Perceived Stress and Sleep Quality Among Primary Medical Staff: The Mediating Role of Positive and Negative Rumination

ZHANG Quyi; CHEN Shibin; MA Jun; HE Shu; YANG Lin; HE Xuntao; WAN Miao

doi:10.12100/j.issn.2096-5494.224009

Psychological Communications >

2024 , Vol. 7 >Issue 1: 66 - 72

DOI: https://doi.org/10.12100/j.issn.2096-5494.224009

ORIGINAL ARTICLES

Perceived Stress and Sleep Quality Among Primary Medical Staff: The Mediating Role of Positive and Negative Rumination

ZHANG Quyi ,
CHEN Shibin ,
MA Jun ,
HE Shu ,
YANG Lin ,
HE Xuntao ,
WAN Miao

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¹School of Public Health, Chongqing Medical University, Chongqing 401334, China;
²Research Center for Medical and Social Development, Chongqing 401334, China;
³Collaborative Innovation Center for Social Risk Prediction and Management in Health Field, Chongqing 401334, China;
⁴Public Health Security Research Center of Chongqing New Construction Think Tank, Chongqing 401334, China;
⁵Chenjiaqiao Hospital, Shapingba District, Chongqing 401331, China

^* MA Jun, majun@cqmu.edu.cn

Online published: 2024-10-12

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Abstract

Objective: To explore the effect of perceived stress on sleep quality and the mediating effects of positive and negative rumination in primary medical staff.
Methods: A total 1 765 primary medical staff were surveyed using a general demographic questionnaire, the Chinese Perceived Stress Scale (CPSS), the Pittsburgh Sleep Quality Index (PSQI), and the Positive and Negative Rumination Scale (PNRS). Data were analyzed using Spearman’s correlation analysis and structural equation modeling.
Results: The prevalence of sleep problems among primary medical staff was 62.8% (1 109 persons). Sleep quality was positively correlated with perceived stress, negatively correlated with positive rumination, and positively correlated with negative rumination (p<0.01). Perceived stress had a direct effect on sleep quality (p<0.001) with an effect size of 0.015. The mediating effects of positive rumination and negative rumination between perceived stress and sleep quality were significant (p<0.001). The total mediation effect was 0.026, accounting for 63.41% of the total effect.
Conclusion: Perceived stress directly affects the sleep quality of primary medical staff and also impacts sleep quality through the mediating effects of positive and negative rumination.

Key words： perceived stress; rumination; sleep quality; mediating role; primary medical staff

Cite this article

ZHANG Quyi , CHEN Shibin , MA Jun , HE Shu , YANG Lin , HE Xuntao , WAN Miao . Perceived Stress and Sleep Quality Among Primary Medical Staff: The Mediating Role of Positive and Negative Rumination[J]. Psychological Communications, 2024 , 7(1) : 66 -72 . DOI: 10.12100/j.issn.2096-5494.224009

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