Abstract
Abstract Introduction There is a high rate of sleep disorders and anxiety in primary care settings and patients are most likely to report such issues to their primary care provider. This study assessed whether total sleep time and bedtime procrastination mediated the association between anxiety and sleep problems when covarying for age and attitudes about sleep. Methods 308 adult primary care patients seen at either a university integrated primary care clinic (n = 147; 47.7%) or federally qualified health center (n = 161; 52.3%) from August 2019 to March 2020 completed intake paperwork including questions assessing psychiatric symptoms and sleep. Results A structural equation model was used. To test for statistical mediation, we performed 500 bootstraps and examined bias-corrected estimates. The model evidenced good fit, X2 (16) = 22.53, p = .127, CFI = .98, TLI = .95, SRMR = .03, RMSEA = .04 [90% CI: .00, .07]. All manifest variables loaded significantly onto their latent factors (standardized loadings > .40, p values < .05). The model explained 14.7% of the variance in total sleep time (TST), 14.8% in sleep procrastination, and 54.0% in sleep problems. Anxiety was negatively associated with TST (β = -.36, p < .001) and positively associated with bedtime procrastination (β = .35, p < .001) and greater sleep problems (β = .63, p = .006). The association between anxiety and sleep problems was not statistically mediated by TST. There was a significant indirect effect of anxiety on sleep problems through bedtime procrastination. The total effect of anxiety on sleep problems was significant (β = .70, p = .003). We found a significant direct association between age and TST, and age and bedtime procrastination. However, there was no significant direct association between age and sleep problems (β = .00, p = .984). Sleep attitudes were unrelated to any of the primary study variables. None of the exogenous variable covariances were significant. The covariance between TST and bedtime procrastination was significant. Conclusion Sleep problems are pervasive and complex. This study highlights factors related to sleep problems and support anxiety and pre-bedtime behaviors as treatment targets. Support (if any) D40HP29826 (PI: Ana J. Bridges).
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.