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Expressive suppression mediates the relationship between sleep quality and generalized anxiety symptomology

Bendall, RCA, Elton, SN and Hughes, ATL (2024) Expressive suppression mediates the relationship between sleep quality and generalized anxiety symptomology. Scientific Reports, 14 (1).

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Anxiety disorders are the most prevalent worldwide mental health disorder, resulting in high societal costs. Emotion regulation and sleep quality are associated with the development of psychopathologies including anxiety. However, it is unknown whether habitual emotion regulation strategy use can mediate the influence of sleep quality on anxiety symptomology. An opportunity sample in a healthy population completed the Pittsburgh Sleep Quality Index to provide a measure of sleep quality, the Emotion Regulation Questionnaire to assess habitual use of emotion regulation strategies, and the Generalized Anxiety Disorder Scale to record anxiety symptomology. Data were analysed using correlation and regression-based mediation analyses. Improved sleep quality was predictive of reduced habitual use of expressive suppression and reduced anxiety symptomology. Additionally, increased use of expressive suppression was predictive of greater anxiety symptomology. Cognitive reappraisal was not associated with sleep quality or anxiety severity. Further, novel findings using mediation analyses show that expressive suppression partially mediated the relationship between sleep quality and anxiety. Whilst longitudinal and experimental research are needed to establish causality, these findings suggest that simultaneously targeting improvements in sleep quality and the use of specific emotion regulation strategies, including expressive suppression, may improve the efficacy of interventions focussed on reducing anxiety-related symptomology.

Item Type: Article
Uncontrolled Keywords: Humans; Emotions; Anxiety; Anxiety Disorders; Adolescent; Adult; Middle Aged; Female; Male; Young Adult; Surveys and Questionnaires; Emotional Regulation; Sleep Quality; Anxiety; Cognitive reappraisal; Emotion regulation; Expressive suppression; Generalized anxiety disorder; Sleep quality; Humans; Male; Female; Sleep Quality; Adult; Anxiety; Surveys and Questionnaires; Middle Aged; Emotional Regulation; Anxiety Disorders; Young Adult; Adolescent; Emotions
Subjects: Q Science > QH Natural history > QH301 Biology
Divisions: Biological & Environmental Sciences (from Sep 19)
Publisher: Nature Research
SWORD Depositor: A Symplectic
Date Deposited: 01 Jul 2024 13:58
Last Modified: 01 Jul 2024 14:00
DOI or ID number: 10.1038/s41598-024-63939-3
URI: https://researchonline.ljmu.ac.uk/id/eprint/23675
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