Self-reported sleep quality and mental health mediate the relationship between chronic diseases and suicidal ideation among Chinese medical students

  • World Health Organization. Suicide Data. Accessed 15 Jan 2021 (2017).

  • Phillips, M. R., Li, X. Y. & Zhang, Y. P. Suicide rates in China, 1995–99. Lancet 359, 835–840. (2002).

    Article 
    PubMed 

    Google Scholar 

  • Drum, D. J., Brownson, C., Denmark, A. B. & Smith, S. E. New data on the nature of suicidal crises in college students: Shifting the paradigm. Prof. Psychol.-Res. Pract. 40, 213–222. (2009).

    Article 

    Google Scholar 

  • Sun, L. et al. Suicidal ideation, plans and attempts among medical college students in china: The effect of their parental characteristics. Psychiatry Res. 247, 139–143. (2017).

    Article 
    PubMed 

    Google Scholar 

  • Dyrbye, L. N. et al. Burnout and suicidal ideation among US medical students. Ann. Intern. Med. 149, 334-W370. (2008).

    Article 
    PubMed 

    Google Scholar 

  • Nock, M. K. et al. Cross-national prevalence and risk factors for suicidal ideation, plans and attempts. Br. J. Psychiatry 192, 98–105. (2008).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Reinherz, H. Z., Tanner, J. L., Berger, S. R., Beardslee, W. R. & Fitzmaurice, G. M. Adolescent suicidal ideation as predictive of psychopathology, suicidal behavior, and compromised functioning at age 30. Am. J. Psychiatr. 163, 1226–1232. (2006).

    Article 
    PubMed 

    Google Scholar 

  • Whitlock, J. & Knox, K. L. The relationship between self-injurious behavior and suicide in a young adult population. Arch. Pediatr. Adolesc. Med. 161, 634–640. (2007).

    Article 
    PubMed 

    Google Scholar 

  • Organization., W. H. Global Status Report on Non-Communicable Diseases 2010. 2011. Accessed 15 Jan 2021. (World Health Organization, 2011).

  • Bauer, U. E., Briss, P. A., Goodman, R. A. & Bowman, B. A. Prevention of chronic disease in the 21st century: Elimination of the leading preventable causes of premature death and disability in the USA. Lancet 384, 45–52. (2014).

    Article 
    PubMed 

    Google Scholar 

  • Yach, D., Hawkes, C., Gould, C. L. & Hofman, K. J. The global burden of chronic diseases-overcoming impediments to prevention and control. JAMA-J. Am. Med. Assoc. 291, 2616–2622. (2004).

    Article 
    CAS 

    Google Scholar 

  • Murray, C. J. L. et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: A systematic analysis for the Global Burden of Disease Study 2010. Lancet 380, 2197–2223. (2012).

    Article 
    PubMed 

    Google Scholar 

  • Greydanus, D., Patel, D. & Pratt, H. Suicide risk in adolescents with chronic illness: Implications for primary care and specialty pediatric practice: A review. Dev. Med. Child Neurol. 52, 1083–1087. (2010).

    Article 
    PubMed 

    Google Scholar 

  • Kim, S. H. Suicidal ideation and suicide attempts in older adults: Influences of chronic illness, functional limitations, and pain. Geriatr. Nurs. 37, 9–12. (2016).

    Article 
    PubMed 

    Google Scholar 

  • Kye, S. Y. & Park, K. Suicidal ideation and suicidal attempts among adults with chronic diseases: A cross-sectional study. Compr. Psychiat. 73, 160–167. (2017).

    Article 
    PubMed 

    Google Scholar 

  • Tsegay, L., Tesfaye, G. & Ayano, G. The prevalence and associated factors of suicidal attempt among medical students in Addis Ababa Ethiopia. Psychiatr. Q. (2020).

    Article 
    PubMed 

    Google Scholar 

  • Sobowale, K., Zhou, N., Fan, J., Liu, N. & Sherer, R. Depression and suicidal ideation in medical students in China: A call for wellness curricula. Int. J. Med. Educ. 5, 31–36 (2014).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Zhang, J., Liu, Y. Z. & Sun, L. Psychological strain and suicidal ideation: A comparison between Chinese and US college students. Psychiatry Res. 255, 256–262. (2017).

