Illness Uncertainty, Cognitive-Emotional Arousal, and Sleep Outcomes among Emerging Adults with a Chronic Medical Condition

Bibliographic Details
Title: Illness Uncertainty, Cognitive-Emotional Arousal, and Sleep Outcomes among Emerging Adults with a Chronic Medical Condition
Language: English
Authors: Rachel S. Fisher (ORCID 0000-0002-7128-9871), Taylor M. Dattilo, Katherine A. Traino, Lucia Ciciolla, John M. Chaney, Larry L. Mullins
Source: Journal of American College Health. 2025 73(1):390-398.
Availability: Taylor & Francis. Available from: Taylor & Francis, Ltd. 530 Walnut Street Suite 850, Philadelphia, PA 19106. Tel: 800-354-1420; Tel: 215-625-8900; Fax: 215-207-0050; Web site: http://www.tandf.co.uk/journals
Peer Reviewed: Y
Page Count: 9
Publication Date: 2025
Document Type: Journal Articles
Reports - Research
Education Level: Higher Education
Postsecondary Education
Descriptors: Sleep, Chronic Illness, College Students, Symptoms (Individual Disorders), Peer Groups, Comparative Analysis, Anxiety, Depression (Psychology), Student Attitudes, Cognitive Processes, Emotional Response, Rating Scales
DOI: 10.1080/07448481.2023.2224440
ISSN: 0744-8481
1940-3208
Abstract: Objective: Investigate the sleep hygiene and quality of emerging adults with a CMC compared to healthy peers as well as potential predictors of sleep quality. Participants: College students with and without a CMC (n = 137 per group; aged 18-23 years) at a Midwestern university. Methods: Participants reported on anxious and depressive symptoms, sleep quality, sleep hygiene, and illness uncertainty. Results: College students with a CMC reported poorer sleep quality (Adolescent Sleep Quality Scale-Revised) and hygiene (Adolescent Sleep Hygiene Scale-Revised) than the non-CMC group. The indirect effect of internalizing symptoms on sleep quality via cognitive-emotional arousal was only significant in the CMC. Illness uncertainty demonstrated a significant indirect effect on sleep quality though the consecutive influence of internalizing symptoms and cognitive-emotional arousal. Conclusions: Emerging adults with CMCs may experience poorer sleep outcomes than peers. Illness uncertainty, internalizing symptoms, and cognitive-emotional arousal appear relevant to sleep outcomes, suggesting clinical implications for these constructs.
Abstractor: As Provided
Entry Date: 2025
Accession Number: EJ1456964
Database: ERIC
Full text is not displayed to guests.
More Details
ISSN:0744-8481
1940-3208
DOI:10.1080/07448481.2023.2224440
Published in:Journal of American College Health
Language:English