The differential effects of gratitude and sleep on psychological distress in patients with chronic pain
Abstract
This study aimed to examine the possible cross-sectional mediating role of sleep in the relationship of gratitude with depression and anxiety in patients with chronic pain. A total of 224 patients with chronic pain completed structured questionnaires assessing chronic pain, depression and anxiety symptoms, gratitude, and sleep disturbances. Results of multiple regression analyses yielded a modest mediating effect for sleep on the gratitude-depression link whereas a stronger mediating effect was found for sleep on the gratitude-anxiety link. These data show much of the effect of gratitude on depression was direct whereas sleep exerted a stronger mediating effect on the gratitude-anxiety link.
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Prior work has linked gratitude to lower levels of depression, hopelessness and suicidal thoughts/attempts.
“prior work that has linked gratitude to lower levels of depression, hopelessness and suicidal thoughts/attempts [13,52 -56]”
From Feasibility and utility of positive psychology exercises for suicidal inpatients (2014) · cites this paper as [56]
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- Authors
- Ng, M.-Y., & Wong, W.-S.
- Affiliations
- City University of Hong Kong (HK)
- Education University of Hong Kong (HK)
- ORCID
- Wong, Wing-Sze
- Venue
- Journal of Health Psychology
- Publisher
- SAGE Publications
- Published
- 2012-03-12
- Volume
- 18
- Issue
- 2
- Pages
- 263-271
- ISSN
- 1359-1053 (ISSN-L)
- 1461-7277
- OpenAlex
- W2034097869
- Cited by
- 58
- References
- 41
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 7 · 2023: 2 · 2022: 5 · 2021: 6 · 2020: 3 · 2019: 4 · 2018: 4 · 2017: 4 · 2016: 4 · 2015: 7 · 2013: 3 · 2012: 1
- FWCI
- 5.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- gratitude, sleep, chronic pain, depression, anxiety, psychological distress, sleep disorders, mediation, positive psychology interventions
- MeSH terms
- Adult, Anxiety, China, Cross-Sectional Studies, Depression, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Regression Analysis, Sleep, Stress, Psychological, Young Adult, Chronic Pain
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