Secondary Analysis of Helplessness, Depressive Symptoms, and Sleep Quality on Health Status: A Moderated Mediation Analysis.

IF 2.8 3区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychology Research and Behavior Management Pub Date : 2025-03-21 eCollection Date: 2025-01-01 DOI:10.2147/PRBM.S504975

Terry A Cronan, Taylor L Skow, Lucy Ishkhanian, Melody Sadler, Kalila Wash, Angelina Van Dyne

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Abstract

Purpose: The objective of the study was to determine whether depressive symptoms mediated the association between helplessness and health status, and to assess whether sleep quality moderated this relationship for people with fibromyalgia (FM) in a moderated mediation model.

Patients and methods: The participants were 600 members of a health maintenance organization. The Arthritis Helplessness Index (AHI) was used to assess helplessness. The Center for Epidemiological Studies Depression Scale (CES-D) was used to measure symptoms of depression. Sleep quality was assessed using The Pittsburgh Sleep Quality Index (PSQI). Health Status was measured using the Quality of Well-Being Scale (QWB).

Results: Depressive symptoms partially mediated the relationship between helplessness and health status. Sleep quality fully moderated the association between depressive symptoms and health status. However, worse sleep quality was associated with a weaker relationship between depressive symptoms and health status.

Conclusion: The findings extend the literature by explaining the impact of helplessness on health status via depressive symptoms, and emphasize the importance of reducing feelings of helplessness and depression in people with FM. The results suggest that depressive symptoms may be more critical than addressing sleep quality problems in interventions designed for people with FM.

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来源期刊

Psychology Research and Behavior Management Multiple-

CiteScore

4.50

自引率

4.70%

发文量

341

审稿时长

16 weeks

期刊介绍： Psychology Research and Behavior Management is an international, peer-reviewed, open access journal focusing on the science of psychology and its application in behavior management to develop improved outcomes in the clinical, educational, sports and business arenas. Specific topics covered in the journal include: -Neuroscience, memory and decision making -Behavior modification and management -Clinical applications -Business and sports performance management -Social and developmental studies -Animal studies The journal welcomes submitted papers covering original research, clinical studies, surveys, reviews and evaluations, guidelines, expert opinion and commentary, case reports and extended reports.