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Original Articles
Sleep Disturbances in Early Pregnancy and the Risk of Preeclampsia: Qazvin Maternal and Neonatal Metabolic Outcomes Study (QMNMS)
Sima Hashemipour, Fatemeh Lalooha, Milad Badri, Leila Modarresnia, Amirabbas Ghasemi, Sara Esmaeili Kelishomi, Sarah Mirzaeei Chopani, Seyyed Hamidreza Ghafelehbashi, Mahnaz Abbasi, Sepideh Kolaji
J Prev Med Public Health. 2025;58(4):406-414.   Published online April 21, 2025
DOI: https://doi.org/10.3961/jpmph.24.698
  • 7,232 View
  • 357 Download
  • 2 Web of Science
  • 3 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Objectives
The association between sleep disturbances and hypertension has been reported in numerous studies. However, prospective cohort data on the role of sleep disturbances in the development of preeclampsia remain limited.
Methods
This prospective cohort study was conducted on pregnant women with a in Iran. Sleep quality was assessed at the first prenatal visit (gestational age ≤14 weeks) using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Multivariate logistic regression was run to investigate the independent role of sleep abnormalities in the development of preeclampsia.
Results
The final analysis was performed on 576 participants, of whom 3.5% developed preeclampsia. In the univariate analysis, short sleep duration (< 6 hours) and prolonged sleep latency was associated with a 5.5 times and 3.5 times higher risk of developing preeclampsia (95% confidence interval [CI], 1.5 to 20.9; p=0.011, and 95% CI, 1.2 to 10.1; p=0.019, respectively). Considering the total PSQI score, fairly bad or very bad sleep quality was a risk factor for developing preeclampsia, with a relative risk of 4.9 in the univariate analysis (95% CI, 1.4 to 17.8; p=0.014). In the fully adjusted model, short sleep duration and prolonged sleep latency were associated with 7.2 times and 4.5 times higher risk of preeclampsia, respectivey (95% CI, 1.6 to 33.1; p=0.011 and 95% CI, 1.4 to 14.6; p=0.012, respectively). In this model, pregnant women with fairly bad or very bad sleep quality had 5.9 times higher risk of preeclampsia development (95% CI, 1.5 to 22.8; p=0.011).
Conclusions
This cohort study demonstrated the role of short sleep duration and prolonged sleep latency as the main components of poor sleep quality in the development of preeclampsia.
Summary
Key Message
This cohort study demonstrated that pregnant women with fairly poor or very poor sleep quality had an approximately sixfold increased risk of developing preeclampsia in the fully adjusted model. Among the components of poor sleep quality, short sleep duration and prolonged sleep latency were the most strongly associated with preeclampsia, with relative risks of approximately sevenfold and fourfold, respectively.

