PROCESS Macro Research Articles

The emotional side of price: reference price as a decision maker in consumer purchase

PurposeThe objective of this study is to elucidate the influence of reference price on consumers' willingness to buy (WTB). Additionally, the study seeks to investigate the impacts of consumer perceived value (CPV): emotional, social, and monetary levels in relation to reference price and WTB. Furthermore, it aims to identify the moderating effect of product type, distinguishing between hedonic and utilitarian products.Design/methodology/approachData collection was conducted through an anonymous questionnaire survey using a web-based platform called Prolific. The sample consisted of 258 individuals. The study performed experimental studies to assess the connections among variables and used structural equation modeling as well as Hayes' PROCESS macro models 4 and 8.FindingsPresenting reference price alongside regular prices for products significantly enhances WTB. Furthermore, the mediating effect of the CPV exhibited a significant influence, particularly in the emotional and monetary dimensions but not although the social aspect. Additionally, the findings unveiled substantial variations in the mediating effect of CPV when examining hedonic versus utilitarian products.Research limitations/implicationsPresenting reference price alongside regular prices for products significantly enhances WTB. Furthermore, the mediating effect of the CPV exhibited a significant influence, particularly in the emotional and monetary dimensions but not although the social aspect. Additionally, the findings unveiled substantial variations in the mediating effect of CPV when examining hedonic versus utilitarian products.Originality/valueThe study contributes to the literature by integrating emotional values into pricing strategies. Furthermore, the findings provide insight for managers into establishing a consistent method for implementing price display advertisements on the basis of the product type within the retail industry.

The Moderating Effect of Suggestibility on the Relationship between Body Mass Index and Body Dissatisfaction in Women.

Background: Body dissatisfaction (BD) has been consistently linked to adverse consequences on mental health and overall well-being, and is recognized as a significant contributing factor in the initiation and persistence of eating disorders (EDs). Empirical evidence has demonstrated that an elevated body mass index (BMI) and media influence and pressure about a thin ideal heighten the risk of subsequent BD. Moreover, suggestibility, a propensity to accept and act upon messages without critical evaluation, has been shown to be positively associated with greater susceptibility to the influence of sociocultural messages that endorse the thin ideal. This study aimed to assess whether suggestibility moderates the association between BMI and BD in women. Methods: A total of 117 women completed assessments using the Eating Disorder Inventory-3 (EDI-3) BD subscale and the Suggestibility Inventory, which encompasses a general suggestibility index and a subscale that evaluates susceptibility to influence by others. We conducted moderation analyses employing the PROCESS macro, with BMI as the central predictor, BD as the outcome variable, and suggestibility and its subscale as moderators. Results: The findings revealed statistically significant positive moderating interactions for both the general suggestibility index and susceptibility to influence by others. Specifically, women who exhibited high levels of suggestibility and susceptibility to influence by others demonstrated a more pronounced increase in BD as their BMI increased. Conclusions: These outcomes are in line with the sociocultural model of EDs, suggesting that greater susceptibility to external influences amplifies the impact of societal pressures to conform to thin ideals.

Extending the communication during sexual activity model: what role does sexual communication self-efficacy play?

ABSTRACT The current study examines the role of sexual communication self-efficacy as it relates to communication during sex and sexual satisfaction to provide an extension to the Communication During Sexual Activity Model (CDSAM). Through a Qualtrics survey, data were collected from 228 sexually active emerging adults. In line with previous research, results demonstrated that higher levels of communication during sex were correlated with higher sexual satisfaction, as was verbal sexual communication self-efficacy. A mediation model was tested using Hayes’ PROCESS macro and yielded a mediation between verbal sexual communication self-efficacy and sexual satisfaction through communication during sexual encounters.

Impact of Social Support and Self-Efficacy on Activity of Daily Living among Post-Stroke Patients in Saudi Arabia: A Cross-Sectional Study.

