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Relationship between neuroticism and sleep quality among asthma patients: the mediation effect of mindfulness

  • Psychiatrics • Original Article
  • Published:
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Abstract

Objective

The aims of this study were to investigate the prevalence of sleep disturbance; to validate the associations between neuroticism, mindfulness, and sleep quality; and to further examine whether mindfulness mediates the relationship between neuroticism and sleep quality among asthma patients.

Methods

This study was conducted with 193 asthma patients from outpatient clinics. They completed questionnaires including the neuroticism subscale of the Big Five Inventory (BFI), the Pittsburgh Sleep Quality Index (PSQI), and the Mindful Attention Awareness Scale (MAAS). Structural equation model was used to analyze the relationships among neuroticism, mindfulness, and sleep quality, with mindfulness as a mediator.

Results

The mean global PSQI score was 7.57 (SD = 3.25), and 69.9% of asthma patients reported poor sleep quality (cutoff score > 5). Structural equation model analysis showed that neuroticism was significantly associated with global PSQI scores (β = 0.198, P = 0.006), and mindfulness (β = − 0.408, P < 0.001), respectively; mindfulness was associated with global PSQI scores (β = − 0.250, P = 0.006). Furthermore, mindfulness mediated the relationship between neuroticism and global PSQI scores, in which the mediation effect was 0.102 (− 0.408 × − 0.250), and the bootstrapped 95% CI did not include zero (0.032, 0.208, P = 0.021).

Conclusions

Sleep disturbance is a serious health concern among asthma patients. This study illuminated the latent mediating mechanism of mindfulness on neuroticism and sleep quality, and implied that intervention and prevention programs on mindfulness might be beneficial in improving sleep quality in asthma patients.

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Funding

This study was supported by grants from the National Natural Science Foundation of China (grant number 81773296) and the Shandong Province Natural Science Foundation (grant number ZR2015HM064).

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Author notes

  1. Di Zhao and Huijun Wang contributed equally to this work.

Authors and Affiliations

  1. School of Nursing, Shandong University, Jinan, Shandong Province, China

    Di Zhao, Xiujuan Feng, Gaorong Lv & Ping Li

  2. Liaocheng People’s Hospital, Liaocheng, Shandong Province, China

    Huijun Wang

Authors
  1. Di Zhao
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  2. Huijun Wang
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  3. Xiujuan Feng
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  4. Gaorong Lv
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  5. Ping Li
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Corresponding author

Correspondence to Ping Li.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

Questionnaires were distributed to participants who agreed to participate in the study after being informed of it. This study was approved by the Institutional Review Board of the authors’ institutes and was performed in accordance with the ethical standards of the institution and the 1964 Declaration of Helsinki and its later amendments.

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Zhao, D., Wang, H., Feng, X. et al. Relationship between neuroticism and sleep quality among asthma patients: the mediation effect of mindfulness. Sleep Breath 23, 925–931 (2019). https://doi.org/10.1007/s11325-019-01814-6

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  • DOI: https://doi.org/10.1007/s11325-019-01814-6

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