Prediction of sleep quality based on stress, depression and anxiety with role of mediator cognitive emotion regulation strategies in pregnant women

Document Type : Original Article


1 Associate professor, Department of Public Psychology, School of Social Sciences, Razi University, Kermanshah, Iran

2 M.Sc. of Public Psychology, School of Social Sciences, Razi University, Kermanshah, Iran.


Introduction: Reducing the quality of sleep is one of the most common complaints during pregnancy that can create appropriate field for many mental disorders in this period. Inappropriate sleep quality is related with negative consequences on the mental health in pregnant women. This study was performed with aim to predict the sleep quality based on stress, depression and anxiety with role of mediator cognitive emotion regulation strategies in pregnant women.
Methods: This descriptive study was done on 302 pregnant women referred to health centers in Kermanshah city in 2015. To evaluate the relationship between measured variables in suggested conceptual model, structural equations pattern was used. The subjects as self-assessment completed Pittsburgh sleep quality questionnaire (PSQI), Granfeski cognitive emotion regulation strategies questionnaire and depression, anxiety and stress questionnaire (DASS-21). Data analysis was performed using SPSS software (version 22) and AMOS 21, and Pearson correlation coefficient, regression coefficient, path analysis. PResults: significant relationship was observed between sleep quality and mental health in pregnant women through cognitive emotion regulation strategies, so that, use of negative emotion regulation strategies such as thought rumination and disaster concept increases the risk of developing depression  and anxiety and reduced sleep quality ( P<0.05)
Conclusion: Poor mental health and maladaptive cognition emotion regulation strategies can reduce sleep quality in pregnant women


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