College of Nursing, Gachon University, Incheon 21936, Korea.
Department of Nursing, College of Medicine, Chosun University, Gwangju 61452, Korea.
Int J Environ Res Public Health. 2020 Sep 11;17(18):6634. doi: 10.3390/ijerph17186634.
Stress and depression are representative of the mental health problems of university students worldwide. This cross-sectional study explored the moderating effect of mindfulness on the influence of stress on depression according to the degree of life stress. The participants were 738 university students in years 2-4 in five 4-year universities in South Korea. Depression was positively correlated with stress and negatively with mindfulness at a statistically significant level. In multiple regression analysis, stress was found to have an effect by increasing depression, and mindfulness by relieving depression. In the moderated multiple regression analysis, mindfulness had a moderating effect on the impact of stress on depression only in low-stress groups, showing that the interaction of stress with mindfulness was significantly negative (β = -0.11, t = -2.52, = 0.012) and the inclusion of this interaction significantly increased the explanatory power for depression variation (F change 6.36, = 0.012) in the full model. In conclusion, we suggest considering stress levels in the development of mindfulness-based intervention strategies to effectively manage the depression of university students.
压力和抑郁是全球大学生心理健康问题的代表。本横断面研究根据生活压力程度，探讨了正念对压力对抑郁影响的调节作用。参与者为韩国五所四年制大学 2-4 年级的 738 名大学生。抑郁与压力呈正相关，与正念呈负相关，具有统计学意义。在多元回归分析中，压力通过增加抑郁来产生影响，而正念则通过减轻抑郁来产生影响。在调节性多元回归分析中，正念仅在低压力组中对压力对抑郁的影响具有调节作用，表明压力与正念的相互作用显著为负（β=-0.11，t=-2.52，p=0.012），并且纳入这种相互作用显著增加了对抑郁变化的解释力（全模型中 F 变化 6.36，p=0.012）。总之，我们建议在制定基于正念的干预策略时考虑压力水平，以有效管理大学生的抑郁。
