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An examination of psychological well-being and insomnia among older adults in Bangladesh: A moderated mediation of age, perceived stress, and perceived social support

AI Summary
  • Insomnia, perceived stress, and social support jointly explained 46.4% of variance in psychological well-being among Bangladeshi older adults.
  • Perceived stress and social support significantly mediated the relationship between insomnia and psychological well-being.
  • The indirect effect of insomnia on well-being via social support was stronger for the young-old than for the old-old.
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J Health Psychol. 2026 Oct 28:13591053261499074. doi: 10.1177/13591053261499074. Online ahead of print.

ABSTRACT

This study examined the relationship between insomnia and psychological well-being and the moderated-mediation effects of stress, social support, and age among older adults in Bangladesh. A cross-sectional survey using purposive sampling was conducted with 681 participants aged 60-79 years, employing four culturally adapted Bangla scales. Well-being was significantly correlated with social support, stress, and insomnia. Multiple regression indicated that social support, perceived stress, and insomnia jointly explained 46.4% of the variance in well-being. Mediation analysis showed that stress and social support significantly mediated the relationship between insomnia and well-being. Moderated mediation revealed that insomnia had a stronger indirect effect on well-being through social support among the young-old compared to the old-old. These findings highlight the importance of reducing stress and insomnia and of enhancing social support to promote healthy aging and psychological well-being among older adults in Bangladesh.

PMID:42949261 | DOI:10.1177/13591053261499074

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