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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

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