This study employed a cross-sectional design to explore the impact of social support and self-efficacy on activity of daily living (ADL) among post-stroke patients in Saudi Arabia and investigate the mediating role of self-efficacy. Data were collected from 158 post-stroke patients across six healthcare facilities in three regions of Saudi Arabia using convenience sampling, between February 2023 and July 2023. The analysis included descriptive statistics, variance analysis, and linear regression using bootstrap methods. PROCESS Macro was used for the mediation model. This study revealed that most participants had high ADL, social support, and self-efficacy levels. Significant negative associations were found between ADL and age (p < 0.001), time since stroke (p = 0.009), and stroke history (p < 0.001), while significant positive associations were observed with educational background (p = 0.049), employment status (p < 0.001), and self-efficacy (p < 0.001). ADL in post-stroke patients was significantly influenced negatively by age (p = 0.025), time since stroke (p = 0.027), and stroke history (p < 0.001), while self-efficacy (p < 0.001) had a positive impact and moderated the relationship between social support and ADL. This study highlights the physical and psychosocial aspects affecting post-stroke patients, identifies key areas for enhancing their experiences, and informs the development of targeted interventions to address their comprehensive needs.

Effects of stress on burnout among infection control nurses during the COVID-19 pandemic: the mediating effects of social support and self-efficacy

BackgroundThis study investigated the mediating effects of self-efficacy and social support on the relationship between stress and burnout among infection control nurses (ICNs) during an emerging infectious disease pandemic.MethodsThe study participants encompassed 210 ICNs with at least six months’ experience in an infection control unit at a general hospital in South Korea during the COVID-19 pandemic. Data were analyzed using independent t-tests or one-way analysis of variance (ANOVA), while descriptive statistics were performed using SPSS/WIN 26.0 software. Hayes’s PROCESS macro 4.2 software was used to verify the significance of the indirect effects of the mediators.ResultsStress had a significant positive effect on burnout (β = 0.80, p < .001), accounting for 73% of the variance. Self-efficacy (β = − 0.26, p < .001) and social support (β = − 0.11, p = .034) had a significant negative effect on burnout, accounting for 78% of the variance. Stress was lower when self-efficacy and social support were entered into the model (β = 0.80 → 0.59), indicating that self-efficacy and social support mediated the relationship between stress and burnout.ConclusionThis study is significant in that it confirms the effects of self-efficacy and social support on the relationship between stress and burnout among ICNs. The results highlight the importance of establishing organizational support systems and developing and implementing programs for enhancing self-efficacy in order to reduce burnout among ICNs.

Unpacking the black box between market culture and innovation performance: the role of absorptive capacity and resistance to change

PurposeThis study aims to investigate the relationship between market culture and innovation performance and to reveal the role of absorptive capacity and resistance to change by building on the resource-based view.Design/methodology/approachData was gathered from 222 firm managers of manufacturing firms by using the survey method. Structural equation modeling and PROCESS macro were used to analyze the data.FindingsThe results indicate that market culture is positively related to innovation performance and absorptive capacity mediates this relationship. It is also found that resistance to change negatively moderates the relationship between market culture and innovation performance, but it has no moderating effect on the relationship between absorptive capacity and innovation performance.Originality/valuePrevious research examining the association between market culture and innovation performance is scarce and provides contradictory findings. This indicates that there is an underlying mechanism of this association neglected before. This study is an attempt to reconcile contradictory findings and enlighten the fuzzy areas of this relationship. Accordingly, this study focuses on absorptive capacity as a mediator and proves its role empirically. Moreover, this study is the first to examine the role of resistance to change and demonstrates its buffer role in the market culture-innovation performance link. It is also revealed that resistance to change does not moderate the relationship between absorptive capacity and innovation performance. The findings elucidate the underlying mechanism of the relationship between market culture and innovation performance, reconcile contradictory findings of extant research, expand the current knowledge, and provide practical implications.

