Insomnia partially mediates the relationship between anxiogenic and depressogenic traits and state anxiety and depression in college students.

IF 1.6 4区 医学 Q2 EDUCATION & EDUCATIONAL RESEARCH Journal of American College Health Pub Date : 2024-11-20 DOI:10.1080/07448481.2024.2427059
Martin Seehuus, Michelle Carr, Elsa Rodriguez, Olivia Rieur, Maya Fray-Witzer, Wilfred R Pigeon
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Abstract

Objective: Insomnia, anxiety, and depression are common and co-morbid amongst college students. The mechanisms by which trait factors like intolerance of uncertainty and anxiety sensitivity connect to state anxiety and depression is unclear, but insomnia may mediate that relationship.

Participants: College students (N = 439) were recruited from national and local sources.

Methods: Participants completed the Sleep Condition Indicator (SCI), Depression, Anxiety and Stress Scale (DASS), Anxiety Sensitivity Index (ASI), and Intolerance of Uncertainty Scales (IUS).

Results: All models predicted a significant amount of variability in state anxiety and depression (R2 between 0.24 and 0.32). Mediation analyses revealed that the relationship between anxiogenic and depressogenic traits and state anxiety and depression is significantly mediated by insomnia.

Conclusions: Our findings support the role of insomnia in the expression of anxiety and depression in at-risk college students. Clinical sleep intervention, either reactive or prophylactic, may help reduce mental health burden on campus.

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失眠在一定程度上介导了大学生焦虑和抑郁特质与状态焦虑和抑郁之间的关系。
目的:失眠、焦虑和抑郁是大学生中常见的共病。不确定性不耐受性和焦虑敏感性等特质因素与状态焦虑和抑郁的联系机制尚不清楚,但失眠可能是这种关系的中介:从全国和当地招募大学生(N = 439):方法:参与者完成睡眠状况指标(SCI)、抑郁、焦虑和压力量表(DASS)、焦虑敏感指数(ASI)和不确定性不容忍量表(IUS):所有模型都能预测状态焦虑和抑郁的大量变化(R2 在 0.24 和 0.32 之间)。中介分析显示,致焦虑和致抑郁特质与状态焦虑和抑郁之间的关系在很大程度上受失眠的中介作用:我们的研究结果支持失眠在高危大学生焦虑和抑郁表现中的作用。临床睡眠干预,无论是反应性的还是预防性的,都可能有助于减轻校园中的心理健康负担。
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来源期刊
CiteScore
5.40
自引率
12.50%
发文量
388
期刊介绍: Binge drinking, campus violence, eating disorders, sexual harassment: Today"s college students face challenges their parents never imagined. The Journal of American College Health, the only scholarly publication devoted entirely to college students" health, focuses on these issues, as well as use of tobacco and other drugs, sexual habits, psychological problems, and guns on campus, as well as the students... Published in cooperation with the American College Health Association, the Journal of American College Health is a must read for physicians, nurses, health educators, and administrators who are involved with students every day.
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