ArticleBMC psychology2026
The extra burden: differential somatization-moderated mediation models of anxiety, depression, and insomnia on quality of life through abnormal illness behavior in Chinese college students.
Article in BMC psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPsychological distress (anxiety, depression, insomnia) is prevalent among college students, often co-occurring with somatization and abnormal illness behavior (AIB) to impair quality of life (QoL). This study aims to construct moderated mediation models exploring the association between psychological distress and QoL through AIB, and examine the moderating role of somatization, providing evidence for targeted mental health interventions.
methodsA cross-sectional survey of 7,529 Chinese college students was conducted. Anxiety, depression, and insomnia were treated as predictors, AIB as the mediator, somatization as the moderator, and QoL (mental component summary [MCS] and physical component summary [PCS]) as the outcomes.
resultsAfter adjusting for selected covariates, anxiety, depression, and insomnia showed significant negative direct effects on PCS (β = -0.0553, 95%CI: -0.0995 to -0.0111; β = -0.1034, 95%CI: -0.1428 to -0.0641; β = -0.3559, 95%CI: -0.3932 to -0.3185) and MCS (β = -0.5321, 95%CI: -0.5819 to -0.4823; β = -0.4799, 95%CI: -0.5243 to -0.4355; β = -0.4818, 95%CI: -0.5247 to -0.4389), all p < 0.05. AIB significantly mediated the associations of anxiety, depression, and insomnia with PCS and MCS. Somatization moderated all indirect effects: conditional indirect effects were significantly negative at low, moderate, and high levels of somatization, and the negative mediating effects strengthened as somatization increased.
conclusionsAIB mediated the relationship between psychological distress and QoL, and this mediation was moderated by somatization. These findings clarify the psychosomatic correlates of QoL impairment in a non-Western population, informing culturally tailored college mental health strategies and providing implications for clinical assessment and intervention.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.