Negative workplace gossip and employees' innovative behaviors: The role of psychological resilience

Applying affective events theory, this article examined the mechanism of negative workplace gossip on employees' innovative behaviors, and explored the mediating role of emotional exhaustion and the moderating role of psychological resilience. We collected questionnaires from 313 frontline workers in the airport services industry and analyzed the data using Amos and the SPSS PROCESS macro. The findings indicated that negative workplace gossip had a significant negative influence on employees' innovative behaviors, and emotional exhaustion partially mediated this relationship. Additionally, contrary to our initial hypothesis, psychological resilience not only failed to weaken the impact of workplace gossip on employees' emotional exhaustion, but actually amplified this relationship. Theoretical contributions and managerial implications are discussed.

How Psychological Safety Impacts Job Crafting: Roles of Self-Efficacy and Humble Leadership

This study investigates how psychological safety influences job crafting through self-efficacy as a mediating mechanism and humble leadership as a moderator. A three-wave design, yielding 663 accurate responses, was employed to recruit employees in the banking industry. A structural equation modeling approach and SPSS PROCESS macro were used to arrive at valid outcomes. The results demonstrate that psychological safety positively impacts self-efficacy. Self-efficacy relates positively with job crafting and mediates the association between psychological safety and job crafting. Also, humble leadership moderates and boosts the association between psychological safety, self-efficacy and job crafting. Theoretical and practical implications are offered.

Irresponsibility Stereotypes Exacerbate Effects of Sexual Violence on Cisgender Bisexual Women's Coping Drinking Motives.

Bisexual women experience disparities in alcohol use outcomes compared to both lesbian and heterosexual women. Bisexual women also experience higher rates of sexual violence (SV) and alcohol use following SV. We examined whether coping drinking motives mediate the link between adult SV severity and alcohol use and whether dimensions of binegativity (i.e., hostility, instability, irresponsibility) moderate the effects of SV. The sample consisted of 355 young (ages 18-35) cisgender bisexual women drinkers (Mage=25.8, 84.2% White) recruited via MTurk. Measures included: Sexual Experiences Survey-Short Form Victimization (Koss et al., 2007), Anti-Bisexual Experiences Scale (Brewster & Moradi, 2010), Modified Drinking Motives Questionnaire-Revised (Grant et al., 2007), and Alcohol Use Disorders Identification Test Consumption subscale (Babor et al., 2001). The PROCESS macro for SPSS was used. There was an interaction between SV severity and irresponsibility stereotypes in predicting coping motives. SV severity related to greater coping motives at mean and high, but not low, levels of irresponsibility stereotypes. Indirect effects of SV severity on alcohol use via coping motives were significant at mean and high, but not low, levels of irresponsibility stereotypes. Hostility and instability dimensions of binegativity did not interact with SV severity in predicting coping motives. Results identified SV severity and irresponsibility stereotypes as compounding experiences that may explain greater alcohol use. Bisexual women exposed to this dimension of binegativity may be particularly vulnerable to drink alcohol to cope with distress following SV. Interventions for alcohol use may be enhanced by helping bisexual women cope with SV-related distress and irresponsibility stereotypes.

Examining the mediating and moderating roles of social marketing behavioural enhancers regarding consistent condom use.

