Title: The Mediating and Moderating E#ects of Resilience on the Relationship between Sleep
Quality and Psychological Distress in Chinese Women with Infertility
Version: 1 Date: 07 Jan 2024
Reviewer's report:
PEER REVIEWER ASSESSMENTS:
OBJECTIVE - Full research articles: is there a clear objective that addresses a testable research
question(s) (brief or other article types: is there a clear objective)?
No - there are major issues
DESIGN - Is the current approach (including controls and analysis protocols) appropriate for
the objective?
No - there are minor issues
EXECUTION - Are the experiments and analyses performed with technical rigor to allow
confidence in the results?
No - there are minor issues
STATISTICS - Is the use of statistics in the manuscript appropriate?
Not sure - I am not able to assess the statistics in this study
INTERPRETATION - Is the current interpretation/discussion of the results reasonable and not
overstated?
No - there are major issues
OVERALL MANUSCRIPT POTENTIAL - Is the current version of this work technically
sound? If not, can revisions be made to make the work technically sound?
Maybe - with major revisions
PEER REVIEWER COMMENTS:
GENERAL COMMENTS: This manuscript reported on factors related to resiliency and sleep
quality among women who live in China and are experiencing infertility. Overall the manuscript
needs review by a native English speaker and a more clear vision for the purpose of the paper
- the current version seems highly focused on the statistical analysis of the data rather than the
ways this information could be used to improve the quality of life among women during the
infertility experience. It is not evident what journal this is for but think most journals would
want to see clinical or patient implications for these data.
REQUESTED REVISIONS:
1.The authors begin with a definition of infertility that only applies to females under the age
of 35, the definition for females over 35 is 6 month, since their sample contains women up to
age 48, more clarification is needed in the intro and the inclusion criteria. Since most women
have sigificantly lost reproductive capacity with the use of their own oocytes around age 43,
it is not clear why women up to age 48 were included unless they were using donor oocytes.
2, the abstract is reptitive and does not give any indication as to why this study was important,
they same goes for the introduction. 3. On page 3 the objective is confusing and focuses on
the statistical implications for the purpose of the study and a hypothesis, without stating the
importance or reason for conducting the study - this is further reinforced by a discussion that
re-states results with no clinical or patient focused conclusions. 4. More details are needed on
the infertility survey used from the clinic - the questions asked, the language and if translations
were needed for all the other surveys or if they were already validated for a Chinese speaking
audience. 5. It would be important to discuss if the reason the authors focused on resilence and
sleep was that they were looking for modifiable factors that could lead to a future intervention?
ADDITIONAL REQUESTS/SUGGESTIONS:
Review by native English speaker