Citations

Citations to this article as recorded by  
  • Association Between Intimate Partner Abuse and Sleep Quality Among Pregnant Women: The Mediating Role of Depressive Symptoms
    Antônio Augusto Schäfer, Micaela Rabelo Quadra, Leonardo Pozza Santos, Vanessa Iribarrem Avena Miranda, Fernanda Daminelli Eugênio, Luísa Pillon Mendes, Fernanda Oliveira Meller
    Journal of Interpersonal Violence.2026; 41(19-20): 7405.     CrossRef
  • Association between sleep disorders during pregnancy and hypertensive disorders of pregnancy: A systematic review and meta-analysis of cohort studies
    Si-jie Guo, Jia-shuang Xu, Jie Cai, Hong-feng Gao, Li-qing Wei
    European Journal of Obstetrics & Gynecology and Reproductive Biology.2026; 325: 115332.     CrossRef
  • Obstructive sleep apnoea and hypertensive disorders of pregnancy: Causality, continuous positive airway pressure and haemodynamics
    Ernawati Darmawan, Wiku Andonotopo, Efendi Lukas, Mochammad Besari Adi Pramono, Julian Dewantiningrum, Wisnu Prabowo, Muhammad Adrianes Bachnas, I. Nyoman Hariyasa Sanjaya, Anak Agung Gede Putra Wiradnyana, Anak Agung Ngurah Jaya Kusuma, Khanisyah Erza Gu
    Indian Journal of Cardiology.2026; 29(1): 16.     CrossRef
Association Between Non-adherence to Diabetes Management and Poor Sleep Quality Based on the Korean Community Health Survey
Horim A. Hwang, Hyunsuk Jeong, Hyeon Woo Yim
J Prev Med Public Health. 2025;58(3):260-268.   Published online January 14, 2025
DOI: https://doi.org/10.3961/jpmph.24.486
  • 5,522 View
  • 411 Download
  • 1 Web of Science
  • 1 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Objectives
Adhering to management guidelines, including routine follow-up and education, is crucial for the effective management of chronic diseases such as diabetes. Uncontrolled diabetes is linked to poor sleep quality. We used nationally representative data from community-dwelling Koreans to investigate potential associations between non-adherence to diabetes management and poor sleep quality.
Methods
Of the 228 340 participants in the 2018 Korea Community Health Survey, we analyzed data from 68 246 participants aged 65 years and older. Based on their diabetes status and adherence to diabetes-related tests (glycated hemoglobin, fundus examination, and urine microalbuminuria) and management education, study participants were divided into 3 groups: no diabetes, adherence, and non-adherence. Outcome variables included poor overall sleep quality and sleep disturbances, as measured by the Pittsburgh Sleep Quality Index.
Results
The study included 934 participants in the adherence group (2.0%) and 13 420 in the non-adherence group (20.2%). Participants displaying non-adherence were significantly more likely to report poor overall sleep quality (adjusted odds ratio [aOR], 1.09; 95% confidence interval [CI], 1.04 to 1.13) and to experience sleep fragmentation, nocturia, pain during sleep, and difficulty falling asleep compared to participants without diabetes. Even in the earlier stage of diabetes, non-adherent participants were more likely to report poor sleep quality (aOR, 1.06; 95% CI, 1.00 to 1.18).
Conclusions
Patients with diabetes who do not follow management guidelines are more likely to experience poor sleep quality than those without diabetes. Emphasizing diabetes management and increasing awareness of management strategies may improve sleep quality among patients with this disease.
Summary
Korean summary
혈당조절이 되지 않는 당뇨병이 수면 관련 문제의 발생 위험을 높이는 것은 기존 연구에서 알려져 있었으나, 당뇨관리 여부가 지역사회에 거주하는 당뇨환자들의 수면의 질에 미치는 영향은 충분히 탐구 되지 않았었다. 당뇨 관리 (연 2회 이상 당화혈색소 검사, 매년 당뇨합병증 검사, 당뇨관리교육 이수)에 순응하지 않는 당뇨환자들은 당뇨가 없는 일반인들에 비해 수면 문제를 호소할 가능성이 유의하게 높은 것이 확인되었다. 이는 당뇨 유병기간으로 층화분석하였을때도 일관되게 확인되었다.
Key Message
Uncontrolled diabetes is associated with increased risk of sleep-related problems, but the knowledge on the impact of poor diabetes management on the sleep quality of community dwelling patients with diabetes is limited. Diabetes patients who did not adhere to diabetes management (<2 hemoglobin A1c tests, did not take diabetes complication test, or received diabetes management education) were more significantly more likely to report overall poor sleep quality than those without diabetes. The above association remained significant when the patients were stratified by diabetes duration.

