress-CVD connection. We performed a cross-sectional analysis of data recorded by subjects at entry to our CVD prevention program. Data collection included questionnaire surveys, anthropometrics, and a CVD-relevant laboratory panel. Of 350 consecutively enrolled subjects (mean age 54.4 ± 12.4 [SD] years, 138 men, 39%), 165 (47%) scored above the mean for stress measures. These high-stress subjects displayed an increased cardiovascular risk profile including elevated body mass index (mean ± SD 31.1 ± 5.9 vs. 29.0 ± 5.9, r(s) = 0.175), increased waist circumference (102 ± 17 cm vs. 98 ± 14, r(s) = 0.135), and elevated high-sensitivity serum C-reactive protein (0.384 mg/dl vs. 0.356, r(s) = 0.109). High-stress subjects also demonstrated greater daytime sleepiness (Epworth Sleepiness Scale: 10.4 ± 5.0 vs. 7.8 ± 4.8, r(s) < 0.316), greater fatigue (fatigue scale: 5.4 ± 2.2 vs. 3.4 ± 2.4, r(s) = 0.484), poorer sleep quality (Pittsburgh Sleep Quality Index: 8.5 ± 4.4 vs. 5.9 ± 4.0, r(s) = 0.416), and shorter sleep duration (20 min less/24 h, r(s) = negative 0.177) with a higher risk for sleep apnea (60% at high risk vs. 40%, p = 0.003) than low-stress subjects. High stress was associated with significant disturbances in sleep duration and sleep quality. Stress levels also correlated with daytime consequences of disturbed sleep. The stress-sleep connection may be an important mechanistic mediator of the association between stress and CVD.

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Reducing Perceived Stress Improves Sleep Quality: A Longitudinal Outcomes Study

Cited by 19 publications

References 0 publications

Perceived stress and sleep quality among the non-diseased general public in China during the 2019 coronavirus disease: a moderated mediation model

Perceived stress and sleep quality among the non-diseased general public in China during the 2019 coronavirus disease: a moderated mediation model

Perceived Stress, Hope, and Health Outcomes Among Medical Staff in China During the COVID-19 Pandemic

Perceived stress correlates with disturbed sleep: A link connecting stress and cardiovascular disease

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