The Indirect Effect of Sleep Quality on Stress-Related Psychosocial Outcomes in Adolescents: An Investigation Across Genders
Author:
Koike Camila1, Nestor Bridget1, Baumer Andreas2, Kossowsky Joe1
Affiliation:
1. Boston Children’s Hospital, Harvard Medical School 2. University of Zürich
Abstract
Abstract
Sleep is foundational for adolescent psychosocial outcomes though often compromised by normative developmental changes and external factors. This cross-sectional study examined sleep quality as a mechanism linking stress and psychosocial outcomes and explored gender differences. Adolescents (N = 246; Mage=15.8; 46.3% female) completed self-report measures assessing sleep quality and psychosocial outcomes. Structural equation modeling results indicated sleep quality accounted for 78.4% of the total effect of stress on school functioning (b=-0.45, p < 0.001) and 54.2% of the total effect of stress on pain (b = 0.14, p = 0.002). A larger indirect effect of sleep quality on school functioning (b=-0.26, p = 0.016) emerged for boys than girls, and the effect of sleep quality on pain was significant only for girls (b = 0.18, p < 0.001, 69.6% of total effect). Sleep quality explained a large proportion of the effect of stress on school functioning and pain. Sleep quality represents a modifiable transdiagnostic pathway that may buffer the effects of stress in adolescence.
Publisher
Springer Science and Business Media LLC
Reference40 articles.
1. Aluko, B., Mitchell, A. N., Tumin, D., & Zeldin, E. (2023). Nation-wide decrease in the prevalence of pediatric chronic pain during the COVID-19 pandemic. Scandinavian Journal of Pain, 23(3), 608–612. 2. Amaral, A. P., Soares, M. J., Pinto, A. M., Pereira, A. T., Madeira, N., Bos, S. C., Marques, M., Roque, C., & Macedo, A. (2018). Sleep difficulties in college students: The role of stress, affect and cognitive processes. Psychiatry Res, 260, 331–337. https://doi.org/10.1016/j.psychres.2017.11.072 3. APA. (2018). Dictionary of Psychology. American Psychological Association. Retrieved 01/15/2024 from https://dictionary.apa.org/adolescence 4. Baron, R. M., & Kenny, D. A.. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations.. Journal of Personality and Social Psychology, 1(6), 1173–1182. https://doi.org/https://doi.org/10.1037/0022-3514.51.6.1173 5. Bevans, K. B., Gardner, W., Pajer, K. A., Becker, B., Carle, A., Tucker, C. A., & Forrest, C. B. (2018). Psychometric Evaluation of the PROMIS® Pediatric Psychological and Physical Stress Experiences Measures. J Pediatr Psychol, 43(6), 678–692. https://doi.org/10.1093/jpepsy/jsy010
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