Relationships of coping styles and sleep quality with anxiety symptoms among Chinese adolescents: A cross-sectional study

Xiong, Wenjing; Liu, Hongjian; Gong, Ping; Wang, Qi; Ren, Zheng; He, Minfu; Zhou, Ge; Ma, Jiameng; Guo, Xia; Fan, Xinwen; Liu, Meitian; Yang, Xiaodi; Shen, Yue; Zhang, Xiumin

doi:10.1016/j.jad.2019.07.032

Cited by 50 publications

(32 citation statements)

References 58 publications

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“…Moreover, as the previous evidence reported coping styles are associated with anxiety symptoms 17 , 38 , in our univariable analysis, the tendency of coping style at baseline was significantly associated with subsequent anxiety symptoms. However, after adjusting for other variables, the adjusted significant associations of coping styles with subsequent anxiety symptoms were not shown in the multivariable analysis.…”

Section: Discussionsupporting

confidence: 82%

“…Therefore, the interaction effects of childhood maltreatment and the tendency of coping styles on anxiety symptoms were tested, and a novel finding was that the above-mentioned interaction effects were significantly associated with anxiety symptoms at 1-year follow-up. These results might be related to a possible increase in vulnerability to have subsequent anxiety symptoms following childhood maltreatment among adolescents with the tendency of negative coping styles than those with positive coping styles 17 , 38 .…”

Section: Discussionmentioning

confidence: 91%

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Childhood maltreatment predicts subsequent anxiety symptoms among Chinese adolescents: the role of the tendency of coping styles

Guo

Wang

et al. 2021

Transl Psychiatry

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Childhood maltreatment may have an influence on anxiety symptoms and coping styles. This longitudinal study aimed to estimate the prospective associations between different types of childhood maltreatment and anxiety symptoms among Chinese adolescents, with a particular focus on investigating whether these associations vary by the tendency of coping styles. Data were from the Longitudinal Study of Adolescents’ Mental and Behavioral Well-being Research. The baseline sample included 1957 participants (response rate: 99.03%) and followed up at 1-year later (n = 1836, retention rate: 93.8%). Anxiety symptoms, childhood maltreatment, the tendency of coping styles, morning cortisol level, depressive symptoms, self-esteem, and other demographics were measured. Overall, the mean age of the baseline students was 13.6 (SD: 1.5) years. The final results showed that childhood emotional abuse (unstandardized β-estimate = 0.13, 95% CI = 0.07–0.18), physical abuse (unstandardized β-estimate = 0.08, 95% CI = 0.01–0.16), and sexual abuse (unstandardized β-estimate = 0.17, 95% CI = 0.04–0.29) were positively associated with anxiety symptoms at follow-up after adjusting for significant covariates at baseline. Additionally, the stratified analyses demonstrated that only among students with negative coping styles, childhood emotional abuse, physical abuse, and sexual abuse were associated with subsequent anxiety symptoms; the differences between the positive and negative coping style strata were significant (P < 0.05). Childhood maltreatment appears to be a predictor of anxiety symptoms among adolescents, and the tendency of coping styles may have a moderating role in these longitudinal associations. The efforts to prevent anxiety symptoms are recommended to be focused on adolescents with the experience of childhood maltreatment and negative coping styles.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 91%

Childhood maltreatment predicts subsequent anxiety symptoms among Chinese adolescents: the role of the tendency of coping styles

Guo

Wang

et al. 2021

Transl Psychiatry

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“…4 For example, results of a cross-sectional study during part of the COVID-19 epidemic period revealed a high prevalence of insomnia symptoms (21.9%), depressive symptoms (44.9%) and anxiety symptoms (38.3%) among Chinese middle school students 5 relative to results in previous non-COVID-19 studies. [6][7][8] Of note, insomnia does not only negatively affect daytime function, but also may cause MHP in adolescents. 9 Additionally, adolescents with MHP tend to be more susceptible to debilitating psychiatric illness in later life.…”

Section: Introductionmentioning

confidence: 99%

<p>Moving More and Sitting Less as Healthy Lifestyle Behaviors are Protective Factors for Insomnia, Depression, and Anxiety Among Adolescents During the COVID-19 Pandemic</p>

