ArticleFrontiers in psychiatry2025
The relationship between negative emotions and adjustment disorder in young adults: the mediating role of rumination and insomnia.
Article in Frontiers in psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- How negative life-events affect sleep quality of college students: a chain-mediating model.BMC psychology · 2026Article
- Network Analysis of Symptom-Level Interrelationships Between Adverse Childhood Experiences and Insomnia Symptoms in Adolescents: A Large-Sample Study.Nature and science of sleep · 2026Article
- How Self-Stigma Fuels Negative Coping Strategies During COVID-19: Behavioral Pathways Through Negative Emotions and Motivational Impairment.Behavioral sciences (Basel, Switzerland) · 2025Article
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Authors and funding
6 authors.
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Abstract
Introduction: This study aimed to investigate the influence of negative emotions on adjustment disorder (AjD) in young adults, focusing on the mediating role of rumination and insomnia. Methods: The study recruited 2015 young patients (aged 18-35) receiving treatment at the Psychosomatic Medicine Department of the Affiliated Encephalopathy Hospital of Zhengzhou University from February 2023 to March 2024. Participants completed the Depression Anxiety and Stress Scale (DASS), Ruminative Responses Scale (RRS), Insomnia Severity Scale (ISI), and Adjustment Disorder - New Module 20(ADNM-20) to assess negative emotions, rumination thinking, sleep status, and AjD. Data were analyzed utilizing descriptive statistics, correlation, hierarchical linear regression, and mediation analyses. Results: 1) AjD was significantly influenced by being an only child and family composition, but there was no significant gender difference. Scores for negative emotions, rumination, insomnia, and AjD varied significantly different among different age groups, with the 30-35 age group scoring significantly higher than others. 2) Total scores for the DASS-21and its subscales, the RRS and its subscales, insomnia, and AjD were significantly correlated ( Discussion: The study's findings suggest that rumination and insomnia play significant mediating roles in the relationship between negative emotions and AjD in young adults. Negative emotions directly affect AjD and have indirect effects through rumination and insomnia.
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