[Impact of Anhui medical college students' childhood abuse experiences on depression and anxiety symptoms: The mediating role of mobile phone dependence and sleep quality].
To investigate the relationship between childhood abuse experiences and depression and anxiety symptoms in Anhui medical college students, as well as the chain mediating role of mobile phone dependence and sleep quality.
Using cluster sampling, two schools-Anhui Medical College and Anqing Medical College selected first-year students as the subjects of the survey. Baseline and follow-up surveys were conducted in November-December 2019 and November-December 2020, including a total of 3662 students who completed both the baseline and the follow-up, among which there were 976 males and 2686 females. Childhood Trauma Questionnaire-28 Item Short Form, Self-rating Questionnaire for Adolescent Problematic Mobile Phone Use, Pittsburgh Sleep Quality Index, Sleep-Rating Depression Scale and Sleep-Rating Anxiety Scale were used to evaluate childhood abuse experiences, mobile phone dependence, sleep quality, depression and anxiety symptoms, respectively. The partial correlations analysis was used to analyze the association between variables. After adjusting for age, gender, urban and rural areas, single-child status, parental education level and family economic level, the chain mediating effect of mobile phone dependence and sleep quality on the association between childhood abuse experiences and depression and anxiety symptoms was examined by bootstrap program and PROCESS software.
The detection rates of depressive symptoms and anxiety symptoms are 8.49% and 9.48%, respectively. As the partial correlations analysis shows, after controlling for anxiety symptoms, childhood abuse experiences showed significant positive correlations with mobile phone dependence, sleep quality, and depression symptom(r=0.120, r=0.154, r=0.135, P<0.01). Mobile phone dependence was significantly positively correlated with sleep quality and depression symptoms(r=0.333, r=0.135, P<0.01), and sleep quality showed a significant positive correlation with depression symptoms(r=0.131, P<0.01). After controlling for depression symptoms, childhood abuse experiences showed significant positive correlations with mobile phone dependence(r=0.108), sleep quality(r=0.147), and anxiety symptom(r=0.092, P<0.01). Mobile phone dependence was significantly positively correlated with sleep quality and anxiety symptoms(r=0.323, r=0.047, P<0.01), and sleep quality showed a significant positive correlation with anxiety symptoms(r=0.100, P<0.01). After adjusting for gender, family location, only child status, parental education level, and family economic conditions, the mediation analysis result indicate that mobile phone dependence and sleep quality played a chain mediating role between childhood abuse experiences and depression and anxiety symptoms, with the mediation effect of 0.076(95%CI 0.061-0.091, P<0.01)and 0.062(95%CI 0.050-0.074, P<0.01)and the mediation effect proportions of 23.58% and 23.40%(P<0.01), respectively.
Childhood abuse experiences can increase the risk of depression and anxiety symptoms in medical college students, and can also indirectly raise the level of depression and anxiety symptoms through the chain mediating role of mobile phone dependence and sleep quality.
Using cluster sampling, two schools-Anhui Medical College and Anqing Medical College selected first-year students as the subjects of the survey. Baseline and follow-up surveys were conducted in November-December 2019 and November-December 2020, including a total of 3662 students who completed both the baseline and the follow-up, among which there were 976 males and 2686 females. Childhood Trauma Questionnaire-28 Item Short Form, Self-rating Questionnaire for Adolescent Problematic Mobile Phone Use, Pittsburgh Sleep Quality Index, Sleep-Rating Depression Scale and Sleep-Rating Anxiety Scale were used to evaluate childhood abuse experiences, mobile phone dependence, sleep quality, depression and anxiety symptoms, respectively. The partial correlations analysis was used to analyze the association between variables. After adjusting for age, gender, urban and rural areas, single-child status, parental education level and family economic level, the chain mediating effect of mobile phone dependence and sleep quality on the association between childhood abuse experiences and depression and anxiety symptoms was examined by bootstrap program and PROCESS software.
The detection rates of depressive symptoms and anxiety symptoms are 8.49% and 9.48%, respectively. As the partial correlations analysis shows, after controlling for anxiety symptoms, childhood abuse experiences showed significant positive correlations with mobile phone dependence, sleep quality, and depression symptom(r=0.120, r=0.154, r=0.135, P<0.01). Mobile phone dependence was significantly positively correlated with sleep quality and depression symptoms(r=0.333, r=0.135, P<0.01), and sleep quality showed a significant positive correlation with depression symptoms(r=0.131, P<0.01). After controlling for depression symptoms, childhood abuse experiences showed significant positive correlations with mobile phone dependence(r=0.108), sleep quality(r=0.147), and anxiety symptom(r=0.092, P<0.01). Mobile phone dependence was significantly positively correlated with sleep quality and anxiety symptoms(r=0.323, r=0.047, P<0.01), and sleep quality showed a significant positive correlation with anxiety symptoms(r=0.100, P<0.01). After adjusting for gender, family location, only child status, parental education level, and family economic conditions, the mediation analysis result indicate that mobile phone dependence and sleep quality played a chain mediating role between childhood abuse experiences and depression and anxiety symptoms, with the mediation effect of 0.076(95%CI 0.061-0.091, P<0.01)and 0.062(95%CI 0.050-0.074, P<0.01)and the mediation effect proportions of 23.58% and 23.40%(P<0.01), respectively.
Childhood abuse experiences can increase the risk of depression and anxiety symptoms in medical college students, and can also indirectly raise the level of depression and anxiety symptoms through the chain mediating role of mobile phone dependence and sleep quality.