Back to Journals » Nature and Science of Sleep » Volume 17

The Mediating Role of Cognitive Reappraisal on Bedtime Procrastination and Sleep Quality in Higher Educational Context: A Three-Wave Longitudinal Study

Authors Zhang Y, Rehman S , Addas A, Ahmad M, Khan A

Received 20 September 2024

Accepted for publication 15 January 2025

Published 22 January 2025 Volume 2025:17 Pages 129—142

DOI https://doi.org/10.2147/NSS.S497183

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Sarah L Appleton



Yuan Zhang,1 Shazia Rehman,2 Abdullah Addas,3,4 Mehmood Ahmad,5 Ayesha Khan6

1College of Art, Nanyang Vocational College of Agriculture, Nan Yang, Henan, 47300, People’s Republic of China; 2Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, People’s Republic of China; 3Department of Civil Engineering, College of Engineering, Prince Sattam Bin Abdulaziz University, Al-Kharj, 11942, Saudi Arabia; 4Landscape Architecture Department, Faculty of Architecture and Planning, King Abdulaziz University, Jeddah, 21589, Saudi Arabia; 5Department of Pharmacology and Toxicology, Faculty of Veterinary and Animal Sciences, The Islamia University of Bahawalpur, Bahawalpur, 63100, Pakistan; 6Department of Applied Psychology, Faculty of Social Sciences, The Islamia University of Bahawalpur, Bahawalpur, 63100, Pakistan

Correspondence: Shazia Rehman, Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, People’s Republic of China, Tel +86-13308429613, Email [email protected]

Background: While bedtime procrastination is commonly associated with adverse outcomes such as poor sleep quality, the mechanisms mediating these effects remain underexplored. Grounded in the Self-Regulation Model of Behavior and the Transactional Model of Stress and Coping, this study examines the mediating role of cognitive reappraisal in the relationship between bedtime procrastination and sleep quality over time.
Methods: Employing a longitudinal design, the study examined the progression of bedtime procrastination, cognitive reappraisal, and sleep quality among university students at three distinct time points throughout an academic semester. Structural equation modeling and autoregressive time-lagged panel models were utilized to analyze the data, assessing both the direct effects and the mediating role of cognitive reappraisal over time.
Results: The results revealed that bedtime procrastination exhibited significant stability across time points (β = 0.619 to 0.658, p< 0.001). Bedtime procrastination at earlier time points predicted poorer cognitive reappraisal (β= − 0.169, p< 0.05 to − 0.215, p< 0.01) and subsequent sleep quality (β=0.256, p< 0.001). Additionally, cognitive reappraisal significantly mediated the relationship between bedtime procrastination and sleep quality (β= − 0.359, Boot 95% CI: − 0.51 to − 0.234), emphasizing the role of emotional regulation strategies in sleep-related outcomes.
Conclusion: These findings underscored the impact of bedtime procrastination on sleep quality and highlight cognitive reappraisal as a key mediator. Interventions focusing on enhancing emotion regulation skills could mitigate the adverse effects of bedtime procrastination and improve sleep outcomes among university students.

Keywords: bedtime procrastination, cognitive reappraisal, sleep quality, longitudinal study, time-lagged panel model

Introduction

In university life, managing time and emotions effectively is essential for academic success and personal well-being.1,2 Bedtime procrastination, a specific form, involves the intentional delay of sleep initiation without external constraints despite recognizing its negative consequences.3,4 This behavior, often linked to activities like excessive social media use, gaming, or watching television, disrupts sleep schedules and negatively impacts sleep quality, cognitive functioning, and emotional regulation.5–8 Although bedtime procrastination is common, its severity and long-term consequences are less understood, with mixed findings regarding its relationship to sleep parameters such as sleep duration, efficiency, and latency.9,10 This issue is particularly concerning among university students, who face unique challenges such as academic pressures, social obligations, and lifestyle choices contributing to irregular sleep patterns.11–13 While educational and societal pressures are widely acknowledged globally, in Pakistan, these challenges are compounded by sociocultural factors, including heightened family expectations,14 cultural taboos surrounding mental health discussions,15 and limited access to resources for stress management.16 These factors influence students’ sleep-related behaviors and may exacerbate tendencies toward bedtime procrastination. While interventions such as sleep hygiene education17 and mindfulness training18 have shown promise in improving general sleep quality, their effectiveness in addressing bedtime procrastination remains unclear. These gaps underscore the need for further research to explore culturally relevant interventions targeting bedtime procrastination and its impact on university students’ well-being.

Cognitive reappraisal, a specific emotion regulation strategy, mitigates emotional responses by reinterpreting the significance of emotional events.19 As a focused component of emotion regulation, cognitive reappraisal serves as an adaptive response, enabling individuals to shift their perception of emotional events actively, fostering psychological resilience, maintaining interpersonal relationships, and promoting mental health.20 Previous research has highlighted the pivotal role of cognitive reappraisal in enhancing sleep quality and fostering positive emotional states.21 Additionally, early cognitive behavioral therapy reduces negative emotions and maladaptive behaviors by transforming distorted cognitive frameworks and enhancing cognitive reappraisal skills.22 This study specifically focuses on cognitive reappraisal, given its critical role in mitigating emotional distress and promoting psychological resilience. While emotion regulation encompasses a broader range of strategies, cognitive reappraisal is uniquely suited for exploring its impact on academic pressures, personal challenges, and sleep-related outcomes in university students.20,21 Effective use of cognitive reappraisal may be particularly beneficial for this population in maintaining mental health and academic performance amidst stressful academic environments.

Sleep quality refers to an individual’s subjective perception of their sleep, encompassing key dimensions such as sleep duration, latency (time taken to fall asleep), efficiency (time spent asleep while in bed), and disturbances during sleep.23 It is crucial for overall health, impacting cognitive performance, emotion regulation, and quality of life.24 Poor sleep quality is associated with impaired emotional functioning, reduced cognitive abilities, and an increased risk of psychopathologies such as anxiety and depression.25,26 Notably, there is an overlap in the dysfunctions of brain structures and neurotransmitters that govern both the sleep-wake cycle and affective disorders.27–29 Sleep quality among university students has been widely reported to be poor. It is influenced by various factors, including academic stress, lifestyle choices, and psychological factors, such as bedtime procrastination and emotion regulation strategies.30,31 Good sleep quality is essential for cognitive functioning, emotional regulation, and overall health.32 However, students frequently experience disrupted sleep patterns, affecting their academic performance, memory, decision-making abilities, and vulnerability to stress.33–36

The interplay among bedtime procrastination, sleep quality, and cognitive reappraisal is multifaceted and central to understanding student well-being. Bedtime procrastination disrupts sleep patterns by reducing sleep duration and quality and impairing cognitive functioning. Such impairments may hinder the ability to engage in adaptive emotion regulation strategies like cognitive reappraisal, leading to difficulties in managing stress and emotions. Over time, this creates a feedback loop where poor sleep quality and ineffective emotion regulation reinforce bedtime procrastination, further exacerbating emotional distress and sleep-related problems. Understanding these dynamics is critical for identifying intervention points to improve students’ sleep health and emotional well-being.

