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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Published inBehavioral sciences Vol. 13; no. 2; p. 82
Main Authors Zhu, Yihong, Jiang, Chen, Yang, You, Dzierzewski, Joseph M., Spruyt, Karen, Zhang, Bingren, Huang, Mengyi, Ge, Hanjie, Rong, Yangyang, Ola, Bolanle Adeyemi, Liu, Tingjie, Ma, Haiyan, Meng, Runtang
Format Journal Article
LanguageEnglish
Published Switzerland MDPI AG 19.01.2023
MDPI
Subjects
Alzheimer's disease
Analysis
Anxiety
Cardiovascular disease
College students
Coronaviruses
COVID-19
Data collection
depression
Diabetes
Employment
Health surveys
healthcare students
Life Sciences
Likert scale
mediation
Mental depression
Mental health
Missing data
Part time employment
Preventive medicine
Psychological aspects
Questionnaires
Schizophrenia
self-rated health
Sleep
Sleep disorders
sleep quality
Software
Statistical analysis
Stress
Students
Type 2 diabetes
Validity
Variance analysis
China
anxiety
depression
mediation
healthcare students
sleep quality
self-rated health
Sleep quality
Depression
Healthcare students
Anxiety
Self-rated health
Mediation
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Abstract 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 (p = 0.022), with poor perceived employment prospects (p = 0.009), and who did not participate in recreational sports (p = 0.008) had worse sleep quality. Structural equation modeling revealed a significant total effect of sleep quality on self-rated health (b = 0.592, p < 0.001), a significant direct effect of both sleep quality and depressive and anxiety symptoms on self-rated health (b = 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 (b = 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.
AbstractList 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.OBJECTIVESThis 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.This is a cross-sectional study at wave one.STUDY DESIGNThis is a cross-sectional study at wave one.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.METHODSA 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.Students engaged in part-time employment (p = 0.022), with poor perceived employment prospects (p = 0.009), and who did not participate in recreational sports (p = 0.008) had worse sleep quality. Structural equation modeling revealed a significant total effect of sleep quality on self-rated health (b = 0.592, p < 0.001), a significant direct effect of both sleep quality and depressive and anxiety symptoms on self-rated health (b = 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 (b = 0.315, 95% CI: 0.174-0.457).RESULTSStudents engaged in part-time employment (p = 0.022), with poor perceived employment prospects (p = 0.009), and who did not participate in recreational sports (p = 0.008) had worse sleep quality. Structural equation modeling revealed a significant total effect of sleep quality on self-rated health (b = 0.592, p < 0.001), a significant direct effect of both sleep quality and depressive and anxiety symptoms on self-rated health (b = 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 (b = 0.315, 95% CI: 0.174-0.457).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.CONCLUSIONSDepressive 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.
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. This is a cross-sectional study at wave one. 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. Students engaged in part-time employment ( = 0.022), with poor perceived employment prospects ( = 0.009), and who did not participate in recreational sports ( = 0.008) had worse sleep quality. Structural equation modeling revealed a significant total effect of sleep quality on self-rated health ( = 0.592, < 0.001), a significant direct effect of both sleep quality and depressive and anxiety symptoms on self-rated health ( = 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 ( = 0.315, 95% CI: 0.174-0.457). 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.
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, 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 ( p = 0.022), who had poor perceived employment prospects ( p = 0.009), and who did not participate in recreational sports ( p = 0.008) had worse sleep quality. Structural equation modeling revealed a significant total effect of sleep quality on self-rated health ( b = 0.592, p < 0.001), a significant direct effect of both sleep quality and depressive and anxiety symptoms on self-rated health ( b = 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 ( b = 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.
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 (p = 0.022), with poor perceived employment prospects (p = 0.009), and who did not participate in recreational sports (p = 0.008) had worse sleep quality. Structural equation modeling revealed a significant total effect of sleep quality on self-rated health (b = 0.592, p < 0.001), a significant direct effect of both sleep quality and depressive and anxiety symptoms on self-rated health (b = 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 (b = 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.
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 (p = 0.022), with poor perceived employment prospects (p = 0.009), and who did not participate in recreational sports (p = 0.008) had worse sleep quality. Structural equation modeling revealed a significant total effect of sleep quality on self-rated health (b = 0.592, p < 0.001), a significant direct effect of both sleep quality and depressive and anxiety symptoms on self-rated health (b = 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 (b = 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.
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, 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 (p = 0.022), who had poor perceived employment prospects (p = 0.009), and who did not participate in recreational sports (p = 0.008) had worse sleep quality. Structural equation modeling revealed a significant total effect of sleep quality on self-rated health (b = 0.592, p < 0.001), a significant direct effect of both sleep quality and depressive and anxiety symptoms on self-rated health (b = 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 (b = 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.
Audience Academic
Author Yang, You
Ge, Hanjie
Spruyt, Karen
Huang, Mengyi
Meng, Runtang
Rong, Yangyang
Liu, Tingjie
Ola, Bolanle Adeyemi
Zhang, Bingren
Jiang, Chen
Dzierzewski, Joseph M.
Ma, Haiyan
Zhu, Yihong
AuthorAffiliation 4 The National Sleep Foundation, Washington, DC 20036, USA
6 Department of Behavioral Medicine, Faculty of Clinical Sciences, Lagos State University College of Medicine, Ikeja, Lagos 21266, Nigeria
5 Université de Paris, NeuroDiderot, INSERM, 75019 Paris, France
3 School of Nursing, Hangzhou Normal University, Hangzhou 311121, China
7 Engineering Research Center of Mobile Health Management System, Ministry of Education, Hangzhou 311121, China
1 School of Clinical Medicine, Hangzhou Normal University, Hangzhou 311121, China
2 School of Public Health, Hangzhou Normal University, Hangzhou 311121, China
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Issue 2
Keywords anxiety
depression
mediation
healthcare students
sleep quality
self-rated health
Sleep quality
Depression
Healthcare students
Anxiety
Self-rated health
Mediation
Language English
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  day: 19
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Snippet Objectives: This study aimed to investigate factors associated with sleep quality in healthcare students and to determine whether depressive and anxiety...
This study aimed to investigate factors associated with sleep quality in healthcare students and to determine whether depressive and anxiety symptoms may...
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StartPage 82
SubjectTerms Alzheimer's disease
Analysis
Anxiety
Cardiovascular disease
College students
Coronaviruses
COVID-19
Data collection
depression
Diabetes
Employment
Health surveys
healthcare students
Life Sciences
Likert scale
mediation
Mental depression
Mental health
Missing data
Part time employment
Preventive medicine
Psychological aspects
Questionnaires
Schizophrenia
self-rated health
Sleep
Sleep disorders
sleep quality
Software
Statistical analysis
Stress
Students
Type 2 diabetes
Validity
Variance analysis
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Title Depression and Anxiety Mediate the Association between Sleep Quality and Self-Rated Health in Healthcare Students
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