{"title":"Relationship between dysfunctional beliefs and attitudes about sleep and mental health in medical staff: the mediating role of sleep quality.","authors":"Benhong Wang, Zhong Wang, Xiaomei Zhang, Yanbin Ji, Yibin Shuai, Yinping Shen, Zhongxia Shen, Wenhao Chen","doi":"10.1007/s11325-025-03283-6","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Sleep and psychological disorders are critical global health issues, and medical personnel are not immune to their effects. This cross-sectional study explores the relationship between Dysfunctional Beliefs and Attitudes about Sleep (DBAS) and mental health among medical staff, with a focus on the mediating role of sleep quality.</p><p><strong>Methods: </strong>A web-based questionnaire was distributed to participants between April and May 2023.The research employed several assessment tools, including a General Information Questionnaire, the Dysfunctional Beliefs and Attitudes about Sleep Scale (DBAS), the Pittsburgh Sleep Quality Index (PSQI), the Patient Health Questionnaire (PHQ-9), and the Generalized Anxiety Disorder Scale (GAD-7).</p><p><strong>Results: </strong>The study included 263 medical staff and 270 non-medical staff. Medical personnel reported significantly higher DBAS scores and poorer sleep quality than non-medical staff (p < 0.01). There were significant correlations between DBAS, sleep quality (r = -0.232, p < 0.01), and symptoms of depression (r = -0.242, p < 0.01) and anxiety (r = -0.274, p < 0.01) among medical staff. Further analysis of the intermediary effect revealed that sleep quality partially mediated the relationship between DBAS and symptoms of depression and anxiety.</p><p><strong>Conclusion: </strong>The findings suggest that depression and anxiety can adversely impact beliefs and attitudes about sleep, potentially leading to poorer sleep quality. Conversely, cultivating positive beliefs and attitudes about sleep may act as cognitive protective factors, promoting better sleep quality and mental health, particularly among medical professionals.</p>","PeriodicalId":21862,"journal":{"name":"Sleep and Breathing","volume":"29 2","pages":"141"},"PeriodicalIF":2.0000,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sleep and Breathing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s11325-025-03283-6","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
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Abstract
Purpose: Sleep and psychological disorders are critical global health issues, and medical personnel are not immune to their effects. This cross-sectional study explores the relationship between Dysfunctional Beliefs and Attitudes about Sleep (DBAS) and mental health among medical staff, with a focus on the mediating role of sleep quality.
Methods: A web-based questionnaire was distributed to participants between April and May 2023.The research employed several assessment tools, including a General Information Questionnaire, the Dysfunctional Beliefs and Attitudes about Sleep Scale (DBAS), the Pittsburgh Sleep Quality Index (PSQI), the Patient Health Questionnaire (PHQ-9), and the Generalized Anxiety Disorder Scale (GAD-7).
Results: The study included 263 medical staff and 270 non-medical staff. Medical personnel reported significantly higher DBAS scores and poorer sleep quality than non-medical staff (p < 0.01). There were significant correlations between DBAS, sleep quality (r = -0.232, p < 0.01), and symptoms of depression (r = -0.242, p < 0.01) and anxiety (r = -0.274, p < 0.01) among medical staff. Further analysis of the intermediary effect revealed that sleep quality partially mediated the relationship between DBAS and symptoms of depression and anxiety.
Conclusion: The findings suggest that depression and anxiety can adversely impact beliefs and attitudes about sleep, potentially leading to poorer sleep quality. Conversely, cultivating positive beliefs and attitudes about sleep may act as cognitive protective factors, promoting better sleep quality and mental health, particularly among medical professionals.
期刊介绍：
The journal Sleep and Breathing aims to reflect the state of the art in the international science and practice of sleep medicine. The journal is based on the recognition that management of sleep disorders requires a multi-disciplinary approach and diverse perspectives. The initial focus of Sleep and Breathing is on timely and original studies that collect, intervene, or otherwise inform all clinicians and scientists in medicine, dentistry and oral surgery, otolaryngology, and epidemiology on the management of the upper airway during sleep.
Furthermore, Sleep and Breathing endeavors to bring readers cutting edge information about all evolving aspects of common sleep disorders or disruptions, such as insomnia and shift work. The journal includes not only patient studies, but also studies that emphasize the principles of physiology and pathophysiology or illustrate potentially novel approaches to diagnosis and treatment. In addition, the journal features articles that describe patient-oriented and cost-benefit health outcomes research. Thus, with peer review by an international Editorial Board and prompt English-language publication, Sleep and Breathing provides rapid dissemination of clinical and clinically related scientific information. But it also does more: it is dedicated to making the most important developments in sleep disordered breathing easily accessible to clinicians who are treating sleep apnea by presenting well-chosen, well-written, and highly organized information that is useful for patient care.
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