This study examined the relationship between dissatisfaction with cutaneous body image and facial appearance with symptoms of insomnia whilst incorporating the mediating role of anxiety and/or depression after accounting for co-morbid sleep disorder symptoms. Participants ( n = 241) completed online measures assessing insomnia symptoms, anxiety and depression symptoms, and satisfaction with cutaneous body image and facial appearance. Symptoms of insomnia were independently related to greater dissatisfaction with cutaneous body image and facial appearance in univariate analyses. However, linear regression analyses determined these relationships to be partially mediated by depression, but not anxiety. Expanding on prior research, these findings suggest that whilst increased symptoms of insomnia may influence dissatisfaction with cutaneous and facial features, these relationships may be partially attributed to the experience of depressive symptoms often co-morbid with both insomnia and dermatological complaints. Treatment approaches for individuals with insomnia may benefit from targeting and improving negatively appraised aspects of physical self-perception.

中文翻译：

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抑郁介导失眠患者的皮肤体像和面部外观不满意

本研究检查了对皮肤身体形象的不满与失眠症状的面部外观之间的关系，同时在考虑了共病睡眠障碍症状后纳入了焦虑和/或抑郁的中介作用。参与者 (n = 241) 完成了评估失眠症状、焦虑和抑郁症状以及对皮肤身体形象和面部外观的满意度的在线测量。在单变量分析中，失眠症状与对皮肤身体形象和面部外观的更大不满独立相关。然而，线性回归分析确定这些关系部分由抑郁而不是焦虑介导。扩展先前的研究，这些研究结果表明，虽然失眠症状的增加可能会影响对皮肤和面部特征的不满，但这些关系可能部分归因于抑郁症状的经历，这些症状通常与失眠和皮肤病症状共存。针对失眠患者的治疗方法可能会受益于针对和改善身体自我感知的负面评价方面。