Mediating effect of depression and anxiety symptoms between experiential avoidance and suicidal ideation in college students
Objective:To explore the relationship between the current status of depressive and anxiety symptoms and experiential avoidance among college students;to explore the mediating role of depressive and anxiety symptoms in the relationship between experiential avoidance and suicidal ideation among college students.Methods:This study used a questionnaire on mental health literacy among college students to collect information for the study,targeting students from seven comprehensive universities in Shandong,Jilin,and Shaanxi provinces.Logistic regression analysis was used to explore the associations between depressive symptoms,anxiety symptoms and experiential avoidance.The mediating effects of depressive symptoms and anxiety symptoms were analyzed and validated using parallel multiple mediation model and KHB method.Results:A total of 4633 college students were included.There were 1119(24.15%)college students who reported depressive symptoms and 1813(39.13%)students who reported anxiety symptoms.There was a significant correlation between empirical avoidance and depressive symptoms among college students(OR=1.17,95%CI:1.16-1.18),anxiety symptoms(OR=1.13,95%CI:1.12-1.14),and depressive symptoms combined with anxiety symptoms(OR=1.17,95%CI:1.16-1.19).Depressive symptoms,anxiety symptoms,suicidal ideation,and experienced avoidance were all associated.After controlling for other covariates,depressive symptoms and anxiety symptoms mediated the association between empirical avoidance and suicidal ideation,with direct and indirect effects of 0.099(95%CI:0.077-0.120)and 0.034(95%CI:0.023-0.047),respectively,and direct and indirect effect ratios of 74.44%and 25.56%,respectively.The mediated effect ratios for depressive symptoms and anxiety symptoms were 9.78%and 15.79%,respectively.Conclusion:College students'experiential avoidance was associated with suicidal ideation;depressive symptoms and anxiety symptoms partially mediated the relationship between college students'experiential avoidance and suicidal ideation.
college studentsexperiential avoidancesuicidal ideationmediating effect
NETL
NSTL
万方数据
