Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

Depressive symptoms, sleep-wake features, and insomnia among female students

The role of rumination

Bibliographic Data

ID4228475
AuthorsXin Zhang (0000-0003-0184-5868, Chinese Academy of Medical Sciences & Peking Union Medical College), Fei Wang (0000-0003-0860-6317, Chinese Academy of Medical Sciences & Peking Union Medical College), Liuni Zou (Chinese Academy of Medical Sciences & Peking Union Medical College), Shih‐yu Lee (0000-0002-4713-6410, corresponding author), Shih-Yu Lee (0000-0001-8484-3846, Hungkuang University, Taiwan, China)
Year2025
Volume30
Issue5
Pages951-961
Publication date2025-04-01
Open AccessYes
TypeARTICLE
VenueJournal of Health Psychology (JOURNAL)
Journal identifiersISSN: 1359-1053 • E-ISSN: 1461-7277
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/13591053241258252
PMID38898617
OpenAlexW4399871199
LanguageEN
Citations received1
References cited41

Depression symptoms are prevalent among nursing students, especially those in Asia. This study assessed the association between rumination and depression symptoms among female nursing students ( N = 148) and the chain mediation role of sleep-wake indexes and insomnia symptoms. The data were collected from a battery of questionnaires and consecutive 7-day actigraphy data for analyzing sleep-wake indexes. About 54.1% of the participants had either mild or moderate depression symptoms. Most students (89.2%) had a delayed circadian phase, and circadian activity rhythm (CAR) was not ideal. The path mediation model underwent analysis using the PROCESS macros. The results showed that rumination in students is directly positively correlated with depressive symptoms ( b = 4.831). Moreover, the association between rumination and depressive symptoms is sequent (moderating effect = 0.12, 95% CI [0.017, 0.410]). The proposed model in this study provides a foundation for improving educational programs on sleep hygiene and promoting mental wellness

Actigraphy · Anxiety · Association (psychology · Circadian rhythm · Cognition · Depression (economics · Depressive symptoms · Dysphoria · Insomnia · Mediation · Psychiatry · Psychotherapist · Rumination · Sleep hygiene · Sleep quality · Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes · Medicine · Mental Health Research Topics · Psychology · Sleep and related disorders · Clinical Psychology · Internal Medicine

  • The efficacy of using psychotherapy treatments to minimize symptoms of rumination disorder

    Open Access•Mohammad A Abu Sabra, Hasan Abualruz et al.•Journal of Health Psychology•2025

  • Rumination Reconsidered

    Open Access•Wendy Treynor, Richard Gonzalez et al.•Cognitive Therapy and Research•2003

  • The Role of Actigraphy in the Study of Sleep and Circadian Rhythms

    Sonia Ancoli-Israel, Sonia Ancoli‐israel et al.•Sleep•2003

  • Self-Rating Depression Scale in an Outpatient Clinic

    William W K Zung•Archives of General Psychiatry•1965

  • Athens Insomnia Scale

    Open Access•Constantin R Soldatos, Dimitris Dikeos et al.•Journal of Psychosomatic Research•2000

  • Rethinking Rumination

    Open Access•Susan Nolen-Hoeksema, Susan Nolen–hoeksema et al.•Perspectives on Psychological…•2008

  • Relationship Between Stressful Life Events and Sleep Quality

    Open Access•Yukun Li, Simeng Gu et al.•Frontiers in Psychiatry•2019

  • The contribution of transdiagnostic vulnerability factors in patients with chronic insomnia

    Open Access•Mojtaba Habibi Asgarabad, Mojtaba Habibi et al.•Frontiers in Psychiatry•2023

  • Stress and Sleep Disturbances in Female College Students

    Shih‐yu Lee, Shih-Yu Lee et al.•American Journal of Health Behavior•2013

  • Translation and Initial Validation of the Japanese Version of the Ruminative Responses Scale

    Open Access•Akira Hasegawa•Psychological Reports•2013

  • Responses to depression and their effects on the duration of depressive episodes

    Susan Nolen-Hoeksema, Susan Nolen–hoeksema•Journal of Abnormal Psychology•1991

  • Stress and health-related well-being among mothers with a low birth weight infant

    Open Access•Shih‐yu Lee, Shih-Yu Lee et al.•Social Science & Medicine•2012

  • Perfectionism and adolescent sleep quality

    Open Access•Rongmao Lin, Rong-Mao Lin et al.•Journal of Health Psychology•2019

  • Constructive and unconstructive repetitive thought

    Open Access•Edward R Watkins•Psychological Bulletin•2008

Citations per year1
Citation span2025 - 2025 (1)
Highly citedNo

Tools

Open DOI
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae