Mediating Effect of Sleep Disorder Between Low Mental Health Literacy and Depressive Symptoms Among Medical Students: The Roles of Gender and Grade

Hu, Jie; Wang, Jun; Li, Danlin; Huang, Xuexue; Xue, Yunlian; Jia, Liyuan; Zhang, Zhixian; Wan, Yuhui; Song, Xianbing; Wang, Rui; Fang, Jun; Sun, Yehuan; Zhang, Shichen

doi:10.3389/fpsyt.2022.818295

Cited by 8 publications

(12 citation statements)

References 44 publications

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“…The total scores range from 22 to 110 by summing up scores on the 22 items, and higher score indicated a higher level of MHL. The AMHLAQ has been reported to be a valid and reliable measuring tool [34][35].…”

Section: Measurementsmentioning

confidence: 99%

Psychological symptoms and inadequate mental health literacy potentially increase the risks of suicidal behaviors in Chinese middle school students

Chen

Yang

et al. 2023

Preprint

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Background Suicide is a major public health problem as the second leading cause of death for adolescent. Inadequate mental health literacy (MHL) and psychological symptoms are risk factors of suicidal behaviors. But so far, no study has examined the interactive role of MHL and psychological symptoms in suicidal behaviors. In this context, the purpose of this study was to examine the independent and interactive association of MHL and self-reported psychological symptoms with suicidal behaviors in Chinese middle school students. Methods A total of 16 853 middle school students were recruited from October 2020 to June 2021. Psychological symptoms, MHL and suicidal behaviors were measured by self-reported validated instruments. Logistic regression models were conducted to examine relations between them. Results The prevalence of suicidal ideation, suicidal plan and suicidal attempt were 31.3%, 16.3% and 7.5%, respectively, Inadequate MHL was significantly associated with suicidal ideation, suicidal plan and suicidal attempt [OR (95% CI) was 1.100 (1.018–1.189), 1.246 (1.125–1.380), 1.739 (1.488–2.033)]. Psychological symptoms were significantly related with suicidal ideation, suicidal plan and suicidal attempt [OR (95%CI) was 4.749 (4.268–5.284), 5.463 (5.069–6.283), 5.970 (5.236–6.806)]. Furthermore, psychological symptoms and inadequate MHL were interactively associated with increased risks of suicidal behaviors. Conclusions These finding indicated that Chinese middle school students having psychological symptoms and inadequate MHL are at risk of exhibiting suicidal behaviors. Enhancing MHL and attenuating the severity of psychological symptoms should be considered and involved in the development of early intervention programs for suicide.

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Section: Measurementsmentioning

confidence: 99%

Psychological symptoms and inadequate mental health literacy potentially increase the risks of suicidal behaviors in Chinese middle school students

Chen

Yang

et al. 2023

Preprint

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“…In addition, from the perspective of emerging adults, college students are prone to have sleep disorders due to the increase in negative psychological factors such as depression and anxiety ( 22 ), resulting in poor sleep quality. When they have a positive health belief, this may help them resist the interference of bad mood before sleep on the sleep process, and then improve the sleep quality ( 23 ). It is not difficult to find that health belief can affect sleep quality to varying degrees.…”

Section: Introductionmentioning

confidence: 99%

The relationship between health belief and sleep quality of Chinese college students: The mediating role of physical activity and moderating effect of mobile phone addiction

