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Military Psychology Medicine | Publishing Language: Chinese | Open Access

Sleep quality affects life satisfaction in military personnel: the chain mediating effects of non-attachment and rumination

Yanzhen YANG1,3Qiongyue ZHANG2Yi LIU1Chen XU1Xiaoxiao XU1Li PENG1Min LI1( )
Department of Military Psychology, College of Medical Psychology, Army Medical University (Third Military Medical University), Chongqing
Department of Nephrology, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing
Unit 91, Troop 73106, Huai'an, Jiangsu, China

YANG Yanzhen and ZHANG Qiongyue contributed equally to the article.

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Abstract

Objective

The military population, due to special occupational stress and high-intensity tasks, commonly experiences sleep problems, which may have a negative impact on life satisfaction; however, the underlying mechanism remains unclear. This study aims to explore the effect of sleep quality on life satisfaction among military personnel and the roles of non-attachment and rumination in the relationship between sleep quality and life satisfaction.

Methods

A cross-sectional study design was adopted without prospective grouping or intervention. A total of 1352 military personnel from a certain unit were selected using convenience sampling. The survey instruments included the Pittsburgh Sleep Quality Index, the Satisfaction with Life Scale, the Non-Attachment Scale, and the Ruminative Response Scale. Statistical analyses included: descriptive statistics to analyze the demographic characteristics of variables; Spearman correlation analysis to examine the correlations among the variables; Linear regression was used to analyze the linear relationships of sleep quality with non-attachment, rumination, and life satisfaction;and PROCESS macro Model 6 in SPSS to estimate regression coefficients (β) and their 95% confidence intervals (CIs) using Bootstrap method, in order to test the chain mediating effect of non-attachment and rumination in the relationship between sleep quality and life satisfaction.

Results

Military personnel aged ≥29 years had significantly higher sleep quality scores than those aged 18 to 28 years (P<0.05). Military personnel aged 18 to 23 years exhibited significantly higher rumination scores than those aged 24 years (P<0.05). Military personnel with bachelor’s degree or above had significantly higher sleep quality and rumination scores than those with college degree or high school and below (P<0.01). In terms of non-attachment scores, military personnel with a bachelor’s degree or above had significantly lower non-attachment scores than those with college degree or below (P<0.01). Military personnel with bachelor’s degree or above had significantly lower life satisfaction scores than those with college degree (P<0.05). Correlation analysis revealed that sleep quality was significantly negatively correlated with non-attachment (r=-0.395, 95%CI: -0.441 to -0.348, P<0.001) and life satisfaction (r=-0.407, 95%CI: -0.452 to -0.361, P<0.001), and positively with rumination (r=0.440, 95%CI: 0.395 to 0.483, P<0.001). Non-attachment was significantly negatively correlated with rumination (r=-0.508, 95%CI: -0.547 to -0.466, P<0.001) and positively with life satisfaction (r=0.515, 95%CI: 0.473 to 0.554, P<0.001), and rumination was significantly negatively correlated with life satisfaction (r=-0.442, 95%CI: -0.485 to -0.397, P<0.001). The linear regression showed that sleep quality significantly negatively predicted life satisfaction (β=-0.456, P<0.001); non-attachment significantly positively predicted life satisfaction (β=0.243, P<0.001); rumination significantly negatively predicted life satisfaction (β=-0.184, P<0.001). The total effect of sleep quality on life satisfaction was significant, with a total effect size of -0.868 (95%CI: -0.977 to -0.759, P<0.001). The mediating effects of non-attachment and rumination in the impact of sleep quality on life satisfaction were significant, with effect values of -0.172 (95%CI: -0.232 to -0.122, P<0.001) and -0.196 (95%CI: -0.251 to -0.140, P<0.001), respectively, accounting for 19.82% and 22.58% of the total effect, respectively. Non-attachment and rumination played chain mediating roles in the impact of sleep quality on life satisfaction, with an effect value of -0.044 (95%CI: -0.061 to -0.029, P<0.001), accounting for 5.07% of the total effect.

Conclusion

Sleep quality, non-attachment, rumination, and life satisfaction are closely related among military personnel, and sleep quality affects life satisfaction through the chain mediating effects of non-attachment and rumination. It is recommended that military psychological interventions focus on improving sleep quality, while reducing rumination and cultivating non-attachment attitudes through mindfulness training, to systematically enhance life satisfaction among military personnel.

CLC number: R338.63; R395.1; R395.6 Document code: A

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Journal of Army Medical University
Pages 1629-1637

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Cite this article:
YANG Y, ZHANG Q, LIU Y, et al. Sleep quality affects life satisfaction in military personnel: the chain mediating effects of non-attachment and rumination. Journal of Army Medical University, 2026, 48(11): 1629-1637. https://doi.org/10.16016/j.2097-0927.202511063

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Received: 12 November 2025
Revised: 24 March 2026
Published: 15 June 2026
© 2026 Journal of Army Medical University

This is an open access article under the CC BY license (https://creativecommons.org/licenses/by/4.0/).