Gratitude and sleep disturbance in primary care patients: the mediating roles of health self-efficacy, health behaviors, and psychological distress
Overall, gratitude was associated with reduced sleep disturbances through positive health behavior engagement, and via the serial mediation effects of greater health self-efficacy and lower psychological distress. Clinical interventions that enhance gratitude (e.g., gratitude listing or diaries), self-efficacy (e.g., disease self-management programs), or health behavior engagement (e.g., weight management programs) may promote favorable downstream effects on psychological distress and sleep disturbances among primary care patients.
Authors
- Niko Kohls (ORCID: https://orcid.org/0000-0002-9761-4839)
- Jameson K. Hirsch (ORCID: https://orcid.org/0000-0003-3901-0452)
- Fuschia M. Sirois (ORCID: https://orcid.org/0000-0002-0927-277X)
- Martin Offenbächer (ORCID: https://orcid.org/0000-0003-4729-0044)
- Loren Toussaint (ORCID: https://orcid.org/0000-0001-8876-1848)
- Jörg Schelling
- Heather Altier
- Annemarie Weber
Institutions
- East Tennessee State University (US)
- Johns Hopkins University (US)
- Coburg University of Applied Sciences (DE)
- Durham University (GB)
- Luther College (US)
- Paracelsus Medical University (AT)
- Johns Hopkins Medicine (US)
- German Doctors (DE)
- Doctors of the World (US)
- Karl Landsteiner Society (AT)
- Ludwig-Maximilians-Universität München (DE)
Publication Details
- Journal
- Frontiers in Sleep
- Published
- 2025-04-17
- DOI
- https://doi.org/10.3389/frsle.2025.1459854
- Primary Topic
- Psychological Well-being and Life Satisfaction
- Type
- article
- Field-Weighted Citation Impact
- 0.00