Since their importance was highlighted by Ayikwa and De Jager, social marketing behavioural enhancers (SMBEs) have been investigated in terms of their causal and correlational relationships with the intention to use condoms (IUC) and consistent condom use (CCU), as people often fail to act on their intentions. However, scrutiny of their mediating and moderating roles could provide insights pertinent to the design of effective HIV and AIDS preventative programmes. This study examined whether perceived behavioural control (PBC) and IUC interact with exposure to HIV and AIDS information (EI), ease of access to condoms (EAC) and level of related knowledge (KN) in determining CCU. It also investigated whether PBC and IUC predict CCU through increasing EI, EAC, and KN. A quantitative approach was adopted and data were collected from 607 participants, aged at least 18, living in Gauteng Province, South Africa. The questionnaire administered included pre-existing items, validated through exploratory and confirmatory factor analysis procedures. Regression analyses of the data for mediation and moderation testing were performed using PROCESS macro software for SPSS. The results indicated that none of the SMBEs mediated the non-significant PBC-CCU relationship: B = -0.0258, SE = 0.0199, p = 0.195. Nor did they mediate the significant IUC-CCU relationship: B = 0.0395, SE = 0.0195, p = 0.043. Similarly, none of the SMBEs were found to moderate the PBC-CCU relationship (EI*PBC: B = 0.0034, SE = 0.0056, p = 0.540; KN*PBC: B = -0.0006, SE = 0.0064, p = 0.931; EAC*PBC: B = 0.0011, SE = 0.0059, p = 0.854) as IUC-CCU relationship (EI*IUC: B = 0.0036, SE = 0.0054, p = 0.513; KN*IUC: B = -0.0096, SE = 0.0060, p = 0.111; EAC*IUC: B = 0.0044, SE = 0.0061, p = 0.469). A recommendation is made to scrutinise the mediating and moderating roles of SMBEs in the context of health behavioural models other than the theory of planned behaviour, which was considered in this study.

Cross-sectional association of food insecurity with loneliness in older adults: The role of sex, age, and psychosomatic factors

ObjectiveFood insecurity (FI) is a critical social determinant of poor psychosocial health. While data on the specific roles of sex and age in the FI-loneliness link among older adults are limited, the underlying mechanisms are largely unknown. This study examines the age-sex-specific associations of FI with loneliness among older adults in Ghana and quantifies the extent to which psychosomatic factors mediate the association. MethodsWe analyzed cross-sectional data from the Aging, Health, Psychological, and Health-seeking Behavior Study in Ghana. The past 30-day FI was assessed using items on hunger and breakfast skipping frequency due to a lack of resources. We assessed loneliness severity with the University of California, Los Angeles 3-item Loneliness Scale. Multivariable OLS regressions and bootstrapping mediation analysis using the Hayes PROCESS macro plug-in were used to evaluate the associations. ResultsWe included 1,201 individuals aged ≥50 years (mean = 62.9 [SD = 11.9]; women = 63.3%). The prevalence of loneliness was 17.7%. The prevalence of moderate and severe FI was 44.0% and 8.5%, respectively. In the adjusted model, greater FI was significantly associated with loneliness severity (B = .22, SE = .029, p < .001). We found significant interactive effects of FI × age (B = −.17, SE = .023, p < .01) and FI × sex (B = −.28, SE = .036, p < .001) on loneliness. Thus, the FI-loneliness link was respectively more marked among women (B = .25, SE = .035, p < .001) and ≥65 age groups (B = .34, SE = .041, p < .001) than men (B = .16, SE = .051, p < .01) and those aged 50−64 (B = .22; SE = .040, p < .001). Finally, comorbid depression/anxiety (41.07%), hopelessness (48.6%), worthlessness (42.1%), functional limitations (8.2%), and pain severity (6.4%) mediated the FI-loneliness association. ConclusionsAge- and sex-specific associations between FI and loneliness exist among older Ghanaians. Addressing FI in concert with psychosomatic problems in older adults may contribute meaningfully to reducing loneliness in later life.

