Effect of perceived stress on insomnia severity among male soldiers: mediating role of depression and moderating role of mindfulness

Objective To explore the effect of perceived stress on insomnia severity among male soldiers, and examine the mediating effect of depression and the moderating effect of mindfulness. Methods A sample of 1 321 male soldiers from a unit of the army were investigated with Perceived Stress Scale (PSS),...

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Main Authors: XU Xiaoxiao, LI We, LIU Yi, XU Chen, LI Min
Format: Article
Language:zho
Published: Editorial Office of Journal of Army Medical University 2022-08-01
Series:陆军军医大学学报
Subjects:
Online Access:http://aammt.tmmu.edu.cn/Upload/rhtml/202201204.htm
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author XU Xiaoxiao
LI We
LIU Yi
XU Chen
LI Min
author_facet XU Xiaoxiao
LI We
LIU Yi
XU Chen
LI Min
author_sort XU Xiaoxiao
collection DOAJ
description Objective To explore the effect of perceived stress on insomnia severity among male soldiers, and examine the mediating effect of depression and the moderating effect of mindfulness. Methods A sample of 1 321 male soldiers from a unit of the army were investigated with Perceived Stress Scale (PSS), Insomnia Severity Index (ISI), Self-Rating Depression Scale (SDS) and Five Facet Mindfulness Questionnaire (FFMQ) during March 2021. Pearson correlation analysis was employed to analyze the correlation of perceived stress, insomnia severity, depression and mindfulness. PROCESS program was adopted to investigate the mediating role of depression and moderating role of mindfulness. Results ① The incidence rate of insomnia was 11.36% among the male soldiers. The prevalence rate of subthreshold insomnia was 8.86%, of clinical insomnia (moderate severity) was 2.12%, and of clinical insomnia (severe) was 0.38%. The prevalence rate of depression was 15.52% among them. And the prevalence rate of mild depression was 9.16%, of moderate depression was 6.13%, and of major depression was 0.23%. ②PSS score had significant positive correlation with ISI score (r=0.43, P < 0.01), and SDS score was positively correlated with both PSS and ISI scores (r=0.70, 0.42, P < 0.01). FFMQ score was negatively correlated with PSS, SDS and ISI scores (r=-0.39, -0.39, -0.17, P < 0.01). ③The relationship between perceived stress and insomnia severity was partially mediated by depression, accounting for 37.21% of the total effect. ④The effect of perceived stress on depression (β=-0.11, P < 0.01) and effect of perceived stress on insomnia severity (β=-0.05, P < 0.05) were both moderated by mindfulness. Compared with low level of mindfulness, high level of mindfulness could alleviate the adverse impacts of perceived stress on both depression and insomnia severity. Conclusion Perceived stress affects insomnia severity through depression, and mindfulness can mitigate the effects of perceived stress on both depression and insomnia severity. Mindfulness training may help to reduce depression and improve sleep quality of male soldiers.
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spelling doaj.art-26429b7351ee45ea9c5da2b70a10ee4a2022-12-22T02:23:11ZzhoEditorial Office of Journal of Army Medical University陆军军医大学学报2097-09272022-08-0144161666167110.16016/j.2097-0927.202201204Effect of perceived stress on insomnia severity among male soldiers: mediating role of depression and moderating role of mindfulnessXU Xiaoxiao0LI We1LIU Yi2XU Chen3LI Min4Department of Basic Psychology, Army Medical University (Third Military Medical University), Chongqing, 400038, China Battalion 1, College of Basic Medical Sciences, Army Medical University (Third Military Medical University), Chongqing, 400038, ChinaBattalion 4, College of Basic Medical Sciences, Army Medical University (Third Military Medical University), Chongqing, 400038, ChinaDepartment of Military Psychology, Faculty of Psychology, Army Medical University (Third Military Medical University), Chongqing, 400038, ChinaDepartment of Military Psychology, Faculty of Psychology, Army Medical University (Third Military Medical University), Chongqing, 400038, ChinaObjective To explore the effect of perceived stress on insomnia severity among male soldiers, and examine the mediating effect of depression and the moderating effect of mindfulness. Methods A sample of 1 321 male soldiers from a unit of the army were investigated with Perceived Stress Scale (PSS), Insomnia Severity Index (ISI), Self-Rating Depression Scale (SDS) and Five Facet Mindfulness Questionnaire (FFMQ) during March 2021. Pearson correlation analysis was employed to analyze the correlation of perceived stress, insomnia severity, depression and mindfulness. PROCESS program was adopted to investigate the mediating role of depression and moderating role of mindfulness. Results ① The incidence rate of insomnia was 11.36% among the male soldiers. The prevalence rate of subthreshold insomnia was 8.86%, of clinical insomnia (moderate severity) was 2.12%, and of clinical insomnia (severe) was 0.38%. The prevalence rate of depression was 15.52% among them. And the prevalence rate of mild depression was 9.16%, of moderate depression was 6.13%, and of major depression was 0.23%. ②PSS score had significant positive correlation with ISI score (r=0.43, P < 0.01), and SDS score was positively correlated with both PSS and ISI scores (r=0.70, 0.42, P < 0.01). FFMQ score was negatively correlated with PSS, SDS and ISI scores (r=-0.39, -0.39, -0.17, P < 0.01). ③The relationship between perceived stress and insomnia severity was partially mediated by depression, accounting for 37.21% of the total effect. ④The effect of perceived stress on depression (β=-0.11, P < 0.01) and effect of perceived stress on insomnia severity (β=-0.05, P < 0.05) were both moderated by mindfulness. Compared with low level of mindfulness, high level of mindfulness could alleviate the adverse impacts of perceived stress on both depression and insomnia severity. Conclusion Perceived stress affects insomnia severity through depression, and mindfulness can mitigate the effects of perceived stress on both depression and insomnia severity. Mindfulness training may help to reduce depression and improve sleep quality of male soldiers. http://aammt.tmmu.edu.cn/Upload/rhtml/202201204.htmperceived stressinsomnia severitydepressionmindfulnessmale soldiers
spellingShingle XU Xiaoxiao
LI We
LIU Yi
XU Chen
LI Min
Effect of perceived stress on insomnia severity among male soldiers: mediating role of depression and moderating role of mindfulness
陆军军医大学学报
perceived stress
insomnia severity
depression
mindfulness
male soldiers
title Effect of perceived stress on insomnia severity among male soldiers: mediating role of depression and moderating role of mindfulness
title_full Effect of perceived stress on insomnia severity among male soldiers: mediating role of depression and moderating role of mindfulness
title_fullStr Effect of perceived stress on insomnia severity among male soldiers: mediating role of depression and moderating role of mindfulness
title_full_unstemmed Effect of perceived stress on insomnia severity among male soldiers: mediating role of depression and moderating role of mindfulness
title_short Effect of perceived stress on insomnia severity among male soldiers: mediating role of depression and moderating role of mindfulness
title_sort effect of perceived stress on insomnia severity among male soldiers mediating role of depression and moderating role of mindfulness
topic perceived stress
insomnia severity
depression
mindfulness
male soldiers
url http://aammt.tmmu.edu.cn/Upload/rhtml/202201204.htm
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