[HTML][HTML] The association between depressive symptoms and insomnia in college students in Qinghai Province: the mediating effect of rumination

S Xiao, S Liu, P Zhang, J Yu, H Wu, F Zhang…�- Frontiers in�…, 2021 - frontiersin.org
S Xiao, S Liu, P Zhang, J Yu, H Wu, F Zhang, Y Xiao, N Ma, X Zhang, X Ma, J Li, X Wang…
Frontiers in Psychiatry, 2021frontiersin.org
Background: This study investigates the mediating effect of rumination on the associations
between depressive symptoms and insomnia. Methods: This is a cross-sectional study.
Insomnia Severity Index (ISI), Ruminant Response Scale (RRS) and Beck Depression
Inventory (BDI) were determined in 12,178 college students in Qinghai province by a
questionnaire network platform. Results: The prevalence of insomnia was 38.6% in the
participants. Insomnia symptoms [interquartile range: 6 (3, 9)], depressive symptoms�…
Background: This study investigates the mediating effect of rumination on the associations between depressive symptoms and insomnia.
Methods: This is a cross-sectional study. Insomnia Severity Index (ISI), Ruminant Response Scale (RRS) and Beck Depression Inventory (BDI) were determined in 12,178 college students in Qinghai province by a questionnaire network platform.
Results: The prevalence of insomnia was 38.6% in the participants. Insomnia symptoms [interquartile range: 6 (3, 9)], depressive symptoms [interquartile range: 5 (1, 9)], and rumination [interquartile range: 22 (20, 26)] were positively correlated (r = 0.25–0.46, p < 0.01). Mediation effect analysis showed that the depressive symptoms affected insomnia directly and indirectly. The direct effect and the indirect effect through rumination account for 92.4 and 7.6% of the total effect, respectively.
Conclusion: The study shows that insomnia, depressive symptoms, and rumination are related constructs in college students in Qinghai province. It demonstrates the direct effects and the rumination-mediated indirect effects between depressive symptoms and insomnia; the direct effects seem to be dominant.
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