The relationship between stress perception and sleep quality among college students:chain mediating effect of expression inhibition and anxiety emotions
Objective To explore the relationship between stress perception and sleep quality a-mong college students,as well as the chain mediating role of expression inhibition and anxiety emotions.Methods From October to December 2022,a cross-sectional survey was conducted among 785 college students using the perceived stress scale(PSS-14),emotion regulation questionnaire(ERQ),self-rating anx-iety scale(SAS),and Pittsburgh sleep quality index(PSQI).SPSS 26.0 software was used for common method bias testing,Pearson correlation analysis,and stratified regression analysis.PROCESS 3.5 macro pro-gram was used for mediating effect test.Results(1)The correlation analysis results indicated that there were significant positive correlations between stress perception(39.22±7.63),expression inhibition(15.95±4.28),anxiety(45.85±11.70)and sleep quality(5.87±3.28)(r=0.120-0.596,all P<0.05).(2)The results of path analysis showed that stress perception could directly predict sleep quality,with a effect size of 0.243(95% CI=0.172-0.313).Stress perception could indirectly affect sleep quality through anxiety emotion,with a effect size of 0.229(95% CI=0.178-0.283).Stress perception could affect sleep quality through the chain mediation of expression inhibition and anxiety emotion,and the effect size was 0.010(95% CI=0.002-0.019).Conclusion Stress perception can directly predict sleep quality,and can also indirectly predict sleep quality through partial mediating effects of anxiety and chain mediating effects of expression inhibition and anxiety.