ArticleBMC nursing2025
Psychological stress and depression symptoms in nursing undergraduates: the chain mediating effect of cognitive reappraisal and ruminate thinking.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- The interplay between ruminative thinking, stress and emotional eating.BMC psychology · 2026Article
- From Stress to Safety: The Chain Mediating Role of Cognitive Reappraisal and Work Engagement in the Influence of Nurses' Work Stress on Safety Behavior.Journal of nursing management · 2026Article
- Symptoms of Depression, Anxiety, and Stress Among Nursing Students and Coping Strategies Used.Revista brasileira de enfermagem · 2026Observational
- The influence mechanism of mindfulness training on college students' psychological stress regulation: a mediation model with moderating effect.Frontiers in public health · 2026Article
- Digital stress and problematic social media use among college students: exploring dual emotional pathways and the moderating role of cognitive reappraisal.BMC psychology · 2025Article
- Article
- Emotion regulation strategy moderates the impact of emotional labor on burnout in psychiatric nurses: a cross-sectional study.BMC nursing · 2025Article
- Enhancing emotional intelligence and mental well-being for stress management in nursing education - a qualitative study.BMC nursing · 2025Article
- Factors influencing the negative emotions of undergraduate medical students.Frontiers in psychology · 2025Review
- Neurocardiac signatures of acute mental stress: a sex-comparative study.Frontiers in neuroscience · 2025Article
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Abstract
backgroundNursing students exhibit a higher incidence of mental disorders. Studies have identified psychological stress contributes to elevated depression symptoms through reappraisal cognitive in nursing students. However, there is little research exploring the knowledge regarding the role of ruminative thinking in mediating the associations between psychological stress and depression symptoms. Guiding by the non-hemostatic model and cognitive control theory, the study aims to investigate the chained mediation of cognitive reappraisal and ruminate thinking between psychological stress and depression symptoms among nursing undergraduates.
methodsA total of 1,220 nursing undergraduates were carried out by stratified sampling from July to December of 2023 via online survey. The investigation adopted the Perceived Stress Scale (PSS-10), Emotion Regulation Questionnaire (ERQ), Ruminative Response Scale (RRS), and the Center for Epidemiologic Studies Depression Scale (CES-D) to measure the level of psychological stress, cognitive reappraisal, ruminative thinking and depression symptoms, respectively. Pearson's r was utilized to investigate the interrelationships, and the structural equation model (SEM) was used to clarify the mediation effects among the four variables.
resultsThe mean total score of CES-D was 21.57 ± 10.79. SEM analysis proved that psychological stress had a direct positive effect on depression symptoms (β = 0.388). accounting for a substantial 51.52% of the total effect. Cognitive reappraisal and ruminate thinking partially mediated the association between psychological stress and depression symptoms (95% CI: 0.094-0.210), and the mediating effect accounted for 48.48% of the total effect.
conclusionsNursing students exhibited a high prevalence of depression, and cognitive reappraisal and ruminate thinking partially mediated the correlations between psychological stress and depression symptoms. Interventions targeting at consolidating cognitive reappraisal and ruminate thinking are imperative for improving depression.
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