Depression and Anxiety Mediate the Association between Sleep Quality and Self-Rated Health in Healthcare Students
Objectives: This study aimed to investigate factors associated with sleep quality in healthcare students and to determine whether depressive and anxiety symptoms may explain some of the associations between sleep quality and self-rated health. Study design: This is a cross-sectional study at wave on...
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MDPI AG
2023-01-01
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| Series: | Behavioral Sciences |
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| Online Access: | https://www.mdpi.com/2076-328X/13/2/82 |
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| author | Yihong Zhu Chen Jiang You Yang Joseph M. Dzierzewski Karen Spruyt Bingren Zhang Mengyi Huang Hanjie Ge Yangyang Rong Bolanle Adeyemi Ola Tingjie Liu Haiyan Ma Runtang Meng |
| author_facet | Yihong Zhu Chen Jiang You Yang Joseph M. Dzierzewski Karen Spruyt Bingren Zhang Mengyi Huang Hanjie Ge Yangyang Rong Bolanle Adeyemi Ola Tingjie Liu Haiyan Ma Runtang Meng |
| author_sort | Yihong Zhu |
| collection | DOAJ |
| description | Objectives: This study aimed to investigate factors associated with sleep quality in healthcare students and to determine whether depressive and anxiety symptoms may explain some of the associations between sleep quality and self-rated health. Study design: This is a cross-sectional study at wave one. Methods: A total of 637 healthcare students were recruited via a stratified random sampling method in Hangzhou, China. The Sleep Quality Questionnaire (SQQ) and the four-item Patient Health Questionnaire (PHQ-4) were used to assess sleep quality and depressive and anxiety symptoms, respectively. Self-rated health was assessed via a self-developed questionnaire of both physical and psychological health. Structural equation modeling was used to examine the direct and indirect effects of sleep quality on self-rated health through depressive and anxiety symptoms. Results: Students engaged in part-time employment (<i>p</i> = 0.022), with poor perceived employment prospects (<i>p</i> = 0.009), and who did not participate in recreational sports (<i>p</i> = 0.008) had worse sleep quality. Structural equation modeling revealed a significant total effect of sleep quality on self-rated health (<i>b</i> = 0.592, <i>p</i> < 0.001), a significant direct effect of both sleep quality and depressive and anxiety symptoms on self-rated health (<i>b</i> = 0.277, 95% CI: 0.032–0.522), and a significant indirect effect of sleep quality on self-rated health through depressive and anxiety symptoms (<i>b</i> = 0.315, 95% CI: 0.174–0.457). Conclusions: Depressive and anxiety symptoms partially explain the association between sleep quality and self-rated health. Intervening upon sleep quality, depressive, and anxiety symptoms may bolster the self-rated health of healthcare students. |
| first_indexed | 2024-03-11T09:09:19Z |
| format | Article |
| id | doaj.art-be2b52a60a9e4dd6a5ccb7f44a326602 |
| institution | Directory Open Access Journal |
| issn | 2076-328X |
| language | English |
| last_indexed | 2024-03-11T09:09:19Z |
| publishDate | 2023-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Behavioral Sciences |
| spelling | doaj.art-be2b52a60a9e4dd6a5ccb7f44a3266022023-11-16T19:08:15ZengMDPI AGBehavioral Sciences2076-328X2023-01-011328210.3390/bs13020082Depression and Anxiety Mediate the Association between Sleep Quality and Self-Rated Health in Healthcare StudentsYihong Zhu0Chen Jiang1You Yang2Joseph M. Dzierzewski3Karen Spruyt4Bingren Zhang5Mengyi Huang6Hanjie Ge7Yangyang Rong8Bolanle Adeyemi Ola9Tingjie Liu10Haiyan Ma11Runtang Meng12School of Clinical Medicine, Hangzhou Normal University, Hangzhou 311121, ChinaSchool of Public Health, Hangzhou Normal University, Hangzhou 311121, ChinaSchool of Nursing, Hangzhou Normal University, Hangzhou 311121, ChinaThe National Sleep Foundation, Washington, DC 