Evidence map›Paper›PMID 42684374›Full record

ArticleNoise & health

Sleep Disturbance as a Mediator Between Self-Reported Nighttime Noise Annoyance and Depression, Anxiety, and Suicide: A Mediation Analysis.

Dian-Jeng Li, Cheng-Fang Yen, Cheng-Chia Yang, Hung-En Liao, Yi-Lung Chen

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Article in Noise & health. 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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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Dian-Jeng LiDepartment of Addiction Science, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung, Taiwan.
Cheng-Fang YenDepartment of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Cheng-Chia YangDepartment of Healthcare Administration, College of Medical and Health Science, Asia University, Taichung, Taiwan.
Hung-En LiaoDepartment of Healthcare Administration, College of Medical and Health Science, Asia University, Taichung, Taiwan.
Yi-Lung ChenDepartment of Healthcare Administration, College of Medical and Health Science, Asia University, Taichung, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine whether sleep disturbance mediates associations between self-reported nighttime noise annoyance and depression, anxiety, and suicide risk in Taiwanese adults.

methodsWe analyzed cross-sectional online survey data from 776 Taiwanese adults collected between December 2024 and May 2025. Self-reported nighttime noise annoyance from road traffic, railways, aircraft, and residential building vibrations was assessed on a 5-point verbal scale. Sleep disturbance was assessed with the Pittsburgh Sleep Quality Index (PSQI), and depression, anxiety, and suicide risk were assessed with validated self-report scales. Mediation analyses estimated total, natural direct, and natural indirect effects using 5000 bootstrap resamples.

resultsSelf-reported nighttime noise annoyance from road traffic, aircraft, and residential building vibrations was associated with poorer subjective sleep quality. Self-reported nighttime noise annoyance from all four sources was associated with longer sleep latency, more sleep disturbances, greater use of sleeping medication, worse daytime dysfunction, and higher global PSQI scores ( B  = 0.652-0.788; all P < 0.001), but not with sleep duration or habitual sleep efficiency. Significant natural indirect effects through sleep disturbance were observed for anxiety, depression, and suicide risk for road traffic annoyance ( B  = 0.076-0.463) and residential building vibration annoyance ( B  = 0.082-0.503); 95% confidence intervals excluded 0. For residential building vibration annoyance, 40.1%-63.6% of total associations were mediated.

conclusionSleep disturbance may mediate associations between self-reported nighttime noise annoyance and depression, anxiety, and suicide risk. Populations reporting nighttime noise annoyance may benefit from sleep assessment and source-specific noise mitigation.

Indexed as

AnxietyDepressionNoiseNoise, TransportationSleep Wake DisordersSuicideAdultAgedCross-Sectional StudiesEnvironmental ExposureFemaleHumansMaleMediation AnalysisMiddle AgedSelf Reportanxietydepressionmediation analysis noisesleep disturbancesuicide

Identifiers

PMID42684374
PMCPMC13623176

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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.