Citations

Citations to this article as recorded by  
  • Assessment of Sleep Quality and Its Determinants Among Patients with Type 2 Diabetes Mellitus in Mogadishu, Somalia: A Cross-Sectional Study
    Nur Mohamed, Rahma Haji Mohamud, Fadumo Hilowle, Tigad Ali, Yusuf Abdirisak Mohamed, Adan Gabow, Hawa Mohamed, Nor Sidow, Mohamed Sheikh Hassan, Mohamud Waberi
    Diabetes, Metabolic Syndrome and Obesity.2025; Volume 18: 1949.     CrossRef
Health Effects of Heavy Metal Exposure Among E-waste Workers and Community-dwelling Adults in Thailand: A Cross-sectional Study
Chonyitree Sangwijit, Parichat Ong-artborirak, Warangkana Naksen, Kraiwuth Kallawicha, Pallop Siewchaisakul
J Prev Med Public Health. 2025;58(2):156-166.   Published online November 21, 2024
DOI: https://doi.org/10.3961/jpmph.24.415
  • 8,726 View
  • 609 Download
  • 1 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Objectives
Global concern is increasing about the health effects of electronic waste (e-waste). This study examines the health impacts of heavy metal (HM) exposure among e-waste workers (EWWs) and community-dwelling adults (CDAs) in Northeastern Thailand and identifies factors associated with adverse health outcomes.
Methods
A cross-sectional study was conducted of 164 EWWs and 164 CDAs. A survey was employed to collect data on participant characteristics, symptoms, anxiety, depression, and sleep quality. Urine samples were analyzed for lead (Pb) and cadmium (Cd) levels using atomic absorption spectrometry. Multiple logistic regression analysis was used to identify factors impacting health.
Results
Across all participants, urinary Pb and Cd levels ranged from 5.30 µg/g to 29.50 µg/g creatinine and from 0.60 µg/g to 4.00 µg/g creatinine, respectively. The most frequently reported health issues pertained to musculoskeletal disorders (MSDs) at 38.70%, central nervous system (CNS) issues at 36.60%, and skin disorders at 31.10%. Multivariable analysis indicated that the presence of MSDs was significantly associated with exposure to Pb and Cd. Poor sleep quality (PSQ) was significantly linked to CNS problems, while body mass index was significantly related to skin disorders. Factors including primary education level or below, smoking, cleaning the house more than 3 times weekly, and PSQ were significantly linked to depression. Anxiety was significantly associated with PSQ.
Conclusions
Environmental exposure to Pb and Cd can have adverse health impacts in the form of MSDs. Depression and anxiety are common conditions among CDAs. Public health officials should monitor HM exposure and mental health within the community.
Summary
Key Message
- Pb and Cd level was not significant difference between e-waste workers and community-dwelling adults. - Pb and Cd can adversely affect symptoms in the MSD and PSQ affects the CNS in e-waste workers. - E-waste workers had a higher chance of having musculoskeletal disorder, central nervous system disorder, and skin disorder problems than community-dwelling adults but a lower chance of having depression and anxiety than community-dwelling adults.

Citations

Citations to this article as recorded by  
  • Estimated Dietary Lead Exposure Through Aquatic Animal Consumption and Health Symptoms in a Lake-Dependent Community: Evidence from Nong Han Lake, Northeast Thailand