The Influence of Diversity Management of Nursing Organization on Organizational Commitment: Double Mediating Effect of Diversity Sensitivity Orientation and Positive Nursing Organizational Culture

The aim of this study was to identify the double mediating effect of effect of diversity sensitivity orientation and positive nursing organizational culture between diversity management and organizational commitment. Participants were 245 nurses working in six tertiary hospitals located in 3 different regions. Data collection was conducted from February 13, 2023 to March 6, 2023 through online self-reported questionnaire. The data were analyzed by IBM SPSS Statistics 27 and SPSS PROCESS Macro 4.2 program. The direct effect of diversity management on organizational commitment was significant (β = .21, p < .001). The indirect effect of diversity management on organization commitment was .34 (95% confidence interval [CI] = .23~.47). The double mediating effect of diversity sensitivity orientation and positive nursing organizational culture in the relationship between diversity management and organizational commitment was .02 (95% CI = .00~.05). Diversity sensitivity orientation and positive nursing organizational culture show double mediating effect on the relationship between diversity management and organizational commitment. Education program and human resource management strategy for enhancing diversity management, diversity sensitivity orientation and positive nursing organizational culture should be provided to improve organizational commitment, and which are needed active support of the association and nursing organization.

Moderating Effect of General Self-Efficacy on the Relationship between Pregnancy Stress, Daily Hassles Stress, and Preterm Birth Risk in Women Experiencing Preterm Labor: A Cross-Sectional Study.

This study investigated the moderating role of general self-efficacy (GSE) on how stress caused by pregnancy and daily hassle affect the risk of preterm birth (PTB) in women experiencing preterm labor. This cross-sectional study included 196 pregnant women experiencing preterm labor before 37 weeks of gestation. We used IBM SPSS Statistics 27 and employed Hayes process macro version 4 (model 1) and hierarchical regression to analyze the moderating effect of GSE on the relationship between pregnancy stress, daily hassle stress, and PTB risk. Stress caused by pregnancy and daily hassle was positively correlated to PTB risk (r = .54, p < .001; r = .25, p < .001, respectively). While GSE did not significantly correlate with pregnancy stress, it negatively correlated with daily hassle stress (r = - .19, p = .009). GSE significantly moderated the relationship between combined stressors and PTB risk. As GSE levels increased, escalation in PTB risk in response to increasing stress levels was a more pronounced, highlighting a complex interaction between higher GSE levels and response to escalating stress levels. This model accounted for 39.5% of the variance in the PTB risk. Higher GSE may amplify the impact of stress on PTB risk, rather than mitigate it, which suggests a more nuanced role of GSE in the stress response of pregnant women at risk of preterm labor. GSE should be considered in care strategies, and managing its impact on stress perception and responses in pregnant women is crucial.

중학생이 지각하는 부모의 양육 태도가 자살 위험성에 미치는 영향

The purpose of this study is to verify the dual mediating effects of social support and satisfaction with appearance regarding the influence of middle school students’ perceived parental parenting attitude on the risk of suicide. The subjects of the study were 1,945 middle school students who participated in the 2021 survey on the mental health of teenagers conducted by the Korea Youth Policy Institute (National Youth Policy Institute: NYPI), and correlation analysis between related variables and dual mediation effects were verified using spss 27.0 and the Macro Process (model 6) of Hayes (2013) did. As a result of the analysis, it was found that social support and satisfaction with appearance had a significant dual mediating effect in the influence of middle school students’s perceived parental parenting attitude on suicide risk. These results suggest the importance of social support and appearance satisfaction in middle school students’ suicide risk and the possibility of intervention through activation and counseling of school social welfare.

장년층의 건강증진 행위가 우울에 미치는 영향

This study aimed to verify the moderating effect of social networks on the relationship between health promotion behaviors and depression among middle-aged adults. A survey was conducted targeting middle-aged adults aged 50-60 in Busan, and data were collected from 392 respondents. The analysis utilized process macro to examine the moderating effect. The results are as follows: Firstly, health promotion behaviors among middle-aged adults had a significantly negative impact on depression, indicating that higher levels of health promotion behaviors were associated with lower levels of depression. Secondly, the moderating effect of social networks on the relationship between health promotion behaviors and depression was significant. Specifically, higher levels of social networks were associated with relatively lower levels of depression among groups with higher levels of health promotion behaviors compared to those with lower levels. Based on these results, implications for practical interventions and policies to enhance health promotion behaviors and expand social networks among middle-aged adults are discussed.

