Sleep effort as a mediator between depression and anxiety
Main Author: | |
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Publication Date: | 2022 |
Format: | Master thesis |
Language: | eng |
Source: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Download full: | http://hdl.handle.net/10773/34759 |
Summary: | Background: Depression, anxiety, and insomnia are all conditions that share a complex bidirectional relationship. Sleep effort is a construct with cognitive and behavioral components that perpetuates insomnia. Although many studies have examined the associations between these three variables, no studies have yet examined sleep effort as a mediating variable between anxiety and depression and vice versa. Methods: Online versions of the Hospital Anxiety and Depression Scale (HADS) and the Glasgow Sleep Effort Scale (GSES) were administered to a sample of 1927 higher education students aged 18 to 40 years (75.9% women and 76% from 18 to 23 years old). As part of the survey, participants also completed a sociodemographic questionnaire. Results: Mediation analysis indicated that sleep effort mediates the relationship between depression and anxiety, when the former was the predictor and the latter was the criterion. Moreover, sleep effort also mediated the relationship between anxiety and depression when the former was the predictor and the latter was the criterion, albeit in a lesser extent. Conclusions: Sleep effort appears to play a bidirectional mediational role between depression and anxiety, being a potential target for intervention. |
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Sleep effort as a mediator between depression and anxietySleep effortDepressionAnxietyInsomniaHigher education studentsMediations analysisBackground: Depression, anxiety, and insomnia are all conditions that share a complex bidirectional relationship. Sleep effort is a construct with cognitive and behavioral components that perpetuates insomnia. Although many studies have examined the associations between these three variables, no studies have yet examined sleep effort as a mediating variable between anxiety and depression and vice versa. Methods: Online versions of the Hospital Anxiety and Depression Scale (HADS) and the Glasgow Sleep Effort Scale (GSES) were administered to a sample of 1927 higher education students aged 18 to 40 years (75.9% women and 76% from 18 to 23 years old). As part of the survey, participants also completed a sociodemographic questionnaire. Results: Mediation analysis indicated that sleep effort mediates the relationship between depression and anxiety, when the former was the predictor and the latter was the criterion. Moreover, sleep effort also mediated the relationship between anxiety and depression when the former was the predictor and the latter was the criterion, albeit in a lesser extent. Conclusions: Sleep effort appears to play a bidirectional mediational role between depression and anxiety, being a potential target for intervention.A depressão, ansiedade e insónia são perturbações comórbidas que mantêm relações próximas entre si. O esforço para dormir é um construto constituído por componentes cognitivas e comportamentais que perpetua a insónia. Apesar de haver muitos estudos sobre estas três perturbações, não existem estudos sobre o papel do esforço para dormir enquanto variável mediadora na relação entre a depressão e a ansiedade, e vice versa. Para este efeito, foram utilizadas algumas escalas, como Hospital Anxiety and Depression Scale [Escala Hospital de Ansiedade e Depressão] e Glasgow Sleep Effort Scale [Escala de Glasgow sobre o Esforço para Dormir] numa amostra comunitária de 1927 estudantes universitários com idades compreendidas entre os 18 e 40 anos (75.9% mulheres e 76% com idades entre os 18 e 23 anos). Para além destas escalas, os participantes responderam a um questionário sociodemográfico. A análise de mediação indicou que o esforço para dormir medeia a relação entre a depressão e a ansiedade, quando a depressão é a variável preditora e a ansiedade a variável critério. O esforço para dormir também medeia a relação entre a ansiedade e a depressão quando a ansiedade é a variável preditora e a depressão é a critério, embora num grau menor. Para concluir, o esforço para dormir parece desempenhar um papel de mediação bidirecional entre a depressão e a ansiedade, constituindo um potencial alvo de intervenção clínica.2027-09-05T00:00:00Z2022-07-19T00:00:00Z2022-07-19info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfhttp://hdl.handle.net/10773/34759engBorges, Cristina Maria Correia da Câmara Medeirosinfo:eu-repo/semantics/embargoedAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-02-22T12:07:10Zoai:ria.ua.pt:10773/34759Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:06:00.411489Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Sleep effort as a mediator between depression and anxiety |
title |
Sleep effort as a mediator between depression and anxiety |
spellingShingle |
Sleep effort as a mediator between depression and anxiety Borges, Cristina Maria Correia da Câmara Medeiros Sleep effort Depression Anxiety Insomnia Higher education students Mediations analysis |
title_short |
Sleep effort as a mediator between depression and anxiety |
title_full |
Sleep effort as a mediator between depression and anxiety |
title_fullStr |
Sleep effort as a mediator between depression and anxiety |
title_full_unstemmed |
Sleep effort as a mediator between depression and anxiety |
title_sort |
Sleep effort as a mediator between depression and anxiety |
author |
Borges, Cristina Maria Correia da Câmara Medeiros |
author_facet |
Borges, Cristina Maria Correia da Câmara Medeiros |
author_role |
author |
dc.contributor.author.fl_str_mv |
Borges, Cristina Maria Correia da Câmara Medeiros |
dc.subject.por.fl_str_mv |
Sleep effort Depression Anxiety Insomnia Higher education students Mediations analysis |
topic |
Sleep effort Depression Anxiety Insomnia Higher education students Mediations analysis |
description |
Background: Depression, anxiety, and insomnia are all conditions that share a complex bidirectional relationship. Sleep effort is a construct with cognitive and behavioral components that perpetuates insomnia. Although many studies have examined the associations between these three variables, no studies have yet examined sleep effort as a mediating variable between anxiety and depression and vice versa. Methods: Online versions of the Hospital Anxiety and Depression Scale (HADS) and the Glasgow Sleep Effort Scale (GSES) were administered to a sample of 1927 higher education students aged 18 to 40 years (75.9% women and 76% from 18 to 23 years old). As part of the survey, participants also completed a sociodemographic questionnaire. Results: Mediation analysis indicated that sleep effort mediates the relationship between depression and anxiety, when the former was the predictor and the latter was the criterion. Moreover, sleep effort also mediated the relationship between anxiety and depression when the former was the predictor and the latter was the criterion, albeit in a lesser extent. Conclusions: Sleep effort appears to play a bidirectional mediational role between depression and anxiety, being a potential target for intervention. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-07-19T00:00:00Z 2022-07-19 2027-09-05T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
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masterThesis |
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http://hdl.handle.net/10773/34759 |
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http://hdl.handle.net/10773/34759 |
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eng |
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eng |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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