This study is grounded in two complementary theoretical models: the Self-Regulation Model of Behavior37 and the Transactional Model of Stress and Coping.38 The Self-Regulation Model explains bedtime procrastination as a deficit in self-regulation, wherein individuals prioritize immediate gratification (eg, leisure activities) over long-term benefits, such as sufficient sleep.39 Poor self-regulation in one domain can deplete resources needed for effective emotional and behavioral control in others, leading to heightened stress and diminished functionality.40,41 On the other hand, the Transactional Model of Stress and Coping highlights cognitive reappraisal, an emotion regulation strategy, as a key mechanism in coping with stressors. This model posits that stress responses are shaped by how individuals appraise and reframe challenges.42 Cognitive reappraisal can mitigate the emotional strain caused by bedtime procrastination and poor sleep quality, fostering more adaptive coping and reducing the likelihood of further procrastination.43,44 Together, these models provide a robust framework for understanding how bedtime procrastination, cognitive reappraisal, and sleep quality influence well-being.

Based on these theoretical foundations, the study hypothesizes:

Study Hypothesis 1: Bedtime procrastination negatively impacts sleep quality at subsequent time points, suggesting that regular delays in bedtime can degrade sleep quality over time.

Study Hypothesis 2: Cognitive reappraisal positively influences sleep quality, indicating that emotion regulation can enhance sleep outcomes despite stressors such as bedtime procrastination.

Study Hypothesis 3: Cognitive reappraisal mediates the relationship between bedtime procrastination and sleep quality, providing a pathway through which bedtime procrastination affects sleep quality via changes in emotional regulation strategies.

This longitudinal study enhances existing knowledge on bedtime procrastination, cognitive reappraisal, and sleep quality by exploring their dynamic interplay and potential causal associations over time, a perspective rarely examined in cross-sectional research. Using a three-wave longitudinal design and a cross-lagged panel model (CLPM), the study investigates how bedtime procrastination and cognitive reappraisal influence sleep quality, emphasizing the mediating role of cognitive reappraisal in mitigating the negative effects of procrastination on sleep. Conducted within Pakistani universities, this research addresses the unique sociocultural dynamics influencing academic pressures, sleep patterns, and emotional coping strategies, offering valuable insights for culturally tailored interventions.

Materials and Methods

Study Design and Participants

The present research employed a three-wave longitudinal design to assess temporal trends in bedtime procrastination, cognitive reappraisal, and sleep quality among university students across different levels of academic stress during the spring semester of 2023. Data were collected via convenience sampling from The Islamia University of Bahawalpur, Pakistan, where all students across various disciplines were invited to participate. The study was designed to capture how these psychological and behavioral constructs evolve over time in response to varying academic pressures.

Sampling and Eligibility Criteria

The target population consisted of all undergraduate and postgraduate students enrolled at The Islamia University of Bahawalpur in the spring semester of 2023. Eligibility criteria included:

  • (a) being an enrolled student in any discipline at the targeted University during the study period,
  • (b) willingness to participate in all three waves of data collection,
  • (c) age 18 years or older, and
  • (d) ability to understand and respond to survey items in English.
  • Students who were not available to participate in all three data collection waves or had medical conditions affecting their sleep or mental health were excluded from the study.

    Data Collection Procedure

    Data were collected at three distinct time points within the semester to capture variations in the constructs of interest under different levels of academic stress. The first period was the start of the semester (P1), the second period (P2) was immediately after the mid-term exam, and the third period (P3) was two weeks before the final exams. The study employed a multi-pronged approach to maximize student recruitment, utilizing personalized Email invitations, social media campaigns, on-campus advertisements, classroom announcements, and student ambassadors. These strategies were designed to engage various disciplines and ensure high participation rates. Incentives and follow-up reminders further encouraged consistent involvement in the research. This multi-faceted recruitment approach ensured maximum reach and engagement with the student population, resulting in a robust sample size for the study. Each survey took approximately 15–20 minutes to complete. The same measures were administered at each time point to ensure consistency. Further details on the data selection and participant recruitment procedures are given in the Supplementary File 1: Additional information.

    At baseline, 1912 participants completed the first wave of data collection. In the second phase, which took place immediately after the mid-term exams, 671 participants completed the survey. In the third phase, conducted two weeks before the final exams, 487 participants participated in the study. Across all three waves, 403 participants provided complete data, participating in each data collection phase, allowing for longitudinal analysis of the overlapping sample. Of these participants, 58.31% were females, and 41.69% were males, with an average age of 23.42. Further details on the socio-demographics of the study participants are presented in the Supplementary File 1: Additional analysis.

    Measurement Scales

    Bedtime Procrastination

    The current study employed a 9-item scale Bedtime Procrastination Scale (BPS), initially devised by Kroese et al,3 as a validated instrument to evaluate the propensity for bedtime procrastination. Participants’ responses were captured using a 5-point Likert scale, ranging from “Strongly Disagree” to “Strongly Agree”, where elevated scores signify a heightened inclination towards bedtime procrastination. The BPS reflects a universal construct of procrastinating bedtime despite the absence of external demands, making it relevant across diverse cultures, including Pakistan. While the scale has not yet been formally validated in the Pakistani context, it has been utilized in studies conducted with Pakistani university students, demonstrating its applicability and relevance to this population.45–47 Cultural factors such as irregular sleep schedules and late-night habits among university students in Pakistan align with the behaviors captured by the BPS, further supporting its cultural relevance. The scale has been shown to have good reliability and validity in differentiating between high and low bedtime procrastinators, with an alpha value of 0.92 in its original version.3,4,48

    Cognitive Reappraisal

    The Cognitive Reappraisal Subscale derived from the Emotion Regulation Questionnaire (ERQ)49 evaluates the propensity to modify one’s cognitions to alter emotional experiences. This subscale comprises six items scored on a 7-point Likert scale, ranging from “Strongly Disagree” to “Strongly Agree”. Higher scores on this subscale suggest a more frequent utilization of cognitive reappraisal as a strategy for emotion regulation. While the ERQ has been validated and widely used as a whole in studies conducted with Pakistani university students,50–52 the Cognitive Reappraisal Subscale has not been independently validated in this context. However, as a well-established and psychometrically sound dimension of the ERQ, the subscale has demonstrated robust reliability and validity across diverse populations.53–55 Given the universal nature of cognitive reappraisal as an emotion regulation strategy and its theoretical independence within the ERQ, its use in the current study is justified.

