ArticlePsychological reports2024
The Role of Sleep Effort as a Mediator Between Anxiety and Depression.
Article in Psychological reports, 2024. 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.
- Maternal depressive symptoms and mother-infant cosleeping (including room sharing and bedsharing): a systematic review.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024Pooled it
- Analysis of factors influencing anxiety and depression disorders among hospitalized patients.Frontiers in psychiatry · 2026Article
- Alleviating psychosocial distress in drug-resistant tuberculosis: a pre-post study on telephone-delivered motivational interviewing.Frontiers in public health · 2026Article
- Association among presentation, severity, and risk factors of acne vulgaris among Chinese college students: A cross-sectional study.Medicine · 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
- Exploring the Impact and Mechanisms of Coffee and Its Active Ingredients on Depression, Anxiety, and Sleep Disorders.Nutrients · 2025Review
- Review
- Gender differences in the relationship between obsessive-compulsive symptoms and suicide risk among psychiatric outpatient adolescents: the role of depressive symptoms, anxiety symptoms, and sleep disturbances.Frontiers in public health · 2025Article
- Sleep effort and its measurement: A scoping review.Journal of sleep research · 2024Article
- Neurophysiological Parameters Influencing Sleep-Wake Discrepancy in Insomnia Disorder: A Preliminary Analysis on Alpha Rhythm during Sleep Onset.Brain sciences · 2024Article
- Prevalence of Insomnia and its Relationship with Psychosocial Factors among Medical Residents in Saudi Arabia.Saudi journal of medicine & medical sciencesArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Depression, anxiety, and insomnia are all conditions that share a complex bidirectional relationship. Sleep effort is a construct with cognitive and behavioral components that perpetuates insomnia. Although many studies have examined the associations between these three variables, no studies have yet examined sleep effort as a mediating variable between anxiety and depression and vice versa. Online versions of the Hospital Anxiety and Depression Scale and the Glasgow Sleep Effort Scale were administered to a sample of 1927 higher education students aged 18-40 years (75.9% women and 76% from 18 to 23 years old). As part of the survey, participants also completed a sociodemographic questionnaire. Mediation analysis indicated that sleep effort mediates the relationship between depression and anxiety, when the former was the predictor and the latter was the criterion. Moreover, sleep effort also mediated the relationship between anxiety and depression when the former was the predictor and the latter was the criterion, albeit in a lesser extent. Sleep effort appears to play a bidirectional mediational role between depression and anxiety, being a potential target for intervention.
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