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CC BY-NC-ND 4.0 · Sleep Sci 2023; 16(01): 001-006
DOI: 10.1055/s-0043-1767750
Original Article

Mediating Roles of Stress, Anxiety, and Depression in the Relationship between Constipation and Sleep Quality among the Elderly: Structural Equation Modeling (SEM)

Authors

  • Shahab Papi 

    1   Mazandaran University of Medical Sciences, School of Health, Department of Geriatric Health, Sari, Iran

  • Azin Barmala 

    2   Academic Center for Education, Culture and Research (ACECR), Health Education Research Group, Khuzestan, Ahvaz, Iran

  • Zeynab Amiri 

    3   Iranian Research Center on Ageing, University of Social Welfare and Rehabilitation, Tehran, Tehran, Iran

  • Ahmad Vakili-Basir 

    4   Department of Epidemiology & Biostatics, School of Public Health, Tehran University of Medical Sciences, Tehran, Tehran, Iran

  • Maria Cheraghi 

    1   Mazandaran University of Medical Sciences, School of Health, Department of Geriatric Health, Sari, Iran

  • Elham Nejadsadeghi 

    5   Behbahan Faculty of Medical Sciences, Behbahan, Iran
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Correction to: Mediating Roles of Stress, Anxiety, and Depression in the Relationship between Constipation and Sleep Quality among the Elderly: Structural Equation Modeling (SEM)Sleep Sci 2023; 16(01): e1-e1
DOI: 10.1055/s-0043-1770795

Abstract

Introduction Sleep quality is an important health index in the elderly. As age increases, changes occur in sleep quality leading to sleep disorders and recurrent complaints. Sleep quality management of the elderly requires identification of its determinants. The present study aimed to determine the mediating roles of stress, anxiety, and depression in the relationship between constipation and sleep quality among the elderly using structural equation modeling (SEM).

Materials and Methods A correlational design was used in the present study through structural equation modeling. In this work, 363 elderlies were examined by multi-stage random sampling. Data collection tools included four questionnaires, namely a demographic information questionnaire, the constipation questionnaire (ROME III), the Depression, Anxiety, and Stress Scale-short form, and the Pittsburgh Sleep Quality Index (PSQI), which were completed by interview and the self-report method. The SPSS Statistics for Windows, version 22.0, and SPSS AMOS (IBM Corp., Armonk, NY, USA) were used to analyze the data.

Results The results indicated that the proposed model had an acceptable fit (p < 0.000, root mean square error of approximation [RMSEA] = 0.062, comparative fit index [CFI] = 0.83, goodness-of-fit index [GFI] = 0.87, and Χ2/df = 1.94). The fitted model could explain 60% of the sleep quality variance. According to the proposed model, constipation could significantly predict sleep quality due to the mediation of stress, anxiety, and depression (p < 0.05).

Conclusion The constructs of this model (constipation, stress, anxiety, and depression) can be used as a reference framework to design effective interventions and improve sleep quality in old people.

Keywords

sleep - constipation - anxiety - depression


Publication History

Received: 13 December 2021

Accepted: 05 April 2022

Article published online:
19 April 2023

© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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