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Responses to academic stress mediate the association between sleep difficulties and depressive/anxiety symptoms in Chinese adolescents
Zhang, Wen-jun1,2; Yan, Chao1,2; Shum, David3,4,5; Deng, Ci-ping1,2
First AuthorZhang, Wen-jun
Correspondent Emailcyan@psy.ecnu.edu.cn (c. yan) ; david.shum@polyu.edu.hk (d. shum) ; cpdeng@psy.ecnu.edu.cn (c.-p. deng)
2020-02-15
Source PublicationJOURNAL OF AFFECTIVE DISORDERS
ISSN0165-0327
Subtypearticle
Volume263Pages:89-98
Contribution Rank5
Abstract

Objective: Sleep difficulties are pervasive in Chinese adolescents, which exert aversive influence on their emotional health. However, the underlying mechanisms of this effect remain unclear. This study addressed whether stress responses mediate the concurrent and prospective relationship between sleep difficulties and depressive/anxiety symptoms in Chinese adolescents. Method: 17,946 adolescents (14-18 years-old) were administrated the Pittsburgh Sleep Quality Index, the Center for Epidemiologic Studies Depression Scale, Revised Children's Manifest Anxiety Scale and the Responses to Stress Questionnaire. Further, 710 of them finished the one-year follow-up assessments. Structural equation models were conducted to determine the concurrent and prospective mediation effects of stress responses and the moderated effect of gender and age. Results: Involuntary engagement and disengagement responses, as well as engagement coping, significantly mediated the cross-sectional relationship between sleep difficulties and depressive/anxiety symptoms. Moreover, sleep difficulties at baseline predicted enhanced involuntary engagement responses but reduced the use of engagement coping strategies one year later, resulting in an elevated level of depressive/anxiety symptoms. Finally, females and younger adolescents with greater sleep difficulties were more likely to generate maladaptive stress responses. Limitations: First, sleep difficulties were only measured using self-reported approaches. Second, potential confounding variables (e.g., socioeconomic status) were not adjusted for. Third, our study only focused on typically-developing youth samples rather than clinical samples. Conclusions: Our findings highlight the important role of stress responses in the relationship between sleep difficulties and depressive/anxiety symptoms. The findings might also shed some light on the psychological intervention of sleep difficulties and mood disorder in adolescent populations.

KeywordChinese adolescents Sleep difficulties Depressive symptoms Anxiety symptoms Responses to stress
DOI10.1016/j.jad.2019.11.157
Indexed BySCI
Language英语
Funding OrganizationNational Natural Science Foundation of China ; Key Specialist Projects of Shanghai Municipal Commission of Health and Family Planning ; Programs Foundation of Shanghai Municipal Commission of Health and Family Planning ; Fundamental Research Funds for the Central Universities
Funding ProjectNational Natural Science Foundation of China[71373081] ; National Natural Science Foundation of China[31500894] ; Key Specialist Projects of Shanghai Municipal Commission of Health and Family Planning[ZK2015B01] ; Programs Foundation of Shanghai Municipal Commission of Health and Family Planning[201540114] ; Fundamental Research Funds for the Central Universities[2018ECNU-QKT015] ; Fundamental Research Funds for the Central Universities[2019ECNU-HWFW021]
WOS Research AreaNeurosciences & Neurology ; Psychiatry
WOS SubjectClinical Neurology ; Psychiatry
WOS IDWOS:000508874400013
PublisherELSEVIER
WOS KeywordEMOTION-REGULATION ; EXECUTIVE FUNCTION ; GENDER-DIFFERENCES ; DEPRESSION ; CHILDHOOD ; CHILDREN ; ANXIETY ; RESTRICTION ; REACTIVITY ; QUALITY
Citation statistics
Document Type期刊论文
Identifierhttp://ir.psych.ac.cn/handle/311026/30646
Collection中国科学院心理健康重点实验室
Corresponding AuthorDeng, Ci-ping
Affiliation1.East China Normal Univ, Shanghai Changning ECNU Mental Hlth Ctr, Sch Psychol & Cognit Sci, Key Lab Brain Funct Genom MOE, 3663 North Zhongshan Rd, Shanghai, Peoples R China
2.East China Normal Univ, Shanghai Changning ECNU Mental Hlth Ctr, Sch Psychol & Cognit Sci, STCSM, 3663 North Zhongshan Rd, Shanghai, Peoples R China
3.Hong Kong Polytech Univ, Dept Rehabil Sci, Hong Kong, Peoples R China
4.Griffith Univ, Menzies Hlth Inst Queensland, Gold Coast, Australia
5.Inst Psychol, Neuropsychol & Appl Cognit Neurosci Lab, CAS Key Lab Mental Hlth, Beijing, Peoples R China
Recommended Citation
GB/T 7714
Zhang, Wen-jun,Yan, Chao,Shum, David,et al. Responses to academic stress mediate the association between sleep difficulties and depressive/anxiety symptoms in Chinese adolescents[J]. JOURNAL OF AFFECTIVE DISORDERS,2020,263:89-98.
APA Zhang, Wen-jun,Yan, Chao,Shum, David,&Deng, Ci-ping.(2020).Responses to academic stress mediate the association between sleep difficulties and depressive/anxiety symptoms in Chinese adolescents.JOURNAL OF AFFECTIVE DISORDERS,263,89-98.
MLA Zhang, Wen-jun,et al."Responses to academic stress mediate the association between sleep difficulties and depressive/anxiety symptoms in Chinese adolescents".JOURNAL OF AFFECTIVE DISORDERS 263(2020):89-98.
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