Lu¹,

Chi²,

Liang³

et al. 2020

PRBM

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Purpose This study aimed to investigate associations of physical activity time (PAT) and sitting time (ST) independently and jointly with insomnia, depressive and anxiety symptoms among Chinese adolescents in the context of COVID-19. Methods A cross-sectional study including 965 adolescents (mean age = 15.26, SD = 0.46) was conducted in May 2020. PAT, ST and the symptoms of insomnia, depression and anxiety were assessed with the International Physical Activity Questionnaire Short Form, the Youth Self-Rating Insomnia Scales, the 9-item Patient Health Questionnaire and the Generalized Anxiety Disorder scale via an online survey platform. Logistic regression was used to analyze the association between COVID-19-related fear, PAT, ST and combinations of PAT and ST with insomnia, depressive and anxiety symptoms. Results COVID-19-related fear was associated with higher odds of insomnia, depressive and anxiety symptoms. PAT was associated with lower odds of insomnia and depressive symptoms, while ST was associated with higher odds of these three symptoms. After combining PAT and ST, the group with both low PAT and high ST was set as the referent. For insomnia, groups with low ST reported significantly lower odds of symptoms. For depression, groups with high PAT and/or low ST reported lower odds of symptoms. Regarding anxiety, only the group with both high PAT and low ST reported lower odds of symptoms. Generally, group with both high PAT and low ST reported lower odds of the three symptoms than the referent. Conclusion COVID-19-related fear was a risk factor for developing insomnia, depressive and anxiety symptoms among Chinese adolescents. Fortunately, moving more and sitting less were good for sleep and mental health in Chinese adolescents during the pandemic. Educators should help adolescents to be more physically active in their daily life in the primary prevention of adolescent insomnia, depression and anxiety.

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“…Previous research has shown various protective factors for anxiety, such as self-efficacy ( 13 ), coping style ( 14 ), and social support ( 15 ). A positive role for physical activity in the prevention of anxiety has also been shown in several types of recent studies ( 16 – 18 ).…”

Section: Introductionmentioning

confidence: 99%

Association Between Physical Fitness and Anxiety in Children: A Moderated Mediation Model of Agility and Resilience

Xia

Meng

et al. 2020

Front. Public Health

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Background: Anxiety is one of the most prevalent mental health problems in children. Although physical fitness as a predictor of mental health, the mechanisms underlying any association between physical fitness and anxiety in children have been understudied. Thus, the aim of the present study was to determine whether an association exists between physical fitness and anxiety and to explore the roles of agility and resilience in such an association. Methods: This cross-sectional study investigated 269 children aged 7 to 12 years from three public primary schools in Shanghai (China). Physical fitness and agility were objectively measured, and resilience and anxiety were assessed using self-reported questionnaires. The moderated mediation model was examined using the SPSS PROCESS macro, in which the moderator variable was agility, and the mediator variable was resilience. Results: Physical fitness was inversely associated with anxiety. Resilience partially and indirectly mediated this association, and agility moderated the association between physical fitness and resilience. Physical fitness had a greater impact on resilience in children with higher agility levels. Conclusions: Agility moderated the mediation of resilience on the indirect, inverse association between physical fitness and anxiety; thus, incorporating methods to develop agility and resilience may lead to better outcomes for physical fitness programs designed to prevent or alleviate anxiety in children.

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Relationships of coping styles and sleep quality with anxiety symptoms among Chinese adolescents: A cross-sectional study

Cited by 50 publications

References 58 publications

Childhood maltreatment predicts subsequent anxiety symptoms among Chinese adolescents: the role of the tendency of coping styles

Childhood maltreatment predicts subsequent anxiety symptoms among Chinese adolescents: the role of the tendency of coping styles

<p>Moving More and Sitting Less as Healthy Lifestyle Behaviors are Protective Factors for Insomnia, Depression, and Anxiety Among Adolescents During the COVID-19 Pandemic</p>

Association Between Physical Fitness and Anxiety in Children: A Moderated Mediation Model of Agility and Resilience

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