Depression and sleep quality among Chinese college students: The roles of rumination and self-compassion

Abstract

A large number of studies have examined the association between depressive symptoms and sleep quality, however, the psychological mechanism underlying the association remains nebulous. Using moderated mediation analysis, the present study aimed to examine to what extent the association was mediated by rumination and whether the mediation effect was moderated by self-compassion. Self-reported measures on depressive symptoms, rumination, self-compassion, and sleep quality were collected from 564 college students. The results showed that (a) rumination mediated the association between depressive symptoms and sleep quality, and (b) self-compassion moderated the mediation effect. Specifically, the mediating effect of rumination was stronger for students with low self-compassion than those with high self-compassion. These findings suggest that selfcompassion may be a useful intervention target for health care practitioners to evaluate and improve sleep quality for individuals suffering from depressive symptoms.

Predicting sleep quality from brain white matter volume: A voxel-based morphometry study

“…The present study showed that the global PSQI score was no signi cantly correlated with age, which was inconsistent with the previous ndings (Bian et al, 2020). These discrepancies maybe explained that the mean age was comparably low and the age range was restricted in our sample.…”

“…In terms of sex disparities in sleep quality, our results were inconsistent with several previous studies (Bian et al, 2020;Neumann et al, 2020;Sa et al, 2020). For example, Bian et al (2020) found that females had a higher PSQI score than males. Sa et al (2020) found that females had lower days of getting enough sleep in a week.…”

“…These discrepancies maybe explained that the mean age was comparably low and the age range was restricted in our sample. In terms of sex disparities in sleep quality, our results were inconsistent with several previous studies (Bian et al, 2020;Neumann et al, 2020;Sa et al, 2020). For example, Bian et al (2020) found that females had a higher PSQI score than males.…”

COVID-19 Stressors and Poor Sleep Quality: The Mediating Role of Rumination and the Moderating Role of Emotion Regulation Strategies

“…The finding that rumination functions as one mediating mechanism linking stress to poor sleep quality was consistent with previous studies [ 13 , 25 , 53 ]. This further evidences that ruminative behavior and thinking can emerge in the presence of uncontrollable factors such as unprecedented and repetitive COVID-19 stressors [ 17 ] and that perseverative cognition can be health-threatening due to its function to sleep quality [ 22 ].…”

“…Further, rumination was found to have associations with short- and long-term sleep disturbances among college students [ 22 , 23 ] partly due to the continuous psycho-physiological arousals in response to stressful life events [ 20 ]. Although studies conducted pre-COVID-19 [ 24 ] have found little evidence of the effect of rumination on sleep among individuals with little rumination disposition, recent studies have proposed that the sudden and pervasive nature of COVID-19 may develop rumination tendencies among those have previously not shown such issues [ 13 ].…”