Sleep quality as a mediator of the association between coping styles and mental health: a population-based ten-year comparative study in a Chinese population

Wang, Qing; Zhang, Jingxuan; Wang, Ruzhan; Wang, Can; Wang, Yanhu; Xiu-zhe, Chen; Mi, Guolin; Chen, Xu; Cheng, Xiaojing; Wang, Lina; Zhao, Hongyu; Pan, Fa-Bin; Zhong, X.P.

doi:10.1016/j.jad.2021.01.045

Cited by 9 publications

(7 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Therefore, freshmen may not be able to solve their predicaments due to inadequate MHL, and they are prone to negative coping styles. Once those with a negative tendency of coping style showed signs of sleep disorder, the possibility of mental problems increased significantly (43). Medicine is a challenging major with a very stressful environment, and the students are usually required to participate in a wide range of courses, numerous academic requirements and various types of examination (44).…”

Section: Discussionmentioning

confidence: 99%

“…Medicine is a challenging major with a very stressful environment, and the students are usually required to participate in a wide range of courses, numerous academic requirements and various types of examination (44). The reactions of individuals to stress are quite different, if it is not recognized or managed correctly and timely, stress may manifest in unfavorable ways, such as impaired sleep quality and depressive symptoms (43). In light of the present results, interventions targeting those with low MHL should include improving sleep quality to promote mental health.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Mediating Effect of Sleep Disorder Between Low Mental Health Literacy and Depressive Symptoms Among Medical Students: The Roles of Gender and Grade

Wang

et al. 2022

Front. Psychiatry

View full text Add to dashboard Cite

ObjectiveIn this study, we aimed to disentangle the mediating effect of sleep disorder between mental health literacy (MHL) and depressive symptoms in Chinese medical students, especially focusing on the impact of gender and grade.MethodsPooled longitudinal data of 5,504 medical students was collected between November 2019 and June 2020 to assess the MHL, sleep disorder and mental health of medical students in Anhui province, China. Mediation analyses were tested by using bootstrapping procedures.ResultsSleep disorder were negatively correlated with adequate MHL, but positively correlated with depressive symptoms. The relationships between MHL and depressive symptoms were mediated by sleep disorder in total samples and the indirect effect accounted for 13.59% of the total effect. However, the ratio was 20.82% in female students, whereas no mediating effect was found in the male students. Moreover, the ratio was found higher in freshmen (15.11%) than that in sophomores (11.56%).ConclusionImproving the sleep disorder by enhancing MHL is an effective way to reduce depressive symptoms in Chinese medical students. Further investigations elaborately considered by using more gender-balanced population with higher grade and lower level of education.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Mediating Effect of Sleep Disorder Between Low Mental Health Literacy and Depressive Symptoms Among Medical Students: The Roles of Gender and Grade

Wang

et al. 2022

Front. Psychiatry

View full text Add to dashboard Cite

show abstract

“…Next, we used the previously mentioned sleep quality—which could significantly affect mental health status according to previous studies 62 , 63 —as the mediator between coping style and mental health status and established a model for verification. 64 Model 1 is the same as the model mentioned above and is used to predict SCL-90 score through SCSQ. Model 5 showed that sleep status had a notable impact on coping style (β = −0.246, P < 0.001).…”

Section: Resultsmentioning

confidence: 99%

Social Support Mediates the Relationship Between Coping Styles and the Mental Health of Medical Students