    Article 
    PubMed 

    Google Scholar 

  • Tyssen, R., Vaglum, P., Gronvold, N. T. & Ekeberg, O. Suicidal ideation among medical students and young physicians: A nationwide and prospective study of prevalence and predictors. J. Affect. Disord. 64, 69–79. (2001).

    Article 
    CAS 
    PubMed 

    Google Scholar 

  • O’Connor, R. C. & Nock, M. K. The psychology of suicidal behaviour. Lancet Psychiatry 1, 73–85. (2014).

    Article 
    PubMed 

    Google Scholar 

  • Zhang, X. K. et al. Suicidal ideation and psychological strain among patients diagnosed with stomach cancer the mediation of psychopathological factors. J. Nerv. Ment. Dis. 205, 550–557. (2017).

    Article 
    PubMed 

    Google Scholar 

  • Sun, G. X., Zhao, J. Y., Tian, S. Y., Zhang, L. W. & Jia, C. X. Psychological strain and suicidal ideation in athletes: The multiple mediating effects of hopelessness and depression. Int. J. Environ. Res. Public Health 17, 14. (2020).

    Article 

    Google Scholar 

  • Li, C. Y. et al. Association between diagnosed diabetes and serious psychological distress among US adults: The behavioral risk factor surveillance system, 2007. Int. J. Public Health 54, 43–51. (2009).

    Article 
    PubMed 

    Google Scholar 

  • Zhu, J. et al. Chronic disease, disability, psychological distress and suicide Ideation among rural elderly: Results from a population survey in Shandong. Int. J. Environ. Res. Public Health 15, 10. (2018).

    Article 

    Google Scholar 

  • Qian, Y. Y., Sun, L., Zhou, C. C., Ge, D. D. & Zhang, L. The association between suicidal ideation and sleep quality in elderly individuals: A cross-sectional study in Shandong, China. Psychiatry Res. 256, 453–457. (2017).

    Article 
    PubMed 

    Google Scholar 

  • Bernert, R. A. & Joiner, T. B. Sleep disturbances and suicide risk: A review of the literature. Neuropsychiatr. Dis. Treat. 3, 735–743 (2007).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Winsper, C. & Tang, N. K. Y. Linkages between insomnia and suicidality: Prospective associations, high-risk subgroups and possible psychological mechanisms. Int. Rev. Psych. 26, 189–204. (2014).

    Article 

    Google Scholar 

  • Li, J. et al. Characterization and factors associated with sleep quality among rural elderly in China. Arch. Gerontol. Geriatr. 56, 237–243. (2013).

    Article 
    PubMed 

    Google Scholar 

  • Bathla, M. et al. Assessment of quality of sleep and its association with body mass index among medical consultants working in a medical college in northern India. Indian J. Psychiatry 62, 306–311. (2020).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Owen-Smith, A. A. et al. The mediating effect of sleep disturbance on the relationship between nonmalignant chronic pain and suicide death. Pain Pract. 19, 382–389. (2019).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Seun-Fadipe, C. T. & Mosaku, K. S. Sleep quality and psychological distress among undergraduate students of a Nigerian university. Sleep Health 3, 190–194. (2017).

    Article 
    PubMed 

    Google Scholar 

  • Pacheco, J. P. et al. Mental health problems among medical students in Brazil: A systematic review and meta-analysis. Rev. Bras. Psiquiatr. 39, 369–378. (2017).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Nyer, M. et al. Relationship between sleep disturbance and depression, anxiety, and functioning in college students. Depress. Anxiety 30, 873–880. (2013).

    Article 
    PubMed 

    Google Scholar 

  • Berg, S. S., Rosenau, P. S. & Prichard, J. R. Sleep quality mediates the relationship between traumatic events, psychological distress, and suicidality in college undergraduates. J. Am. Coll. Health (2020).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Joiner, T. Why People Die by Suicide (Harvard University Press, 2005).

    Google Scholar 

  • Gould, M. S., Greenberg, T., Velting, D. M. & Shaffer, D. Youth suicide risk and preventive interventions: A review of the past 10 years. J. Am. Acad. Child Adolesc. Psychiatry 42, 386–405. (2003).

    Article 
    PubMed 

    Google Scholar 

  • Nock, M. K. et al. Suicide and suicidal behavior. Epidemiol. Rev. 30, 133–154. (2008).

