Exploring the underlying mechanism of the relation between trait mindfulness and insomnia among university students: a dual processing perspective.
Yanhui Mao, Yiyan Li, Shujun Wang, Weiwei Peng, Wei Zhang
BMC Public Health February 13, 2026 DOI: 10.1186/s12889-026-26513-2 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Cross-sectional survey Peer reviewed |
|---|---|
| Sample size | 1,361 |
| Population | University students from a higher education institution in Southwest China |
| Measures | Mindful Attention Awareness Scale (MAAS), Athens Insomnia Scale (AIS), Pain Catastrophizing Scale (PCS), Gratitude Questionnaire-6 (GQ-6) |
| Topics | Meditation |
| Keywords | Insomnia Gratitude Pain catastrophizing Trait mindfulness |
| Key findings | Trait mindfulness was associated with lower insomnia in university students, and the analysis indicated this link operated through reduced pain catastrophizing and increased gratitude. The authors propose that these negative cognitive and positive emotional pathways may inform efforts to improve sleep quality. |
Abstract
Background: University students experience insomnia at rates higher than those of other age groups, creating significant challenges to their physical and mental health, as well as their academic achievements. While recent research has highlighted the potential of mindfulness to improve sleep quality, the mechanisms through which mindfulness alleviates insomnia remained understudied. Pain catastrophizing has been identified as a mediating factor in this relationship, but the role of positive mental states, such as gratitude, has received limited attention. Drawing on Dual Processing Theory, Mindfulness-to-Meaning Theory, and Broaden-and-Build Theory, this study examines how negative cognitive processes like pain catastrophizing and positive traits like gratitude influence the connection between mindfulness and insomnia.
Methods: A cross-sectional survey was conducted among university students from a higher education institution in Southwest China. Participants completed a set of well-established and validated self-report instruments, including the Mindful Attention Awareness Scale (MAAS), the Athens Insomnia Scale (AIS), the Pain Catastrophizing Scale (PCS), and the Gratitude Questionnaire-6 (GQ-6), along with demographic questions. Structural equation modeling (SEM) was employed to examine the hypothesized structural relationships among trait mindfulness, pain catastrophizing, gratitude, and insomnia.
Results: A total of 1,361 valid responses were included in the analysis. The findings revealed that trait mindfulness significantly mitigated insomnia, which is consistent with the existing literature. Additionally, mindfulness improved sleep quality by reducing negative cognitive processes associated with pain catastrophizing and enhancing gratitude.
Conclusions: This study offers valuable theoretical and empirical insights that may inform approaches to enhancing sleep quality through trait mindfulness-related cognitive pathways.
Comparable studies
Other cross-sectional and survey studies on meditation, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Construct Validity of the Five Facet Mindfulness Questionnaire in Meditating and Nonmeditating Samples Experienced meditators and nonmeditating comparison groups | 2008 | Cross-sectional study | |
| Neural Correlates of Dispositional Mindfulness During Affect Labeling Adult participants | 2007 | Observational cross-sectional | n = 27 |
| Assessing mindfulness in children and adolescents: Development and validation of the Child and Adolescent Mindfulness Measure (CAMM). School-aged children and adolescents | 2011 | Cross-sectional validation study | n = 1,413 |
| Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators Experienced meditators and demographically matched nonmeditators | 2012 | Cross-sectional study | n = 152 |
| Mechanisms of Action in the Inverse Relationship Between Mindfulness and Psychological Distress Undergraduates | 2008 | Cross-sectional, correlational |
Citations in the library
Cites 17
- The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology 2003
- Empirical explorations of mindfulness: Conceptual and methodological conundrums. Emotion February 1, 2010
- A Randomized Controlled Trial of Mindfulness Meditation for Chronic Insomnia Sleep August 29, 2014
- Addressing Fundamental Questions About Mindfulness Psychological Inquiry October 19, 2007
- The efficacy of mindfulness apps on symptoms of depression and anxiety: An updated meta-analysis of randomized controlled trials. Clinical Psychology Review February 1, 2024
and 12 more in the library