Dai¹,

Yi²,

Qian³

et al. 2023

PRBM

View full text Add to dashboard Cite

Purpose This study aimed to explore the impact that coping styles and social support have on the mental health of medical students by constructing a corresponding structural situation model that reveals the complex relationship between these three factors. In doing so, it seeks to help medication students better manage mental health problems. Patients and Methods The online study was conducted between March 6, 2021 and May 6, 2021. A total of 318 participants from multiple medical schools were involved. The general information questionnaire, simple coping style questionnaire (SCSQ), perceived social support scale (PSSS) and symptom checklist 90 (SCL-90) were used to collect relevant information from the subjects by snowball sampling. An independent t -test, ANOVA, Pearson correlation coefficient analysis, and intermediary effect analysis were all used to analyze the relevant data and construct the structural equation model. Results There was a significant difference in SCL-90 between medical students and national college students (1.78±0.70, P < 0.001), and the positive rate of mental health status was as high as 40.3%. Sleep quality, regular diet, and positive coping style were positively correlated with mental health (P < 0.01), while negative coping styles and total scores of coping style as well as family, friends, and other sources of social support and total scores of social support were negatively correlated with mental health problems (P < 0.01). Positive and negative coping styles have an impact on mental health through the mediating effect of between social support and coping styles, as well as in the direct pathway. Conclusion The mental health status of medical students was significantly poor. Medical schools should thus pay close attention to the mental health status of students and encourage them to develop healthy living habits, optimize coping styles, and establish stable sources of social support to improve their psychological wellbeing.

show abstract

“…Each factor is scored on a scale of 0 to 3, from low to high frequency, and the total PSQI scores range from 0 to 21. In the Chinese population, a total PSQI score of 7, rather than 5, as the threshold tends to have a higher sensitivity and specificity in identifying poor sleep quality [ 17 , 18 , 19 ], so the present study used a total PSQI score > 7 to consider the presence of poor sleep quality.…”

Section: Methodsmentioning

confidence: 99%

Sleep Quality among the Elderly in 21st Century Shandong Province, China: A Ten-Year Comparative Study

Yue

Zhang

Cheng

et al. 2022

IJERPH

Self Cite

View full text Add to dashboard Cite

Background: Despite the enormous changes observed in China since entering the 21st century, little is known about changes in sleep quality among older adults. Aims: The purpose of this study is to explore the changes, features, and influence factors of sleep quality among the elderly in a ten-year period, providing evidence for sleep-quality enhancement. Methods: The data were obtained from the data of epidemiological sampling surveys on mental disorders in Shandong province in 2004 and 2015. A total of 4451 subjects (aged ≥ 60 years) in 2004 and 10,894 subjects (aged ≥ 60 years) in 2015 were selected by the multistage stratified sampling method. The demographic information and Pittsburgh Sleep Quality Index (PSQI) were collected. Results: The adjusted 1-month prevalence of poor sleep in 2015 was 22.5% (95%CI:21.7–23.3), which is lower than that in 2004 (24.8%) (95%CI:23.5–26.0, p = 0.002). The total score of the PSQI in 2015 (4.74 ± 3.96) was lower than that in 2004 (4.97 ± 4.18, p = 0.002). In 2015, a binary multi-factor logistic and stepwise regression analysis showed that being female, living in a rural area, living alone, being older, spending less years in school, and being jobless/unemployed made the participants more likely to develop poor sleep (p < 0.05, p < 0.01). Conclusions: In 2015, the overall sleep quality of the elderly (aged ≥ 60) in Shandong province was significantly improved compared to 2004. After more than 10 years, the characteristics of the elderly with sleep disturbances in Shandong province has changed. Therefore, more attention should be paid to gender, location of residence (rural or urban), living arrangement, age, education, occupation, and other factors to improve the sleep quality of the elderly.

show abstract

Sleep quality as a mediator of the association between coping styles and mental health: a population-based ten-year comparative study in a Chinese population

Cited by 9 publications

References 48 publications

Mediating Effect of Sleep Disorder Between Low Mental Health Literacy and Depressive Symptoms Among Medical Students: The Roles of Gender and Grade

Mediating Effect of Sleep Disorder Between Low Mental Health Literacy and Depressive Symptoms Among Medical Students: The Roles of Gender and Grade

Social Support Mediates the Relationship Between Coping Styles and the Mental Health of Medical Students

Sleep Quality among the Elderly in 21st Century Shandong Province, China: A Ten-Year Comparative Study

Contact Info

Product

Resources

About