ArticleFrontiers in public health2022
Perceived Academic Stress and Depression: The Mediation Role of Mobile Phone Addiction and Sleep Quality.
Article in Frontiers in public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 3 of them syntheses that pooled it.
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Who cites it
51 citing papers in PubMed, 3 syntheses or guidelines pooled it, 103 citations in OpenAlex.
- The relationship between perceived stress and mobile phone addiction in adolescents: a meta-analysis.BMC psychology · 2025Pooled it
- Global prevalence of post-miscarriage anxiety, depression, and stress: a systematic review and meta-analysis.Journal of global health · 2025Pooled it
- Correlations between problematic internet use and suicidal behavior among Chinese adolescents: a systematic review and meta-analysis.Frontiers in psychiatry · 2024Pooled it
- Time trends and predictors of difficulties in getting to sleep among adolescents from six Nordic countries 2002-2018.Scandinavian journal of public health · 2026Article
- Sleep Disturbances as a Statistical Mediator Between Perceived Academic Stressors and Emotional, Cognitive, and Physical Stress Responses in University Students.Behavioral sciences (Basel, Switzerland) · 2026Article
- Article
- Mobile phone addiction among nursing interns and its related influencing factors: a cross-sectional network analysis.BMC nursing · 2026Article
- A latent profile analysis of physical activity participation patterns and mental health among university students: the mediating role of emotion regulation.Scientific reports · 2026Article
- Family Functioning and Adolescent Depression: Parallel and Serial Mediation Roles of Academic Stress and Emotion Regulation.Behavioral sciences (Basel, Switzerland) · 2026Article
- The mediating role of sleep quality and the moderating role of gender and grade in the association between academic stress and psychological health among adolescents in county-level areas of Liaoning Province, China.Frontiers in psychology · 2026Article
- Mobile Phone Addiction, Perceived Stress, and Morningness-Eveningness Preference in Nursing Students: A Computer-Simulated Network Analysis.Journal of nursing management · 2026Article
- Relationship Between Body Mass Index, Eating Disorders, Internet Addiction, and Social Media Addictions Among Adolescents in Bangladesh.Public health challenges · 2025Article
- From pixels to isolation: Exploring the relationship between technological addiction, depression, hikikomori risk factors, and hikikomori tendencies among young adults.The International journal of social psychiatry · 2025Article
- A study of the relationship between physical fitness index and sleep quality in Chinese adolescents.Sleep & breathing = Schlaf & Atmung · 2025Article
- The Mediating Role of Family Communication in the Relationship Between Academic Achievement Pressure and Problematic Smartphone Use Among Korean Early Adolescents.Children (Basel, Switzerland) · 2025Article
- Predictors of sleep modifiable factors and the correlation with non-suicidal self-injury: the important role of problematic mobile phone use and mental health.BMC psychiatry · 2025Article
- The mediating role of sleep disturbances in mobile phone addiction and depression among medical students.Journal of family medicine and primary care · 2025Article
- Exploring anxiety and sleep disorders among Edna Adan university students in Somaliland: associated stressors and insights.BMC psychology · 2025Article
- Sleep quality is associated with stress in secondary school students.BMC public health · 2025Article
- A study on the relationship between high school students' sleep quality, physical exercise, academic stress, and subjective well-being.BMC psychology · 2025Article
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Authors and funding
11 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough academic stress is a well-known risk factor for students' depression, little is known about the possible psychological mechanisms underlying this association. In this study, we investigated the prevalence of depression and sleep disturbance among Chinese students, examined the relationship between perceived academic stress and depression, considered if mobile phone addiction and sleep quality is a mediator of this relationship, and tested if mobile phone addiction and sleep quality together play a serial mediating role in the influence of perceived academic stress on depression.
methodA cross-sectional survey was conducted among students from September to December 2018 in Heilongjiang Province, China. The final analysis included 5,109 students. Mobile phone addiction, sleep quality, and depressive symptoms were assessed using the Mobile Phone Addiction Index, Pittsburgh Sleep Quality Index, and Center for Epidemiologic Studies-Depression scales, respectively. The serial mediation model was used to analyse the relationship between perceived academic stress, mobile phone addiction, sleep quality, and depression.
resultsAmong all participants, the prevalence of depressive symptoms and sleep disturbance was 28.69 and 27.95%, respectively. High school students showed the highest scores of perceived academic stress (2.68 ± 1.06), and the highest prevalence of depressive symptoms (33.14%) and sleep disturbance (36.47%). The serial mediation model indicated that perceived academic stress was a significant predictor of depression (B = 0.10, SE = 0.02, 95% CI = 0.06 - 0.13). Additionally, mobile phone addiction (B = 0.08, 95% boot CI = 0.06-0.11) and sleep quality (B = 0.27, 95% boot CI = 0.22-0.33) played a mediating role between perceived academic stress and depression. Mobile phone addiction and sleep quality together played a serial mediating role in the influence of perceived academic stress on depression (B = 0.11, 95% boot CI = 0.08-0.14). Furthermore, the indirect effect (i.e., the mediating effect of mobile phone addiction and sleep quality) was significant and accounted for 64.01% of the total effect.
conclusionsOur research results underscore the need for stakeholders-including family members, educators, and policy makers-to take preventative intervention measures to address depression among Chinese students, especially high school students.
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