Academic Stress, Physical Activity, Sleep, and Mental Health among Chinese Adolescents

Zhu, Xihe; Haegele, Justin A.; Liu, Huarong; Yu, Fangliang

doi:10.3390/ijerph18147257

Cited by 59 publications

(44 citation statements)

References 31 publications

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“…A cross-sectional study conducted by Zhu et al (2021) found similar results. In a sample of 1,533 adolescents in Eastern China that examined the effect of academic burden on physical activity and sleep time, and its correlation with anxiety and depression.…”

Section: Causing Psychological Burden and Harmsupporting

confidence: 53%

Evaluation and Analysis of Student Academic Burden: A Global Perspective

Ping¹

2021

Sci Insigt Edu Front

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Student academic burden exists to varying degrees throughout the world. To reach a comprehensive and unbiased understanding of the roles of academic burden, this paper explores academic burden from different viewpoints and summarizes existing assessment indexes for it. Factors correlated with student academic burden are examined and detailed evaluations on both its advantages and disadvantages are conducted. Some suggestions are proposed to better address this issue for the benefit of student healthy growth and development.

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Section: Causing Psychological Burden and Harmsupporting

confidence: 53%

Evaluation and Analysis of Student Academic Burden: A Global Perspective

Ping¹

2021

Sci Insigt Edu Front

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“…Short sleep duration is associated with burnout [ 58 ], depression [ 59 ], and suicidality [ 60 ]. Social and work-related stress can affect sleep quality [ 61 ]. Constant accessibility in the modern world of work has advantages and disadvantages for the health status of the employee.…”

Section: Discussionmentioning

confidence: 99%

Subjective and Objective Consequences of Stress in Subjects with Subjectively Different Sleep Quality—A Cross-Sectional Study

Thielmann

Schierholz

Böckelmann

2021

IJERPH

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Background: Restful sleep plays an important role in long-term health and occupational safety. Heart rate variability (HRV) is used as stress indicator. The aim of this study was to determine whether HRV at rest or during sleep, as an objective indicator of stress, reflects subjectively assessed sleep quality. Methods: 84 subjects (37.3 ± 15.6 years) were classified into good sleepers and poor sleepers based on the results of the Pittsburgh Sleep Quality Index (PSQI). The cut-off value to distinguish between good and bad sleepers recommended by Buysse et al. 1989 is >5. Mental health status was determined using the 12-Item General Health Questionnaire (GHQ-12). A 24 h electrocardiogram (ECG) was recorded for HRV analysis (total and 6 h night phase). Results: The poor sleepers showed a significantly lower mental health status (p = 0.004). The multifactorial variance analysis of the total phase time parameters Min HR (p = 0.032, η2 = 0.056) and SI (p = 0.015, η2 = 0.072) showed significant interaction effects. In the 6h night phase, significant interaction effects were found for SDNN (p = 0.036, η2 = 0.065) and SD2 (p = 0.033, η2 = 0.067). In addition, there was a significant negative correlation between HRV and stress and a positive correlation between HRV and mental health. Conclusions: Although this study did not demonstrate a direct relationship between sleep quality and HRV, it was shown that there are important connections between sleep quality and mental health, and between HRV and mental health.

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“…The current study will extend the existing literature by including adolescents that experience both anxiety and depression, considering bullying perpetration and victimization, and centering our research in an Eastern province of China. As noted by Han and colleagues [ 5 ], while bullying has universal patterns, it also has culturally sensitive characteristics, and understanding bullying in collectivism-oriented countries like China can contribute to our understanding of school violence and bullying in this field, which is generally dominated by studies conducted in individualism-oriented countries such as the U.S. Additionally, adolescents in China typically face high academic stress which is linked to their mental health condition [ 22 ], however, it remains unknown whether their mental health conditions (e.g., anxiety and depression) impact their reported levels of bullying perpetration and victimization. As such, the purpose of this study was to examine if adolescents who experience anxiety or depression have higher levels of bullying victimization or perpetration than those who do not.…”

Section: Introductionmentioning

confidence: 99%

Mental Health, Bullying, and Victimization among Chinese Adolescents

et al. 2022

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The purpose of this study was to examine if adolescents who experience anxiety or depression have higher levels of reported bullying victimization or perpetration than those who do not. Based on the existing research, we hypothesized that those who experienced moderate or severe depression and anxiety would have higher rates of bullying victimization and perpetration when compared to those who experienced mild or no depression. This study used an observational design, and data were collected from a convenience sample of adolescents in a large regional high school in an Eastern province of China. The final sample included 1481 adolescents aged 14–19 years who provided complete data for each of the study variables. Demographic data were collected through a four-item demographic survey, bullying perpetration and victimization data were collected using subscales from the Illinois Bully Scale, and anxiety and depression were measured using the Chinese version of the General Anxiety Disorder-7 scale and the Patient Health Questionnaire, respectively. Descriptive analyses, correlational analyses, and multivariate analysis of covariance were used to analyze the data. About 7.1% and 15.2% of participants reported moderate-to-severe depression or moderate-to-severe anxiety, respectively. Pairwise comparisons indicated that adolescents with no or mild depression had significantly lower bullying perpetration than those with moderate-to-severe depression, but those with no or mild anxiety had significantly higher perpetration than those with moderate-to-severe anxiety. There was no statistically significant difference in victimization among different anxiety or depression levels alone (all p-values ≥ 0.05). This is among the first studies to examine reported levels of bullying perpetration and victimization among adolescents experiencing anxiety and depression. The findings help to identify adolescents who experience moderate-to-severe levels of depression as an at-risk group for bullying perpetration, who should therefore be a focus of bullying intervention work.

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Academic Stress, Physical Activity, Sleep, and Mental Health among Chinese Adolescents

Cited by 59 publications

References 31 publications

Evaluation and Analysis of Student Academic Burden: A Global Perspective

Evaluation and Analysis of Student Academic Burden: A Global Perspective

Subjective and Objective Consequences of Stress in Subjects with Subjectively Different Sleep Quality—A Cross-Sectional Study

Mental Health, Bullying, and Victimization among Chinese Adolescents

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