    Sleep Quality

    The Pittsburgh Sleep Quality Index (PSQI) is a widely adopted self-reported measure to evaluate sleep quality over one month.56 This instrument encompasses multiple dimensions of sleep, such as duration, disturbances, latency, and daytime dysfunction. Responses are quantified on a 4-point Likert scale, with the cumulative score ranging from 0 to 21. A cumulative score >5 suggests suboptimal sleep quality. The PSQI demonstrates good internal consistency, as evidenced by a Cronbach’s alpha value of 0.83, and exhibits robust test-retest reliability.57–59 Although no formal validation of the PSQI (in English version) has been conducted within the Pakistani context, it has been employed in studies with Pakistani populations in its original English form, demonstrating its applicability and relevance.46,60,61 The universal constructs assessed by the PSQI, such as sleep disturbances and daytime dysfunction, are relevant across diverse cultures, including Pakistan. Additionally, cultural practices and modern lifestyle factors in Pakistan, such as late-night screen use and socializing, align with the dimensions captured by the PSQI, ensuring its cultural appropriateness for the current study.

    This study utilized the original English versions of the scales. As English is the official medium of instruction and academic communication in Pakistan, the target population (university students) was expected to comprehend the items easily. Bilingual experts reviewed each scale to ensure linguistic clarity and appropriateness for the Pakistani context. No modifications to the original scales were deemed necessary.

    Analytical Approach

    Data were analyzed using a series of statistical techniques to examine the temporal trends in bedtime procrastination, cognitive reappraisal, and sleep quality across three waves of data collection. Descriptive statistics and bivariate correlational analysis were performed for all study variables at each time point to summarize the data and describe the characteristics of the sample. Reliability and validity of the study variables were assessed at each time point to ensure consistency and accuracy of the measurements over time.62–64 For the longitudinal analysis, the data were first assessed for missingness, and Little’s MCAR test65 was conducted to determine if the data were missing completely at random. Missing data were handled using Full Information Maximum Likelihood (FIML) estimation to ensure unbiased parameter estimates.66 In addition, a post hoc power analysis was also conducted to evaluate the adequacy of statistical power in detecting meaningful effects given the sample size at the final wave (P3). Next, measurement invariance tests were performed to establish configural, metric, scalar, and residual invariance across the three-time points.67,68 These tests were conducted to confirmed that the study constructs were measured equivalently over time. An autoregressive mediation model was employed to investigate bedtime procrastination’s direct and indirect effects on sleep quality over time, with cognitive reappraisal as the mediator.69 This approach allowed for estimating autoregressive effects (stability of each construct across time points) and cross-lagged effects (predictive effects of one construct on another over subsequent time points). Mediation effects were tested to determine whether cognitive reappraisal mediated the relationship between bedtime procrastination and sleep quality at different times. The model fit was assessed using standard fit indices, including the Comparative Fit Index (CFI), Tucker-Lewis Index (TLI), Root Mean Square Error of Approximation (RMSEA), and Standardized Root Mean Square Residual (SRMR).70 Indirect effects were estimated using bootstrapping techniques with 5000 resamples to calculate confidence intervals and determine the significance of the mediation pathways.71 This method provided robust estimates of the indirect effects, allowing for a clearer understanding of how changes in bedtime procrastination influenced sleep quality via cognitive reappraisal over time. All analyses were performed using SPSS and Mplus software. Statistical significance was set at p < 0.05 for all tests.

    Panel Attrition

    In order to investigate whether systematic attrition of participants between the baseline (P1) and follow-up data collection periods may have influenced the results, a comparative analysis was conducted between the baseline group (n=1912) and the overlapped group (n=403) of participants utilizing Students’ t or χ2 test. No statistically significant differences were observed between the two groups for demographic and study variables. Consequently, we can infer that any systematic dropout did not significantly affect the study results. The results are presented in Supplementary File 1: Additional analysis.

    In addition, the FIML estimation was applied to account for missing data across the three waves. This method ensured that the findings remained unbiased despite participant attrition, providing robust parameter estimates and retaining the statistical rigor of the analysis. The use of FIML allows for a comprehensive analysis of the available data while minimizing the potential impact of missing data on study conclusions.65,66

    Measurement Invariance Over Time

    In an effort to examine the stability of measurement across temporal intervals, we designated one latent variable for each of the three-time points, corresponding respectively to the measures of bedtime procrastination, cognitive reappraisal, and sleep quality. Following the guidance of Geiser et al,72 the relationships between indicators and factors, specifically factor loadings and intercepts, must remain consistent across measurements. To accommodate this requirement, we introduced factors specific to each indicator. The initial stage in assessing measurement invariance, termed configural invariance, involved verifying whether the included constructs maintain a consistent pattern of free and fixed loadings over time. This consistency suggests that underlying data support the association of indicators with the three latent factors, as it persists over time. Should configural invariance be confirmed, further constraints are applied for the subsequent evaluation stage, known as metric or weak invariance. This stage presupposes that each item contributes uniformly to the latent construct across time. We then proceeded to examine metric invariance by ensuring the equalization of factor loadings for the constructs across time. The ensuing stage, called scalar/strong invariance, involves ascertaining whether the mean differences in the latent construct entirely capture the mean differences in the shared variance of the items. Scalar invariance was evaluated by equalizing the item intercepts over time while maintaining the constraints in the metric invariance model.73 The ultimate step in assessing measurement invariance, termed residual or strict invariance, involves making the residual variables equivalent over time. If residual invariance is validated, variations in the observed variables can solely be ascribed to variations in the latent variables’ variances. To ascertain the preeminence of a more robust model, we followed the guidance of the Satorra-Bentler.74 We posited that the model incorporating the most significant number of invariance constraints provided it maintains an acceptable fit and does not substantially worsen the estimate, represents the final model.75 As the statistic for assessing model fit is sensitive to sample size, we compared the CFIs (<0.01) and RMSEAs (<0.015) of the models.76,77

