ArticleNutrients2021
The Effects of Sleep Quality and Resilience on Perceived Stress, Dietary Behaviors, and Alcohol Misuse: A Mediation-Moderation Analysis of Higher Education Students from Asia, Europe, and North America during the COVID-19 Pandemic.
Article in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 5 of them syntheses that pooled it.
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Who cites it
47 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Burden of perceived stress among university students in Africa: a systematic review and meta-analysis.BMC public health · 2025Pooled it
- Pooled it
- Subjective sleep alterations in healthy subjects worldwide during COVID-19 pandemic: A systematic review, meta-analysis and meta-regression.Sleep medicine · 2022Pooled it
- The prevalence of psychological stress in student populations during the COVID-19 epidemic: a systematic review and meta-analysis.Scientific reports · 2022Pooled it
- Changes in alcohol use during COVID-19 and associations with contextual and individual difference variables: A systematic review and meta-analysis.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2022Pooled it
- Feed your microbes to deal with stress: a psychobiotic diet impacts microbial stability and perceived stress in a healthy adult population.Molecular psychiatry · 2023Trial
- Understanding Sleep Disturbance Due to Stressors: An Exploratory Mixed-Methods Study During the COVID-19 Pandemic.International journal of environmental research and public health · 2026Article
- Cross-sectional associations of subjective sleep quality, chronotype and social jetlag with perceived stress in a sample of Irish adults.Sleep and biological rhythms · 2026Article
- Self-Reported Mental Health History and Self-Reported Coping Behaviours in Biomedicine Students-Exploring Associations with Healthy Lifestyle and Resilience.European journal of investigation in health, psychology and education · 2026Article
- Effects of sleep, resilience, and hardiness on the psychological stress response of Japanese university students over the previous two to three days.Sleep and biological rhythms · 2026Article
- Assessing Health Behaviors as Predictors of Psychological Resilience and BMI in a National and Small Military College Sample.Healthcare (Basel, Switzerland) · 2025Article
- Psychological resilience to trauma and longitudinal sleep outcomes among current and former nurses.Journal of psychosomatic research · 2025Article
- Resilience as a mediator between emotional intelligence (EI) and perceived stress among young adults in Malaysia.Discover mental health · 2025Article
- Indirect effects of perceived stress and depression on the relationship between insomnia symptoms and hazardous drinking.Alcohol (Fayetteville, N.Y.) · 2025Observational
- Exploring the Interconnections of Genetic, Lifestyle, and Epigenetic Influences on Brain Aging: A Comprehensive Review.Current Alzheimer research · 2025Review
- Perceived stress and pandemic-associated risk factors in high-risk alcohol consumers during the third wave of the COVID-19 pandemic.Health psychology report · 2025Article
- Psychological resilience, resilient coping, and health behaviors among adults in Puerto Rico after multiple adverse events.Preventive medicine reports · 2024Article
- A brief measure of non-drug reinforcement: Association with treatment outcomes during initial substance use recovery.Drug and alcohol dependence · 2024Article
- The role of lifestyle and mental health in the weight change of higher vocational college students in Fuzhou, China during COVID-19.Preventive medicine reports · 2024Article
- Assessing mental resilience with individual and lifestyle determinants among nursing students: An observational study from Greece.AIMS public health · 2024Article
Corrections and comments
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Authors and funding
18 authors.
Funding
Abstract
backgroundThe coronavirus disease 2019 (COVID-19) pandemic has increased the already high levels of stress that higher education students experience. Stress influences health behaviors, including those related to dietary behaviors, alcohol, and sleep; yet the effects of stress can be mitigated by resilience. To date, past research studying the connections between dietary behaviors, alcohol misuse, sleep, and resilience commonly investigated singular relationships between two of the constructs. The aim of the current study was to explore the relationships between these constructs in a more holistic manner using mediation and moderation analyses.
methodsHigher education students from China, Ireland, Malaysia, South Korea, Taiwan, the Netherlands, and the United States were enrolled in a cross-sectional study from April to May 2020, which was during the beginning of the COVID-19 pandemic for most participants. An online survey, using validated tools, was distributed to assess perceived stress, dietary behaviors, alcohol misuse, sleep quality and duration, and resilience.
results2254 students completed the study. Results indicated that sleep quality mediated the relationship between perceived stress and dietary behaviors as well as the relationship between perceived stress and alcohol misuse. Further, increased resilience reduced the strength of the relationship between perceived stress and dietary behaviors but not alcohol misuse.
conclusionBased on these results, higher education students are likely to benefit from sleep education and resilience training, especially during stressful events.
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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.