Abnormal night sleep duration and poor sleep quality are independently and combinedly associated with elevated depressive symptoms in Chinese rural adults: Henan Rural Cohort

Jiang, Jingjing; Li, Yuqian; Mao, Zhenxing; Wang, Fang; Huo, Wenqian; Liu, Ruihua; Zhang, Haiqing; Tian, Zhongyan; Liu, Xiaotian; Zhang, Xia; Tu, Ruiqi; Qian, Xinling; Li, Xue; Luo, Zhicheng; Bie, Ronghai; Wang, Chongjian

doi:10.1016/j.sleep.2019.10.022

Cited by 30 publications

(31 citation statements)

References 34 publications

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“…Furthermore, our study found the prevalence rate of frailty in the elderly with chronic diseases (21%) was higher than among general Chinese elders (18%) [ 41 ]. Additionally, the present study suggested that older female had a higher prevalence of frailty (19.22%) than that of male (15.74%), which has been widely found in previous studies [ 19 , 42 ]. One meta-analysis indicated that the pooled prevalence of frailty was 8% in males and 11% in females [ 43 ].…”

Section: Discussionsupporting

confidence: 86%

“…Findings from empirical studies suggest one potential mediating role of psychological distress. Previous studies in rural China suggest that abnormal sleep is associated with anxiety and depressive symptoms [ 19 , 20 ]. In particular, sleep duration is one predictor of anxiety, and insufficient sleep is a causal factor in depression [ 21 , 22 ].…”

Section: Introductionmentioning

confidence: 99%

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Associations of Sleep Quality and Frailty among the Older Adults with Chronic Disease in China: The Mediation Effect of Psychological Distress

Zhou

Meng

2020

IJERPH

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Frailty affects the elderly and leads to adverse health outcomes. Preliminary evaluations have suggested that sleep quality and psychological distress are predictors of frailty among older adults. However, the mechanisms by which sleep quality affect frailty had not been fully addressed in the previous research. This study aimed to explore the mediation effect of psychological distress on the association between sleep quality and frailty among the elderly with chronic diseases in rural China. A total of 2346 old adults were included in the analysis. Frailty status was measured by Fried Phenotype criteria. Sleep quality was assessed by Pittsburgh Sleep Quality Index (PSQI), and psychological distress was examined by Kessler Psychological Distress Scale (K10). Ordinal logistic regressions were performed to assess the relationships between sleep quality and frailty. Mediation test was also conducted by bootstrap method. The prevalence rate of frailty among the elderly with chronic diseases was 21% in rural China. Compared with the elder of robust status, respondents identified as having frailty have lower SES, less vigorous physical activity, and worse self-reported health status. Poor sleep quality was a significant predictor of frailty with mediators (OR = 1.44, 95% CI = 1.19–1.76). Mediation analysis suggested that psychological distress mediated 41.81% of total effect between sleep quality and frailty. This study indicated that poor sleep quality was significantly related to frailty, and psychological was a mediator of this association. However, we could not investigate causal relationships between variables since this was one cross-sectional study. These findings suggested that an early detection of sleep problems and also psychological disorders should be taken to prevent frailty among the rural older adults in China.

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Associations of Sleep Quality and Frailty among the Older Adults with Chronic Disease in China: The Mediation Effect of Psychological Distress

Zhou

Meng

2020

IJERPH

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“…The authors point out that the number of poor sleepers in the current study was higher than previous Chinese studies -21.80% in a large rural sample [3] and 24.10% in HIV-infected Chinese adults vs. 19.90% of HIV-uninfected participants [4]. Another large rural sample using a global PSQI score found that 27.44% of participants were poor sleepers [5].…”

Section: Editorialcontrasting

confidence: 75%

Sleep during times of coronavirus: early Chinese experience

Becker

2021

Sleep Medicine

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“…Ning et al [54], found that 24.10% of 1469 HIV-infected Chinese adults (aged 18e80 years) and 19.90% of 2938 HIVuninfected participants had poor sleep quality. Jiang et al [55], calculated the global PSQI score only based on six subscale scores (subjective sleep quality, sleep latency, habitual sleep efficiency, sleep disturbances, use of sleep medication, and daytime dysfunction), and found that 27.44% of 28,202 Chinese rural participants aged 18e79 years were poor sleepers. The current results thus suggest that the sleep quality of the non-diseased general public during COVID-19 was worse than usual.…”

Section: Discussionmentioning

confidence: 99%

Perceived stress and sleep quality among the non-diseased general public in China during the 2019 coronavirus disease: a moderated mediation model

et al. 2021

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Background: The 2019 coronavirus disease (COVID-19) has spread worldwide, and its associated stressors have resulted in decreased sleep quality among front-line workers. However, in China, the general public displayed more psychological problems than the front-line workers during the pandemic. Therefore, we investigated the influence of perceived stress on the sleep quality of the non-diseased general public and developed a moderated mediation model to explain said relationship. Methods: Questionnaire-based surveys were conducted online from February 18e25, 2020 with 1630 Chinese participants (aged 18e68 years). Results: Around one-third (36.38%) of participants were poor sleepers during the COVID-19 pandemic. Moreover, higher perceived stress was significantly associated with higher anxiety levels, which, in turn, was associated with lower sleep quality. Self-esteem moderated the indirect effect of perceived stress on sleep quality through its moderation of the effect of perceived stress on anxiety. This indicated that the mediation effect of anxiety was stronger in those with low levels of self-esteem than in those with high levels of self-esteem. Conclusions: These findings suggest that both the sleep quality and perceived stress levels of the nondiseased general public required attention during the COVID-19 pandemic. Our findings also identify personality characteristics related to better sleep quality, demonstrating the important role of selfesteem in environmental adaptation.

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Abnormal night sleep duration and poor sleep quality are independently and combinedly associated with elevated depressive symptoms in Chinese rural adults: Henan Rural Cohort

Cited by 30 publications

References 34 publications

Associations of Sleep Quality and Frailty among the Older Adults with Chronic Disease in China: The Mediation Effect of Psychological Distress

Associations of Sleep Quality and Frailty among the Older Adults with Chronic Disease in China: The Mediation Effect of Psychological Distress

Sleep during times of coronavirus: early Chinese experience

Perceived stress and sleep quality among the non-diseased general public in China during the 2019 coronavirus disease: a moderated mediation model

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