    Birabongse Hardthakwong, Kulthida Y. Kopolrat, Panchamapohn Rattanahon, Sribud Srichaijaroonpong, Piyapong Chaiyasarn, Narita Fakkaew, Nutta Taneepanichskul, Ratanee Kammoolkon
    International Journal of Environmental Research and Public Health.2026; 23(7): 899.     CrossRef
Systematic Review
Effects of Physical and Mind-body Exercise on Sleep Quality in Individuals With Diabetes Mellitus: A Systematic Review and Meta‐analysis
Yohanes Andy Rias, Renny Wulan Apriliyasari, Made Satya Nugraha Gautama, Faizul Hasan, Margareta Teli, Hsiao-Yean Chiu, Ratsiri Thato
J Prev Med Public Health. 2025;58(1):1-10.   Published online October 7, 2024
DOI: https://doi.org/10.3961/jpmph.24.354
  • 18,720 View
  • 985 Download
  • 4 Web of Science
  • 7 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Objectives
Physical and mind-body exercises represent distinct intervention strategies that may improve sleep quality by influencing physiological and psychological factors. Nevertheless, their effectiveness in individuals with diabetes is not well-established. This systematic review and meta-analysis aimed to examine the impacts of physical and mind-body exercise interventions on sleep quality in patients with diabetes mellitus.
Methods
Six randomized controlled trials (RCTs) that met the inclusion criteria were identified from PubMed, CINAHL, Embase, Scopus, Web of Science, Cochrane, and Ovid-Medline Library. The effect size for sleep quality was calculated using the standardized mean difference (SMD) with a 95% confidence interval (CI), employing a random-effects model. Heterogeneity and publication bias were also examined, and subgroup, meta-regression, and sensitivity analyses were performed.
Results
Physical and mind-body exercise interventions significantly improved sleep quality, with an SMD of -1.040 (95% CI, -1.686 to -0.394). Subgroup analysis revealed significant differences with respect to the type of intervention (p=0.047), or its duration (p=0.282). Meta-regression analysis indicated that mean hemoglobin A1c level was the only factor to be significantly related to the effect size for sleep quality, demonstrating a negative association (p=0.033). The assessment of publication bias and the sensitivity analysis suggested that the findings were reliable and robust.
Conclusions
Physical and mind-body exercises may serve as effective interventions for patients with diabetes mellitus who experience poor sleep quality. However, to substantiate these findings, additional rigorous RCTs with larger sample sizes, longer follow-up periods, and standardized interventions are required.
Summary
Key Message
This systematic review and meta-analysis reviewed the impact of physical and mind-body exercise interventions on sleep quality in individuals with diabetes mellitus, examining six randomised, controlled trials. The results indicated a notable enhancement in sleep quality. A meta-analysis revealed a negative correlation between haemoglobin A1c levels and improvements in sleep quality. The findings suggest that physical and mind-body exercise are effective methods for improving sleep quality; however, additional rigorous research with larger sample sizes and standardised protocols is necessary.

