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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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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
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description 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
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subjects Analysis
Anxiety
Child development
College students
Comorbidity
Confidence intervals
Cross-sectional studies
Generalized anxiety disorder
Insomnia
Mediation
mediator
Original Research
Questionnaires
Sleep
Statistical analysis
Stress
Stress (Psychology)
Surveys
University students
Young adults
title Insomnia May Mediate the Relationship Between Stress and Anxiety: A Cross-Sectional Study in University Students
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