ArticleInternational journal of clinical and health psychology : IJCHP
Applicability of the cognitive model of generalized anxiety disorder to adolescents' sleep quality: A cross-sectional and longitudinal analysis.
Article in International journal of clinical and health psychology : IJCHP. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Actigraphy and subjective sleep predictors of nine-year generalized anxiety disorder.Journal of anxiety disorders · 2026Article
- Validation and cutoff score for the single-item sleep quality scale.Sleep & breathing = Schlaf & Atmung · 2024Article
- The relationship between time anxiety and college students' sleep quality: the mediating role of irrational procrastination and the moderating effect of physical activity.Frontiers in psychology · 2024Article
- Examining the influence of problematic internet use on sleep quality in Chinese adolescents: a study using the extended Stressor-Strain-Outcome (SSO) model.Frontiers in psychology · 2024Article
- When Childhood Control Slips Away: How Parental Affection and Abuse Shape Adult Anxiety and Depression.Clinical psychology & psychotherapyArticle
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4 authors.
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Abstract
Background: Poor sleep quality is a prevalent health issue among adolescents, and few studies have examined the variables affecting adolescents' sleep quality from the perspective of the co-occurrence of sleep issues and anxiety disorders. Therefore, the current study investigated whether the cognitive model of generalized anxiety disorder applies to adolescents' sleep quality. Method: In Study 1, a total of 2042 adolescents were recruited and they completed questionnaires relating to worry, intolerance of uncertainty (IU), negative problem orientation (NPO), cognitive avoidance (CA), and sleep quality. In Study 2, a total of 379 adolescents participated in a six-month longitudinal survey to verify the model that was obtained in Study 1. Results: Study 1 showed the modified cognitive model of generalized anxiety disorder can be applied to adolescents' sleep quality. Specifically, IU was a higher-order vulnerability factor that directly affected worry, and indirectly fostered worry via NPO and CA, where worry only mediated the relationships between IU, NPO, and sleep quality. However, CA exerted no independent effect on worry or sleep quality beyond the influences of IU and NPO, therefore, it dropped out of the final model. Study 2 partially confirmed the above model again from the longitudinal perspective. Conclusion: The present study constructs a new model to explain adolescents' sleep quality, providing a foundation for future interventions.
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