ArticleInternational journal of environmental research and public health2025
The Role of Rumination and Worry in the Bidirectional Relationship Between Stress and Sleep Quality in Students.
Article in International journal of environmental research and public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- 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
- Sleep Disturbances as a Statistical Mediator Between Perceived Academic Stressors and Emotional, Cognitive, and Physical Stress Responses in University Students.Behavioral sciences (Basel, Switzerland) · 2026Article
- How negative life-events affect sleep quality of college students: a chain-mediating model.BMC psychology · 2026Article
- Mechanisms and Contingencies of Stress in University Students: A Systematic Scoping Review of Stress Mediators and Moderators.Behavioral sciences (Basel, Switzerland) · 2026Review
- Moderating effect of resilience on the associations of perceived stress and anxiety with unhealthy alcohol use and insomnia in Chinese hospital staff.Frontiers in public health · 2026Article
- The protective role of resilience-related strength in the association between sleep reactivity and insomnia symptoms among young Chinese male university students: a moderated network approach.Frontiers in psychiatry · 2026Article
- Determinants of anxiety and depression and their association with coping strategies in health professionals in war and conflict-afflicted areas.Frontiers in psychiatry · 2026Article
- Trauma Exposure, Insomnia, and Fatigue: A Cross-Sectional Study of the Pathways to Burnout Among South African First Responders.Health science reports · 2025Article
- Microbiota-gut-brain axis pathogenesis and targeted therapeutics in sleep disorders.Frontiers in neurology · 2025Review
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Authors and funding
2 authors.
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Abstract
Poor sleep is strongly associated with stress; however, the mediators of this relationship are not well understood. Cognitive arousal in the form of rumination and worry may mediate this relationship, but previous studies have primarily focused on patients with insomnia or employed cross-sectional designs. This study aimed to explore the causal relationship between sleep quality and stress using two-wave longitudinal data and examining the theoretical assumptions of insomnia models in a healthy, non-clinical student population. Research was conducted using a paper-and-pencil method. The sample included 302 undergraduate students from the University of Zagreb. Most of the participants were female (79.8%) and aged between 18 and 33 years, representing various fields of study. The research problem was examined through multiple mediation analysis. The results confirm our initial hypothesis regarding the bidirectional relationship between stress and sleep quality, which is partially mediated by rumination. The mediating effect of worry is significant only in parallel mediation; poor sleep quality leads to increased rumination (
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