Gao

Han

et al. 2023

Front. Public Health

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BackgroundPoor sleep quality has become a common health problem encountered by college students.MethodsHealth belief scale (HBS), physical activity rating scale (PARS-3), mobile phone addiction tendency scale (MPATS) and Pittsburgh sleep quality index (PSQI) were adopted to analyze the data collected from survey questionnaires, which were filled out by 1,019 college students (including 429 males and 590 females) from five comprehensive colleges and universities from March 2022 to April 2022. The data collected from survey questionnaires were analyzed using SPSS and its macro-program PROCESS.Results(1) Health belief, physical activity, mobile phone addiction and sleep quality are significantly associated with each other (P < 0.01); (2) physical activity plays a mediating role between health belief and sleep quality, and the mediating effects account for 14.77%; (3) mobile phone addiction can significantly moderate the effect size of health belief (β = 0.062, p < 0.05) and physical activity (β = 0.073, P < 0.05) on sleep quality, and significantly moderate the effect size of health belief on physical activity (β = −0.112, p < 0.001).ConclusionThe health belief of college students can significantly improve their sleep quality; college students’ health belief can not only improve their sleep quality directly, but also improve their sleep quality through physical activity; mobile phone addiction can significantly moderate the effect size of health belief on sleep quality, the effect size of health belief on physical activity, and the effect size of physical activity on sleep quality.

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“…It is only recently that Hu et al (2022) discovered that the relationship between HL and depressive symptoms was strong and positive for females and negligible for males in China. This relationship was also found to be positive and stronger for younger adolescents than for older ones (Hu et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

“…Despite the distinct distribution pattern of DHL and depression in male and female students as well as older and younger students, it is unclear whether these demographic variables (i.e., age and gender) can provide much information in terms of moderating the relationship between DHL and depression. It is only recently that Hu et al (2022) discovered that the relationship between HL and depressive symptoms was strong and positive for females and negligible for males in China. This relationship was also found to be positive and stronger for younger adolescents than for older ones (Hu et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

“…Depression is a common disorder in adolescents and young adults (AYAs) and it is a subject of concern among stakeholders of education even before the COVID‐19 crisis (Fawzy & Hamed, 2017; Hu et al, 2022; Zhang et al, 2019). The outbreak of the COVID‐19 pandemic led to school closure, a sudden shift to online learning, changes in school activities, and home‐schooling among others, which caused significant psychological distress (e.g., depression) among AYAs (Agormedah et al, 2020; Frimpong et al, 2022; Hagan, Quansah, Ankomah, et al, 2022; Quansah, Hagan, Sambah, et al, 2022; Salari et al, 2020; Sonbol et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

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Gender digital health literacy gap across age: A moderated moderation effect on depression among in‐school adolescents in Ghana during COVID‐19

Hagan

Quansah

Frimpong

et al. 2023

Psychology in the Schools

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The COVID‐19 pandemic amplified the need for digital health literacy aimed at reducing the psychological distress levels of people, including in‐school adolescents. Available evidence suggests the presence of a gender health literacy gap among adolescents in schools in Ghana and beyond. Previous literature has established the role of age in digital health literacy levels. What is unknown is how gender and age interact with digital health literacy levels to influence the levels of depression. This research assessed how gender digital health literacy gap across different age groups relates to the depression levels of adolescents during the COVID‐19 pandemic. A cross‐sectional survey was conducted using 942 students from secondary schools in Ghana who were sampled using the stratified sampling technique. Study participants completed the digital health literacy scale and World Health Organization (WHO‐5) well‐being index. Results from the two‐way analysis of variance revealed a nonsignificant interaction between age and gender on digital health literacy, with significant main effects for gender and age. Further analysis from the moderated moderation analysis revealed that gender and age interact to moderate the relationship between digital health literacy and depression. The findings of this research stress the need for gender‐age‐specific intervention programs on digital health literacy to moderate depression levels during pandemics and other stressful situations.

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Mediating Effect of Sleep Disorder Between Low Mental Health Literacy and Depressive Symptoms Among Medical Students: The Roles of Gender and Grade

Cited by 8 publications

References 44 publications

Psychological symptoms and inadequate mental health literacy potentially increase the risks of suicidal behaviors in Chinese middle school students

Psychological symptoms and inadequate mental health literacy potentially increase the risks of suicidal behaviors in Chinese middle school students

The relationship between health belief and sleep quality of Chinese college students: The mediating role of physical activity and moderating effect of mobile phone addiction

Gender digital health literacy gap across age: A moderated moderation effect on depression among in‐school adolescents in Ghana during COVID‐19

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