교사의 교직선택동기와 직무역량 및 삶 만족도 간의 관계

Purpose: The aim of the study was to examine the relationships among teachers’ motives for career choice and satisfaction with life being a teacher, mediated by job competence. Special attention is given to the moderated mediation effect by job burnout. Methods: To address the research questions we utilized data from the first wave of the Seoul Educational Longitudinal Study, including 2418 teachers in elementary/secondary education. A structural equation model was conducted and for the main analysis a Process Macro (59) was applied to examine the moderated mediation effect in the main model. Results: Results indicate that a partial mediation effect of competence on the relationship between motivations and satisfaction. Also, the positive relationship of internal motivation and competence was moderated by job burnout. In sum, only internal motivation impacts teachers’ satisfaction with life and the competence’s mediation effect is moderated by job burnout (-). Conclusion: The implications of thefindings are that teachers motivated by internal factors show higher satisfaction with life being a teacher and that job competence plays a positive role in the psychological process. However, job burnout limits the chance by reducing the internal motivation’s positive effect on competence. Policy implications are drawn based on the results of the study.

Social media use for work during non-work hours and turnover intention: the mediating role of burnout and the moderating role of resilience.

This study uses survey data from 504 Chinese teachers to investigate the relationship between social media use for work during non-work hours (SMUNW) and turnover intention, focusing on the mediating role of burnout and the moderating role of resilience in this relationship. In November 2023, online survey links were sent to 529 teachers from Shandong Province, China, asking them to report their perceptions of SMUNW, burnout, resilience, and turnover intention. A sample of 504 valid responses was obtained. The analysis was performed using SPSS 26.0 and Hayes' PROCESS MACRO for SPSS for testing the hypotheses. The results revealed that burnout acts as a mediator in the relationship between SMUNW and turnover intention. In addition, resilience moderated the relationship between SMUNW and burnout such that when resilience was higher, the relationship between SMUNW and burnout was alleviated. Moreover, resilience moderated the indirect relationship between SMUNW and turnover intention through burnout such that when resilience was higher, the indirect relationship was alleviated. The results of this study indicate that SMUNW is related to turnover intention through the mediating role of burnout. Furthermore, resilience moderates the influence of SMUNW on burnout and thus weakens the influence of SMUNW on turnover intention through burnout. This study expands our knowledge of the nuanced influence mechanisms of social media use in the context of increasing technostress among public employees. Practically, it suggests that managers should pay due attention to the impairments brought about by social media use, especially from the perspectives of preventing burnout and fostering resilience.

산업안전보건법에 대한 이해가 법 준수 인식에 미치는 영향

By examining the relationship between construction workers' understanding of the Occupational Safety and Health Act, their sentiments on the law, and their perception of compliance with the law, and their perception of the law, this study attempted to find ways to increase the effectiveness of the Occupational Safety and Health Act in the construction industry. The subjects of this study were 345 construction workers who participated in safety and health education in the construction industry, and data from 322 people were used for statistical analysis, excluding 23 copies whose survey responses were unfaithful or suspected of validity. The research tools consisted of sociodemographic questions, matters related to understanding the Occupational Safety and Health Act, matters related to emotions (feeling) about the Occupational Safety and Health Act, and matters related to awareness of compliance with the Occupational Safety and Health Act. The SPSS WIN 29.0 program was used for the analysis of the study, and frequency analysis of demographic characteristics was conducted, and descriptive statistics analysis by scale was conducted. The Pearson correlation coefficient was obtained to find out the relationship between the understanding of the Occupational Safety and Health Act, the emotions on Occupational Safety and Health Act, and the perception of compliance with the Occupational Safety and Health Act, and multiple regression analysis was conducted to find out the effect of law understanding and emotion on compliance with the Occupational Safety and Health Act. In addition, a mediating effect analysis was conducted using SPSS Process Macro to find out the mediating effect of emotions on the law in the relationship between the understanding of the Occupational Safety and Health Act and the perception of law compliance. As a result of this study, first, there was a significant correlation between the understanding of the Occupational Safety and Health Act, the perception of law compliance, and the emotions on the law. Second, the understanding of the Occupational Safety and Health Act and the emotions on the law showed a significant effect on the perception of law compliance. Third, it was found that the emotions on the Occupational Safety and Health Act played a role in mediating the understanding of the law and the perception of compliance with the law. This study will contribute to understanding and complying with the Industrial Safety and Health Act in the construction industry in the future and establishing an effective safety and health management system based on this.