    Hypotheses Testing

    Adhering to the guidance in the existing literature,65 we utilized autoregressive time-lagged panel models for hypothesis testing. Initially, a baseline model (Mstability) was established, encapsulating the temporal stabilities of the three observed variables under investigation. In a subsequent phase (Mtime-lagged), we incorporated time-lagged effects:

    • Bedtime procrastination (P1) → Cognitive reappraisal (P2)
    • Bedtime procrastination (P2) → Cognitive reappraisal (P3)
    • Cognitive reappraisal (P1) → Sleep quality (P2)
    • Cognitive reappraisal (P2) → Sleep quality (P3)
    • Furthermore, a direct path from Bedtime procrastination (P1) → Sleep quality (P3) was integrated into the model. A significant path here would suggest partial mediation; its absence would indicate full mediation.65

    Results

    Convergent and Validity Analysis Results

    Table 1 demonstrates the convergent and discriminant validity analysis outcomes, which showed good reliability and validity across all three time points (P1,P2, P3) for each construct. Cronbach’s alpha values for bedtime procrastination, cognitive reappraisal, and sleep quality were above 0.86, indicating high internal consistency for each construct. Composite reliability (CR) values were also high (0.79–0.89), further supporting the reliability of these scales. Average Variance Extracted (AVE) values range from 0.56 to 0.73, suggesting adequate convergent validity, as most are above the 0.50 threshold. This means the constructs explained a sufficient proportion of variance in their indicators.

    Table 1 Convergent and Discriminant Validity Analysis

    Bivariate Correlation Analysis Results

    Table 2 presents the findings from the bivariate correlations analysis, which revealed significant associations between bedtime procrastination, cognitive reappraisal, and sleep quality across time. Additionally, autoregressive effects indicated high stability for each construct over time, with strong positive correlations between the same constructs at different time points (bedtime procrastination: P1 to P2 = 0.75, p<0.001; P2 to P3 = 0.78, p<0.001). Cross-lagged effects showed that bedtime procrastination was negatively associated with cognitive reappraisal and sleep quality over time (bedtime procrastination and sleep quality at P1: −0.49, P2: −0.61), while cognitive reappraisal was positively associated with sleep quality (P1: 0.38, p<0.001; P2: 0.33, p<0.001).

    Table 2 Descriptive Estimates and Bivariate Correlation Analysis Over Three-Time Intervals

    Measurement Invariance

    Configural, Metric, Scalar, and Residual Invariance Models were tested for each construct over time, and outcomes are presented in Table 3. For bedtime procrastination, cognitive reappraisal, and sleep quality, all models (configural, metric, scalar, residual) demonstrated good fit indices (CFI ≈ 1.000 for bedtime procrastination and close to 0.98 for cognitive reappraisal and sleep quality; RMSEA ≈ 0.000–0.051), indicating that measurement invariance was achieved across time points. The changes in fit indices (ΔCFI and ΔRMSEA) are well within the acceptable ranges (ΔCFI < 0.01, ΔRMSEA < 0.015), confirming that the constructs were measured equivalently across time points. This allows for meaningful comparisons of the constructs across time in the longitudinal analysis.

    Table 3 Measurement Invariance (Configural, Metric, Scalar, and Residual) Comparison for All Study Models Over Time

    Model Fit Analysis

    Table 4 demonstrates the results of the comparison between the measurement model and the structural models. The measurement model showed adequate fit (CMIN/df = 1.34, RMSEA = 0.042, SRMR = 0.038, CFI = 0.98); however, the stability model (CMIN/df = 1.22, RMSEA = 0.039, SRMR = 0.037, CFI = 0.99) indicated an even better fit. The autoregressive mediation model (CMIN/df = 1.17, RMSEA = 0.040, SRMR = 0.038, CFI = 0.98) showed a slightly lower fit than the stability model but still meets the criteria for good model fit. The minor differences in ΔCFI (−0.01) and ΔRMSEA (0.001) between the stability model and the autoregressive mediation model suggested that the mediation model provides a plausible explanation of the data without a significant loss of model fit. This balance of fit and complexity, supported by AIC and BIC values, indicated that the model captures meaningful relationships while maintaining parsimony.

    Table 4 Model Fit Analysis

    Cross-Lagged Panel Model Analysis with Mediation Effects

    The CLPM results indicated the relationships among bedtime procrastination, cognitive reappraisal, and sleep quality over three time points (Figure 1). Significant autoregressive effects indicated stability within individuals over time for all three constructs. Cross-lagged effects showed that bedtime procrastination negatively impacts cognitive reappraisal and sleep quality, while cognitive reappraisal positively predicts sleep quality. Also, the autoregressive mediation model results supported that cognitive reappraisal partially mediates the relationship between bedtime procrastination and sleep quality over time (β=−0.359, Boot 95% CI: −0.51 to −0.234).

    Figure 1 Autoregressive time-lagged panel models with mediation (*p<0.05, **p<0.01, ***p<0.001).

    Post-Hoc Power Analysis for Detecting Significant Effects

    To assess the statistical power to detect the autoregressive effects and cross-lagged effects in the CLPM, specifically for the influence of bedtime procrastination (P1) on cognitive reappraisal (P2) and cognitive reappraisal (P2) on sleep quality (P3), post hoc power analyses were conducted using Monte Carlo simulation studies in Mplus version 8.6.78 To ensure the stability of the simulation results, 10,000 replications were performed with a random seed of 5000 for population draws.78 Statistical power was determined by the proportion of replications in which the null hypothesis (that a parameter equals zero) was rejected at (p < 0.05). The results demonstrated sufficient statistical power (> 0.80) to detect medium-to-large effect sizes (f2=0.02). Despite the reduced sample size at P3, these findings affirmed the robustness of the significant effects reported in the study.

    Discussion

    This study provided novel insights into the longitudinal dynamics of bedtime procrastination, cognitive reappraisal, and sleep quality. Employing a three-wave design captured temporal fluctuations often overlooked in cross-sectional research. Additionally, the study introduces cognitive reappraisal as a mediator, offering a deeper understanding of its role in mitigating the adverse effects of bedtime procrastination on sleep quality. Finally, the research highlighted the significance of sociocultural factors in shaping these relationships, addressing a critical gap in the literature by focusing on Pakistani university students. These contributions underscored the potential for developing targeted interventions to enhance sleep hygiene and emotion regulation in culturally diverse academic settings.

