Objective:To investigate the relationship between sleep quality,coping style and anxiety of medical students and their internal mechanism.Methods:Using the Pittsburgh Sleep Quality Index(PSQI),Simplified Coping Style Questionnaire(SCSQ),and Depression-Anxiety-Stress Self-rating Scale(DASS-21),a total of 7 639 medical students in Guizhou province were randomly selected by multi-stage stratified cluster sampling from April to June 2023 to conduct a field survey.Boostrap method was used to test the mediating effect.Results:The percentage of medical students who had anxiety was 45.00%,had sleep disorder were 19.30%,and used negative coping style were 56.85%.The anxiety score of medical students was positively correlated with each dimension and total score of sleep quality(rs=0.19-0.47,P<0.001),positively correlated with negative coping score(rs=0.18,P<0.001),and negatively correlated with positive coping score(rs=-0.29,P<0.001).The mediating impact results revealed that the 95%CI of the mediating effect of coping style was 0.01-0.36,the indirect effect of negative coping was 0.02(95%CI 0.01-0.36),and the indirect effect of positive coping was 0.13(95%CI 0.11-0.15).The relationship between anxiety and sleep quality was somewhat mediated by coping style,which accounted for 12.93%of the overall effect.Conclusion:Coping style is the mediating factor between sleep quality and anxiety in medical students.In order to raise the mental health of medical students,colleges and universities should pay attention to promoting their positive emotions and mastering the relevant skills necessary to correctly and actively deal with bad emotions and psychological pressure such as academic and interpersonal relationships.
anxietymedical studentssleep qualitycoping stylemediating role
维普
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