Evidence map›Paper›PMID 40144351›Full record

ArticlePsychology research and behavior management2025

Secondary Analysis of Helplessness, Depressive Symptoms, and Sleep Quality on Health Status: A Moderated Mediation Analysis.

Terry A Cronan, Taylor L Skow, Lucy Ishkhanian, Melody Sadler, Kalila Wash, Angelina Van Dyne

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Article in Psychology research and behavior management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Terry A CronanDepartment of Psychology, San Diego State University, San Diego, CA, USA.
Taylor L SkowDepartment of Psychology, San Diego State University, San Diego, CA, USA.
Lucy IshkhanianDepartment of Psychology, San Diego State University, San Diego, CA, USA.
Melody SadlerDepartment of Psychology, San Diego State University, San Diego, CA, USA.
Kalila WashDepartment of Psychology, San Diego State University, San Diego, CA, USA.
Angelina Van DyneSan Diego State University/University of CA, San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The objective of the study was to determine whether depressive symptoms mediated the association between helplessness and health status, and to assess whether sleep quality moderated this relationship for people with fibromyalgia (FM) in a moderated mediation model. Patients and Methods: The participants were 600 members of a health maintenance organization. The Arthritis Helplessness Index (AHI) was used to assess helplessness. The Center for Epidemiological Studies Depression Scale (CES-D) was used to measure symptoms of depression. Sleep quality was assessed using The Pittsburgh Sleep Quality Index (PSQI). Health Status was measured using the Quality of Well-Being Scale (QWB). Results: Depressive symptoms partially mediated the relationship between helplessness and health status. Sleep quality fully moderated the association between depressive symptoms and health status. However, worse sleep quality was associated with a weaker relationship between depressive symptoms and health status. Conclusion: The findings extend the literature by explaining the impact of helplessness on health status via depressive symptoms, and emphasize the importance of reducing feelings of helplessness and depression in people with FM. The results suggest that depressive symptoms may be more critical than addressing sleep quality problems in interventions designed for people with FM.

Indexed as

behavioral healthfibromyalgiapsychological healthquality of life

Identifiers

PMID40144351
PMCPMC11937647

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.