    First, the high autoregressive effects observed for bedtime procrastination, cognitive reappraisal, and sleep quality across the three time points indicate that these constructs are stable over time. The robust stability of bedtime procrastination, demonstrated by high correlations between adjacent time points, suggests that procrastinating going to bed is a persistent behavioral pattern. This is consistent with the literature on habitual behaviors, which often require targeted interventions to modify.79 Similarly, cognitive reappraisal, an emotion regulation strategy, showed considerable stability over time. Prior research suggests that cognitive reappraisal is an established trait-like characteristic that is relatively stable within individuals, especially under conditions of repeated stress.49,80–82 The stability of sleep quality is also noteworthy, indicating that students’ sleep patterns are not prone to significant variation unless intervened upon or influenced by major life events or academic stressors. These findings highlight the importance of considering baseline tendencies when designing interventions to reduce bedtime procrastination and improve sleep quality.

    In addition, the cross-lagged relationships between bedtime procrastination, cognitive reappraisal, and sleep quality provided interesting insights into the causal pathways between these constructs. The negative cross-lagged effects of bedtime procrastination on both cognitive reappraisal and sleep quality at each time point suggested that students who consistently delay bedtime are less likely to engage in effective cognitive regulation and are more likely to experience poor sleep quality. This aligns with prior studies that link procrastination with negative psychological and health outcomes, such as anxiety, stress, and poor sleep.3,83–85 However, the present study adds a temporal dimension, demonstrating that these associations persist over time. The persistent negative effect of bedtime procrastination on sleep quality suggests a cumulative risk: the longer an individual engages in bedtime procrastination, the more significant the deterioration in their sleep quality. This finding supports theories emphasizing the long-term health consequences of poor self-regulation behaviors.86

    Moreover, the mediation analysis provided compelling evidence that cognitive reappraisal mediates the relationship between bedtime procrastination and sleep quality. This finding is significant as it highlights a potential mechanism by which bedtime procrastination impacts sleep quality. The mediation suggested that bedtime procrastination may lead to reduced use of adaptive cognitive strategies, which in turn worsens sleep quality. This is consistent with the Self-Regulation Model, which posits that effective emotion regulation is key to managing stress and maintaining healthy routines.87 Students who engage in bedtime procrastination may be caught in a vicious cycle where poor sleep impairs their ability to reappraise stressful situations, leading to further procrastination and poor sleep.4,48,88,89 This cycle emphasizes the importance of targeting cognitive reappraisal skills in interventions. Teaching students how to reframe stressful situations and manage their time effectively could mitigate the adverse effects of bedtime procrastination on sleep quality, potentially improving overall well-being.

    Interestingly, while the mediation effect was significant, the direct effect of bedtime procrastination on sleep quality remained substantial. This suggested that other factors might mediate or moderate this relationship besides cognitive reappraisal. Variables such as perceived stress, anxiety, or overall time management skills could influence how bedtime procrastination affects sleep quality. Future research could explore these factors to provide a more comprehensive understanding of the mechanisms linking procrastination behaviors and sleep outcomes.

    While the study experienced a high attrition rate, several steps were taken to mitigate its potential impact. Attrition analysis confirmed that the final sample was representative of the initial cohort, reducing concerns about systematic bias. FIML estimation further ensured the robustness of parameter estimates despite missing data, and post hoc power analysis demonstrated sufficient statistical power to detect medium-to-large effects. Although the reduced sample size may limit the detection of smaller effects, the significant findings reported remain theoretically meaningful and robust.

    Limitations and Future Directions

    This study has several limitations that must be acknowledged. First, the sample was drawn from a single university, limiting the generalizability of the findings to other populations or settings. Future studies should include diverse samples across universities, cultural contexts, and age groups. Second, reliance on self-reported measures may introduce bias, and incorporating objective measures like actigraphy could enhance validity. Third, while cognitive reappraisal was examined as a mediator, other potential mediators or moderators, such as perceived stress or social support, were not included, which future research should address for a more comprehensive understanding. Fourth, the high attrition rate across three waves of data collection reduced the sample size at P3, potentially limiting the detection of smaller effects, despite attrition analysis confirming representativeness and the use of FIML estimation to address missing data. However, the assumption of data MCAR may not fully account for all patterns of missingness, emphasizing the need for better retention strategies. Fifth, while the structural equation modeling showed excellent fit indices, the potential for overfitting cannot be ruled out, and future research should use cross-validation to confirm robustness. Sixth, the scales used, while psychometrically sound globally and in Pakistani populations, lack formal validation within Pakistan’s cultural and linguistic context, warranting further study. Seventh, academic stress levels, likely varying across the three-time points, were not directly assessed, potentially confounding the relationships studied. Including academic stress measures in future studies would clarify its influence. Finally, the short time frame of one academic semester limits insights into long-term effects, which could be better explored in multi-year longitudinal studies.

    Implications

    The findings have several important implications for interventions targeting sleep quality and emotional regulation in university students. Given the identified mediating role of cognitive reappraisal, interventions focusing on enhancing cognitive reappraisal skills could be particularly effective. Cognitive-behavioral therapy (CBT) and mindfulness-based interventions that teach adaptive cognitive strategies could help students manage stress and reduce bedtime procrastination. Additionally, educational programs and workshops that focus on improving time management skills, setting healthy bedtime routines, and coping with academic stress could mitigate the negative impact of bedtime procrastination on sleep quality. Universities could implement peer support groups and digital interventions, such as apps that provide reminders and motivation to adhere to a healthy sleep schedule, to encourage students to adopt healthier sleep behaviors. Furthermore, policy changes that promote a more balanced academic workload and provide resources for mental health support could help create an environment conducive to better sleep and overall well-being.

    Conclusion

    This longitudinal study highlighted the significant role of bedtime procrastination in predicting poor sleep quality over time and identified cognitive reappraisal as a critical mediator in this relationship. The findings suggested that bedtime procrastination is a stable behavioral pattern and a significant risk factor for deteriorating sleep quality among university students. Interventions aimed at enhancing cognitive reappraisal skills and reducing procrastination behaviors could be beneficial in improving sleep quality and overall mental health in this population. Future research should explore additional mediating and moderating factors to understand better the pathways linking bedtime procrastination and sleep quality. By addressing these factors, educational institutions and mental health professionals can better support the well-being of students.

    Institutional Review Board Statement

    The study was conducted according to the guidelines of the Declaration of Helsinki and approved by the Ethics Review Committee of The Islamia University of Bahawalpur, Pakistan (Approval No. IUB/2022-R0967).

    Data Sharing Statement

    The raw data that support the findings of this study are available upon reasonable request from the authors (Mehmood Ahmad: [email protected] and Ayesha Khan: [email protected]).

    Informed Consent Statement

    Informed consent was obtained from all subjects involved in the study.

