Sleep quality and subjective well-being in healthcare students: examining the role of anxiety and depression

ObjectiveSleep issues, negative emotions, and health conditions are commonly co-occurring, whereas their associations among healthcare students have yet to be elucidated. This study aimed to examine whether anxiety and depression mediate the relationship between sleep quality and subjective well-bei...

Full description

Bibliographic Details
Main Authors: Yihong Zhu, Runtang Meng, Chen Jiang, Nongnong Yang, Mengyi Huang, Xiaowen Wang, Wenjing Zou, Chen Lou, Ruohan Xiao, Jingjing Lu, Jiale Xu, Ulises Jiménez-Correa, Haiyan Ma, Karen Spruyt, Joseph M. Dzierzewski
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-12-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1281571/full
_version_ 1797374785287618560
author Yihong Zhu
Runtang Meng
Runtang Meng
Chen Jiang
Nongnong Yang
Mengyi Huang
Xiaowen Wang
Wenjing Zou
Chen Lou
Ruohan Xiao
Jingjing Lu
Jiale Xu
Ulises Jiménez-Correa
Haiyan Ma
Haiyan Ma
Karen Spruyt
Joseph M. Dzierzewski
author_facet Yihong Zhu
Runtang Meng
Runtang Meng
Chen Jiang
Nongnong Yang
Mengyi Huang
Xiaowen Wang
Wenjing Zou
Chen Lou
Ruohan Xiao
Jingjing Lu
Jiale Xu
Ulises Jiménez-Correa
Haiyan Ma
Haiyan Ma
Karen Spruyt
Joseph M. Dzierzewski
author_sort Yihong Zhu
collection DOAJ
description ObjectiveSleep issues, negative emotions, and health conditions are commonly co-occurring, whereas their associations among healthcare students have yet to be elucidated. This study aimed to examine whether anxiety and depression mediate the relationship between sleep quality and subjective well-being in healthcare students.MethodsA cross-sectional survey was conducted among Chinese healthcare students (N = 348). A battery of paper-and-pencil questionnaires—the Sleep Quality Questionnaire (SQQ), World Health Organization-Five Well-Being Index (WHO-5), and Patient Health Questionnaire-4 (PHQ-4) were applied. Descriptive analysis with means (standard deviations) and counts (proportions), Spearman correlation analysis between the SQQ, WHO-5, and PHQ-4, and mediation analysis via structural equation models were performed.ResultsCorrelation analysis revealed statistically significant associations between sleep quality, anxiety and depression, and well-being among healthcare students. Mediation analysis identified that poor sleep quality produced relatively low levels of self-reported well-being, which were entirely attributable to anxiety and depression.ConclusionSleep quality was associated with subjective well-being, and this interrelationship was fully mediated by anxiety and depression. Interventions aimed at promoting sleep quality of healthcare students may contribute to promoting their well-being by reducing anxiety and depression.
first_indexed 2024-03-08T19:09:44Z
format Article
id doaj.art-7eabde466e964f62841aebf708ec4fcb
institution Directory Open Access Journal
issn 2296-2565
language English
last_indexed 2024-03-08T19:09:44Z
publishDate 2023-12-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Public Health
spelling doaj.art-7eabde466e964f62841aebf708ec4fcb2023-12-27T17:26:47ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-12-011110.3389/fpubh.2023.12815711281571Sleep quality and subjective well-being in healthcare students: examining the role of anxiety and depressionYihong Zhu0Runtang Meng1Runtang Meng2Chen Jiang3Nongnong Yang4Mengyi Huang5Xiaowen Wang6Wenjing Zou7Chen Lou8Ruohan Xiao9Jingjing Lu10Jiale Xu11Ulises Jiménez-Correa12Haiyan Ma13Haiyan Ma14Karen Spruyt15Joseph M. Dzierzewski16School of Clinical Medicine, Hangzhou Normal University, Hangzhou, Zhejiang, ChinaSchool of Public Health, Hangzhou Normal University, Hangzhou, Zhejiang, ChinaEngineering Research Center of Mobile Health Management System, Ministry of Education, Hangzhou, Zhejiang, ChinaSchool of Public Health, Hangzhou Normal University, Hangzhou, Zhejiang, ChinaSchool of Public Health, Hangzhou Normal University, Hangzhou, Zhejiang, ChinaSchool of Public Health, Hangzhou Normal University, Hangzhou, Zhejiang, ChinaSchool of Public Health, Hangzhou Normal University, Hangzhou, Zhejiang, ChinaSchool of Public Health, Hangzhou Normal University, Hangzhou, Zhejiang, ChinaSchool of Nursing, Hangzhou Normal University, Hangzhou, Zhejiang, ChinaSchool of Nursing, Hangzhou Normal University, Hangzhou, Zhejiang, ChinaSchool of Nursing, Hangzhou Normal University, Hangzhou, Zhejiang, ChinaSchool of Public Health, Hangzhou Normal University, Hangzhou, Zhejiang, ChinaSleep Disorders Clinic, Research Division, Medicine Faculty, National Autonomous University of Mexico (UNAM), Mexico City, MexicoSchool of Public Health, Hangzhou Normal University, Hangzhou, Zhejiang, ChinaEngineering Research Center of Mobile Health Management System, Ministry of Education, Hangzhou, Zhejiang, ChinaUniversité