Exploring the risk factors that contribute to sleep disturbances
- VernacularTitle:Нойрны хямралын зарим эрсдэлт хүчин зүйлийг судалсан нь
- Author:
Delkhiitsetseg D
1
;
Enkhtuu B
1
;
Munkhzol M
1
Author Information
1. Department of Pathophysiology, School of Biomedicine, MNUMS
- Publication Type:Journal Article
- Keywords:
State Anxiety;
Trait Anxiety;
Stress;
Depress;
Glucose
- From:
Mongolian Journal of Health Sciences
2025;86(2):107-110
- CountryMongolia
- Language:Mongolian
-
Abstract:
Background:This study examines the role of health status and social support in the relationship between stress, depression,
anxiety, and sleep disturbance, both in intermittent and chronic sleep disturbances.
Aim:Assessing sleep disturbance, identifying some risk factors, and examining the relationship with blood glucose levels.
Materials and Methods:A cross-sectional study was conducted between December 2024 and March 2025. Data were
collected from 209 healthy adults aged over 18 years, who either experienced normal sleep patterns or sleep maintenance
issues. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). State and trait anxiety, as well as
depression, were measured using the State-Trait Anxiety Inventory (STAI) and the Center for Epidemiologic Studies Depression
Scale (CES-D), respectively. The PSQI scale indicates sleep disturbances if the score is 5 or higher. For detecting
anxiety, the STAI (State-Trait Anxiety Inventory, or Spielberger-Hanin) scale is used with the following classifications:
1.4-0 no anxiety, 1.5-1.9 mild anxiety, 2.0-2.9 moderate anxiety, 3.0-3.4 severe anxiety, 3.5-4.0 very severe anxiety for
detecting depression, the CES-D (Center for Epidemiologic Studies Depression Scale) scale is used with the following
classifications: below 15
Results:The average age of participants was 49.61±17.64 years. According to the PSQI global score (≥5), 54.1% (n=113)
reported poor sleep quality, while 45.9% (n=96) were categorized as normal sleepers. The mean PSQI score for those with
sleep disturbances was 6.21±3.56, compared to 3.10±1.61 in the normal sleep group. In the sleep disturbance group (n=89),
blood glucose levels were measured as 6.15±1.88 mmol/l after fasting and 6.82±2.70 mmol/l before bedtime (p=0.001).
Among all subjects, 70.8% (n=147) exhibited state anxiety, 85.6% (n=179) showed trait anxiety, and 23.4% (n=49) had
symptoms of depression. Sleep disturbance was significantly associated with state anxiety (OR=1.038; p=0.049) and trait
anxity (OR=1.088; p=0.000).
Conclusion:This study demonstrates that state and trait anxiety are independent factors contributing to sleep disturbance.
Additionally, the current state of anxiety is directly correlated with the fasting blood glucose lev
- Full text:2025052816245885694107-110.pdf