Workplace bullying and job burnout: the moderating role of employee voice

PurposeThis study aims to investigate the connection between workplace bullying and job burnout while also examining how employee voice moderates this relationship.Design/methodology/approachThe study's sample comprises 303 employees employed in the automobile sector of Pakistan. Statistical analysis was conducted using tools such as SPSS, AMOS, and the PROCESS macro. Methods like CFA and regression were utilized to assess the study hypotheses.FindingsBased on Conservation of Resource (COR) Theory, this study unveiled a positive effect of workplace bullying on employees' job burnout. Moreover, it found that employee voice moderates the association between workplace bullying and job burnout.Practical implicationsThe study confirmed that workplace bullying leads to increased job burnout. Furthermore, when top management considers employee voice, it reduces the impact of workplace bullying on job burnout. Therefore, it is recommended that management in automobile organizations can promote a culture that encourages employee voice to effectively lessen the effects of workplace bullying on job burnout.Originality/valueFirstly, this research pioneers the examination of workplace bullying's impact on job burnout among employees in the automobile sector. Secondly, it enhances our understanding of how employee voice affects the indirect influence of workplace bullying on job burnout. Thirdly, within an international context, this study pioneers the examination of how employee voice influences the association between workplace bullying and job burnout. Finally, this study is motivated by the increasing concern that workplace bullying leads to negative workplace experiences, adversely affecting employee well-being, and ultimately resulting in devastating long-term effects on organizations.

Social support and sleep quality in people with schizophrenia living in the community: the mediating roles of anxiety and depression symptoms.

Research has demonstrated that higher social support is associated with better psychological health, quality of life, cognition, activities of daily living, and social participation, but the relationship between social support and sleep quality remains unknown. This study aims to investigate the mediating effects of anxiety and depression in the relationship between social support and sleep among community-dwelling patients with schizophrenia. Purposive sampling was used to collect face-to-face data from 1,107 community-dwelling patients with schizophrenia in Chengdu, Sichuan Province, China, between April and July 2023. The Athens Insomnia Scale (AIS) was used to assess sleep quality; the Generalized Anxiety Disorder 7-item scale (GAD-7) was utilized to evaluate anxiety symptoms; and the Patient Health Questionnaire-9 (PHQ-9) was employed to assess depressive symptoms. The mediating effect of anxiety and depression symptoms was assessed using the bootstrap method via Model 6 (Serial multiple mediator model) of the SPSS PROCESS macro. Among the 1,107 participants, the proportions of people with schizophrenia experiencing anxiety, depressive symptoms, and poor sleep quality were 22.8, 37.7, and 42.1%, respectively. Mediation analyses indicated that although social support had no direct effect on sleep quality, anxiety and depressive symptoms fully mediated the relationship between social support and sleep quality. Patients with schizophrenia experience low levels of social support and poor sleep quality. To enhance the sleep quality of individuals with schizophrenia, all levels of society (government, medical institutions, and communities) must pay more attention to mental health. Implementing diverse intervention measures to strengthen social support and improve symptoms of anxiety and depression should be considered. This approach may potentially lead to an improvement in sleep quality among individuals with schizophrenia.