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

The Association Between Depressive Symptoms and Insomnia in College Students in Qinghai Province: The Mediating Effect of Rumination.
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青海省大学生抑郁症状与失眠的关系:反刍思维的中介作用

DOI:
10.3389/fpsyt.2021.751411
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发表时间:
2021
影响因子:
4.7
通讯作者:
Zhang B
Zhang B
中科院分区:
医学3区
文献类型:
--
作者:
Xiao S;Liu S;Zhang P;Yu J;A H;Wu H;Zhang F;Xiao Y;Ma N;Zhang X;Ma X;Li J;Wang X;Shao X;Liu W;Zhang X;Wu W;Wang L;Wu R;He Y;Xu Z;Chi L;Du S;Zhang B

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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.
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