    Article 
    PubMed 

    Google Scholar 

  • Stewart, S. M., Eaddy, M., Horton, S. E., Hughes, J. & Kennard, B. The validity of the interpersonal theory of suicide in adolescence: A review. J. Clin. Child Adolesc. Psychol. 46, 437–449. (2017).

    Article 
    PubMed 

    Google Scholar 

  • Bender, T. W., Gordon, K. H., Bresin, K. & Joiner, T. E. Impulsivity and suicidality: The mediating role of painful and provocative experiences. J. Affect. Disord. 129, 301–307. (2011).

    Article 
    PubMed 

    Google Scholar 

  • Zhao, D. et al. The relationship between activities of daily living and suicidal ideation among Chinese rural older adults: A multiple mediation model through sleep quality and psychological distress. Aging-US 12, 22614–22625. (2020).

    Article 

    Google Scholar 

  • Dyrbye, L. N. et al. Burnout among U.S. medical students, residents, and early career physicians relative to the general U.S. population. Acad. Med. 89, 443–451. (2014).

    Article 
    PubMed 

    Google Scholar 

  • MacLean, L., Booza, J. & Balon, R. The impact of medical school on student mental health. Acad. Psych. 40, 89–91. (2016).

    Article 

    Google Scholar 

  • Miauton, L., Narring, F. & Michaud, P. A. Chronic illness, life style and emotional health in adolescence: Results of a cross-sectional survey on the health of 15–20-year-olds in Switzerland. Eur. J. Pediatr. 162, 682–689. (2003).

    Article 
    PubMed 

    Google Scholar 

  • Rogers, J. T. & Shahar, G. Suicidality in chronic illness: An overview of cognitive-affective and interpersonal factors. J. Clin. Psychol. Med. Settings 28, 137–148. (2021).

    Article 
    PubMed 

    Google Scholar 

  • Greydanus, D.E., Patel, D.R., Omar, H. & Merrick, J. Adolescents, chronic disease and disability. in Adolescence and Chronic Illness: A Public Health Concern (Omar, H., Greydanus, D.E., Patel, D.R., Merrick, J. eds.). 3–10 (Nova Science Publishers, 2010).

  • Lewis, M. & Vitulano, L. A. Biopsychosocial issues and risk factors in the family when the child has a chronic illness. Child Adolesc. Psychiatr. N. Am. 12, 389. (2003).

    Article 

    Google Scholar 

  • Dolsen, M. R. et al. Neurophysiological correlates of suicidal ideation in major depressive disorder: Hyperarousal during sleep. J. Affect. Disord. 212, 160–166. (2017).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Zhang, J. & Lester, D. Psychological tensions found in suicide notes: A test for the strain theory of suicide. Arch. Suicide Res. 12, 67–73. (2008).

    Article 
    PubMed 

    Google Scholar 

  • Lew, B. et al. Testing the strain theory of suicide—The moderating role of social support. Crisis 41, 82–88. (2020).

    Article 
    PubMed 

    Google Scholar 

  • Aguirre, C. C. Sleep deprivation: A mind-body approach. Curr. Opin. Pulm. Med. 22, 583–588. (2016).

    Article 
    PubMed 

    Google Scholar 

  • Kim, S. M., Baek, J. H., Han, D. H., Lee, Y. S. & Yurgelun-Todd, D. A. Psychosocial-environmental risk factors for suicide attempts in adolescents with suicidal ideation: Findings from a sample of 73,238 adolescents. Suicide Life-Threat. Behav. 45, 477–487. (2015).

    Article 
    PubMed 

    Google Scholar 

  • Ulusoy, M. D. & Demir, N. O. Suicidal ideation in Turkish adolescents. Soc. Behav. Pers. 33, 541–552. (2005).

    Article 

    Google Scholar 

  • Wang, L. C. The effect of high-stakes testing on suicidal ideation of teenagers with reference-dependent preferences. J. Popul. Econ. 29, 345–364. (2016).

    Article 

    Google Scholar 

  • Fu, P. P., Zhou, C. C. & Meng, Q. Y. Associations of sleep quality and frailty among the older adults with chronic disease in China: The mediation effect of psychological distress. Int. J. Environ. Res. Public Health 17, 12. (2020).

