The Effects of Sleep Quality and Resilience on Perceived Stress, Dietary Behaviors, and Alcohol Misuse: A Mediation-Moderation Analysis of Higher Education Students from Asia, Europe, and North America during the COVID-19 Pandemic.
The Effects of Sleep Quality and Resilience on Perceived Stress, Dietary Behaviors, and Alcohol Misuse: A Mediation-Moderation Analysis of Higher Education Students from Asia, Europe, and North America during the COVID-19 Pandemic.
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睡眠质量和弹性对感知压力、饮食行为和酒精滥用的影响：对亚洲、欧洲和北美高等教育学生在 COVID-19 大流行期间的中介调节分析。
DOI：
10.3390/nu13020442
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发表时间：
2021-01-29
期刊：
影响因子：
5.9
通讯作者：
Tucker RM
中科院分区：
文献类型：
--
作者：
Du C;Zan MCH;Cho MJ;Fenton JI;Hsiao PY;Hsiao R;Keaver L;Lai CC;Lee H;Ludy MJ;Shen W;Swee WCS;Thrivikraman J;Tseng KW;Tseng WC;Doak S;Folk SYL;Tucker RM
Background: The coronavirus disease 2019 (COVID-19) pandemic has increased the already high levels of stress that higher education students experience. Stress influences health behaviors, including those related to dietary behaviors, alcohol, and sleep; yet the effects of stress can be mitigated by resilience. To date, past research studying the connections between dietary behaviors, alcohol misuse, sleep, and resilience commonly investigated singular relationships between two of the constructs. The aim of the current study was to explore the relationships between these constructs in a more holistic manner using mediation and moderation analyses. Methods: Higher education students from China, Ireland, Malaysia, South Korea, Taiwan, the Netherlands, and the United States were enrolled in a cross-sectional study from April to May 2020, which was during the beginning of the COVID-19 pandemic for most participants. An online survey, using validated tools, was distributed to assess perceived stress, dietary behaviors, alcohol misuse, sleep quality and duration, and resilience. Results: 2254 students completed the study. Results indicated that sleep quality mediated the relationship between perceived stress and dietary behaviors as well as the relationship between perceived stress and alcohol misuse. Further, increased resilience reduced the strength of the relationship between perceived stress and dietary behaviors but not alcohol misuse. Conclusion: Based on these results, higher education students are likely to benefit from sleep education and resilience training, especially during stressful events.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
3.9
作者：
Carver, CS
通讯作者：
Carver, CS
影响因子：
4.8
作者：
Ahrberg, K.;Dresler, M.;Genzel, L.
通讯作者：
Genzel, L.
影响因子：
2.9
作者：
Adam, Tanja C.;Epel, Elissa S.
通讯作者：
Epel, Elissa S.
DOI：
10.1016/s2468-2667(17)30231-1
发表时间：
2018-03
期刊：
The Lancet. Public health
影响因子：
--
作者：
Galante J;Dufour G;Vainre M;Wagner AP;Stochl J;Benton A;Lathia N;Howarth E;Jones PB
通讯作者：
Jones PB