Citations

Citations to this article as recorded by  
  • Determinants and interrelations of exercise effects on sleep quality: A multimethod meta-analysis
    Zhide Liang, Shiao Zhao, Shudong Tian, Chuanzhi Wang, Meng Zhang, Kai Xu, Mingyue Yin, Sanfan Ng, Ziheng Ning
    Sleep Medicine Reviews.2026; 86: 102239.     CrossRef
  • Effectiveness of Mind-Body Intervention on Stress, Anxiety, and Quality of Sleep Among Menopausal Women
    Pavithra, Janet Prima Miranda, Amisha S Amin, Sabiha Banu
    Journal of Health and Allied Sciences NU.2026; 16: 560.     CrossRef
  • Effects of a Synchronous Telehealth Exercise Program on Clinical, Functional, and Psychosocial Outcomes in Individuals with Type 2 Diabetes Mellitus (RED Study): A Randomized Clinical Trial
    Samara Nickel Rodrigues, Bruno Veiga Guterres, Maurício Tatsch Ximenes Carvalho, Rodrigo Sudatti Delevatti, Cristine Lima Alberton
    International Journal of Environmental Research and Public Health.2026; 23(6): 773.     CrossRef
  • Effectiveness of Non-pharmacological Interventions on Depression, Quality of Life and Sleep Quality in Hypothyroidism: A Systematic Review and Meta-analysis
    Huma Parveen, Habiba Sundus, Md. Farhan Alam, Sahar Zaidi, Iram Fatima, Sohrab Ahmad Khan, Noor Fatima
    Sleep and Vigilance.2026;[Epub]     CrossRef
  • Assessment of Sleep Quality and Its Determinants Among Patients with Type 2 Diabetes Mellitus in Mogadishu, Somalia: A Cross-Sectional Study
    Nur Mohamed, Rahma Haji Mohamud, Fadumo Hilowle, Tigad Ali, Yusuf Abdirisak Mohamed, Adan Gabow, Hawa Mohamed, Nor Sidow, Mohamed Sheikh Hassan, Mohamud Waberi
    Diabetes, Metabolic Syndrome and Obesity.2025; Volume 18: 1949.     CrossRef
  • Sleep Quality in Patients With Type 2 Diabetes Mellitus
    Sana Khamassi, Emna Bornaz, Haifa Abdesselem, Kamilia Ounaissa, Fatma Boukhayatia, Chiraz Amrouche
    American Journal of Lifestyle Medicine.2025;[Epub]     CrossRef
  • Acute and chronic effects of inspiratory muscle training in patients with type 2 diabetes mellitus: a systematic review of randomized controlled trials
    Zoé Breuil-Marsal, Clémence Godek, Amandine Lotti, Patrick Feiereisen, Isabela Roque Marçal, Patricia Rehder-Santos, Juliana Cristina Milan-Mattos, Raphael Martins de Abreu
    Frontiers in Sports and Active Living.2024;[Epub]     CrossRef
Original Articles
Sleep Quality and Associated Factors Among Firefighters in Bangkok, Thailand: A Cross-sectional Study
Nunnapat Piyachaiseth, Pornchai Sithisarankul, Jate Ratanachina
J Prev Med Public Health. 2024;57(1):83-90.   Published online December 9, 2023
DOI: https://doi.org/10.3961/jpmph.23.305
  • 8,918 View
  • 428 Download
  • 6 Web of Science
  • 5 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Objectives
Professional firefighters face various health hazards and are required to maintain both physical and mental fitness to effectively mitigate crises and respond to emergencies. Moreover, the long working hours and shift work of this profession impact sleep quality. This study investigated the quality of sleep and its associated factors among firefighters in Bangkok, Thailand.
Methods
This was a cross-sectional study of firefighters affiliated with the Bangkok Fire and Rescue Department, Bangkok Metropolitan Administration, Thailand between January 2023 and March 2023. A cluster random sampling technique was utilized to distribute 600 questionnaires to firefighters in 15 fire stations. The questionnaire addressed demographic, work-related, and environmental factors. Sleep quality was assessed using the Thai version of the Pittsburgh Sleep Quality Index (PSQI). Data analysis involved both descriptive and inferential statistics. Bivariate and multiple logistic regressions were performed.
Results
The response rate was 78.7% (n=472), and 44.1% of the firefighters reported poor sleep quality (PSQI score >5). Sleep quality was statistically associated with conflicting family relationships (odds ratio [OR], 1.8; 95% confidence interval [CI], 1.1 to 2.9), additional part-time jobs (daytime, OR, 2.4; 95% CI, 1.3 to 4.4; or nighttime, OR, 4.3; 95% CI, 1.1 to 16.7), noisy sleeping areas (OR, 1.7; 95% CI, 1.1 to 2.8), and the availability of adequate bedding (OR, 3.0; 95% CI, 1.8 to 4.9).
Conclusions
Poor sleep quality among firefighters was associated with various personal, work-related, and environmental factors. Organizations should promote policies that improve sleep quality through good sleep hygiene practices and facilities.
Summary
Key Message
This cross-sectional study aimed to investigate sleep quality among firefighters in Bangkok, Thailand its associated factors. 44.1% of the firefighters reported poor sleep quality (the Pittsburgh Sleep Quality Index: PSQI score >5). Sleep quality was statistically associated with conflicting family relationships, additional part-time jobs (daytime or nighttime), noisy sleeping areas, and the availability of adequate bedding.

