Mediating effects of sleep quality in the relationship between adverse childhood experiences and depressive &nbsp;&nbsp;&nbsp;symptoms among junior middle school students and theroles of gender status

ZHANG Bao; XU Hui-qiong; WANG Shan-shan; SONG Xian-bing; WAN Yu-hui

doi:10.11852/zgetbjzz2019-0754

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Chinese Journal of Child Health Care ›› 2019, Vol. 27 ›› Issue (9) : 958-961. DOI: 10.11852/zgetbjzz2019-0754

Mediating effects of sleep quality in the relationship between adverse childhood experiences and depressive symptoms among junior middle school students and theroles of gender status

ZHANG Bao¹, XU Hui-qiong², WANG Shan-shan², SONG Xian-bing³, WAN Yu-hui²

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Abstract

Objective To investigate the mediating role of sleep quality on the association between specific forms of adverse childhood experiences(ACEs) and depressive symptoms as well as the difference by gender of the mediated pathways among junior middle school students,in order to provide basis for mental health promotion. Methods A total of 1 086 participants were selected from a boarding school in Shenyang using a stratified cluster sampling method from December 2017 to January 2018.Independent sample t-test and χ²test were used to analyze the difference of demographic characteristics between boys and girls.Pearson correlation was used to analyze the association among ACEs,sleep quality score and depression symptoms score.Bootstrap program and PROCESS software were applied to test the mediating effect of sleep quality in the relationship between ACEs and depression symptoms. Results ACEs were positively correlated with sleep quality and depression symptom scores (r=0.194,0.378,P<0.01).The sleep quality score was also positively related to depression symptom score (r=0.361,P<0.01).In adjusted model,the mediating effects of sleep quality among ACEs,abuse,neglect and mediation effects were 14.58%,21.66% and 11.60%,respectively.Sleep quality played a complete mediating role in the association between family dysfunction and depression symptoms,with a mediating effect of 59.79%.The mediating effect of sleep quality was greater in girls than that in boys. Conclusions Sleep quality has a mediating effect on the relationship between ACEs and depression symptoms.Enhancing sleep quality in middle school students,especially girls,may contribute to the prevention and control of depressive symptoms for those who have experienced ACEs.

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adverse childhood experiences / sleep quality / depression symptoms / mediation effect

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ZHANG Bao, XU Hui-qiong, WANG Shan-shan, SONG Xian-bing, WAN Yu-hui. Mediating effects of sleep quality in the relationship between adverse childhood experiences and depressive symptoms among junior middle school students and theroles of gender status[J]. Chinese Journal of Child Health Care. 2019, 27(9): 958-961 https://doi.org/10.11852/zgetbjzz2019-0754

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