Objective : The purpose of this study was to examine the effects of depressive symptoms on the relationship between avoidance(brooding, reflection, and behavioral avoidance) and sleep quality.
Methods : In total, there were 947 subjects who were assessed using self-reports on three measures: Center for Epidemiological Studies-Depression (CES-D), Ruminative Response Style (RRS), Cognitive-Behavioral Avoidance Scale (CBAS), and Pittsburgh Sleep Quality Assessment (PSQI).
Results : First, depressive symptoms fully mediated the relationship between brooding and sleep quality. Second, reflection did not mediate the relationship between brooding and sleep quality, and reflection had no direct effects on depressive symptoms. Third, depressive symptoms partially mediated the relationship between behavioral avoidance and sleep quality.
Conclusion : This study was confirmed the pathological characteristics of brooding compare to reflection, and the essential role of behavioral avoidance and depressive symptoms on sleep problems.