Evidence map›Paper›PMID 40146359›Full record

ArticleSleep & breathing = Schlaf & Atmung2025

Relationship between dysfunctional beliefs and attitudes about sleep and mental health in medical staff: the mediating role of sleep quality.

Benhong Wang, Zhong Wang, Xiaomei Zhang, Yanbin Ji, Yibin Shuai, Yinping Shen, Zhongxia Shen, Wenhao Chen

Abstract read
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In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Benhong Wang *Department of Psychiatry, Huzhou Third Municipal Hospital, The Affiliated Hospital of Huzhou University, Zhejiang Province, Huzhou, 313000, China.
Zhong Wang *Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, 100191, China.
Xiaomei ZhangDepartment of Psychiatry, Huzhou Third Municipal Hospital, The Affiliated Hospital of Huzhou University, Zhejiang Province, Huzhou, 313000, China.
Yanbin JiDepartment of Neurology, Qilu Hospital of Shandong University, Shandong University, Jinan, 250012, China.
Yibin ShuaiDepartment of Psychiatry, Huzhou Third Municipal Hospital, The Affiliated Hospital of Huzhou University, Zhejiang Province, Huzhou, 313000, China.
Yinping ShenDepartment of Psychiatry, Huzhou Third Municipal Hospital, The Affiliated Hospital of Huzhou University, Zhejiang Province, Huzhou, 313000, China.
Zhongxia ShenDepartment of Psychiatry, Huzhou Third Municipal Hospital, The Affiliated Hospital of Huzhou University, Zhejiang Province, Huzhou, 313000, China. snowszx@sina.com.
Wenhao ChenDepartment of Psychiatry, The First Affiliated Hospital, Zhejiang University School of Medicine, The Key Laboratory of Mental Disorder's Management in Zhejiang Province, Hangzhou, 310003, China. chenwenhao@zju.edu.cn.

Funding

China Postdoctoral Science Foundation 2024M750133National Key Research and Development Program of China 2021YFC2501400National Natural Science Foundation of China 81901347National Natural Science Foundation of China 82201646Postdoctoral Fellowship Program of China Postdoctoral Science Foundation GZC20240080Zhejiang Province Public Welfare Technology Application Research Project LGF19H090002Zhejiang Provincial Natural Science Foundation of China under Grant ZCLY24H0901
6 · The paper itself

Abstract

purposeSleep and psychological disorders are critical global health issues, and medical personnel are not immune to their effects. This cross-sectional study explores the relationship between Dysfunctional Beliefs and Attitudes about Sleep (DBAS) and mental health among medical staff, with a focus on the mediating role of sleep quality.

methodsA web-based questionnaire was distributed to participants between April and May 2023.The research employed several assessment tools, including a General Information Questionnaire, the Dysfunctional Beliefs and Attitudes about Sleep Scale (DBAS), the Pittsburgh Sleep Quality Index (PSQI), the Patient Health Questionnaire (PHQ-9), and the Generalized Anxiety Disorder Scale (GAD-7).

resultsThe study included 263 medical staff and 270 non-medical staff. Medical personnel reported significantly higher DBAS scores and poorer sleep quality than non-medical staff (p < 0.01). There were significant correlations between DBAS, sleep quality (r = -0.232, p < 0.01), and symptoms of depression (r = -0.242, p < 0.01) and anxiety (r = -0.274, p < 0.01) among medical staff. Further analysis of the intermediary effect revealed that sleep quality partially mediated the relationship between DBAS and symptoms of depression and anxiety.

conclusionThe findings suggest that depression and anxiety can adversely impact beliefs and attitudes about sleep, potentially leading to poorer sleep quality. Conversely, cultivating positive beliefs and attitudes about sleep may act as cognitive protective factors, promoting better sleep quality and mental health, particularly among medical professionals.

Indexed as

Attitude of Health PersonnelMental HealthSleep QualityAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesAnxietyDepressionDysfunctional beliefs and attitudes about sleepMedical staffSleep cognitiveSleep quality

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Registered trials

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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.