STRESS

Original Articles

Association between Daily Stress, Sleep Duration, and Attention-Deficit or Hyperactivity Problems among Teenagers: Focusing on the Moderated Mediating Effect of Positive Family Relationships: RaeHyuck Lee; STRESS. 2025;33(4):201-208. Published online December 31, 2025; DOI: https://doi.org/10.17547/kjsr.2025.33.4.201

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Background
This study investigated the association between daily stress, sleep duration, and attention-deficit or hyperactivity problems (ADH) among teenagers and the moderated mediating effect of positive family relationships.
Methods
The data of a nationally representative sample of teenagers were analyzed using regression analyses.
Results
Daily stress was positively associated with ADH. Sleep duration partially mediated the association between daily stress and ADH. Positive family relationships moderated the mediating effect of sleep duration. Specifically, the mediating effect decreased with increasing levels of positive family relationships.
Conclusions
Based on its results, this study discusses ways to intervene in ADH among teenagers.

Citations

Citations to this article as recorded by

The Moderated Moderation Effect of ADHD Symptoms and Self-Esteem on the Relationship between Daily Life Stress and Depression among Adolescents
RaeHyuck Lee
STRESS.2026; 34(1): 34. CrossRef

Does Stress Affect Adolescent Anxiety by Mediating Sleep Time?: Si On Jang; STRESS. 2024;32(3):142-152. Published online September 30, 2024; DOI: https://doi.org/10.17547/kjsr.2024.32.3.142

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323 Download
2 Citations

Abstract PDF

Background
Health is essential for the sustainable well-being, yet high stress, anxiety, and lack of sleep among Korean adolescents have become significant social concerns.
Methods
This study examined the impact of stress on anxiety and investigated whether sleep time mediates this relationship in 46,870 male and female adolescents, ranging from first-year of middle school students to third-year high school students. Data were obtained from the "18th Korea Youth Risk Behavior Survey" conducted by the Korea Disease Control and Prevention Agency.
Results
The analysis showed that increased stress was associated with reduced sleep time and higher anxiety levels, stress was found to heighten anxiety, partly by reducing sleep time.
Conclusions
Based on these findings, the study recommends: ① developing mental health indicators to quickly identify adolescents at risk for mental health issues, ② encouraging cooperation between schools, government agencies, healthcare providers to enhance access to mental health programs for adolescents, and ③ implementing policies that promote healthy behaviors, ensure adequate sleep, and improve overall well-being.

Citations

Citations to this article as recorded by

Association between Daily Stress, Sleep Duration, and Attention-Deficit or Hyperactivity Problems among Teenagers: Focusing on the Moderated Mediating Effect of Positive Family Relationships
RaeHyuck Lee
STRESS.2025; 33(4): 201. CrossRef
Comparative effects of music therapy and aromatherapy on stress, quality of life, and happiness among shift nurses in Korea: a randomized controlled trial
So-heun Lee, Won-jong Kim, Eun-Hi Choi, Myung-Haeng Hur
Journal of Korean Biological Nursing Science.2024; 26(4): 337. CrossRef

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