{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T17:10:52Z","timestamp":1788887452513,"version":"build-2803163510"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"133","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    To examine whether sleep disturbance mediates associations between self-reported nighttime noise annoyance and depression, anxiety, and suicide risk in Taiwanese adults.\n                    <jats:bold>Methods:<\/jats:bold>\n                    We analyzed cross-sectional online survey data from 776 Taiwanese adults collected between December 2024 and May 2025. Self-reported nighttime noise annoyance from road traffic, railways, aircraft, and residential building vibrations was assessed on a 5-point verbal scale. Sleep disturbance was assessed with the Pittsburgh Sleep Quality Index (PSQI), and depression, anxiety, and suicide risk were assessed with validated self-report scales. Mediation analyses estimated total, natural direct, and natural indirect effects using 5000 bootstrap resamples.\n                    <jats:bold>Results:<\/jats:bold>\n                    Self-reported nighttime noise annoyance from road traffic, aircraft, and residential building vibrations was associated with poorer subjective sleep quality. Self-reported nighttime noise annoyance from all four sources was associated with longer sleep latency, more sleep disturbances, greater use of sleeping medication, worse daytime dysfunction, and higher global PSQI scores (\n                    <jats:italic toggle=\"yes\">B<\/jats:italic>\n                    \u2009=\u20090.652\u20130.788; all\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001), but not with sleep duration or habitual sleep efficiency. Significant natural indirect effects through sleep disturbance were observed for anxiety, depression, and suicide risk for road traffic annoyance (\n                    <jats:italic toggle=\"yes\">B<\/jats:italic>\n                    \u2009=\u20090.076\u20130.463) and residential building vibration annoyance (\n                    <jats:italic toggle=\"yes\">B<\/jats:italic>\n                    \u2009=\u20090.082\u20130.503); 95% confidence intervals excluded 0. For residential building vibration annoyance, 40.1%\u201363.6% of total associations were mediated.\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Sleep disturbance may mediate associations between self-reported nighttime noise annoyance and depression, anxiety, and suicide risk. Populations reporting nighttime noise annoyance may benefit from sleep assessment and source-specific noise mitigation.\n                  <\/jats:p>","DOI":"10.4103\/nah.nah_119_26","type":"journal-article","created":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T10:04:02Z","timestamp":1788343442000},"page":"1082-1088","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Sleep Disturbance as a Mediator Between Self-Reported Nighttime Noise Annoyance and Depression, Anxiety, and Suicide: A Mediation Analysis"],"prefix":"10.4103","volume":"28","author":[{"given":"Dian-Jeng","family":"Li","sequence":"first","affiliation":[{"name":"Department of Addiction Science, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung, Taiwan"},{"name":"Department of Nursing, Meiho University, Pingtung, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheng-Fang","family":"Yen","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan"},{"name":"Department of Psychiatry, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan"},{"name":"College of Professional Studies, National Pingtung University of Science and Technology, Pingtung, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheng-Chia","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Healthcare Administration, College of Medical and Health Science, Asia University, Taichung, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hung-En","family":"Liao","sequence":"additional","affiliation":[{"name":"Department of Healthcare Administration, College of Medical and Health Science, Asia University, Taichung, Taiwan"},{"name":"Graduate Institute of Public Health, College of Public Health, National Defense Medical University, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi-Lung","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Healthcare Administration, College of Medical and Health Science, Asia University, Taichung, Taiwan"},{"name":"Department of Medical Research, China Medical University Hospital, China Medical University, Taichung, Taiwan"},{"name":"State Key Laboratory of Vaccines for Infectious Diseases, Xiang An Biomedicine Laboratory, National Innovation Platform for Industry-Education Integration in Vaccine Research, School of Public Health, Xiamen University, Xiamen, PR 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