Association between behavior patterns and depressive and anxiety symptoms in medical students

LI Jia; ZHANG Zhixian; XIAO Wan; XU Huiqiong; ZHANG Shichen; WAN Yuhui

doi:10.19837/j.cnki.ahyf.2024.04.003

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Anhui Journal of Preventive Medicine ›› 2024, Vol. 30 ›› Issue (4) : 270-275. DOI: 10.19837/j.cnki.ahyf.2024.04.003

Original Articles

Association between behavior patterns and depressive and anxiety symptoms in medical students

LI Jia¹, ZHANG Zhixian², XIAO Wan², XU Huiqiong³, ZHANG Shichen³, WAN Yuhui²

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Abstract

Objective To explore the heterogeneity of medical students' behavior patterns,and analyze the effects of different exposure patterns on depression and anxiety symptoms. Methods Using convenient sampling method,a baseline survey was conducted among the whole group of freshmen from two junior colleges in Anhui Province from October to November 2022.A follow-up survey was conducted from October to November 2023.After matching with the baseline survey,the valid number was 4 764.General sociodemographic information,smoking,alcohol consumption,sleep duration,non-learning video time,and physical activity were investigated.The depression and anxiety symptoms were assessed using the 9-item patient health questionnaire and Generalized Anxiety Scale.The latent category analysis model was used to explore the heterogeneity of medical students' behavior patterns.Logistic regression model was established to analyze the association between medical students' behavior pattern exposure patterns and symptoms of depression and anxiety. Results The rates of depression and anxiety were 32.9% and 35.6%,respectively.The latent categories of medical students' behavior patterns were divided into substance dependence group (14.5%), sleep physical inactivity group (6.2%) and low risk group (79.3%). Logistic regression analysis showed that compared with the low-risk group, the substance dependence group (OR=2.017,95%CI:1.678~2.424) and sleep physical inactivity group were (OR=1.489,95%CI:1.164~1.906)associated with an increased risk of depression symptoms. The substance dependence group (OR=2.165,95%CI:1.805~2.598) was associated with an increased risk of anxiety symptoms. Conclusion The behavior pattern of medical students divided into substance dependence group,sleep physical inactivity group and low risk group.Each latent category has different correlation with depression and anxiety symptoms.Therefore,individualized intervention programs should be formulated according to different behavioral patterns of medical students in disciplinary mental health education activities.

Key words

Medical students / Behavioral patterns / Exposure Patterns / Depressive symptoms / Anxiety symptoms / Latent class analysis

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LI Jia, ZHANG Zhixian, XIAO Wan, XU Huiqiong, ZHANG Shichen, WAN Yuhui. Association between behavior patterns and depressive and anxiety symptoms in medical students[J]. Anhui Journal of Preventive Medicine. 2024, 30(4): 270-275 https://doi.org/10.19837/j.cnki.ahyf.2024.04.003

