ArticleBMC psychiatry2024
Associations of perceived stress with loneliness and depressive symptoms: the mediating role of sleep quality.
Article in BMC psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Increasing loneliness in Japan, 1983-2023: a cross-temporal meta-analysis.Frontiers in psychology · 2026Pooled it
- Analysis of the current state and influencing factors of loneliness among Chinese children aged 8-18 years.Frontiers in public health · 2026Trial
- Perceived Sleep Quality as a Mediator Between Occupational Stress and Depression: The Moderating Role of Work Engagement.Journal of Korean medical science · 2026Article
- The Role of Sleep in Mediating Mental Health Symptoms During the COVID-19 Pandemic in Children with and Without ADHD.Children (Basel, Switzerland) · 2026Article
- The mediating role of perceived stress between loneliness and medication behavior in Chinese children: a large cross-sectional study.Frontiers in public health · 2026Article
- Reciprocal effects between loneliness and sleep disturbances from adolescence to mid-adulthood: the HUNT study.Sleep advances : a journal of the Sleep Research Society · 2026Article
- Social isolation to depression: the chain mediating effect of sleep duration and frailty-evidence from a Chinese nationwide cross-sectional study.BMC geriatrics · 2025Article
- The impact of loneliness on sleep quality in college students: a chained mediation model involving perceived stress and expressive suppression.Scientific reports · 2025Article
- Prospective Associations Among Loneliness and Health for Servicemembers: Perceived Helplessness and Negative Coping Appraisal as Explanatory Mechanisms.Behavioral sciences (Basel, Switzerland) · 2025Article
- Baseline perceived stress as a predictor of ketamine/esketamine treatment response in treatment-resistant depression.Journal of affective disorders · 2025Article
- Delineating Life-Course Percentile Curves and Normative Values of Multi-Systemic Ageing Metrics in the United Kingdom, the United States, and China.Journal of cachexia, sarcopenia and muscle · 2025Article
- The associations between BMI, body appreciation, body image flexibility, sleep duration and loneliness in workers in southern China.BMC public health · 2025Article
- Resilience to psychosocial stress and epigenetic aging in schizophrenia: findings from a pilot study.Journal of neural transmission (Vienna, Austria : 1996) · 2025Article
- Mapping Connection and Direction Among Symptoms of Sleep Disturbance and Perceived Stress in Firefighters: Embracing the Network Analysis Perspective.Nature and science of sleep · 2025Article
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Authors and funding
9 authors at 5 institutions in 2 countries.
Funding
Abstract
backgroundWhether perceived stress is associated with loneliness and depressive symptoms in general adults, and to what extent sleep quality mediates the associations, remains unknown. The aim of this study was to estimate the associations of perceived stress with loneliness and depressive symptoms, and the mediating role of sleep quality in these associations.
methodsCross-sectional data on 734 participants (aged 18-87 years) were analyzed. Perceived stress was assessed using the 10-item Perceived Stress Scale (PSS-10; range 0-40). Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI; range 0-21). Loneliness was assessed using the three-item short form of the Revised University of California, Los Angeles (UCLA) loneliness scale (range 3-9). Depressive symptoms were assessed using the 10-item Center for Epidemiologic Studies Depression (CESD-10) Scale (range 0-30). General linear regression models, multivariable logistic regression models, and formal mediation analysis were performed.
resultsAfter adjustment for age and sex, we found that with each 1-point increment in the perceived stress score, both the loneliness score (β = 0.07; 95% confidence interval [CI]: 0.06, 0.08) and depression score (β = 0.45; 95% CI: 0.40, 0.49) increased significantly. Robust results were observed when adjusting for more confounders. Furthermore, sleep quality mediated 5.3% (95% CI: 1.3%, 10.0%; P = 0.014) and 9.7% (95% CI: 6.2%, 14.0%; P < 0.001) of the associations of perceived stress score with loneliness score and depression score, respectively.
conclusionsIn general Chinese adults, perceived stress was positively associated with loneliness and depressive symptoms, and sleep quality partially mediated these associations. The findings reveal a potential pathway from perceived stress to mental health through sleep behaviors, and highlight the importance of implementing sleep intervention programs for promoting mental health among those who feel highly stressed.
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