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This study assessed whether total sleep time and bedtime procrastination mediated the association between anxiety and sleep problems. We predicted higher anxiety would be negatively associated with total sleep time and positively associated with bedtime procrastination and sleep problems, and these variables would statistically mediate the association between anxiety and sleep problems. Participants were 308 adult primary care patients, predominantly female (non\u2010Hispanic White\u2009=\u2009158, Latinx\u2009=\u2009111, mean age\u2009=\u200933.30), who initiated behavioral health services at an integrated primary care clinic. Patients completed a questionnaire regarding psychological health and sleep behaviors. Using structural equation modeling, we found higher anxiety related to higher sleep problems, partially mediated by bedtime procrastination but not total sleep time. This study highlights related factors like anxiety and prebedtime behaviors that may be effective treatment targets for sleep challenges.<\/jats:p>","DOI":"10.1002\/jclp.23440","type":"journal-article","created":{"date-parts":[[2022,9,28]],"date-time":"2022-09-28T13:33:33Z","timestamp":1664372013000},"page":"803-817","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Bedtime procrastination mediates the relation between anxiety and sleep problems"],"prefix":"10.1002","volume":"79","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9633-9003","authenticated-orcid":false,"given":"Rebecca L.","family":"Campbell","sequence":"first","affiliation":[{"name":"Department of Psychological Science University of Arkansas Fayetteville Arkansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana J.","family":"Bridges","sequence":"additional","affiliation":[{"name":"Department of Psychological Science University of Arkansas Fayetteville Arkansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,9,28]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsycho.2007.07.010"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.2810"},{"key":"e_1_2_13_4_1","volume-title":"International classification of sleep disorders (ICSD)","author":"American Academy of Sleep Medicine","year":"2005"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbtep.2010.02.008"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/02699930903387603"},{"key":"e_1_2_13_8_1","volume-title":"Anxiety and its disorders: The nature and treatment of anxiety and panic","author":"Barlow D. 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