The Association Between Depressive Symptoms and Insomnia in College Students in Qinghai Province: The Mediating Effect of Rumination

被引：9

作者：

Xiao, Shuheng ^{[1
]}

Liu, Shuai ^{[1
,2
]}

Zhang, Puxiao ^{[3
]}

Yu, Jia ^{[4
]}

A, Huaihong ^{[2
]}

Wu, Hui ^{[2
]}

Zhang, Fabin ^{[5
]}

Xiao, Yulan ^{[6
]}

Ma, Naiben ^{[7
]}

Zhang, Xiuqin ^{[7
,8
]}

Ma, Xiaoxia ^{[8
]}

Li, Junfeng ^{[9
,10
]}

Wang, Xiaodun ^{[11
,12
]}

Shao, Xin ^{[13
,14
]}

Liu, Wenjing ^{[2
]}

Zhang, Xiaolin ^{[2
]}

Wu, Wei ^{[2
]}

Wang, Lihua ^{[2
]}

Wu, Rihan ^{[2
]}

He, Yinglian ^{[2
]}

Xu, Zeyu ^{[15
]}

Chi, Luhao ^{[1
]}

Du, Shixu ^{[1
]}

Zhang, Bin ^{[1
]}

机构：

[1] Southern Med Univ, Nanfang Hosp, Dept Psychiat, Guangzhou, Peoples R China

[2] Third Peoples Hosp Qinghai Prov, Xining, Peoples R China

[3] Xinjiang Med Univ, Clin Med Coll 1, Urumqi, Peoples R China

[4] Third Peoples Hosp Panzhihua, Panzhihua, Peoples R China

[5] Qinghai Univ, Dept Student Affairs, Xining, Peoples R China

[6] Qinghai Nationalities Univ, Off President, Xining, Peoples R China

[7] Qinghai Nationalities Univ, Dept Student Affairs, Xining, Peoples R China

[8] Qinghai Nationalities Univ, Mental Hlth Educ Ctr, Xining, Peoples R China

[9] Hebei GEO Univ, Sch Econ & Trade, Shijiazhuang, Hebei, Peoples R China

[10] Qinghai Nationalities Univ, Sch Econ & Management, Xining, Peoples R China

[11] Tianjin Univ, Sch Civil Engn, Tianjin, Peoples R China

[12] Qinghai Nationalities Univ, Sch Civil & Traff Engn, Xining, Peoples R China

[13] Liaocheng Univ, Sch Phys Sci & Informat Technol, Liaocheng, Shandong, Peoples R China

[14] Qinghai Normal Univ, Sch Phys & Elect Informat Engn, Xining, Peoples R China

[15] Southern Med Univ, Inst Hlth Management, Guangzhou, Peoples R China

来源：

FRONTIERS IN PSYCHIATRY | 2021年 / 12卷

基金：

中国国家自然科学基金;

关键词：

depressive symptoms; insomnia; college students; mediation effect; ruminative thinking; SLEEP QUALITY; DISORDERS; ANXIETY; MOOD; METAANALYSIS; MECHANISMS; SEVERITY; STRESS; ONSET;

D O I：

10.3389/fpsyt.2021.751411

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Background: This study investigates the mediating effect of rumination on the associations between depressive symptoms and insomnia. Methods: This is a cross-sectional study. Insomnia Severity Index (ISI), Ruminant Response Scale (RRS) and Beck Depression Inventory (BDI) were determined in 12,178 college students in Qinghai province by a questionnaire network platform. Results: The prevalence of insomnia was 38.6% in the participants. Insomnia symptoms [interquartile range: 6 (3, 9)], depressive symptoms [interquartile range: 5 (1, 9)], and rumination [interquartile range: 22 (20, 26)] were positively correlated (r = 0.25-0.46, p < 0.01). Mediation effect analysis showed that the depressive symptoms affected insomnia directly and indirectly. The direct effect and the indirect effect through rumination account for 92.4 and 7.6% of the total effect, respectively. Conclusion: The study shows that insomnia, depressive symptoms, and rumination are related constructs in college students in Qinghai province. It demonstrates the direct effects and the rumination-mediated indirect effects between depressive symptoms and insomnia; the direct effects seem to be dominant.

引用

页数：8

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