Evidence map›Paper›PMID 41770451›Full record

ArticleThe Psychiatric quarterly2026

The Associations of Maladaptive Personality, Self-Regulation, and Sleep Hygiene with Insomnia Severity: A serial Mediation Model.

Ali Zakiei, Habibolah Khazaie, Sara Lorzangeneh, Saeid Komasi

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Article in The Psychiatric quarterly, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Ali ZakieiSleep Disorders Research Center, Health Policy and Promotion Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Habibolah KhazaieSleep Disorders Research Center, Health Policy and Promotion Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Sara LorzangenehDepartment of Psychology, Faculty of Humanities and Social Sciences, University of Kurdistan, Sanandij, Iran. Sara.zangeneh114@gmail.com.
Saeid KomasiSleep Disorders Research Center, Health Policy and Promotion Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran. s_komasi63@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Psychological factors like unhealthy personality traits, trouble managing emotions and behaviors, and poor sleep habits may contribute to insomnia. But we don’t yet fully understand how these factors interact in a chain of effects that changes how severe insomnia is. This study aimed to look at how maladaptive personality traits, self-regulation, and sleep hygiene relate to insomnia severity, using a step-by-step serial mediation model. This cross-sectional study was conducted among a college student sample in Iran. A total of 483 individuals were analyzed, of whom 349 (72.3%) were female, with a mean age of 22.7 ± 5.2 years. Data were collected using several standardized self-report questionnaires. Pearson correlation coefficients and mediation analysis were employed for data analysis. Maladaptive trait domains of personality directly negatively affected self-regulation and sleep hygiene, and lower self-regulation was also associated with poorer sleep hygiene. Both poor sleep hygiene and maladaptive domains of personality directly increased insomnia severity, whereas higher self-regulation was associated with reduced insomnia severity. Additionally, self-regulation and sleep hygiene acted as mediating variables in the relationship between maladaptive personality traits and insomnia. It can be concluded that self-regulation and sleep hygiene play mediating roles in the relationship between maladaptive personality traits and insomnia. Specifically, maladaptive personality traits, when combined with low self-regulation, lead to poorer sleep hygiene and ultimately increase insomnia severity. Therefore, it is recommended that therapists focus on strengthening self-regulation skills in individuals suffering from insomnia.

Indexed as

InsomniaMaladaptive personality traitsMediation analysisSelf-regulationSleep hygiene

Identifiers

PMID41770451

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.