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

**Authors:** Alexander Haussmann, Nina Schilling, Marie Alfter, Jannis Yahja, Alica Mertens, Laura I. Schmidt

PMC · DOI: 10.1002/smi.70136 · Stress and Health · 2026-02-05

## TL;DR

This study explores how stress affects sleep in university students and finds that increased pre-sleep cognitive arousal partially explains the negative effects of stress on sleep quality and duration.

## Contribution

The study identifies cognitive pre-sleep arousal as a mediator linking daily stress to sleep disturbances in university students.

## Key findings

- Daily stress is associated with shorter sleep duration, lower sleep quality, and longer sleep onset latency.
- Cognitive pre-sleep arousal partially mediates the negative effects of stress on sleep parameters.
- Multidimensional perfectionism does not moderate the stress-sleep relationship.

## Abstract

Insufficient sleep is common among university students and impairs health and academic functioning. While multidimensional perfectionism (perfectionistic concerns and strivings) and daily stress are potential contributors, yet their interplay and underlying cognitive mechanisms remain unclear. Cognitive pre‐sleep arousal may mediate links between stress, personality traits, and sleep. In a 14‐day micro‐longitudinal study, 88 German university students (M = 22.47 years, SD = 3.48) wore fitness trackers and completed daily diaries assessing objective sleep duration, subjective sleep quality, subjective sleep onset latency (SOL), daily stress, and cognitive pre‐sleep arousal. Trait perfectionism and covariates (emotional distress, Big Five traits, and sex) were measured via questionnaires. Multilevel modelling and structural equation modelling were used. Neither perfectionistic concerns nor strivings predicted any sleep parameters. However, daily stress was associated with shorter sleep duration (b = −0.21, p = 0.033), lower sleep quality (b = −0.09, p = 0.006), longer SOL (root transformed: b = 0.01, p = 0.046), and higher cognitive arousal (b = 0.06, p < 0.01). No interaction effects between perfectionism and stress were found. Within‐person mediation showed that on days with elevated stress, increased cognitive pre‐sleep arousal partially explained shorter sleep (indirect effect = −0.16), lower sleep quality (indirect effect = −0.08), and longer SOL (indirect effect = 0.01; all p < 0.001). Exploratory analyses indicated that emotional distress, unlike perfectionism, predicted longer SOL via heightened cognitive pre‐sleep arousal (indirect effect = 0.09, p = 0.007). Given the suboptimal model fit in the mediation models, all indirect effects should be interpreted with caution. Daily stress robustly impairs sleep and elevates cognitive pre‐sleep arousal, which partially mediates its negative effects on sleep variables. Multidimensional perfectionism was not associated with sleep, nor did it moderate the stress‐sleep link. Targeting cognitive pre‐sleep arousal may be a promising mechanism to improve sleep in students experiencing elevated stress.

## Full-text entities

- **Diseases:** sleep or mental health disorder (OMIM:603663), diabetes (MESH:D003920), depression (MESH:D003866), cardiovascular diseases (MESH:D002318), Emotional (MESH:D003072), anxiety and depression disorders (MESH:D001008), SOL (MESH:D012893), distress (MESH:D012128), daytime dysfunction (MESH:D006970), Insufficient sleep (MESH:D012892), anxiety (MESH:D001007), insomnia (MESH:D007319)
- **Chemicals:** cortisol (MESH:D006854), alcohol (MESH:D000438)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

111 references — full list in the complete paper: https://tomesphere.com/paper/PMC12875018/full.md

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Source: https://tomesphere.com/paper/PMC12875018