Mediating role of worry in the relationship between anxiety symptoms during pregnancy and sleep problems in pregnant women

Document Type : Research Paper

Authors

1 Department of Psychology, Faculty of Humanities and Social Sciences, University of Kurdistan, Sanandaj, Iran.

2 Professor, Department of Psychology, Faculty of Humanities and Social Sciences, University of Kurdistan, Sanandaj, Iran.

3 Department of Psychology, Faculty of Humanities and Social Sciences, University of Kurdistan, Sanandaj, Iran

Abstract

The aim of present study was to explain the mediating role of worry in the relationship between pregnancy-related anxiety symptoms and sleep problems in pregnant women. The statistical population included all pregnant women referring to medical centers in Isfahan city in 2023, from which a sample of 366 people was selected using the convenience sampling method. Research tools included Beck Anxiety Scale (BAI), Pregnancy-Related Anxiety Questionnaire (PRAQ), Pittsburg Sleep Quality Questionnaire (PSQI) and Penn State Worry Questionnaire (PSWQ). Data were analyzed by Pearson correlation and structural equation model using SPSS-27 and Amos-29. The findings showed that pregnancy anxiety has a positive and significant relationship with the severity of sleep problems in pregnant women. The direct effects of pregnancy anxiety on sleep problems in pregnant women were significant. The results of bootstrap and indirect coefficients also indicated that worry can play a significant mediating role between pregnancy anxiety symptoms and sleep problems. In order to improve the sleep quality of pregnant women it is suggested to use the training of emotion regulation techniques in order to control anxiety, worry and other negative emotional states in them.

Keywords


Articles in Press, Accepted Manuscript
Available Online from 23 August 2025
  • Receive Date: 07 April 2024
  • Revise Date: 30 June 2024
  • Accept Date: 27 July 2024
  • First Publish Date: 23 August 2025
  • Publish Date: 23 August 2025