Social capital and self-rated health among Chinese rural empty nesters: a multiple mediation model through sleep quality and psychological distress

Author(s):  
Wenjuan Li ◽  
Shijun Yang ◽  
Jie Li ◽  
Zhixian Li ◽  
Chen Yan ◽  
...  
2021 ◽  
Vol 12 ◽  
Author(s):  
Min Xie ◽  
Yiguo Tang ◽  
Ling Zhu ◽  
Minhan Dai ◽  
Yulu Wu ◽  
...  

Background: Coronavirus-2019 (COVID-19) has been coexisting with humans for almost 2 years, consistently impacting people's daily life, medical environment, and mental health. This study aimed to test the series mediation model triggered by childhood trauma, in which perceived psychological impact of COVID-19 pandemic and sleep quality mediated the path sequentially and led to adverse mental health outcomes.Methods: A cross-sectional design involving 817 participants were enrolled via WeChat online survey. Participants completed questionnaires, including demographic features, the Childhood Trauma Questionnaire, Impact of Event Scale-Revised (IES-R) questionnaire, Pittsburgh Sleep Quality Index (PSQI) questionnaire, and Depression, Anxiety, and Stress Scale (DASS-21). Pearson correlations and hierarchical multiple linear regression were employed to examine the association of childhood trauma and psychological stress of COVID-19, sleep quality, and mental health status. In addition, a series mediate analysis was carried out to examine sequence mediating effects of psychological impact of COVID-19 and sleep quality between childhood trauma and mental health status.Results: The results showed that childhood trauma is positively and significantly related to psychological distress of COVID-19 pandemic, sleep quality, and mental health status (p < 0.05). Hierarchical multiple linear regression analysis shown that demographic features explained 4.4, 2.1, and 4.0% of the total variance in DASS-21, IES-R, and PSQI total scale scores, respectively. Adding childhood trauma significantly increased the model variance of DASS-21 (ΔR2 = 0.129, F = 126.092, p = 0.000), IES-R (ΔR2 = 0.062, F = 54.771, p = 0.000), and PSQI total scale scores (ΔR2 = 0.055, F = 48.733, p = 0.000), respectively. Moreover, the series mediation model showed that the perceived impact of the COVID-19 pandemic and sleep quality were sequential mediators between childhood trauma and mental health status (proportion explained: 49.17%, p < 0.05).Conclusion: Amid the ravages of COVID-19, childhood trauma predicts poor mental health status, in part because of greater psychological impact related to COVID-19 and poorer global sleep quality. In order to improve mental health, future researchers should pay more attention to individuals with childhood trauma, for its association with greater stress related to life events and poorer sleep quality.


2021 ◽  
Vol 8 ◽  
Author(s):  
Shijun Yang ◽  
Jie Li ◽  
Dan Zhao ◽  
Yi Wang ◽  
Wenjuan Li ◽  
...  

Psychological distress were found to be associated with chronic conditions and persistent pain. However, few studies explored the underlying pathways between them. This study aimed to analyze the path of chronic conditions and persistent pain on psychological distress through sleep quality and self-rated health. A total of 2,748 rural older people in Shandong, China were included in this study. Path analysis was performed by using Mplus 8.3 to examine the associations between chronic conditions, persistent pain, sleep quality, self-rated health, and psychological distress after adjusting for age, gender, education, and household income. The prevalence of psychological distress among the older adults in this study was 47.49%. Chronic conditions and persistent pain were indirectly associated with psychological distress through six mediating pathways: (1) the path from chronic conditions to psychological distress through sleep quality (β = 0.041, 95%CI: 0.015–0.067) and self-rated health (β = 0.064, 95%CI: 0.038–0.091), respectively, and a chain mediation existed (β = 0.007, 95% CI: 0.000–0.014); (2) the path of persistent pain and psychological distress through sleep quality (β = 0.058, 95% CI: 0.014–0.102) and self-rated health (β = 0.048, 95% CI: 0.000–0.096), respectively, also the chain mediation found (β = 0.009, 95% CI: 0.005–0.014). Psychological distress was associated with chronic conditions and persistent pain through decreased sleep quality and self-rated health among Chinese rural older people. Multi-pronged targeted intervention should be taken for older adults with chronic conditions and persistent pain.


2021 ◽  
Vol 12 ◽  
Author(s):  
Ruipeng Wu ◽  
Lan Guo ◽  
Hao Rong ◽  
Jingming Shi ◽  
Wenyan Li ◽  
...  

