The Impact of Sleep Quality on Subjective Wellbeing Among Older Adults With Multimorbidity: A Moderated Mediation Model
BackgroundStudies have found that poor sleep quality is negatively associated with subjective wellbeing in older adults, but the mechanisms underlying are unclear. In this study, we aimed to examine the mediating role of negative emotions and the moderating role of perceived social support in the re...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-03-01
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| Series: | Frontiers in Psychology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2022.813775/full |
| _version_ | 1828856242400919552 |
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| author | Chichen Zhang Chichen Zhang Chichen Zhang Fang Dong Xiao Zheng Xiao Zheng Yaqing Xue Yaqing Xue Shujuan Xiao Lei Shi Benli Xue Jiachi Zhang Weiyan Ou |
| author_facet | Chichen Zhang Chichen Zhang Chichen Zhang Fang Dong Xiao Zheng Xiao Zheng Yaqing Xue Yaqing Xue Shujuan Xiao Lei Shi Benli Xue Jiachi Zhang Weiyan Ou |
| author_sort | Chichen Zhang |
| collection | DOAJ |
| description | BackgroundStudies have found that poor sleep quality is negatively associated with subjective wellbeing in older adults, but the mechanisms underlying are unclear. In this study, we aimed to examine the mediating role of negative emotions and the moderating role of perceived social support in the relationship between sleep quality and subjective wellbeing in older adults with multimorbidity.MethodsA multi-stage random sampling method was used to select a sample of 3,266 older adults aged 60 years and older. The Memorial University of Newfoundland Scale of Happiness (MUNSH), Pittsburgh Sleep Quality Index (PSQI), Depression Anxiety Stress Scales-21 (DASS-21), and Perceived Social Support Scale (PSSS) were used to assess subjective wellbeing, sleep quality, negative emotional states, and perceived social support, respectively. The moderated mediation models were examined using SPSS PROCESS Version 3.3 software.ResultsSleep quality had a significant direct effect on subjective wellbeing in older adults (β = −0.997, t = −11.783, p < 0.001). Negative emotions partially mediated the effect of sleep quality on subjective wellbeing (ab = −0.608, 95%CI: −0.728, −0.497). The indirect effect was moderated by perceived social support (β = −0.038, 95%CI: −0.062, −0.014, p < 0.001; β = −0.002, 95%CI: −0.004, −0.01, p = 0.008).ConclusionNegative emotions increased the negative association between sleep quality and the subjective wellbeing of older adults with multimorbidity, and perceived social support played a moderating role. Psychological and behavioral interventions should be implemented as early as possible to promote mental health and enhance social support level of older adults with multimorbidity, and ultimately improve the subjective wellbeing of older adults. |
| first_indexed | 2024-12-13T01:11:48Z |
| format | Article |
| id | doaj.art-b8d2cd68120b464d948fe119282bc806 |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-12-13T01:11:48Z |
| publishDate | 2022-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj.art-b8d2cd68120b464d948fe119282bc8062022-12-22T00:04:26ZengFrontiers Media S.A.Frontiers in Psychology1664-10782022-03-011310.3389/fpsyg.2022.813775813775The Impact of Sleep Quality on Subjective Wellbeing Among Older Adults With Multimorbidity: A Moderated Mediation ModelChichen Zhang0Chichen Zhang1Chichen Zhang2Fang Dong3Xiao Zheng4Xiao Zheng5Yaqing Xue6Yaqing Xue7Shujuan Xiao8Lei Shi9Benli Xue10Jiachi Zhang11Weiyan Ou12School of Health Management, Southern Medical University, Guangzhou, ChinaDepartment of Health Management, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaInstitute of Health Management, Southern Medical University, Guangzhou, ChinaSchool of Health Management, Southern Medical University, Guangzhou, ChinaSchool of Health Management, Southern Medical University, Guangzhou, ChinaSchool of Public Health, Southern Medical University, Guangzhou, ChinaSchool of Health Management, Southern Medical University, Guangzhou, ChinaSchool of Public Health, Southern Medical University, Guangzhou, ChinaSchool of Health Management, Southern Medical University, Guangzhou, ChinaSchool of Health Management, Southern Medical University, Guangzhou, ChinaSchool of Health Management, Southern Medical University, Guangzhou, ChinaSchool of Health Management, Southern Medical University, Guangzhou, ChinaSchool of Health Management, Southern Medical University, Guangzhou, ChinaBackgroundStudies have found that poor sleep quality is negatively associated with subjective wellbeing in older adults, but the mechanisms underlying are unclear. In this study, we aimed to examine the mediating role of negative emotions and the moderating role of perceived social support in the relationship between sleep quality and subjective wellbeing in older adults with multimorbidity.MethodsA multi-stage random sampling method was used to select a sample of 3,266 older adults aged 60 years and older. The Memorial University of Newfoundland Scale of Happiness (MUNSH), Pittsburgh Sleep Quality Index (PSQI), Depression Anxiety Stress Scales-21 (DASS-21), and Perceived Social Support Scale (PSSS) were used to assess subjective wellbeing, sleep quality, negative emotional states, and perceived social support, respectively. The moderated mediation models were examined using SPSS PROCESS Version 3.3 software.ResultsSleep quality had a significant direct effect on subjective wellbeing in older adults (β = −0.997, t = −11.783, p < 0.001). Negative emotions partially mediated the effect of sleep quality on subjective wellbeing (ab = −0.608, 95%CI: −0.728, −0.497). The indirect effect was moderated by perceived social support (β = −0.038, 95%CI: −0.062, −0.014, p < 0.001; β = −0.002, 95%CI: −0.004, −0.01, p = 0.008).ConclusionNegative emotions increased the negative association between sleep quality and the subjective wellbeing of older adults with multimorbidity, and perceived social support played a moderating role. Psychological and behavioral interventions should be implemented as early as possible to promote mental health and enhance social support level of older adults with multimorbidity, and ultimately improve the subjective wellbeing of older adults.https://www.frontiersin.org/articles/10.3389/fpsyg.2022.813775/fullolder adultsmultimorbiditysubjective wellbeinga moderated mediation modelnegative emotions |
| spellingShingle | Chichen Zhang Chichen Zhang Chichen Zhang Fang Dong Xiao Zheng Xiao Zheng Yaqing Xue Yaqing Xue Shujuan Xiao Lei Shi Benli Xue Jiachi Zhang Weiyan Ou The Impact of Sleep Quality on Subjective Wellbeing Among Older Adults With Multimorbidity: A Moderated Mediation Model Frontiers in Psychology older adults multimorbidity subjective wellbeing a moderated mediation model negative emotions |
| title | The Impact of Sleep Quality on Subjective Wellbeing Among Older Adults With Multimorbidity: A Moderated Mediation Model |
| title_full | The Impact of Sleep Quality on Subjective Wellbeing Among Older Adults With Multimorbidity: A Moderated Mediation Model |
| title_fullStr | The Impact of Sleep Quality on Subjective Wellbeing Among Older Adults With Multimorbidity: A Moderated Mediation Model |
| title_full_unstemmed | The Impact of Sleep Quality on Subjective Wellbeing Among Older Adults With Multimorbidity: A Moderated Mediation Model |
| title_short | The Impact of Sleep Quality on Subjective Wellbeing Among Older Adults With Multimorbidity: A Moderated Mediation Model |
| title_sort | impact of sleep quality on subjective wellbeing among older adults with multimorbidity a moderated mediation model |
| topic | older adults multimorbidity subjective wellbeing a moderated mediation model negative emotions |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2022.813775/full |
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