Citations

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  • Burnout, areas of worklife and associated factors among industrial workers: a cross-sectional study from Thailand
    Inthuon Hongsiri, Wiroj Jiamjarasrangsi, Jate Ratanachina
    Psychology, Health & Medicine.2026; 31(8): 2214.     CrossRef
  • Psychometric Properties of the Areas of Worklife Survey in an Industrial Context in Thailand
    Jate Ratanachina, Inthuon Hongsiri, Watcharakorn Chuthong, Wiroj Jiamjarasrangsi
    Journal of Preventive Medicine and Public Health.2026; 59(1): 75.     CrossRef
  • A latent profile analysis of health characteristics in relation to sleep among female sex workers in entertainment venues in Wuhan, China
    Weiwei Xiang, Hua Ke, Xiaojia Song, Xiang Liu, Li Dai, Xinwen Min, Handong Yang, Jun Chen, Jishun Chen, Dongfeng Li, Lijuan Zheng, Hao Xu, Wenwen Wu
    BMC Women's Health.2026;[Epub]     CrossRef
  • A Study on Work-Related Injuries and Its Association with Sleep Quality and Other Related Factors Among Firefighters in the District of Kollam, Kerala
    Bitty M. George, Monalisha Sahu, Sujith Surendran
    Indian Journal of Occupational and Environmental Medicine.2026; 30(3): 229.     CrossRef
  • Isocyanate‐Modified Melatplatin(IV) Enhances Antitumor Efficacy via TCF4/COL6A3‐Mediated Extracellular Matrix Remodeling and cGAS‐STING Pathway Activation in Bladder Cancer
    Linhui Wang, Xiaomeng Liu, Tao Zhu, Zirun Su, Ruiping Liu, Zhe Li, Kaixuan Du, Kaipeng Jia, Chong Fu, Yuda Lin, Zihan Xue, Zhe Zhang, Chong Shen, Yunkai Qie, Zhouliang Wu, Zhiheng Liu, Kangkang Liu, Jingyuan Xu, Hailong Hu
    Advanced Science.2026;[Epub]     CrossRef
Sleep Quality and Poor Sleep-related Factors Among Healthcare Workers During the COVID-19 Pandemic in Vietnam
Thang Phan, Ha Phan Ai Nguyen, Cao Khoa Dang, Minh Tri Phan, Vu Thanh Nguyen, Van Tuan Le, Binh Thang Tran, Chinh Van Dang, Tinh Huu Ho, Minh Tu Nguyen, Thang Van Dinh, Van Trong Phan, Binh Thai Dang, Huynh Ho Ngoc Quynh, Minh Tran Le, Nhan Phuc Thanh Nguyen
J Prev Med Public Health. 2023;56(4):319-326.   Published online May 31, 2023
DOI: https://doi.org/10.3961/jpmph.22.528
  • 10,799 View
  • 329 Download
  • 8 Web of Science
  • 6 Crossref
AbstractAbstract PDF
Objectives
The coronavirus disease 2019 (COVID-19) pandemic has increased the workload of healthcare workers (HCWs), impacting their health. This study aimed to assess sleep quality using the Pittsburgh Sleep Quality Index (PSQI) and identify factors associated with poor sleep among HCWs in Vietnam during the COVID-19 pandemic.
Methods
In this cross-sectional study, 1000 frontline HCWs were recruited from various healthcare facilities in Vietnam between October 2021 and November 2021. Data were collected using a 3-part self-administered questionnaire, which covered demographics, sleep quality, and factors related to poor sleep. Poor sleep quality was defined as a total PSQI score of 5 or higher.
Results
Participants’ mean age was 33.20±6.81 years (range, 20.0-61.0), and 63.0% were women. The median work experience was 8.54±6.30 years. Approximately 6.3% had chronic comorbidities, such as hypertension and diabetes mellitus. About 59.5% were directly responsible for patient care and treatment, while 7.1% worked in tracing and sampling. A total of 73.8% reported poor sleep quality. Multivariate logistic regression revealed significant associations between poor sleep quality and the presence of chronic comorbidities (odds ratio [OR], 2.34; 95% confidence interval [CI], 1.17 to 5.24), being a frontline HCW directly involved in patient care and treatment (OR, 1.59; 95% CI, 1.16 to 2.16), increased working hours (OR, 1.84; 95% CI,1.37 to 2.48), and a higher frequency of encountering critically ill and dying patients (OR, 1.42; 95% CI, 1.03 to 1.95).
Conclusions
The high prevalence of poor sleep among HCWs in Vietnam during the COVID-19 pandemic was similar to that in other countries. Working conditions should be adjusted to improve sleep quality among this population.
Summary

