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

High perceived stress and anxiety disorders are usually comorbid with each other, with stress often sequentially preceding the development of anxiety. While prior findings showed a causal role of sleep problems in anxiety, no study has assessed the role of insomnia as a mediator in the relationship...

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Bibliographic Details
Published in:Nature and science of sleep 2021-01, Vol.13, p.31-38
Main Authors: Manzar, Md Dilshad, Salahuddin, Mohammed, Pandi-Perumal, Seithikurippu R, Bahammam, Ahmed S
Format: Article
Language:English
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Summary:High perceived stress and anxiety disorders are usually comorbid with each other, with stress often sequentially preceding the development of anxiety. While prior findings showed a causal role of sleep problems in anxiety, no study has assessed the role of insomnia as a mediator in the relationship between stress and anxiety. A cross-sectional study on university students (n = 475, age = 21.1+2.6 years) was conducted over 3 months. Participants completed self-report measures of Leeds Sleep Evaluation Questionnaire-Mizan (LSEQ-M), Perceived Stress Scale-10 (PSS-10), generalized anxiety disorder-7 scale (GAD-7), and a sociodemographic tool. The mediation effect model given by Baron and Kelly was used to determine the relationship. The prevalence of insomnia and anxiety disorder was 43.6% and 21.9%, respectively. Stress was significantly associated with LSEQ-M (insomnia measure) (b = -.44, SE = 0.16, p
ISSN:1179-1608
1179-1608
DOI:10.2147/NSS.S278988