    Funding

    The authors extend their appreciation to Prince Sattam bin Abdulaziz University for funding this research work through the project number (PSAU/2024/01/99520).

    Disclosure

    The authors report no conflicts of interest in this work.

    References

    1. Mendo-Lázaro S, León-del-Barco B, Polo-del-Río M-I, López-Ramos VM. The impact of cooperative learning on university students’ academic goals. Front Psychol. 2022;12:787210. doi:10.3389/fpsyg.2021.787210

    2. Han W, Altalbe A, Rehman N, Rehman S, Sharma S. Exploring the longitudinal impacts of academic stress and lifestyle factors among Chinese students. J Pharm Policy Pract. 2024;17(1):2398706. doi:10.1080/20523211.2024.2398706

    3. Kroese FM, De Ridder DTD, Evers C, Adriaanse MA. Bedtime procrastination: introducing a new area of procrastination. Front Psychol. 2014;5:89333. doi:10.3389/fpsyg.2014.00611

    4. Kroese FM, Evers C, Adriaanse MA, de Ridder DTD. Bedtime procrastination: a self-regulation perspective on sleep insufficiency in the general population. J Health Psychol. 2016;21(5):853–862. doi:10.1177/1359105314540014

    5. Nauts S, Kamphorst BA, Stut W, De Ridder DTD, Anderson JH. The explanations people give for going to bed late: a qualitative study of the varieties of bedtime procrastination. Behav Sleep Med. 2019;17(6):753–762. doi:10.1080/15402002.2018.1491850

    6. Chung SJ, An H, Suh S. What do people do before going to bed? A study of bedtime procrastination using time use surveys. Sleep. 2020;43(4):zsz267. doi:10.1093/sleep/zsz267

    7. Kim G, Jeon H, Suh S. Bedtime procrastination as a mediator in the relationship between active emotion regulation strategies and insomnia. J Sleep Med. 2021;18(3):175–181. doi:10.13078/jsm.210023

    8. Zhao Y, Meng D, Ma X, et al. Examining the relationship between bedtime procrastination and personality traits in Chinese college students: the mediating role of self-regulation skills. J Am Coll Heal. 2024;72(2):432–438. doi:10.1080/07448481.2022.2038179

    9. Exelmans L, Van den Bulck J. Self-control depletion and sleep duration: the mediating role of television viewing. Psychol Health. 2018;33(10):1251–1268. doi:10.1080/08870446.2018.1489048

    10. Suh S, Cho N, Jeoung S, An H. Developing a psychological intervention for decreasing bedtime procrastination: the BED-PRO study. Behav Sleep Med. 2022;20(6):659–673. doi:10.1080/15402002.2021.1979004

    11. Ma X, Meng D, Zhu L, et al. Bedtime procrastination predicts the prevalence and severity of poor sleep quality of Chinese undergraduate students. J Am Coll Heal. 2022;70(4):1104–1111. doi:10.1080/07448481.2020.1785474

    12. Yuan X, Rehman S, Altalbe A, Rehman E, Shahiman MA. Digital literacy as a catalyst for academic confidence: exploring the interplay between academic self-efficacy and academic procrastination among medical students. BMC Med Educ. 2024;24(1):1317. doi:10.1186/s12909-024-06329-7

    13. Sirois FM, Nauts S, Molnar DS. Self-compassion and bedtime procrastination: an emotion regulation perspective. Mindfulness. 2019;10:434–445. doi:10.1007/s12671-018-0983-3

    14. Saeed M, Ullah Z, Ahmad I. A qualitative exploratory study of the factors causing academic stress in undergraduate students in Pakistan. Lib Arts Soc Sci Int J. 2020;4(1):203–223. doi:10.47264/idea.lassij/4.1.18

    15. Talat A, Khan SE, Hassan M. Stigmatization of seeking mental health care: youth perspectives from Pakistan. Pak J Soc Res. 2022;4(2):559–566. doi:10.52567/pjsr.v4i2.508

    16. Khan MN, Akhtar P, Ijaz S, Waqas A. Prevalence of depressive symptoms among university students in Pakistan: a systematic review and meta-analysis. Front Public Health. 2021;8:603357. doi:10.3389/fpubh.2020.603357

    17. Hershner S, O’Brien LM. The impact of a randomized sleep education intervention for college students. J Clin Sleep Med. 2018;14(3):337–347. doi:10.5664/jcsm.6974

    18. Caldwell K, Harrison M, Adams M, Quin RH, Greeson J. Developing mindfulness in college students through movement-based courses: effects on self-regulatory self-efficacy, mood, stress, and sleep quality. J Am Coll Heal. 2010;58(5):433–442. doi:10.1080/07448480903540481

    19. Gross JJ. Emotion regulation. Handb Emot. 2008;3(3):497–513.

    20. Thompson RA. Emotional regulation and emotional development. Educ Psychol Rev. 1991;3:269–307. doi:10.1007/BF01319934

    21. Ehring T, Tuschen-Caffier B, Schnülle J, Fischer S, Gross JJ. Emotion regulation and vulnerability to depression: spontaneous versus instructed use of emotion suppression and reappraisal. Emotion. 2010;10(4):563. doi:10.1037/a0019010

    22. Zheng Z, Gu S, Lei Y, et al. Safety needs mediate stressful events induced mental disorders. Neural Plast. 2016;2016(1):8058093. doi:10.1155/2016/8058093

    23. Dewald JF, Meijer AM, Oort FJ, Kerkhof GA, Bögels SM. The influence of sleep quality, sleep duration and sleepiness on school performance in children and adolescents: a meta-analytic review. Sleep Med Rev. 2010;14(3):179–189. doi:10.1016/j.smrv.2009.10.004

    24. Hirshkowitz M, Whiton K, Albert SM, et al. National Sleep Foundation’s updated sleep duration recommendations. Sleep Heal. 2015;1(4):233–243. doi:10.1016/j.sleh.2015.10.004

    25. Gross JJ. Emotion regulation: current status and future prospects. Psychol Inq. 2015;26(1):1–26. doi:10.1080/1047840X.2014.940781

    26. Aldao A, Nolen-Hoeksema S, Schweizer S. Emotion-regulation strategies across psychopathology: a meta-analytic review. Clin Psychol Rev. 2010;30(2):217–237. doi:10.1016/j.cpr.2009.11.004

    27. Lesch K-P, Bengel D, Heils A, et al. Association of anxiety-related traits with a polymorphism in the serotonin transporter gene regulatory region. Science. 1996;274(5292):1527–1531. doi:10.1126/science.274.5292.1527

