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Sleep-related behavior as a factor of anxiety and depression: Mediating role of sleep quality

Published online by Cambridge University Press:  13 August 2021

E. Rasskazova  and
A. Yavorovskaya
E. Rasskazova
Affiliation:
Clinical Psychology, Moscow State University, Moscow, Russian Federation
A. Yavorovskaya*
Affiliation:
Faculty Of Psychology, Lomonosov Moscow State University, Moscow, Russian Federation
*
*Corresponding author.

Abstract

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Introduction

Although sleep hygiene is a well-studied factor of good sleep (Irish et al., 2015, McNail et al., 2016), less is known about its role in the complaints on anxiety and depression (wither direct or through sleep quality).

Objectives

The aim was to reveal direct and indirect effects of sleep behavior on subjective sleep quality, anxiety and depression.

Methods

174 people aged 17-57 without diagnosed sleep disorders filled the Scale of Behavioral Factors of Sleep Disturbances (Rasskazova, Leonov, 2020), Insomnia Severity Index (Morin, 1993), Hospital Scale of Anxiety and Depression (Zingmond, Snaith, 1983), Beck’s Anxiety and Depression Inventories (Beck, Steer, 1993, Beck et al., 1996).

Results

Taking medications and non-medications before sleep, alcohol, tonic drinks and using gadgets in the evening, delaying bedtime, self-limitations after poor nights, poor adherence to the regimen and postponement of the morning rise were characterized by an indirect effect on anxiety and depressiveness through poor sleep (|β|=0,03-0,24). Self-limiting behavior and delaying the morning rise are associated with higher levels of anxiety and depression, even in the absence of sleep-related complaints (β=0,23-0,34, p<0,01).

Conclusions

Based on the data we suggest that the dysfunctional role of behavior on anxiety and depression is predominantly indirect (through the perpetuation of complaints), but it can also be direct (regardless of complaints of sleep disorders). Research is supported by the Russian Foundation for Basic Research, project No. 20-013-00740.

Conflict of interest

Research is supported by the Russian Foundation for Basic Research, project No. 20-013-00740.

Keywords

AnxietyDepressionsleep-related behaviorsleep quality
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S556 - S557
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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