Zhong Yaqin, Wang Yanan, Yang Zhuoya, Xu Wenkun, Yan Bingda, Zhao Miaomiao, Lu Rujian
School of Public Health, Nantong University, 9 Se-yuan Road, Nantong City, 226019, Jiangsu Province, China.
Faculty of Finance, City University of Macau, Taipa, Macao SAR, China.
BMC Psychol. 2025 Aug 31;13(1):992. doi: 10.1186/s40359-025-03189-8.
The number of college students in need of treatment for depressive symptoms far outweighs the resources of most counseling centers due to rising health needs. It is necessary to establish prevention and intervention strategies for college students. This study aimed to explore the associations between self-efficacy, e-health literacy, and depressive symptoms to guide college students in adopting preventive measures and potential interventions for managing depressive symptoms.
This cross-sectional study randomly recruited 1500 students from two universities in Nantong City from May to December 2020. Participants' demographic characteristics, self-efficacy, e-health literacy, and depressive symptoms were collected. The mediating effect of e-Health literacy was evaluated using the bootstrap resampling technique.
A total of 1388 valid questionnaires were collected. The prevalence of depressive symptoms among the sample was 50.29%. Higher self-efficacy and e-health literacy were all significantly associated with lower depressive symptoms. e-Health literacy partially mediated the association between self-efficacy and depressive symptoms, accounting for 26.6% of the total effect.
Improving self-efficacy and e-health literacy was associated with reducing depressive symptoms, with e-health literacy partially mediating the relationship between self-efficacy and depressive symptoms. Interventions for college students should focus on enhancing both self-efficacy and e-health literacy to help alleviate depressive symptoms.
由于健康需求不断增加，需要治疗抑郁症状的大学生数量远远超过了大多数咨询中心的资源。有必要为大学生制定预防和干预策略。本研究旨在探讨自我效能感、电子健康素养与抑郁症状之间的关联，以指导大学生采取预防措施和潜在的干预措施来管理抑郁症状。
这项横断面研究于2020年5月至12月从南通市的两所大学中随机招募了1500名学生。收集了参与者的人口统计学特征、自我效能感、电子健康素养和抑郁症状。使用自抽样技术评估电子健康素养的中介作用。
共收集到1388份有效问卷。样本中抑郁症状的患病率为50.29%。较高的自我效能感和电子健康素养均与较低的抑郁症状显著相关。电子健康素养部分中介了自我效能感与抑郁症状之间的关联，占总效应的26.6%。
提高自我效能感和电子健康素养与减轻抑郁症状相关，电子健康素养部分中介了自我效能感与抑郁症状之间的关系。针对大学生的干预措施应侧重于提高自我效能感和电子健康素养，以帮助减轻抑郁症状。