Paris Cité, NeuroDiderot, INSERM, Paris, FranceNational Sleep Foundation, Washington, DC, United StatesObjectiveSleep issues, negative emotions, and health conditions are commonly co-occurring, whereas their associations among healthcare students have yet to be elucidated. This study aimed to examine whether anxiety and depression mediate the relationship between sleep quality and subjective well-being in healthcare students.MethodsA cross-sectional survey was conducted among Chinese healthcare students (N = 348). A battery of paper-and-pencil questionnaires—the Sleep Quality Questionnaire (SQQ), World Health Organization-Five Well-Being Index (WHO-5), and Patient Health Questionnaire-4 (PHQ-4) were applied. Descriptive analysis with means (standard deviations) and counts (proportions), Spearman correlation analysis between the SQQ, WHO-5, and PHQ-4, and mediation analysis via structural equation models were performed.ResultsCorrelation analysis revealed statistically significant associations between sleep quality, anxiety and depression, and well-being among healthcare students. Mediation analysis identified that poor sleep quality produced relatively low levels of self-reported well-being, which were entirely attributable to anxiety and depression.ConclusionSleep quality was associated with subjective well-being, and this interrelationship was fully mediated by anxiety and depression. Interventions aimed at promoting sleep quality of healthcare students may contribute to promoting their well-being by reducing anxiety and depression.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1281571/fullsleep qualitywell-beinganxiety and depressionmediationhealthcare students
spellingShingle Yihong Zhu
Runtang Meng
Runtang Meng
Chen Jiang
Nongnong Yang
Mengyi Huang
Xiaowen Wang
Wenjing Zou
Chen Lou
Ruohan Xiao
Jingjing Lu
Jiale Xu
Ulises Jiménez-Correa
Haiyan Ma
Haiyan Ma
Karen Spruyt
Joseph M. Dzierzewski
Sleep quality and subjective well-being in healthcare students: examining the role of anxiety and depression
Frontiers in Public Health
sleep quality
well-being
anxiety and depression
mediation
healthcare students
title Sleep quality and subjective well-being in healthcare students: examining the role of anxiety and depression
title_full Sleep quality and subjective well-being in healthcare students: examining the role of anxiety and depression
title_fullStr Sleep quality and subjective well-being in healthcare students: examining the role of anxiety and depression
title_full_unstemmed Sleep quality and subjective well-being in healthcare students: examining the role of anxiety and depression
title_short Sleep quality and subjective well-being in healthcare students: examining the role of anxiety and depression
title_sort sleep quality and subjective well being in healthcare students examining the role of anxiety and depression
topic sleep quality
well-being
anxiety and depression
mediation
healthcare students
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1281571/full
work_keys_str_mv AT yihongzhu sleepqualityandsubjectivewellbeinginhealthcarestudentsexaminingtheroleofanxietyanddepression
AT runtangmeng sleepqualityandsubjectivewellbeinginhealthcarestudentsexaminingtheroleofanxietyanddepression
AT runtangmeng sleepqualityandsubjectivewellbeinginhealthcarestudentsexaminingtheroleofanxietyanddepression
AT chenjiang sleepqualityandsubjectivewellbeinginhealthcarestudentsexaminingtheroleofanxietyanddepression
AT nongnongyang sleepqualityandsubjectivewellbeinginhealthcarestudentsexaminingtheroleofanxietyanddepression
AT mengyihuang sleepqualityandsubjectivewellbeinginhealthcarestudentsexaminingtheroleofanxietyanddepression
AT xiaowenwang sleepqualityandsubjectivewellbeinginhealthcarestudentsexaminingtheroleofanxietyanddepression
AT wenjingzou sleepqualityandsubjectivewellbeinginhealthcarestudentsexaminingtheroleofanxietyanddepression
AT chenlou sleepqualityandsubjectivewellbeinginhealthcarestudentsexaminingtheroleofanxietyanddepression
AT ruohanxiao sleepqualityandsubjectivewellbeinginhealthcarestudentsexaminingtheroleofanxietyanddepression
AT jingjinglu sleepqualityandsubjectivewellbeinginhealthcarestudentsexaminingtheroleofanxietyanddepression
AT jialexu sleepqualityandsubjectivewellbeinginhealthcarestudentsexaminingtheroleofanxietyanddepression
AT ulisesjimenezcorrea sleepqualityandsubjectivewellbeinginhealthcarestudentsexaminingtheroleofanxietyanddepression
AT haiyanma sleepqualityandsubjectivewellbeinginhealthcarestudentsexaminingtheroleofanxietyanddepression
AT haiyanma sleepqualityandsubjectivewellbeinginhealthcarestudentsexaminingtheroleofanxietyanddepression
AT karenspruyt sleepqualityandsubjectivewellbeinginhealthcarestudentsexaminingtheroleofanxietyanddepression
AT josephmdzierzewski sleepqualityandsubjectivewellbeinginhealthcarestudentsexaminingtheroleofanxietyanddepression