The Role of Rumination and Worry in the Bidirectional Relationship Between Stress and Sleep Quality in Students
Bibliographic Data
| ID | 15477052 |
|---|---|
| Authors | Ana Petak (0000-0001-5443-016X, University of Zagreb, corresponding author), J Maricic (0000-0001-8431-8945, University of Zagreb) |
| Year | 2025 |
| Volume | 22 |
| Issue | 7 |
| Pages | 1001-1001 |
| Publication date | 2025-06-25 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph22071001 |
| PMID | 40724068 |
| OpenAlex | W4411700997 |
| Language | EN |
| Citations received | 3 |
| References cited | 74 |
Poor sleep is strongly associated with stress; however, the mediators of this relationship are not well understood. Cognitive arousal in the form of rumination and worry may mediate this relationship, but previous studies have primarily focused on patients with insomnia or employed cross-sectional designs. This study aimed to explore the causal relationship between sleep quality and stress using two-wave longitudinal data and examining the theoretical assumptions of insomnia models in a healthy, non-clinical student population. Research was conducted using a paper-and-pencil method. The sample included 302 undergraduate students from the University of Zagreb. Most of the participants were female (79.8%) and aged between 18 and 33 years, representing various fields of study. The research problem was examined through multiple mediation analysis. The results confirm our initial hypothesis regarding the bidirectional relationship between stress and sleep quality, which is partially mediated by rumination. The mediating effect of worry is significant only in parallel mediation; poor sleep quality leads to increased rumination ( p p p β = 0.345, p β = 0.203, p < 0.01). These findings are important for planning preventive activities and therapeutic interventions
Anxiety · Arousal · Cognition · Developmental psychology · Insomnia · Mediation · Population · Psychiatry · Psychological intervention · Rumination · Sleep (system call · Sleep quality · Worry · Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes · Clinical Psychology · Medicine · Psychology · Sleep and related disorders · Sleep and Wakefulness Research · Social Psychology
Moderating effect of resilience on the associations of perceived stress and anxiety with unhealthy alcohol use and insomnia in Chinese hospital staff
How negative life-events affect sleep quality of college students
Determinants of anxiety and depression and their association with coping strategies in health professionals in war and conflict-afflicted areas
Age of onset of mental disorders
Reflecting on rumination
A Heuristic for Developing Transdiagnostic Models of Psychopathology
The hyperarousal model of insomnia
Gender differences in perceived stress and coping among college students
Preliminary exploration of worry
Worry and Rumination
Sleep Patterns and Predictors of Disturbed Sleep in a Large Population of College Students
Depression Anxiety Stress Scales
Development and validation of the penn state worry questionnaire
Short- and long-term health consequences of sleep disruption
A cognitive model of insomnia
Age at onset of mental disorders worldwide
The Pittsburgh sleep quality index
Predictors of rumination and co-rumination
Role of Stress, Arousal, and Coping Skills in Primary Insomnia
Effects of perceived stress on college students’ sleep quality
Relationship Between Stressful Life Events and Sleep Quality
Sleep and Perceived Stress
Sleep Quality, Insomnia, Anxiety, Fatigue, Stress, Memory and Active Coping during the Covid-19 Pandemic
Mental Health Conditions According to Stress and Sleep Disorders
Determinants of Sleep Quality
Co-Rumination and Depressive Symptoms in Adolescence
Constructive and unconstructive repetitive thought
Effects of stress on sleep quality
| Unique citing works | 3 |
|---|---|
| Citations per year | 3 |
| Citation span | 2026 - 2026 (1) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 3 |