ArticleSleep medicine2019
Insomnia symptoms and short sleep predict anxiety and worry in response to stress exposure: a prospective cohort study of medical interns.
Article in Sleep medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
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Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it, 70 citations in OpenAlex.
- Acupuncture for perimenopausal insomnia: a systematic review and meta-analysis.Frontiers in medicine · 2025Pooled it
- SYNERGY-VAE: An explainable generative deep learning framework for discovering depression subgroups from multimodal population health data.PLOS digital health · 2026Article
- Insomnia as a risk factor for the development of depression and anxiety in primary care: a matched population-based cohort study.Family practice · 2026Article
- Prevalence and influencing factors of insomnia among adults in centralized quarantine: A cross-sectional study.Medicine · 2026Observational
- Effect of perceived stress on sleep quality in Chinese graduate students: the chain mediating role of anxiety and sleep procrastination.Frontiers in psychology · 2026Article
- Incidence, Associated Risk Factors, and Outcomes of Postoperative Anxiety in Elderly: A Retrospective Observational Study.Health science reports · 2026Article
- Effects of Perceived Stress and Insomnia on Emotional Intelligence of Medical Students.Cureus · 2025Article
- The mediating role of health anxiety, resilience, and body image in the relationship between pain and sleep in hematopoietic stem cell transplantation patients.BMC psychology · 2025Article
- Working hours indirectly affect anxiety symptoms through sleep and stress in dentists, physicians, and psychotherapists.Arhiv za higijenu rada i toksikologiju · 2025Article
- Article
- Wuling capsule combined with sertraline in the therapy of anxiety and depression with insomnia in adolescents.World journal of psychiatry · 2024Article
- An in-depth analysis of postoperative insomnia in elderly patients and its implications on rehabilitation.Sleep & breathing = Schlaf & Atmung · 2024Observational
- Examining bi-directional links between loneliness, social connectedness and sleep from a trait and state perspective.Scientific reports · 2024Article
- Examining Anxiety and Insomnia in Internship Students and Their Association with Internet Gaming Disorder.Journal of clinical medicine · 2024Article
- Post-Pandemic Insomnia in Healthcare Workers: A Prospective Study including Sociodemographic, Occupational and Psychosocial Variables.Journal of clinical medicine · 2024Article
- Insomnia and anxiety among COVID-19 patients in China: the chain mediating effect of psychological capital and self-esteem.BMC nursing · 2024Article
- Association between sleep health and rates of self-reported medical errors in intern physicians: an ancillary analysis of the Intern Health Study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024Article
- Factors associated with anxiety disorders among healthcare workers (HCWS) involved in the first wave of the COVID-19 pandemic.Work (Reading, Mass.) · 2024Observational
- Nonsuicidal self-injury, sleep quality, and shame response to a laboratory stress task.Journal of clinical psychology · 2023Article
- Evaluation of the effectiveness of sleep hygiene education and FITBIT devices on quality of sleep and psychological worry: a pilot quasi-experimental study among first-year college students.Frontiers in public health · 2023Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
STUDY
objectivesWhile anxiety rates are alarmingly high in short sleeping insomniacs, the relationship between insomnia and anxiety symptoms has not been extensively studied, especially in comparison to the relationship between insomnia and depressive symptoms. Using residency training as a naturalistic stress exposure, we prospectively assessed the role of sleep disturbance and duration on anxiety-risk in response to stress.
methodsWeb-based survey data from 1336 first-year training physicians (interns) prior to and then quarterly across medical internship. Using mixed effects modeling, we examined how pre-internship sleep disturbance and internship sleep duration predicted symptoms of anxiety, using an established tool for quantifying symptom severity in generalized anxiety disorder (GAD).
resultsPre-internship poor sleepers are at more than twice the odds of having short sleep (≤6 h) during internship as good sleepers (OR = 2.38, 95% CI = 1.61, 3.57). Poor sleepers were also at twice the odds for screening positive for probable GAD diagnosis (OR = 2.08, 95% CI = 1.26, 3.45). Notably, sleep onset insomnia strongly predicted anxiety development under stress (OR = 3.55, 95% CI = 1.49, 8.45). During internship, short sleep associated with concurrent anxiety symptoms (b = -0.26, 95% CI = -0.38, -0.14) and predicted future anxiety symptoms even more strongly (b = -0.39, 95% CI = -0.76, -0.03).
conclusionsPoor sleepers, particularly those with sleep onset insomnia symptoms, are vulnerable to short sleep and GAD anxiety and worry during chronic stress.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.