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. 2022 Mar 5:15:547-556.
doi: 10.2147/PRBM.S353778. eCollection 2022.

Associations Between Academic Stress and Depressive Symptoms Mediated by Anxiety Symptoms and Hopelessness Among Chinese College Students

Chang Zhang  1   2 , Lijuan Shi  3 , Tong Tian  3 , Ziwei Zhou  3 , Xiyuan Peng  3 , Yidong Shen  4 , Yamin Li  1   2 , Jianjun Ou  4
Affiliations

Associations Between Academic Stress and Depressive Symptoms Mediated by Anxiety Symptoms and Hopelessness Among Chinese College Students

Chang Zhang et al. Psychol Res Behav Manag. .

Abstract

Purpose: Explore the potential mediating effects of anxiety symptoms and hopelessness on the relationship between academic stress and depressive symptoms among Chinese college students.

Patients and methods: A total of 1309 college students with informed consent were recruited from a local university in China. Academic stress, anxiety symptoms, hopelessness, and depressive symptoms were assessed by self-report scales. Haye's PROCESS macro for SPSS was used to test the hypothesized mediation effect of anxiety symptoms and hopelessness in the relationship between academic stress and depressive symptoms.

Results: Anxiety symptoms, hopelessness, and depressive symptoms were common among college students and were all significantly positively associated with academic stress levels. Academic stress could indirectly affect depressive symptoms by anxiety symptoms, hopelessness, and both anxiety symptoms and hopelessness. The total effect of academic stress on depressive symptoms was 0.063. The total effect of three indirect pathway was 0.039 which account for 62% of the total effect.

Conclusion: The study detailed the specific process of depressive symptoms caused by academic stress in college students. Anxiety symptoms and hopelessness could mediate the relationship between academic stress and depressive symptoms. Paying attention to the anxiety levels and hopelessness levels of college students with high academic pressure is suggested as a means of preventing depression and promoting mental health.

Keywords: academic stress; anxiety; college students; depression; hopelessness.

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Conflict of interest statement

The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
The final chain mediating effect model of academic stress, anxiety symptoms, hopelessness, and depressive symptoms.
See this image and copyright information in PMC

References

    1. James SL, Abate D, Abate KH, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: a systematic analysis for the global burden of disease study 2017. Lancet. 2018;392(10159):1789–1858. - PMC - PubMed
    1. Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med. 2006;3(11):e442. doi: 10.1371/journal.pmed.0030442 - DOI - PMC - PubMed
    1. Lattie EG, Adkins EC, Winquist N, Stiles-Shields C, Wafford QE, Graham AK. Digital mental health interventions for depression, anxiety, and enhancement of psychological well-being among college students: systematic review. J Med Internet Res. 2019;21(7):e12869. doi: 10.2196/12869 - DOI - PMC - PubMed
    1. Mendelson T, Tandon SD. Prevention of depression in childhood and adolescence. Child Adolesc Psychiatr Clin N Am. 2016;25(2):201–218. doi: 10.1016/j.chc.2015.11.005 - DOI - PubMed
    1. Feng Q, Zhang QL, Du Y, Ye YL, He QQ. Associations of physical activity, screen time with depression, anxiety and sleep quality among Chinese college freshmen. PLoS One. 2014;9(6):e100914. doi: 10.1371/journal.pone.0100914 - DOI - PMC - PubMed