ArticleFrontiers in public health2023
Is sleep quality a moderated mediator between perceived stress and depression among stroke patients?
Article in Frontiers in public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 6 citations in OpenAlex.
- Determinants and management approaches for fear of disease progression among stroke survivors.Medicine · 2026Article
- The effect of perceived stress on depression in stroke: the chain mediating role of self-acceptance and self-perceived burden.Frontiers in psychology · 2025Article
- Influencing Factors Associated with Psychological Capital Among Ischemic Stroke Patients: A Latent Profile Analysis.Psychology research and behavior management · 2024Article
- Factors related to sedentary behavior in older adult stroke patients in China: a study based on decision tree and logistic regression model.Frontiers in public health · 2024Article
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Sleep quality can offer new insights into addressing depression among stroke patients. However, the current understanding of the mechanism by which sleep quality reduces depression is not clear in existing research. Objectives: This study aimed to identify the relationships and mechanisms among perceived stress, sleep quality, social support, and depression in stroke patients. Methods: A multicenter cross-sectional study was conducted from January to May 2023. Cluster random sampling was used to recruit 500 stroke patients from five hospitals in Henan Province, China. The Chinese Perceived Stress Scale (CPSS), Pittsburgh Sleep Quality Index (PSQI), Social Support Rating Scale (SSRS), and Hamilton Depression Scale (HAMD-24) were employed to assess perceived stress, sleep quality, social support, and depression, respectively. Data were analyzed using descriptive analysis, Results: Out of 500 participants, 471 completed the survey (94.2%). After controlling for sex and age, mediation analysis revealed that poor sleep quality partially mediated the relationship between perceived stress and depression ( Conclusion: This study explained the moderated mediation of sleep quality and social support between perceived stress and depression. It provided a theoretical basis for the development of a sleep quality intervention program for reducing depression among stroke patients.
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