Associations between Chinese college students' anxiety and depression: A chain mediation analysis

Anxiety and depression are great public health concerns among college students. The purpose of this study was to explore whether sleep quality and quality of life (QoL) play mediating roles in anxiety and depression among Chinese college students. A total of 2757 college students (mean age = 19.07;...

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Bibliographic Details
Published in:PloS one 2022-06, Vol.17 (6), p.e0268773-e0268773
Main Authors: Wen, Li-Ying, Shi, Liu-Xia, Zhu, Li-Jun, Zhou, Meng-Jie, Hua, Long, Jin, Yue-Long, Chang, Wei-Wei
Format: Article
Language:English
Subjects:
Academic achievement
Anxiety
Anxiety disorders
Biology and Life Sciences
Chains
College students
Colleges & universities
Complications and side effects
Depression, Mental
Entrance examinations
Health aspects
Health risks
Learning
Medical schools
Medical students
Medicine and Health Sciences
Mental depression
Mental disorders
Mental health
Preventive medicine
Psychological aspects
Public health
Quality of life
Questionnaires
Research and Analysis Methods
Risk factors
Sleep
Sleep disorders
Social anxiety
Social Sciences
Students
Surveys
Young adults
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Summary:Anxiety and depression are great public health concerns among college students. The purpose of this study was to explore whether sleep quality and quality of life (QoL) play mediating roles in anxiety and depression among Chinese college students. A total of 2757 college students (mean age = 19.07; SD = 1.14) completed the questionnaires, including a brief demographic survey. The 2-item General Anxiety Disorder (GAD-2) and the 2-item Patient Health Questionnaire (PHQ-2) were used to assess the symptoms of anxiety and depression, respectively. And the Pittsburgh Sleep Quality Index (PSQI) and the Short-Form 36 Health Survey (SF-36) were used to evaluate college students' sleep quality and QoL, respectively. Mediation analyses were conducted by using PROCESS macro in the SPSS software. Anxiety had both direct and indirect effects on depression. Sleep quality and QoL were not only independent mediators in the relationship between anxiety and depression but also chain mediators. The results of the current study highlight the crucial role of early intervention for depression with a focus on college students with anxiety, more especially, on those with poorer sleep quality and lower QoL.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0268773