Background: Sleep problems and eating disorders (EDs) are both serious public health concerns often seen in young adults. Yet, the underlying mechanisms for such associations are largely unknown. This study aims to examine potential serial multiple mediation effects of problematic smartphone use (PSU) and psychological distress (i.e., depressive and anxiety symptoms) in the relationship between sleep quality and disordered eating behaviors/attitudes (DEBs).Methods: A total of 4,325 students from two Tibet universities in China (2,657 females and 1,668 males) completed an online survey that included the following measurements: Eating Attitude Test-26 for disordered eating behaviors/attitudes, the Chinese Version of Pittsburgh Sleep Quality Index (CPSQI), Smartphone Addiction Scale—Short Version (SAS-SV) for problematic smartphone use, Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) for psychological distress.Results: While the direct path linking sleep quality and DEBs was not found to be significant (Standardized β = 0.006, 95% CI = −0.0667~0.0970), both PSU (Standardized β = 0.016, 95% CI = 0.0256~0.0591) and anxiety symptoms (Standardized β = 0.014, 95% CI = 0.0203~0.0526) may mediate a link between sleep quality and DEBs; serial multiple mediation analysis revealed that a serial indirect pathway of “sleep quality -> PSU -> anxiety symptoms -> DEBs” existed(Standardized β = 0.001, 95% CI = 0.0002~0.0012). Similarly, while the direct path linking sleep quality and DEBs was not found to be significant (Standardized β = 0.006, 95% CI = −0.0667~0.0970), both PSU (Standardized β = 0.020, 95% CI = 0.0337~0.0692) and depressive symptoms (Standardized β = 0.015, 95% CI = 0.0139~0.0652) may mediate a link between sleep quality and DEBs; serial multiple mediation analysis revealed that a serial indirect pathway of “sleep quality -> PSU -> depressive symptoms -> DEBs” existed (Standardized β = 0.001, 95% CI = 0.0006~0.0038).Conclusions: Psychological and behavioral factors may comprehensively work together, leading to flow-on effects from sleep problems to disordered eating behaviors among university students. Appropriate interventions that target problematic smartphone use could thus potentially reduce anxiety and depression levels, which in turn will provide a buffer against the negative impact of poor sleep quality on eating disorder symptoms.


2013 ◽  
Vol 23 (suppl_1) ◽  
Author(s):  
N Middleton ◽  
P Andreou ◽  
C Kouta ◽  
M Karanikola ◽  
E Papastavrou ◽  
...  

Author(s):  
Yansong Li ◽  
Qilong Sun ◽  
Mingzhe Sun ◽  
Peishuai Sun ◽  
Qihui Sun ◽  
...  

Psychological distress among adolescents adversely affects their development and negatively impacts them later in life. The aim of the present study was to determine whether an association exists between physical exercise and psychological distress and to explore the roles of problematic mobile phone use and learning burnout with respect to this association. A total of 2077 Chinese adolescents were evaluated by using the Physical Exercise Questionnaire, the Self-rating Questionnaire for Adolescent Problematic Mobile Phone Use, the Learning Burnout Questionnaire, and the Depression Anxiety Stress Scale-21. A serial multiple mediation model was constructed using the SPSS PROCESS macro. The results showed that physical exercise was negatively associated with psychological distress in this Chinese adolescent population. Serial multiple mediation analysis revealed that problematic mobile phone use and learning burnout both independently and serially mediated the association between physical exercise and psychological distress. These findings provide evidence suggesting that increased attention should be given to problematic mobile phone use and learning burnout when establishing and implementing specific strategies that leverage greater participation in physical exercise to decrease psychological distress in adolescents.


2018 ◽  
Vol 46 (1) ◽  
pp. 63-77 ◽  
Author(s):  
You-Wei Yan ◽  
Rong-Mao Lin ◽  
Yan-Kui Su ◽  
Ming-Yan Liu

We investigated the mediating effect of burnout and depression on the relationship between adolescent academic stress and sleep quality. Participants comprised 757 adolescents aged 12–18 years, who completed self-report questionnaires assessing academic stress, sleep quality, school burnout, and depression. Results showed that adolescent academic stress was negatively correlated with sleep quality, and that depression and school burnout were also negatively associated with sleep quality. Results of a multiple mediation model showed that adolescent academic stress was not only directly correlated with sleep quality, but was also indirectly associated with sleep quality through the mediating effect of school burnout and depression, as well as through the sequential mediating effect from school burnout to depression. Theoretical and practical implications are discussed.


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