Citations

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  • Sleep impairment and its predictors among frontline physicians and nurses in Gaza during wartime: a cross-sectional study
    Belal Aldabbour, Majdi Alkhaldi, Ibrahim Alkordi, Nael Harara, Karam Jouda, Omar Elyazoury, Mohammed Eid, Mohammed Elhendi, Mohammed Ibrahim, Mohammed Matter, Omar Ayesh, Bilal Irfan, Amro Lahlouh
    Middle East Current Psychiatry.2026;[Epub]     CrossRef
  • Sleep quality by clinical training status among medical students and its associated factors: a cross-sectional study in Da Nang, Vietnam
    Nguyet Truong, Hung Nguyen, Tung Pham, Duyen Chu, Linh Bui
    Scientific Reports.2025;[Epub]     CrossRef
  • Prevalence of poor sleep quality and its associated factors in patients with concurrent type 2 diabetes mellitus and hypertension
    Ziling Feng, Hongying Liu, Ni Xiong, Leyao Tang, Wenjie Dai, Fang Yang
    PeerJ.2025; 13: e20325.     CrossRef
  • Approaches to Improve the Sleep Quality in Long COVID Patients: A Systematic Review
    Soheila ShamsiKhani, Mahsa Hosseini
    Current Respiratory Medicine Reviews.2025; 21(4): 365.     CrossRef
  • A cross‐sectional study of sleep disturbance among middle‐aged cancer patients at Vietnam National Cancer Hospital
    Anh Tuan Pham, Mai Tuyet Do, Huong Thi Thanh Tran
    Cancer Reports.2024;[Epub]     CrossRef
  • Poor sleep quality and associated factors among healthcare professionals at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia
    Winta Tesfaye, Ayechew Adera Getu, Baye Dagnew, Alemu Lemma, Yigizie Yeshaw
    Frontiers in Psychiatry.2024;[Epub]     CrossRef
Association Between Sleep Quality and Anxiety in Korean Adolescents
Hyunkyu Kim, Seung Hoon Kim, Sung-In Jang, Eun-Cheol Park
J Prev Med Public Health. 2022;55(2):173-181.   Published online February 10, 2022
DOI: https://doi.org/10.3961/jpmph.21.498
  • 16,250 View
  • 382 Download
  • 39 Web of Science
  • 46 Crossref
AbstractAbstract AbstractSummary PDF
Objectives
Anxiety disorder is among the most prevalent mental illnesses among adolescents. Early detection and proper treatment are important for preventing sequelae such as suicide and substance use disorder. Studies have suggested that sleep duration is associated with anxiety disorder in adolescents. In the present study, we investigated the association between sleep quality and anxiety in a nationally representative sample of Korean adolescents.
Methods
This cross-sectional study was conducted using data from the 2020 Korea Youth Risk Behavior Web-based Survey. The Generalized Anxiety Disorder-7 questionnaire was used to evaluate anxiety. The chi-square test was used to investigate and compare the general characteristics of the study population, and multiple logistic regression analysis was used to analyze the relationship between sleep quality and anxiety.
Results
In both sexes, anxiety was highly prevalent in participants with poor sleep quality (adjusted odds ratio [aOR], 1.56; 95% confidence interval [CI], 1.43 to 1.71 in boys; aOR, 1.30; 95% CI, 1.19 to 1.42 in girls). Regardless of sleep duration, participants with poor sleep quality showed a high aOR for anxiety.
Conclusions
This study identified a consistent relationship between sleep quality and anxiety in Korean adolescents regardless of sleep duration.
Summary
Korean summary
청소년건강행태조사를 이용하여 청소년들의 수면의 질과 불안과의 연관성을 분석하였다. 좋지 않은 수면의 질은 불안감과 연관성이 있었으며 이 연관성은 대상자들의 수면시간과 상관없이 나타났다.