    Article 

    Google Scholar 

  • Holdaway, A. S., Luebbe, A. M. & Becker, S. P. Rumination in relation to suicide risk, ideation, and attempts: Exacerbation by poor sleep quality?. J. Affect. Disord. 236, 6–13. (2018).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Yu, Y. L. et al. Serial multiple mediation of the association between internet gaming disorder and suicidal ideation by insomnia and depression in adolescents in Shanghai, China. BMC Psychiatry 20, 9. (2020).

    Article 
    CAS 

    Google Scholar 

  • Schernhammer, E. S. & Colditz, G. A. Suicide rates among physicians: A quantitative and gender assessment (meta-analysis). Am. J. Psychiatr. 161, 2295–2302. (2004).

    Article 
    PubMed 

    Google Scholar 

  • Goebert, D. et al. Depressive symptoms in medical students and residents: A multischool study. Acad. Med. 84, 236–241. (2009).

    Article 
    PubMed 

    Google Scholar 

  • Zhang, C. C. et al. Health promoting lifestyles and influencing factors among empty nesters and non-empty nesters in Taiyuan, China: A cross-sectional study. Health Qual. Life Outcomes 16, 8. (2018).

    Article 

    Google Scholar 

  • Ahmed, S. A., Omar, Q. H. & Elamaim, A. A. A. Forensic analysis of suicidal ideation among medical students of Egypt: A crosssectional study. J. Forensic Leg. Med. 44, 1–4. (2016).

    Article 
    CAS 
    PubMed 

    Google Scholar 

  • Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R. & Kupfer, D. J. The Pittsburgh Sleep Quality Index—A new instrument for psychiatric practice and research. Psychiatry Res. 28, 193–213. (1989).

    Article 
    CAS 
    PubMed 

    Google Scholar 

  • Liu, X. et al. Reliability and validity of the Pittsburgh Sleep Quality Index (in Chinese). Chin. J. Psychiatry 29, 103–107 (1996).

    Google Scholar 

  • Baillie, A. J. Predictive gender and education bias in Kessler’s psychological distress scale (K10). Soc. Psychiatry Psychiatr. Epidemiol. 40, 743–748. (2005).

    Article 
    PubMed 

    Google Scholar 

  • Easton, S. D., Safadi, N. S., Wang, Y. H. & Hasson, R. G. The Kessler psychological distress scale: Translation and validation of an Arabic version. Health Qual. Life Outcomes 15, 7. (2017).

    Article 

    Google Scholar 

  • Chamberlain, P., Goldney, R., Delfabbro, P., Gill, T. & Dal Grande, L. Suicidal ideation the clinical utility of the K10. Crisis J. Crisis Intervent. Suicide Prevent. 30, 39–42. (2009).

    Article 

    Google Scholar 

  • Kessler, R. C. et al. Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol. Med. 32, 959–976. (2002).

    Article 
    CAS 
    PubMed 

    Google Scholar 

  • Zhou, C. et al. Reliability and validity of 10-item Kessler scale (K10) Chinese version in evaluation of mental health status of Chinese population (in Chinese). Chin. J. Clin. Psychol. 16, 627–629 (2008).

    Google Scholar 

  • Kessler, R. C., Berglund, P., Borges, G., Nock, M. & Wang, P. S. Trends in suicide ideation, plans, gestures, and attempts in the United States, 1990–1992 to 2001–2003. JAMA-J. Am. Med. Assoc. 293, 2487–2495. (2005).

    Article 
    CAS 

    Google Scholar 

  • Kessler, R. C., Borges, G. & Walters, E. E. Prevalence of and risk factors for lifetime suicide attempts in the national comorbidity survey. Arch. Gen. Psychiatry 56, 617–626. (1999).

    Article 
    CAS 
    PubMed 

    Google Scholar 

  • Hayes, A. F. Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-Based Approach (Guilford Publications, 2017).

    Google Scholar 

  • Hayes, A. F. Multiple mediator model. in Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-Based Approach (Eds. Kenny, D.A. & Little, T.D.). 123–163 (The Guilford Press, 2013).



  • Source link

    Previous post How historically accurate is “The Crown”?
    Next post 2022 WWE Crown Jewel live stream, how to watch online, start time, card, matches