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<p>The purpose of this study was to explore the effects of perceived stress on sleep quality and the mediating effects of positive and negative rumination in primary medical staff. We also intended to analyse the associations between all these variables and the gender differences. In total 734 primary medical staff were investigated by general demographic information, Chinese perceived stress scale, pittsburgh sleep quality index and positive and negative rumination scale, and analyzed by SPSS 26.0 and AMOS structural equation model. Results indicates that the prevalence of sleep problems among primary care workers was 46.2% (339 persons), with a statistically significant difference observed in sleep quality among primary care workers based on their gender, frequency of night shifts, types of work, and hours of work (<i>P</i> &lt; 0.01). In addition, after controlling for gender differences, positive rumination in primary care workers positively mediated the effect of perceived stress on sleep quality, whereas negative rumination negatively mediated this relationship (<i>p</i> &lt; 0.05). These results provide theoretical support and guidance for improving sleep quality among Chinese primary care workers and emphasize the importance of interventions to reduce perceived stress, increase positive rumination, and decrease negative rumination.</p>

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Perceived stress and sleep quality among primary health care workers: mediating roles of positive rumination and negative rumination

  • 期刊论文

  • 发表日期：

    2025年4月2日

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  • Quyi Zhang,
  • Shibin Chen,
  • Xuntao He,
  • Shu He,
  • Lin Yang,
  • Jun Ma

摘要

The purpose of this study was to explore the effects of perceived stress on sleep quality and the mediating effects of positive and negative rumination in primary medical staff. We also intended to analyse the associations between all these variables and the gender differences. In total 734 primary medical staff were investigated by general demographic information, Chinese perceived stress scale, pittsburgh sleep quality index and positive and negative rumination scale, and analyzed by SPSS 26.0 and AMOS structural equation model. Results indicates that the prevalence of sleep problems among primary care workers was 46.2% (339 persons), with a statistically significant difference observed in sleep quality among primary care workers based on their gender, frequency of night shifts, types of work, and hours of work (P < 0.01). In addition, after controlling for gender differences, positive rumination in primary care workers positively mediated the effect of perceived stress on sleep quality, whereas negative rumination negatively mediated this relationship (p < 0.05). These results provide theoretical support and guidance for improving sleep quality among Chinese primary care workers and emphasize the importance of interventions to reduce perceived stress, increase positive rumination, and decrease negative rumination.