ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2021
The association between nonrestorative sleep and health-related quality of life in Chinese adults: a cross-sectional study.
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Multidimensional sleep health linked to quality of life among Chinese adults.Health and quality of life outcomes · 2025Article
- Nonrestorative sleep is associated with self-injury behavior and suicidal ideation in Chinese adolescents: a longitudinal study.BMC public health · 2025Article
- The simplified Chinese version of the Nonrestorative Sleep Scale in Chinese young adults and measurement invariance across language and age.BMC psychology · 2025Article
- Associations between mindfulness and non-restorative sleep: the roles of resilience and handgrip.Frontiers in psychology · 2024Article
- The association between socioeconomic status and health-related quality of life among young and middle-aged maintenance hemodialysis patients: multiple mediation modeling.Frontiers in psychiatry · 2023Article
- Psychometric properties of the Persian version of Postpartum Sleep Quality Scale.Sleep and biological rhythms · 2022Article
- Average and individual differences between the 12-item MOS Short-form Health Survey version 2 (SF-12 V.2) and the veterans RAND 12-item Health Survey (VR-12) in the Chinese population.Health and quality of life outcomes · 2022Article
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Authors and funding
6 authors.
Funding
Abstract
purposeSleep problems are prevalent among the general population and can cause various health problems, which may lead to decreased quality of life. However, little is known about nonrestorative sleep and its implications. This study aimed to examine the association between nonrestorative sleep and health-related quality of life (HRQL) in Chinese adults.
methodsData were collected through a cross-sectional study of 500 adults in Hong Kong (66.4% female, average age of 39 years). The Short-Form-12 Health Survey version 2 (SF-12v2), Nonrestorative Sleep Scale (NRSS), Pittsburgh Sleep Quality Index, ENRICHD Social Support Instrument, Patient Health Questionnaire, Perceived Stress Scale, and Hospital Anxiety and Depression Scale were administered. Objective sleep parameters were based on participants' sleep condition over 1 week, as measured using an ActiGraph GT9X Link.
resultsMean standardized scores for the physical component summary (PCS) and mental component summary (MCS) of the SF-12v2 and the NRSS were 50.33 ± 6.50, 49.00 ± 9.03, and 64.77 ± 12.75, respectively. After adjusting for sociodemographic and lifestyle characteristics, sleep quality, objective sleep parameters, social support, somatic symptoms, stress, anxiety, and depression, NRSS scores were associated with PCS (b = 0.12, 95%CI: 0.06 to 0.18, p < 0.001) and MCS (b = 0.08, 95%CI: 0.02 to 0.15, p = 0.013) scores. Furthermore, associations of NRSS score with PCS as well as MCS scores were stronger in women than in men.
conclusionNonrestorative sleep is a potentially modifiable risk factor for poor HRQL. Thus, interventions to relieve or decrease nonrestorative sleep could be beneficial for improving HRQL.
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