Ye Xiaoli, Yang Guihong, Zhang Wei, Toussaint Loren, Zhao Fangfang
School of Nursing and Rehabilitation, Nantong University, Qixiu Road 19#, Nantong, 226001, Jiangsu, PR China.
Department of Psychology, Luther College, Decorah, IA, USA.
BMC Nurs. 2025 Jan 17;24(1):58. doi: 10.1186/s12912-024-02661-x.
Compared to ordinary student in the same age group, nursing students experience notably higher rates of depression and anxiety. Negative life events (NLEs) and resilience were recognized as risk factors and protective factors, respectively. There is little literature on the complex interaction of these factors among nursing students.
The study aims to explore the potential relationship of NLEs, resilience, and gender with symptoms of depression and anxiety among nursing students.
A cross-sectional design was used for this study. A total of 568 participants from three universities in East, South and North China were recruited. Data collection instruments included socio-demographic characteristics, the Patient Health Questionnaire-9, the Generalized Anxiety Disorder Scale, the 10-item Connor-Davidson Resilience Scale, the Adolescent Life Events Self-Rating Scale, and The Pittsburgh Sleep Quality Index. A moderated mediation model was used to analyze the data.
NLEs and resilience significantly related to depression and anxiety (r = -0.289 ~ 0.454, all ps < 0.01). NLEs had a direct effect on depression (B = 0.251, p < 0.001) and anxiety (B = 0.307, p < 0.001). Analysis of mediating effects revealed that NLEs influenced depression (B = 0.02, 95% CI : 0.004-0.041) and anxiety (B = 0.019, 95% CI : 0.004-0.040) through resilience pathways. Additionally, gender was found to have a moderating effect on the direct association of NLEs with anxiety (B = -0.031, p < 0.05), with males showing a greater association.
The findings suggest that improving resilience may help break the relationship of NLEs with depression and anxiety in nursing students. Additionally, the mental health of male nursing students needs more attention.
与同年龄组的普通学生相比，护理专业学生的抑郁和焦虑发生率明显更高。负面生活事件（NLEs）和心理韧性分别被认为是风险因素和保护因素。关于这些因素在护理专业学生中的复杂相互作用的文献很少。
本研究旨在探讨负面生活事件、心理韧性和性别与护理专业学生抑郁和焦虑症状之间的潜在关系。
本研究采用横断面设计。共招募了来自中国东部、南部和北部三所大学的568名参与者。数据收集工具包括社会人口学特征、患者健康问卷-9、广泛性焦虑障碍量表、10项Connor-Davidson心理韧性量表、青少年生活事件自评量表和匹兹堡睡眠质量指数。采用调节中介模型进行数据分析。
负面生活事件和心理韧性与抑郁和焦虑显著相关（r = -0.289至0.454，所有p < 0.01）。负面生活事件对抑郁（B = 0.251，p < 0.001）和焦虑（B = 0.307，p < 0.001）有直接影响。中介效应分析表明，负面生活事件通过心理韧性途径影响抑郁（B = 0.02，95%CI：0.004 - 0.