References

[1] Ma Z,Zhao J,Li Y,et al.Mental health problems and correlates among 746 217 college students during the coronavirus disease 2019 outbreak in China[J].Epidemiol Psychiatr Sci,2020,29:e181.
[2] 陈晓雪,湛宇灿,储小毛,等.某中医药高校学生健康促进生活方式状况与体质量指数的相关性分析[J].安徽预防医学杂志,2018,24(5):346-349.
[3] American College Health Association.American College Health Association-National College Health Assessment III:Undergraduate Student Reference Group Executive Summary Spring 2024.Silver Spring,MD:American College Health Association;2024.[EB/OL].(2024-04-08)[2024-04-14].https://www.acha.org/wp-content/uploads/NCHA-IIIb_SPRING_2024_UNDERGRADUATE_REFERENCE_GROUP_EXECUTIVE_SUMMARY.pdf.
[4] Xiang MQ,Tan XM,Sun J,et al.Relationship of physical activity with anxiety and depression symptoms in Chinese college students during the COVID-19 outbreak[J].Front Psychol,2020,11:582436.
[5] Haehner P,Würtz F,Kritzler S,et al.The relationship between the perception of major life events and depression:a systematic scoping review and meta-analysis[J].J Affect Disord,2024,349:145-157.
[6] Bolstad I,Alakokkare AE,Bramness JG,et al.The relationships between use of alcohol,tobacco and coffee in adolescence and mood disorders in adulthood[J].Acta Psychiatr Scand,2022,146(6):594-603.
[7] Zhang L,Zheng H,Yi M,et al.Prediction of sleep quality among university students after analyzing lifestyles,sports habits,and mental health[J].Front Psychiatry,2022,13:927619.
[8] Shi C,Yan J,Wang L,et al.Exploring the self-reported physical fitness and self-rated health,mental health disorders,and body satisfaction among Chinese adolescents:a cross-sectional study[J].Front Psychol,2022,13:1003231.
[9] Mpofu JJ,Underwood JM,Thornton JE,et al.Overview and methods for the youth risk behavior surveillance system - United States,2021[J].MMWR Suppl,2023,72(1):1-12.
[10] Tremblay MS,Leblanc AG,Janssen I,et al.Canadian sedentary behaviour guidelines for children and youth[J].Physiol Appl Nutr Metab,2011,36(1):59-64; 65-71.
[11] 张丹,伍晓艳,陶舒曼,等.大学生睡眠时长和时型与非稳态负荷关联研究[J].现代预防医学,2021,48(17):3182-3186.
[12] 樊萌语,吕筠,何平平.国际体力活动问卷中体力活动水平的计算方法[J].中华流行病学杂志,2014,35(8):961-964.
[13] Kroenke K,Spitzer RL,Williams JB.The PHQ-9:validity of a brief depression severity measure[J].J Gen Intern Med,2001,16(9):606-613.
[14] Spitzer RL,Kroenke K,Williams JBW,et al.A brief measure for assessing generalized anxiety disorder:the GAD-7[J].Arch Intern Med,2006,166(10):1092-1097.
[15] 朱卓妍,张一,甘虹,等.大学生抑郁焦虑症状与新冠肺炎风险感知关联研究[J].中国健康教育,2022,38(2):145-149.
[16] Li Y,Zhao J,Ma Z,et al.Mental health among college students during the COVID-19 pandemic in China:a 2-wave longitudinal survey[J].J Affect Disord,2021,281:597-604.
[17] Conteh I,Yan J,Dovi KS,et al.Prevalence and associated influential factors of mental health problems among Chinese college students during different stages of COVID-19 pandemic:a systematic review[J].Psychiatry Res Commun,2022,2(4):100082.
[18] Qiu J,Shen B,Zhao M,et al.A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic:implications and policy recommendations[J].Gen Psychiatr,2020,33(2):e100213.
[19] Chaplin TM,Hong K,Bergquist K,et al.Gender differences in response to emotional stress:an assessment across subjective,behavioral,and physiological domains and relations to alcohol craving[J].Alcohol Clin Exp Res,2008,32(7):1242-1250.
[20] 杨娅娟,徐洪吕,王颖,等.医学生健康危害行为的潜在类别及其与抑郁症状的关联[J].中国学校卫生,2021,42(4):583-586+592.
[21] Nauha L,Jurvelin H,Ala-Mursula L,et al.Chronotypes and objectively measured physical activity and sedentary time at midlife[J].Scand J Med Sci Sports,2020,30(10):1930-1938.
[22] Mistry R,Heinze JE,Cordova D,et al.Transitions in current substance use from adolescence to early-adulthood[J].J Youth Adolesc,2015,44(10):1871-1883.
[23] Hutchesson MJ,Duncan MJ,Oftedal S,et al.Latent class analysis of multiple health risk behaviors among Australian university students and associations with psychological distress[J].Nutrients,2021,13(2):425.
[24] Oftedal S,Kolt GS,Holliday EG,et al.Associations of health-behavior patterns,mental health and self-rated health[J].Prev Med,2019,118:295-303.
[25] 翟爽,陶舒曼,伍晓艳,等.白介素-10在大学生健康危险行为与抑郁症状关联中的中介作用[J].卫生研究,2022,51(3):353-360.
[26] Mikkelsen K,Stojanovska L,Polenakovic M,et al.Exercise and mental health[J].Maturitas,2017,106:48-56.
[27] 孙玮,赵晨.大学生自杀意念发生情况与生活事件及社会支持的相关性研究[J].安徽预防医学杂志,2023,29(5):412-416.