ArticleInternational journal of behavioral medicine2021
Resilience and the Role of Depressed and Anxious Mood in the Relationship Between Perceived Social Isolation and Perceived Sleep Quality During the COVID-19 Pandemic.
Article in International journal of behavioral medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Changes in sleep quality and sleep disturbances in the general population from before to during the COVID-19 lockdown: A systematic review and meta-analysis.Frontiers in psychiatry · 2023Pooled it
- Undergraduates short form video addiction and learning burnout association involving anxiety symptoms and coping styles moderation.Scientific reports · 2025Article
- Integrating psychological resilience into community health strategies: addressing stigma-induced social alienation in postoperative colorectal cancer patients.Frontiers in public health · 2025Article
- Intersectionality and COVID-19: Academic Medicine Faculty's Lived Experiences of Well-Being, Workload, and Productivity During the Pandemic.Journal of women's health (2002) · 2023Article
- Associations between trait and state perceived stress and daily moods: COVID-19 stressful experiences as a moderator.Current psychology (New Brunswick, N.J.) · 2022Article
- Uncertainty and psychological distress during COVID-19: What about protective factors?Current psychology (New Brunswick, N.J.) · 2022Article
- The role of social support and resilience in the mental health impact of the COVID-19 pandemic among healthcare workers in Spain.Journal of psychiatric research · 2022Article
- Young Adults' Loneliness and Depression During the COVID-19 Pandemic: A Moderated Mediation Model.Frontiers in psychology · 2022Article
- Furthering the Focus on Translational Sleep Science in Behavioral Medicine.International journal of behavioral medicine · 2021Article
- Sleep and Awakening Quality during COVID-19 Confinement: Complexity and Relevance for Health and Behavior.International journal of environmental research and public health · 2021Article
- Social Isolation and Sleep: Manifestation During COVID-19 Quarantines.Frontiers in psychology · 2021Review
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundThe aim of the study was to examine the mediating role of depressed and anxious mood in the relationship between perceived social isolation and perceived sleep quality during the COVID-19 pandemic. We also aimed to investigate the moderating role of psychological resilience in this mediation.
methodsA cross-sectional study of adults (18+ years old) was conducted using an online, multi-language, international survey between March 31 and May 15, 2020. Simple and moderated mediation analyses were performed using the PROCESS macro for SPSS, with perceived social isolation as an independent variable, change in perceived sleep quality (during vs. before the COVID-19 pandemic) as a dependent variable, depressed and anxious mood (Patient Health Questionnaire-4, PHQ-4) as a mediator, and resilience (Brief Resilience Scale, BRS) as a moderator.
resultsA convenience sample of 3816 participants (2692 = female) from 94 countries (47.4% USA) met criteria for inclusion in the analyses. Results showed that depressed and anxious mood mediated the relationship between perceived social isolation and change in perceived sleep quality. This mediation was moderated by resilience; the indirect effect of perceived social isolation on change in perceived sleep quality through depressed and anxious mood decreased as the level of resilience increased (index of moderated mediation = 0.008, SE = 0.003, 95%CI [0.001; 0.014]).
conclusionsThe study findings indicate benefits of psychological resilience in buffering negative effects of perceived isolation, suggesting potential benefits of developing targeted strategies to enhance resilience during times of significant crises.
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