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Relationships of coping styles and sleep quality with anxiety symptoms among Chinese adolescents: A cross-sectional study
- Source :
- Journal of Affective Disorders. 257:108-115
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
Abstract
- Background Limited published research has examined the relationships of coping styles and sleep quality with anxiety symptoms in Chinese school adolescents. We aimed to explore the effect of coping styles and sleep quality on anxiety symptoms. Furthermore, we investigated the interactions of coping styles and sleep quality with anxiety symptoms. Methods The survey was conducted in Jiangxi Province, China. The Simplified Coping Style Questionnaire, Pittsburgh Sleep Quality Index and Chinese Secondary School Students Anxiety Scale were utilized to assess sleep quality, coping styles and anxiety symptoms, respectively. Multiple logistic regression analysis was applied to explore the relationships of coping styles and sleep quality with anxiety symptoms. Results A total of 3081 students participated in this study, 50.8% of whom were boys; the number of participants in grades 1, 2 and 3 were 979, 1085 and 1017, respectively. The prevalence of anxiety symptoms was 27.3%. Individuals with poor sleep quality were 3.558 (95% CI = 2.716–4.660) times as likely to have anxiety symptoms than those with good sleep quality. Higher negative coping style scores increased the prevalence of anxiety symptoms (OR = 2.101, 95% CI = 1.894–2.332), whereas higher positive coping style scores were related to reduced odds of anxiety symptoms (OR = 0.892, 95% CI = 0.800–0.995). Interactions of coping styles and sleep quality with anxiety symptoms were not found (all p > 0.05). The association between negative coping style and anxiety symptoms was mediated by sleep quality. Limitations This study was cross-sectional and limited to Ganzhou City. Conclusions The results of our study showed a higher prevalence of anxiety symptoms compared with the result of a previous study in Chinese school adolescents. Negative coping style and poor sleep quality were associated with an increased prevalence of anxiety symptoms, whereas positive coping style was related to a decreased prevalence of anxiety symptoms. Sleep quality was a mediating factor between negative coping style and anxiety symptoms.
- Subjects :
- Male
China
Coping (psychology)
Adolescent
Cross-sectional study
Anxiety
Pittsburgh Sleep Quality Index
03 medical and health sciences
0302 clinical medicine
Surveys and Questionnaires
Adaptation, Psychological
Prevalence
medicine
Humans
Students
Schools
Sleep quality
business.industry
Positive coping
030227 psychiatry
Poor sleep
Psychiatry and Mental health
Clinical Psychology
Cross-Sectional Studies
Female
medicine.symptom
Sleep
business
030217 neurology & neurosurgery
Anxiety scale
Clinical psychology
Subjects
Details
- ISSN :
- 01650327
- Volume :
- 257
- Database :
- OpenAIRE
- Journal :
- Journal of Affective Disorders
- Accession number :
- edsair.doi.dedup.....15650045c0e5cc9ddddbf6b4ea3e1f7a