ArticleJournal of behavioral medicine2026
Maladaptive coping strategies mediate the relationship between perceived differential treatment and sleep health among women.
Article in Journal of behavioral medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
To investigate whether associations between perceived differential treatment based on race-ethnicity and sleep are mediated by coping strategies. We used data from the nationwide Sister Study. In 2008-2012, participants self-reported perceived lifetime differential treatment and completed adapted Coping Orientation to Problems Experienced Inventory (COPE)/Brief COPE questionnaires which assessed healthy/adaptive (e.g., using emotional support) and maladaptive (e.g., self-blame) coping. Sleep duration, poor sleep quality, and insomnia symptoms were self-reported in 2017-2019. Adjusting for sociodemographic and health characteristics, mediation analysis was performed using the Hayes PROCESS macro. Among 31,443 eligible women (mean ± SD age 55.5 ± 8.6 years), the prevalence of everyday (79% among non-Hispanic [NH]-Black, 30% Latina, and 4% NH-White participants) and major (57% NH-Black, 14% Latina, and 2% NH-White) perceived differential treatment varied by race-ethnicity. Among NH-Black women, only maladaptive coping mediated associations between everyday differential treatment and poor sleep quality (indirect effect b = 0.01, 95% confidence interval [CI] = 0.00, 0.03) and insomnia symptoms (indirect effect b = 0.04, 95% CI = 0.01, 0.07). Neither adaptive nor maladaptive coping mediated (1) associations with major differential treatment among NH-Black women nor (2) associations with differential treatment among Latina women. Among NH-White women, maladaptive coping mediated associations between both everyday and major differential treatment and both poor sleep quality and insomnia symptoms. Associations between everyday differential treatment based on race-ethnicity and insomnia symptoms along with poor sleep quality were stronger among women who reported maladaptive, but not healthy/adaptive, coping strategies. Interventions that address maladaptive coping may mitigate the impact of perceived differential treatment on sleep disturbances.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.