Psychological stress and depression symptoms in nursing undergraduates: the chain mediating effect of cognitive reappraisal and ruminate thinking
Abstract Background Nursing 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 rol...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-01-01
|
| Series: | BMC Nursing |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12912-024-02604-6 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841544860561047552 |
|---|---|
| author | Yinjuan Zhang Fang Liu Jin Ma Jing Wu Chao Shen Fengjiao Chang Wendong Hu Hongjuan Lang |
| author_facet | Yinjuan Zhang Fang Liu Jin Ma Jing Wu Chao Shen Fengjiao Chang Wendong Hu Hongjuan Lang |
| author_sort | Yinjuan Zhang |
| collection | DOAJ |
| description | Abstract Background Nursing 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. Methods A 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. Results The 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. Conclusions Nursing 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. |
| format | Article |
| id | doaj-art-0c43df8129fe45cc9cecc14f44dc022d |
| institution | Kabale University |
| issn | 1472-6955 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj-art-0c43df8129fe45cc9cecc14f44dc022d2025-01-12T12:13:41ZengBMCBMC Nursing1472-69552025-01-0124111110.1186/s12912-024-02604-6Psychological stress and depression symptoms in nursing undergraduates: the chain mediating effect of cognitive reappraisal and ruminate thinkingYinjuan Zhang0Fang Liu1Jin Ma2Jing Wu3Chao Shen4Fengjiao Chang5Wendong Hu6Hongjuan Lang7Department of Nursing, Air Force Medical UniversityDepartment of Nursing, Shaanxi University of Chinese MedicineDepartment of Aerospace Medicine, Air Force Medical UniversityDepartment of Nursing, Air Force Medical UniversityDepartment of Computer Science and Engineering, Xi’an Technological UniversityDepartment of Nursing, Shaanxi University of Chinese MedicineDepartment of Aerospace Medicine, Air Force Medical UniversityDepartment of Nursing, Air Force Medical UniversityAbstract Background Nursing 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. Methods A 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. Results The 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. Conclusions Nursing 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.https://doi.org/10.1186/s12912-024-02604-6Cognitive reappraisal, Depression symptomsPsychological stressRuminate thinking |
| spellingShingle | Yinjuan Zhang Fang Liu Jin Ma Jing Wu Chao Shen Fengjiao Chang Wendong Hu Hongjuan Lang Psychological stress and depression symptoms in nursing undergraduates: the chain mediating effect of cognitive reappraisal and ruminate thinking BMC Nursing Cognitive reappraisal, Depression symptoms Psychological stress Ruminate thinking |
| title | Psychological stress and depression symptoms in nursing undergraduates: the chain mediating effect of cognitive reappraisal and ruminate thinking |
| title_full | Psychological stress and depression symptoms in nursing undergraduates: the chain mediating effect of cognitive reappraisal and ruminate thinking |
| title_fullStr | Psychological stress and depression symptoms in nursing undergraduates: the chain mediating effect of cognitive reappraisal and ruminate thinking |
| title_full_unstemmed | Psychological stress and depression symptoms in nursing undergraduates: the chain mediating effect of cognitive reappraisal and ruminate thinking |
| title_short | Psychological stress and depression symptoms in nursing undergraduates: the chain mediating effect of cognitive reappraisal and ruminate thinking |
| title_sort | psychological stress and depression symptoms in nursing undergraduates the chain mediating effect of cognitive reappraisal and ruminate thinking |
| topic | Cognitive reappraisal, Depression symptoms Psychological stress Ruminate thinking |
| url | https://doi.org/10.1186/s12912-024-02604-6 |
| work_keys_str_mv | AT yinjuanzhang psychologicalstressanddepressionsymptomsinnursingundergraduatesthechainmediatingeffectofcognitivereappraisalandruminatethinking AT fangliu psychologicalstressanddepressionsymptomsinnursingundergraduatesthechainmediatingeffectofcognitivereappraisalandruminatethinking AT jinma psychologicalstressanddepressionsymptomsinnursingundergraduatesthechainmediatingeffectofcognitivereappraisalandruminatethinking AT jingwu psychologicalstressanddepressionsymptomsinnursingundergraduatesthechainmediatingeffectofcognitivereappraisalandruminatethinking AT chaoshen psychologicalstressanddepressionsymptomsinnursingundergraduatesthechainmediatingeffectofcognitivereappraisalandruminatethinking AT fengjiaochang psychologicalstressanddepressionsymptomsinnursingundergraduatesthechainmediatingeffectofcognitivereappraisalandruminatethinking AT wendonghu psychologicalstressanddepressionsymptomsinnursingundergraduatesthechainmediatingeffectofcognitivereappraisalandruminatethinking AT hongjuanlang psychologicalstressanddepressionsymptomsinnursingundergraduatesthechainmediatingeffectofcognitivereappraisalandruminatethinking |