ArticleFrontiers in psychiatry2022
Mediating Effect of Sleep Disorder Between Low Mental Health Literacy and Depressive Symptoms Among Medical Students: The Roles of Gender and Grade.
Article in Frontiers in psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 19 citations in OpenAlex.
- Life Satisfaction and Sleep Health among College Students in the United States.medRxiv : the preprint server for health sciences · 2026Article
- Effectiveness of a mental health literacy intervention for high school adolescents: a before-and-after study in a school-based setting in France.European child & adolescent psychiatry · 2026Article
- The dynamic association between depression, psychological flexibility, and meaning in life among medical students: a cross-lagged analysis.BMC psychology · 2025Article
- Mental health literacy and the stigmatisation and discrimination of individuals affected by mental illnesses in China: a scoping review.The Lancet regional health. Western Pacific · 2025Review
- Subthreshold anxiety in Chinese college students: prevalence, gender differences, and correlates.BMC psychology · 2025Article
- Beyond the Smile: Exploring the Mental Well-Being of Dental Students Across Institutions.European journal of dental education : official journal of the Association for Dental Education in Europe · 2025Article
- Negative life events, inadequate mental health literacy, and emotional symptoms among Chinese college students: a school-based longitudinal prospective study.International journal of mental health systems · 2025Article
- Assessment of Knowledge and Practice Regarding Psychological First Aid Among Secondary School Students in Erbil City.Cureus · 2024Article
- Association between Body Image Flexibility and Intermittent Fasting in Chinese Medical Students: A Cross-Sectional Study.Nutrients · 2023Article
- Moderating role of mental health literacy on the relationship between bullying victimization during the life course and symptoms of anxiety and depression in Chinese college students.BMC public health · 2023Article
- The relationship between health belief and sleep quality of Chinese college students: The mediating role of physical activity and moderating effect of mobile phone addiction.Frontiers in public health · 2023Article
Corrections and comments
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Authors and funding
13 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveIn this study, we aimed to disentangle the mediating effect of sleep disorder between mental health literacy (MHL) and depressive symptoms in Chinese medical students, especially focusing on the impact of gender and grade.
methodsPooled longitudinal data of 5,504 medical students was collected between November 2019 and June 2020 to assess the MHL, sleep disorder and mental health of medical students in Anhui province, China. Mediation analyses were tested by using bootstrapping procedures.
resultsSleep disorder were negatively correlated with adequate MHL, but positively correlated with depressive symptoms. The relationships between MHL and depressive symptoms were mediated by sleep disorder in total samples and the indirect effect accounted for 13.59% of the total effect. However, the ratio was 20.82% in female students, whereas no mediating effect was found in the male students. Moreover, the ratio was found higher in freshmen (15.11%) than that in sophomores (11.56%).
conclusionImproving the sleep disorder by enhancing MHL is an effective way to reduce depressive symptoms in Chinese medical students. Further investigations elaborately considered by using more gender-balanced population with higher grade and lower level of education.
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