The mediating and moderating effects of sleep hygiene practice on anxiety and insomnia in hospital nurses
Abstract
This study aimed to test the mediating and moderating effects of sleep hygiene practice on the relationship between anxiety and insomnia severity in hospital nurses. A cross‐sectional survey was employed, and a convenience sample was recruited from one regional hospital in T aiwan. Participants completed the following self‐report questionnaires over a 3‐month period in 2009: the I nsomnia S everity I ndex, the B eck A nxiety I nventory, and S leep H ygiene A wareness and P ractice S cale. The results indicated that nurses with more anxiety tended to have higher insomnia severity. Further, nurses with poor sleep hygiene practice had more insomnia. Sleep hygiene practice partially mediated the effects of anxiety on insomnia severity. Also, sleep hygiene practice was a moderator in the relationship between anxiety and insomnia severity with age and work units as covariates. Sleep hygiene practice mediated and moderated the relationship between anxiety and insomnia severity after controlling the variables of age and work units. Continuing to learn and train sleep hygiene practice might promote nurses' sleep hygiene, and thereby ameliorate anxiety and reduce the risk of insomnia.
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Awareness of and insight into one's own sleep and activity patterns have been shown to affect anxiety and well-being.
“Awareness of and insight into one’s own sleep and activity patterns have been shown to affect anxiety and well-being [50,51].”
From Development and feasibility of a digital acceptance and commitment therapy⇓based intervention for generalized anxiety disorder: Pilot acceptability study (2021) · cites this paper as [50]
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“Awareness of and insight into one’s own sleep and activity patterns have been shown to affect anxiety and well-being [50,51].”
BackgroundInfluential
- Authors
- Chou, T., Chang, L., & Chung, M.
- Affiliations
- Ching Kuo Institute of Management and Health (TW)
- Taipei Medical University (TW)
- Corresponding author
- Chung, Min‐Huey
- ORCID
- Chung, Min‐Huey
- Venue
- International Journal of Nursing Practice
- Publisher
- Wiley
- Published
- 2015-05
- Volume
- 21
- Issue
- S2
- Pages
- 9-18
- ISSN
- 1322-7114 (ISSN-L)
- 1440-172X
- OpenAlex
- W1584205751
- Cited by
- 37
- References
- 52
- Citations by year
- 2026: 4 · 2025: 1 · 2024: 1 · 2023: 3 · 2022: 2 · 2021: 6 · 2020: 8 · 2019: 2 · 2018: 4 · 2017: 2 · 2016: 3 · 2015: 1
- FWCI
- 5.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Nursing Practice (publishedVersion)
- PubMed (publishedVersion)
- Taipei Medical University Repository (submittedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Keywords
- anxiety, insomnia severity, hospital nurses, mediation, moderation, sleep hygiene education, nurse stress
- MeSH terms
- Sleep Hygiene, Adult, Anxiety, Cross-Sectional Studies, Female, Humans, Sleep Initiation and Maintenance Disorders, Middle Aged, Nursing Staff, Hospital, Taiwan, Young Adult, Self Report
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