ArticleBMC geriatrics2022
The association between sleep quality and psychological distress among older Chinese adults: a moderated mediation model.
Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.
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Who cites it
31 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The effects of Qigong exercise on sleep quality in older adults: a systematic review and meta-analysis.Frontiers in public health · 2025Pooled it
- Socially-supported sleep in older adults aged 50 and older: a concept analysis.Frontiers in public health · 2024Pooled it
- Association Between Diet Diversity and Sleep Quality Among Medical Students: A Cross-Sectional Study at Rawalpindi Medical University.Health science reports · 2026Article
- Impact of Sleep Quality, Sleep Disturbances on Quality of Life Among Medical Students Worldwide: A Narrative Review.Cureus · 2026Review
- Trajectories of psychological distress and spinal pain in manual therapists during the COVID-19 pandemic in Sweden.Scientific reports · 2026Article
- Associations Between Life Satisfaction and Sleep Quality Among Older Adults in China: Mediating Roles of Psychological Resilience and Anxiety and a Moderating Role of Chronic Disease.Healthcare (Basel, Switzerland) · 2026Article
- Listening to voices across cultures: non-pharmacological approaches to coping with sleep problems in dementia among ethnically diverse older adults in the UK.BMC complementary medicine and therapies · 2025Article
- Depression severity and neuropsychiatric symptoms among nursing home residents with late-life depression: a moderated mediation model of sleep quality and resilience.BMC psychiatry · 2025Article
- Relationship between sedentary time and cognitive decline in hypertensive patients-mediating role of the weight-adjusted waist circumference index.Scientific reports · 2025Article
- A Cross-Sectional Study on the Psychological Effects of Different Exercises on Elderly Women.Brain sciences · 2025Article
- Could social support mediate the relationship between personality trait patterns and mental health in Chinese older adults: a nationwide cross-sectional study conducted in 2022.BMC public health · 2025Article
- Associations Between Sleep Duration and Activity of Daily Living Disability Among Older Adults in China: Cross-Sectional Study.Interactive journal of medical research · 2025Article
- Correlations between clinical insomnia and psychophysiological factors in postoperative patients discharged from the ICU: A cross-sectional study.PCN reports : psychiatry and clinical neurosciences · 2025Article
- Patterns of pre-sleep music use and sleep quality: exploratory survey findings on state anxiety.PeerJ · 2025Article
- The association between unintended pregnancy and maternal mental health in rural China.Frontiers in public health · 2025Article
- Risk factors and mediation role of sleep quality for depression in cognitively frail older adults: a cross-sectional study.Frontiers in aging neuroscience · 2025Article
- Varying Psychological Stress Among Rwandan Patients with Chronic Diseases.Diabetes, metabolic syndrome and obesity : targets and therapy · 2025Article
- Psychological states mediate the relationship between sleep quality and frailty among older adults.Frontiers in psychology · 2025Article
- Association of sleep quality with physical and psychological health indicators in overweight and obese rural Indians.Sleep medicine: X · 2024Article
- Mediating roles of activities of daily living and depression on the relationship between sleep quality and health-related quality of life.Scientific reports · 2024Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrevious research has found a link between sleep quality and psychological distress. However, the underlying mechanisms of this connection have still not been well explored. The aim of this study was to examine the roles of activities of daily living (ADL), physical activity, and perceived social support in the link between sleep quality and psychological distress among older adults.
methodsThree thousand two hundred fifty valid individuals (aged 60 years or above) participated in face-to-face questionnaire-based surveys. Older individuals were assessed using the Pittsburgh Sleep Quality Index, Barthel Index, International Physical Activity Questionnaire, Perceived Social Support Scale, and Depression Anxiety Stress Scale-21. The PROCESS macro developed by Hayes was used to conduct moderated mediation analysis.
resultsIn older adults, sleep quality had a substantial direct influence on psychological distress. ADL mediated the association between sleep quality and psychological distress. Physical activity significantly reduced ADL's mediating influence on the relationship between sleep quality and psychological distress. Furthermore, perceived social support moderated the direct relationship between sleep quality and psychological distress, as well as the second half of the mediating effect of the ADL. Moreover, physical activity and perceived social support were preventive factors that might successfully mitigate the detrimental effects of poor sleep quality on ADL and psychological distress.
conclusionsThe findings contribute to existing understanding by clarifying the fundamental mechanisms that link sleep quality and psychological distress. These results may provide a valuable reference to the Chinese government for improving mental health in older individuals.
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