Sleep

What Role Do Perfectionism and Cognitive Pre-Sleep Arousal Play in the Link Between Stress and Sleep? A Daily Diary Study in University Students.

TL;DR

Daily stress robustly impairs sleep and elevates cognitive pre-sleep arousal, which partially mediates its negative effects on sleep variables, while multidimensional perfectionism was not associated with sleep nor did it moderate the stress-sleep link.

Key Findings

Daily stress was significantly associated with shorter objective sleep duration in university students.

  • b = -0.21, p = 0.033
  • Measured over 14 days using fitness trackers in 88 German university students (M = 22.47 years, SD = 3.48)
  • Multilevel modelling was used to assess within-person daily associations
  • This was an objective measure of sleep duration via fitness tracker

Daily stress was significantly associated with lower subjective sleep quality.

  • b = -0.09, p = 0.006
  • Sleep quality was assessed via daily diary self-report
  • Sample consisted of 88 university students completing 14-day diary entries

Daily stress was significantly associated with longer subjective sleep onset latency (SOL).

  • b = 0.01, p = 0.046 (root transformed)
  • SOL was assessed via daily diary self-report
  • Effect remained significant after root transformation to address distributional issues

Daily stress was significantly associated with higher cognitive pre-sleep arousal.

  • b = 0.06, p < 0.01
  • Cognitive pre-sleep arousal was assessed daily via diary
  • This association formed the basis for subsequent mediation analyses

Cognitive pre-sleep arousal partially mediated the relationship between daily stress and all three sleep outcomes.

  • Indirect effect on sleep duration = -0.16 (p < 0.001)
  • Indirect effect on sleep quality = -0.08 (p < 0.001)
  • Indirect effect on SOL = 0.01 (p < 0.001)
  • All within-person mediation analyses were conducted using structural equation modelling
  • Authors note that 'given the suboptimal model fit in the mediation models, all indirect effects should be interpreted with caution'

Neither perfectionistic concerns nor perfectionistic strivings predicted any sleep parameters.

  • Trait perfectionism was measured via questionnaire as a between-person variable
  • No significant associations were found between either perfectionism dimension and sleep duration, sleep quality, or SOL
  • Multidimensional perfectionism encompassed both perfectionistic concerns and perfectionistic strivings

No interaction effects between perfectionism and daily stress on sleep outcomes were found.

  • Neither perfectionistic concerns nor strivings moderated the stress-sleep relationship
  • Tested using multilevel modelling with interaction terms
  • This null finding applied to all three sleep outcomes examined

Emotional distress, unlike perfectionism, predicted longer SOL via heightened cognitive pre-sleep arousal in exploratory analyses.

  • Indirect effect = 0.09, p = 0.007
  • Emotional distress was measured as a covariate via questionnaire
  • This finding was described as exploratory and contrasts with the null findings for perfectionism
  • Covariates also included Big Five personality traits and sex

The study used a 14-day micro-longitudinal daily diary design combining objective and subjective sleep measures.

  • 88 German university students participated (M = 22.47 years, SD = 3.48)
  • Participants wore fitness trackers for objective sleep duration and completed daily diaries for subjective measures
  • Daily measures included stress, cognitive pre-sleep arousal, sleep quality, and SOL
  • Both multilevel modelling and structural equation modelling were applied
  • Trait measures (perfectionism, emotional distress, Big Five traits) were collected via baseline questionnaires

What This Means

This research suggests that among university students, the stress they experience on a given day has a meaningful negative impact on that night's sleep — making them sleep less, feel their sleep quality is poorer, and take longer to fall asleep. A key mechanism appears to be cognitive pre-sleep arousal, meaning that stressful days lead to more racing or intrusive thoughts at bedtime, which in turn partially explains the worse sleep. This pattern was observed across objective measures (fitness tracker data) and subjective self-reports over a 14-day period. Contrary to what might be expected, perfectionism — whether the kind driven by high personal standards (perfectionistic strivings) or by fears of failure and self-criticism (perfectionistic concerns) — was not associated with worse sleep, nor did it amplify the negative effects of stress on sleep. This suggests that perfectionism as a personality trait may not be as directly relevant to night-to-night sleep problems as previously theorized, at least in this student sample. Emotional distress, however, did predict longer time to fall asleep through the same cognitive arousal pathway, suggesting that general psychological distress may matter more than perfectionism specifically. The practical implication of this research is that interventions aimed at reducing intrusive, ruminative thinking before bed — such as cognitive techniques used in cognitive behavioral therapy for insomnia — may be a promising avenue for improving sleep in students who are under high levels of daily stress. The authors caution that some of their mediation model results should be interpreted carefully due to imperfect statistical model fit.

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Citation

Haussmann A, Schilling N, Alfter M, Yahja J, Mertens A, Schmidt L. (2026). What Role Do Perfectionism and Cognitive Pre-Sleep Arousal Play in the Link Between Stress and Sleep? A Daily Diary Study in University Students.. Stress and health : journal of the International Society for the Investigation of Stress. https://doi.org/10.1002/smi.70136