ArticleFrontiers in public health2024
Moderated serial mediation effects of adaptation problems, academic stress, and interpersonal relationships on the sleep quality of early-year university students.
Article in Frontiers in public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Prevalence of sleep disturbance among chinese college students: an updated meta-analysis.BMC psychiatry · 2026Pooled it
- Effectiveness of Baduanjin exercise for improving the mental health of university students: a systematic review and meta-analysis of randomized controlled trials.Frontiers in psychology · 2026Pooled it
- Sleep-Timing Types and Weekend Catch-Up Sleep Patterns Associated With Above-Threshold Anxiety Symptoms in College Students: 28-Day Objective Monitoring.Stress and health : journal of the International Society for the Investigation of Stress · 2026Article
- Adherence to Lifestyle Medicine and Sleep-Related Problems Among First-Year University Students in Quito, Ecuador, 2024-2025: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Associations among problematic smartphone use, depression, and sleep disturbance in Chinese college students: a three-wave longitudinal study.BMC psychology · 2026Article
- Latent profile analysis of depressive symptoms and its associations with problematic social media use and demographic characteristics among Chinese college students.BMC psychology · 2026Article
- Dual Pathways of Online Social Support on Sleep Quality in University Freshmen: The Suppression Effect of Psychological Resilience and the Moderating Role of Digital Literacy.Behavioral sciences (Basel, Switzerland) · 2026Article
- Unveiling the relationship between dietary patterns and sleep quality: cross-sectional evidence from university students in Jinan city.Frontiers in nutrition · 2026Article
- Identifying influencing factors associated with sleep quality in undergraduates based on partial least squares regression and XGBoost.Frontiers in psychology · 2025Article
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Authors and funding
2 authors.
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Abstract
Purpose: Due to heightened anxiety levels, sleep disorders become more prevalent among university students. This study, centered on adaptive capacity in early-year university students, aimed to explore the underlying mechanisms through which anxiety affects sleep quality. Methods: Between February 2023 and June 2023, a cohort of first- and second-year university students (mean age 18.8 years) from Hunan Province, China, took part in an online survey. Anxiety was assessed using the Self-rating Anxiety Scale; adaptation problems, academic stress, and interpersonal relationships were assessed using the Adolescent Self-Rating Life Events Checklist; and sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). A moderated serial mediation model, based on Hayes' Model 92, was used to assess the hypothesized model. Results: The survey resulted in 3,490 valid responses. Among respondents, 24% exhibited anxiety symptoms and 30.4% showed abnormal sleep patterns (i.e., PSQI score ≥ 8). The most significant path identified based on indirect effects was anxiety ( Conclusion: Elevated anxiety and sleep disorders are common among university students. Adaptive capacity may play a crucial role in sleep disorders among early-year university students. Interventions such as fostering strong interpersonal relationships in campus environments, may prove beneficial in improving academic performance and sleep quality.
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