20036, USAUniversité de Paris, NeuroDiderot, INSERM, 75019 Paris, FranceSchool of Clinical Medicine, Hangzhou Normal University, Hangzhou 311121, ChinaSchool of Public Health, Hangzhou Normal University, Hangzhou 311121, ChinaSchool of Public Health, Hangzhou Normal University, Hangzhou 311121, ChinaSchool of Public Health, Hangzhou Normal University, Hangzhou 311121, ChinaDepartment of Behavioral Medicine, Faculty of Clinical Sciences, Lagos State University College of Medicine, Ikeja, Lagos 21266, NigeriaSchool of Public Health, Hangzhou Normal University, Hangzhou 311121, ChinaSchool of Public Health, Hangzhou Normal University, Hangzhou 311121, ChinaSchool of Public Health, Hangzhou Normal University, Hangzhou 311121, ChinaObjectives: This study aimed to investigate factors associated with sleep quality in healthcare students and to determine whether depressive and anxiety symptoms may explain some of the associations between sleep quality and self-rated health. Study design: This is a cross-sectional study at wave one. Methods: A total of 637 healthcare students were recruited via a stratified random sampling method in Hangzhou, China. The Sleep Quality Questionnaire (SQQ) and the four-item Patient Health Questionnaire (PHQ-4) were used to assess sleep quality and depressive and anxiety symptoms, respectively. Self-rated health was assessed via a self-developed questionnaire of both physical and psychological health. Structural equation modeling was used to examine the direct and indirect effects of sleep quality on self-rated health through depressive and anxiety symptoms. Results: Students engaged in part-time employment (<i>p</i> = 0.022), with poor perceived employment prospects (<i>p</i> = 0.009), and who did not participate in recreational sports (<i>p</i> = 0.008) had worse sleep quality. Structural equation modeling revealed a significant total effect of sleep quality on self-rated health (<i>b</i> = 0.592, <i>p</i> < 0.001), a significant direct effect of both sleep quality and depressive and anxiety symptoms on self-rated health (<i>b</i> = 0.277, 95% CI: 0.032–0.522), and a significant indirect effect of sleep quality on self-rated health through depressive and anxiety symptoms (<i>b</i> = 0.315, 95% CI: 0.174–0.457). Conclusions: Depressive and anxiety symptoms partially explain the association between sleep quality and self-rated health. Intervening upon sleep quality, depressive, and anxiety symptoms may bolster the self-rated health of healthcare students.https://www.mdpi.com/2076-328X/13/2/82sleep qualityself-rated healthanxietydepressionmediationhealthcare students |
| spellingShingle | Yihong Zhu Chen Jiang You Yang Joseph M. Dzierzewski Karen Spruyt Bingren Zhang Mengyi Huang Hanjie Ge Yangyang Rong Bolanle Adeyemi Ola Tingjie Liu Haiyan Ma Runtang Meng Depression and Anxiety Mediate the Association between Sleep Quality and Self-Rated Health in Healthcare Students Behavioral Sciences sleep quality self-rated health anxiety depression mediation healthcare students |
| title | Depression and Anxiety Mediate the Association between Sleep Quality and Self-Rated Health in Healthcare Students |
| title_full | Depression and Anxiety Mediate the Association between Sleep Quality and Self-Rated Health in Healthcare Students |
| title_fullStr | Depression and Anxiety Mediate the Association between Sleep Quality and Self-Rated Health in Healthcare Students |
| title_full_unstemmed | Depression and Anxiety Mediate the Association between Sleep Quality and Self-Rated Health in Healthcare Students |
| title_short | Depression and Anxiety Mediate the Association between Sleep Quality and Self-Rated Health in Healthcare Students |
| title_sort | depression and anxiety mediate the association between sleep quality and self rated health in healthcare students |
| topic | sleep quality self-rated health anxiety depression mediation healthcare students |
| url | https://www.mdpi.com/2076-328X/13/2/82 |
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