    28. Holmes A, Murphy DL, Crawley JN. Abnormal behavioral phenotypes of serotonin transporter knockout mice: parallels with human anxiety and depression. Biol Psychiatry. 2003;54(10):953–959. doi:10.1016/j.biopsych.2003.09.003

    29. Leary KO, Bylsma LM, Rottenberg J, Leary KO, Bylsma LM, Why JR. Why might poor sleep quality lead to depression? A role for emotion regulation regulation. Cogn Emot. 2016;31:1698–1706. doi:10.1080/02699931.2016.1247035

    30. Wang F, Bíró É. Determinants of sleep quality in college students: a literature review. Explore. 2021;17(2):170–177. doi:10.1016/j.explore.2020.11.003

    31. Lemma S, Gelaye B, Berhane Y, Worku A, Williams MA. Sleep quality and its psychological correlates among university students in Ethiopia: a cross-sectional study. BMC Psychiatry. 2012;12:1–7. doi:10.1186/1471-244X-12-237

    32. Gilley RR. The role of sleep in cognitive function: the value of a good night’s rest. Clin EEG Neurosci. 2023;54(1):12–20. doi:10.1177/15500594221090067

    33. Ahrberg K, Dresler M, Niedermaier S, Steiger A, Genzel L. The interaction between sleep quality and academic performance. J Psychiatr Res. 2012;46(12):1618–1622. doi:10.1016/j.jpsychires.2012.09.008

    34. Gilbert SP, Weaver CC. Sleep quality and academic performance in university students: a wake-up call for college psychologists. J Coll Stud Psychother. 2010;24(4):295–306. doi:10.1080/87568225.2010.509245

    35. Rana BK, Panizzon MS, Franz CE, et al. Association of sleep quality on memory-related executive functions in middle age. J Int Neuropsychol Soc. 2018;24(1):67–76. doi:10.1017/S1355617717000637

    36. Aidman E, Jackson SA, Kleitman S. Effects of sleep deprivation on executive functioning, cognitive abilities, metacognitive confidence, and decision making. Appl Cogn Psychol. 2019;33(2):188–200. doi:10.1002/acp.3463

    37. Baumeister RF, Vohs KD. Self‐Regulation, ego depletion, and motivation. Soc Pers Psychol Compass. 2007;1(1):115–128. doi:10.1111/j.1751-9004.2007.00001.x

    38. Lazarus RS, Folkman S. Transactional theory and research on emotions and coping. Eur J Pers. 1987;1(3):141–169. doi:10.1002/per.2410010304

    39. Hall PA, Fong GT. Temporal self-regulation theory: a model for individual health behavior. Health Psychol Rev. 2007;1(1):6–52. doi:10.1080/17437190701492437

    40. Inzlicht M, Werner KM, Briskin JL, Roberts BW. Integrating models of self-regulation. Annu Rev Psychol. 2021;72(1):319–345. doi:10.1146/annurev-psych-061020-105721

    41. Dorrian J, Centofanti S, Smith A, McDermott KD. Self-regulation and social behavior during sleep deprivation. Prog Brain Res. 2019;246:73–110.

    42. Brock CI. The relationship between self-regulation and stress, sleep, and behavioral health. 2016.

    43. Trommsdorff G, Cole PM. Emotion, self-regulation, and social behavior in cultural contexts. 2011.

    44. Goh YW, Sawang S, Oei TPS. The Revised Transactional Model (RTM) of occupational stress and coping: an improved process approach. Aust J Organ Psychol. 2010;3:13–20.

    45. Ghafoor RZ, Nawaz S, Zahra T, Hakeem TA. Effect of smartphone addiction on academic performance; Mediation of self-regulation and bedtime procrastination. Pak J Med Health Sci. 2022;16(09):618. doi:10.53350/pjmhs22169618

    46. Cemei L, Sriram S, Holý O, Rehman S. A longitudinal investigation on the reciprocal relationship of problematic smartphone use with bedtime procrastination, sleep quality, and mental health among university students. Psychol Res Behav Manag. 2024;17:3355–3367. doi:10.2147/PRBM.S472299

    47. Ahmad Z, Khurshid S. Self-regulation, bedtime procrastination and sleep quality among adults: a meditational model. Webology. 2022;19(2).

    48. Kroese FM, Nauts S, Kamphorst BA, Anderson JH, de Ridder DTD. Bedtime procrastination: a behavioral perspective on sleep insufficiency. In: Procrastination, Health, and Well-Being. Elsevier; 2016:93–119.

    49. Gross JJ, John OP. Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. J Pers Soc Psychol. 2003;85(2):348. doi:10.1037/0022-3514.85.2.348

    50. Nadeem A, Umer F, Anwar MJ. Emotion regulation as predictor of academic performance in university students. J Prof Appl Psychol. 2023;4(1):20–33.

    51. Naz HM, Qureshi AM. Use of cognitive emotion regulation strategies and their association with academic burnout of university students. Pak Soc Sci Rev. 2024;8(3):851–861.

    52. Malik S, Perveen A. Mindfulness and anxiety among university students: moderating role of cognitive emotion regulation. Curr Psychol. 2023;42(7):5621–5628. doi:10.1007/s12144-021-01906-1

    53. Haga SM, Kraft P, Corby E-K. Emotion regulation: antecedents and well-being outcomes of cognitive reappraisal and expressive suppression in cross-cultural samples. J Happiness Stud. 2009;10:271–291. doi:10.1007/s10902-007-9080-3

    54. Krafft J, Haeger JA, Levin ME. Comparing cognitive fusion and cognitive reappraisal as predictors of college student mental health. Cogn Behav Ther. 2019;48(3):241–252. doi:10.1080/16506073.2018.1513556

    55. Preece DA, Petrova K, Mehta A, Gross JJ. The emotion regulation questionnaire-short form (ERQ-S): a 6-item measure of cognitive reappraisal and expressive suppression. J Affect Disord. 2023;340:855–861. doi:10.1016/j.jad.2023.08.076

    56. Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213. doi:10.1016/0165-1781(89)90047-4

    57. Buysse DJ, Hall ML, Strollo PJ, et al. Relationships between the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), and clinical/polysomnographic measures in a community sample. J Clin Sleep Med. 2008;4(6):563–571. doi:10.5664/jcsm.27351

    58. Pilz LK, Keller LK, Lenssen D, Roenneberg T. Time to rethink sleep quality: PSQI scores reflect sleep quality on workdays. Sleep. 2018;41(5):zsy029. doi:10.1093/sleep/zsy029

