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The mediating role of mood in the relationship between perseverative cognition,sleep and subjective health complaints in music students
Authors:Regina K. Studer  Carole Nielsen  Petra L. Klumb  Horst Hildebrandt  Urs M. Nater  Pascal Wild
Affiliation:1. Institut universitaire romand de Santé au Travail (Institute for Work and Health), University of Lausanne and University of Geneva, Epalinges-Lausanne, Switzerland;2. Department of Psychology, University of Fribourg, Switzerland;3. Swiss University Centre for Music Physiology, Zurich University of the Arts, Zurich, Switzerland;4. Clinical Psychology, Department of Psychology, University of Vienna, Austria;5. Scientific Management, Institut national de recherche et de sécurité (INRS), Nancy, France
Abstract:Objective: Subjective health complaints (SHC) are frequent in musicians. These complaints may be particularly distressing in this population because they are performance relevant. This paper aims at testing a model positing that (a) perseverative cognition (PC) predicts sleep duration/quality, (b) sleep duration/quality predicts SHC and (c) mood is a mediator of these associations.

Design: Participants were 72 music students (mean age (SD): 22.7 (3.0) years), and the assessment period consisted of seven consecutive days, with a solo performance on the fifth day.

Main outcome measures: Self-reported total sleep time (TST) and sleep quality were assessed 30?min after wake-up, and objective TST/sleep quality were assessed with an actigraphy watch. PC and mood were measured five times a day. Daily SHC were assessed at 9 p.m.

Results: PC did not significantly predict sleep duration/quality. Self-reported and objective TST and sleep quality were all significantly associated with SHC. Mood played a mediating role in each of these relationships with the exception of objective sleep quality.

Conclusion: The tested model on the association among PC, sleep and SHC and the mediating role of mood received partial support, highlighting the importance of sleep and mood in the emergence of SHC among university music students.

Keywords:mood  perseverative cognition  subjective health complaints  sleep duration  sleep quality  music students
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