Basis Najwa, Boker Lital Keinan, Shochat Tamar
Cheryl Spencer Department of Nursing, The Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.
School of Public Health, the Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.
J Sleep Res. 2025 Apr 3:e70055. doi: 10.1111/jsr.70055.
Religious belief can be beneficial to mental health, particularly in relation to anxiety and depression, both of which are strongly linked to poor sleep. This study aimed to investigate the role of anxiety and depression as mediators in the relationship between religiosity/religious orientation and sleep health in the Druze community in Israel. The cross-sectional study included 93 religious and 140 non-religious Druze adults who completed a questionnaire and a 2-week sleep diary. We tested the effects of religiosity (yes/no) and religious orientation (religion as end, means and quest) on sleep quality and efficiency. Next, we examined anxiety and depression as mediators in these relationships. Eighty-three (35.6%) respondents had borderline or clinical anxiety, while 24(10.3%) had borderline or clinical depression. Thirty (12.9%) reported poor sleep quality. In mediation models, anxiety fully mediated the relationship between religiosity and sleep quality (β = 0.195, 95% CI [0.109-0.296]); religiosity and sleep efficiency (β = 0.619, 95% CI [0.193-1.137]); religion as end and sleep quality (β = 0.091, 95% CI [0.046-0.150]); religion as end and sleep efficiency (β = 0.304, 95% CI [0.094-0.577]); religion as quest and sleep efficiency (β = -0.325, 95% CI [-0.575-0.086]). Additionally, anxiety partially mediated the relationship between religion as quest and sleep quality (β = -0.096, 95% CI [-0.152-0.052]). In all models, non-religious status, lower levels of religion as end, and higher levels of religion as quest predicted higher anxiety, which in turn predicted lower sleep quality and efficiency. Other models were non-significant for anxiety or depression. Anxiety plays a crucial role in the relationship between religiosity, religious orientation and sleep health. Religious individuals experience less anxiety and report better sleep quality.
宗教信仰可能有益于心理健康，尤其是在焦虑和抑郁方面，这两者都与睡眠质量差密切相关。本研究旨在调查焦虑和抑郁在以色列德鲁兹社区宗教信仰/宗教取向与睡眠健康关系中作为中介变量的作用。这项横断面研究纳入了93名宗教信仰的和140名无宗教信仰的德鲁兹成年人，他们完成了一份问卷和一份为期2周的睡眠日记。我们测试了宗教信仰（是/否）和宗教取向（宗教作为目的、手段和追求）对睡眠质量和效率的影响。接下来，我们考察了焦虑和抑郁在这些关系中作为中介变量的情况。83名（35.6%）受访者有边缘性或临床焦虑，而24名（10.3%）有边缘性或临床抑郁。30名（12.9%）报告睡眠质量差。在中介模型中，焦虑完全中介了宗教信仰与睡眠质量之间的关系（β = 0.195，95%可信区间[0.109 - 0.296]）；宗教信仰与睡眠效率之间的关系（β = 0.619，95%可信区间[0.193 - 1.137]）；宗教作为目的与睡眠质量之间的关系（β = 0.091，95%可信区间[0.046 - 0.150]）；宗教作为目的与睡眠效率之间的关系（β = 0.304，95%可信区间[0.094 - 0.577]）；宗教作为追求与睡眠效率之间的关系（β = -0.325，95%可信区间[-0.575 - 0.086]）。此外，焦虑部分中介了宗教作为追求与睡眠质量之间的关系（β = -0.096，95%可信区间[-0.152 - 0.052]）。在所有模型中，无宗教信仰状态、较低水平的宗教作为目的以及较高水平的宗教作为追求预示着更高的焦虑，而这反过来又预示着更低的睡眠质量和效率。其他模型在焦虑或抑郁方面无显著意义。焦虑在宗教信仰、宗教取向与睡眠健康的关系中起着关键作用。有宗教信仰的个体焦虑较少，睡眠质量报告更好。