    59. Mollayeva T, Thurairajah P, Burton K, Mollayeva S, Shapiro CM, Colantonio A. The Pittsburgh sleep quality index as a screening tool for sleep dysfunction in clinical and non-clinical samples: a systematic review and meta-analysis. Sleep Med Rev. 2016;25:52–73. doi:10.1016/j.smrv.2015.01.009

    60. Zaman N, Memon KN, Zaman F, Khan KZ, Shaikh SR. Role of emotional intelligence in job performance of healthcare providers working in public sector hospitals of Pakistan. J Mind Med Sci. 2021;8(2):245–251. doi:10.22543/7674.82.P245251

    61. Zahoor M, Waqar S, Kawish AB, Mashhadi SF, Shahzad A. Sleep quality and its possible predictors among university students of Islamabad, Pakistan. Pak Armed Forces Med J. 2023;73(1):164–168. doi:10.51253/pafmj.v73i1.7814

    62. Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951;16(3):297–334. doi:10.1007/BF02310555

    63. Fornell C, Larcker DF. Evaluating structural equation models with unobservable variables and measurement error. J Mark Res. 1981;18(1):39–50. doi:10.1177/002224378101800104

    64. Hair JF, Black WC, Babin BJ, Anderson RE. Multivariate Data Analysis: Pearson College Division. London, UK: Person; 2010.

    65. Dormann C, Zapf D, Perels F. Quer-und Längsschnittstudien in der Arbeitspsychologie [Cross-sectional and Longitudinal Studies in Work Psychology]. Arbeitspsychologie Enzyklopädie der Psychol D III. 2010;1. (German).

    66. Enders CK. Applied Missing Data Analysis. Guilford Publications; 2022.

    67. Vandenberg RJ, Lance CE. A review and synthesis of the measurement invariance literature: suggestions, practices, and recommendations for organizational research. Organ Res Methods. 2000;3(1):4–70. doi:10.1177/109442810031002

    68. Byrne BM. Structural Equation Modeling with Mplus: Basic Concepts, Applications, and Programming. routledge; 2013.

    69. Cole DA, Maxwell SE. Testing mediational models with longitudinal data: questions and tips in the use of structural equation modeling. J Abnorm Psychol. 2003;112(4):558. doi:10.1037/0021-843X.112.4.558

    70. Hu L, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Model. 1999;6(1):1–55. doi:10.1080/10705519909540118

    71. Preacher KJ, Hayes AF. Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behav Res Methods. 2008;40(3):879–891. doi:10.3758/BRM.40.3.879

    72. Geiser C, Eid M, Nussbeck FW, Courvoisier DS, Cole DA. Analyzing true change in longitudinal multitrait-multimethod studies: application of a multimethod change model to depression and anxiety in children. Dev Psychol. 2010;46(1):29. doi:10.1037/a0017888

    73. Putnick DL, Bornstein MH. Measurement invariance conventions and reporting: the state of the art and future directions for psychological research. Dev Rev. 2016;41:71–90. doi:10.1016/j.dr.2016.06.004

    74. Satorra A, Bentler PM. A scaled difference chi-square test statistic for moment structure analysis. Psychometrika. 2001;66(4):507–514. doi:10.1007/BF02296192

    75. Geiser C. Lehrbuch: datenanalyse mit Mplus [Textbook: data analysis with Mplus]. Eine anwendungsorientierte Einführung. 2010;1. [German].

    76. Rutkowski L, Svetina D. Assessing the hypothesis of measurement invariance in the context of large-scale international surveys. Educ Psychol Meas. 2014;74(1):31–57. doi:10.1177/0013164413498257

    77. Chen F, Curran PJ, Bollen KA, Kirby J, Paxton P. An empirical evaluation of the use of fixed cutoff points in RMSEA test statistic in structural equation models. Sociol Methods Res. 2008;36(4):462–494. doi:10.1177/0049124108314720

    78. Muthén LK, Muthén BO. Mplus User’s Guide. 8th ed. Los Angeles, CA: Muthén & Muthén; 2017.

    79. Sirois FM, Kitner R. Less adaptive or more maladaptive? A meta–analytic investigation of procrastination and coping. Eur J Pers. 2015;29(4):433–444. doi:10.1002/per.1985

    80. Cutuli D. Cognitive reappraisal and expressive suppression strategies role in the emotion regulation: an overview on their modulatory effects and neural correlates. Front Syst Neurosci. 2014;8:110157. doi:10.3389/fnsys.2014.00175

    81. Ford BQ, Lam P, John OP, Mauss IB. The psychological health benefits of accepting negative emotions and thoughts: laboratory, diary, and longitudinal evidence. J Pers Soc Psychol. 2018;115(6):1075. doi:10.1037/pspp0000157

    82. Kalokerinos EK, Greenaway KH, Denson TF. Reappraisal but not suppression downregulates the experience of positive and negative emotion. Emotion. 2015;15(3):271. doi:10.1037/emo0000025

    83. Sirois F, Pychyl T. Procrastination and the priority of short‐term mood regulation: consequences for future self. Soc Pers Psychol Compass. 2013;7(2):115–127. doi:10.1111/spc3.12011

    84. Liu N, Wang J, Zang W. The impact of sleep determination on procrastination before bedtime: the role of anxiety. Int J Ment Health Promot. 2024;26(5):377–387. doi:10.32604/ijmhp.2024.047808

    85. Hill VM, Rebar AL, Ferguson SA, Shriane AE, Vincent GE. Go to bed! A systematic review and meta-analysis of bedtime procrastination correlates and sleep outcomes. Sleep Med Rev. 2022;66:101697. doi:10.1016/j.smrv.2022.101697

    86. Tice DM, Baumeister RF. Longitudinal study of procrastination, performance, stress, and health: the costs and benefits of dawdling. Psychol Sci. 1997;8(6):454–458. doi:10.1111/j.1467-9280.1997.tb00460.x

    87. Hofmann SG, Asnaani A, Vonk IJJ, Sawyer AT, Fang A. The efficacy of cognitive behavioral therapy: a review of meta-analyses. Cognit Ther Res. 2012;36:427–440. doi:10.1007/s10608-012-9476-1

    88. Sirois FM, Pychyl TA. Procrastination, Health, and Well-Being. Academic Press; 2016.

    89. Palmer CA, Alfano CA. Sleep and emotion regulation: an organizing, integrative review. Sleep Med Rev. 2017;31:6–16. doi:10.1016/j.smrv.2015.12.006

    Creative Commons License © 2025 The Author(s). This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, 3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.