Citations

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  • Anxiety and its associated factors among high school adolescents in a rural area of Bangladesh
    Mohammad Rezaul Karim, Mohibbul Haque, Shadman Sakib Choudhury, Rabeya Kabir, Sumaiya Khan, Meherun Nahar Munni, Abul Masud Md. Nurul Karim, Md. Abdullah Saeed Khan
    Journal of Child & Adolescent Mental Health.2026; 37(1): 52.     CrossRef
  • Korean longitudinal study on digitally optimized mental healthcare: a cohort profile
    Ok Kim, Kyung-Hwa Choi, Tae Hui Kim, Sungmin Son, Jonghun Lee, Kyungmin Kim, Un Sun Chung, Eun-Jin Cheon, Ilju Lee, Hyunwoo Jung, Ho-Jang Kwon, Xue Han, Jonghyuk Choi, Jung Won Kim, Ah Lahm Shin, Jung Jae Lee
    Methods.2026; 247: 41.     CrossRef
  • Association Between Movement Behaviors, Sleep Quality, and Anxiety Symptoms in Adolescents: A School-Based Cross-Sectional Study
    João Paulo Rodrigues dos Santos, Vagner Deuel de O. Tavares, Yuri Alberto Freire, José Damião Saraiva Gomes-Júnior, Lucas Vital Dantas, Aritana Pereira Ramos, David Ohara, Ludmila Lucena Pereira Cabral, Rodrigo Alberto Vieira Browne
    Health Education & Behavior.2026; 53(5): 515.     CrossRef
  • A study on the correlation among sleep quality in pregnant women, type 2 diabetes risk scores based on FINDRISC, and pregnancy-related anxiety
    Shuang Liu, Jinyi Wang, Chengwen Ma, Tao Liu
    BMC Pregnancy and Childbirth.2026;[Epub]     CrossRef
  • The relationship between excessive internet use and learning burnout in adolescents with depressive disorders: the chain mediating role of sleep quality and anxiety
    Furong Gou, Mengyuan Zhang, Xinrong Ma, Ling Dang, Yuelan Zhang, Xin Tian, Liqi Gu
    Psychology, Health & Medicine.2026; : 1.     CrossRef
  • Network analysis of lifestyle behaviors and anxiety in children and adolescents: gender and school-stage heterogeneity
    Liping Yu, Jun Chen, Lulu Gan, Yue Xi
    Frontiers in Psychology.2026;[Epub]     CrossRef
  • The Association Between Sexual Orientation and Sleep: A Meta-Analytic Review
    Urja Bhatia, Madison E. Quinn, Kathy-Diane Reich, Jeffrey A. Ciesla
    LGBT Health.2026; 13(5): 273.     CrossRef
  • Comparative effectiveness of single vs. combined exercise modalities on sleep disorders in Chinese adolescents: a systematic review and network meta-analysis
    Xiaoyan Li, Wei Gao, Zhiheng Li, Ji Zhu, Yanhao Wang, Ming Li
    Frontiers in Public Health.2026;[Epub]     CrossRef
  • The impact of physical exercise on sleep quality among college students: a moderated mediation model
    Xiaoyan Li, Wei Gao, Zhiheng Li, Ji Zhu, Yanhao Wang, Ming Li
    Frontiers in Psychiatry.2026;[Epub]     CrossRef
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Association Between Cohabitation Status and Sleep Quality in Families of Persons With Dementia in Korea: A Cross-sectional Study
Seung Hoon Kim, Minah Park, Sung Hoon Jeong, Sung-In Jang, Eun-Cheol Park
J Prev Med Public Health. 2021;54(5):317-329.   Published online August 14, 2021
DOI: https://doi.org/10.3961/jpmph.21.077
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AbstractAbstract AbstractSummary PDFSupplementary Material
Objectives
The aim of this study was to identify the association between cohabitation status and sleep quality in family members of people with dementia (PwDs).
Methods
Data of 190 365 participants aged ≥19 years from the 2018 Korea Community Health Survey were analyzed. Participants were categorized according to their cohabitation status with PwDs. Multiple logistic regression and ordinal logistic regression analyses were performed to evaluate the relationship between the cohabitation status of PwDs’ relatives and sleep quality measured using the Pittsburgh Sleep Quality Index (PSQI) and PSQI subscales.
Results
Compared to participants without PwDs in their families, both cohabitation and non-cohabitation with PwDs were associated with poor sleep quality (cohabitation, male: odds ratio [OR],1.28; 95% confidence interval [CI], 1.08 to 1.52; female: OR, 1.40; 95% CI, 1.20 to 1.64; non-cohabitation, male: OR, 1.14; 95% CI, 1.05 to 1.24; female: OR, 1.23; 95% CI, 1.14 to 1.33). In a subgroup analysis, non-cohabiting family members showed the highest odds of experiencing poor sleep quality when the PwD lived alone (male: OR, 1.48; 95% CI, 1.14 to 1.91; female: OR, 1.58; 95% CI, 1.24 to 2.01). Cohabiting male and female participants had higher odds of poor subjective sleep quality and use of sleeping medications than non-cohabiting male and female participants, respectively.
Conclusions
The residence of PwDs and cohabitation status may contribute to poor sleep quality among PwDs’ family members. The circumstances faced by cohabiting and non-cohabiting family members should be considered when evaluating sleep quality in family members of PwDs, and appropriate interventions may be needed to improve sleep quality in both cohabiting and non-cohabiting family members.
Summary
Korean summary
2018년 지역사회건강조사를 이용하여 190 365명을 대상으로 가족 중 치매환자 유무 및 치매환자와의 동거여부와 수면의 질 사이의 연관성을 분석하였다. 치매환자와의 동거여부와 상관없이 가족 중 치매환자가 존재하는 것은 낮은 수면의 질과 유의한 연관성이 있었다. 가족 중 치매환자가 있지만 동거하지 않는 가족 구성원의 경우 치매환자가 혼자 살 때 낮은 수면의 질과의 연관성이 가장 높게 나타났다.

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