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dc.contributor.authorJiao, Ting
dc.contributor.authorGuo, Shuangshuang
dc.contributor.authorZhang, Yi
dc.contributor.authorLi, Yanqi
dc.contributor.authorXie, Xinyi
dc.contributor.authorMa, Ying
dc.contributor.authorChen, Ruoling
dc.contributor.authorYu, Yizhen
dc.contributor.authorTang, Jie
dc.date.accessioned2023-03-08T12:20:31Z
dc.date.available2023-03-08T12:20:31Z
dc.date.issued2022-12-22
dc.identifier.citationJiao T., Guo S., Zhang Y., Li Y., Xie X., Ma Y., Chen R., Yu Y. and Tang J. (2022) Associations of depressive and anxiety symptoms with non-suicidal self-injury and suicidal attempt among Chinese adolescents: The mediation role of sleep quality. Frontiers in Psychiatry 13:1018525. doi: 10.3389/fpsyt.2022.1018525en
dc.identifier.issn1664-0640en
dc.identifier.pmid36620676 (pubmed)
dc.identifier.doi10.3389/fpsyt.2022.1018525en
dc.identifier.urihttp://hdl.handle.net/2436/625141
dc.description© 2022 The Authors. Published by Frontiers Media. This is an open access article available under a Creative Commons licence. The published version can be accessed at the following link on the publisher’s website: https://doi.org/10.3389/fpsyt.2022.1018525en
dc.description.abstractBackground: Associations of depressive and anxiety symptoms with non-suicidal self-injury (NSSI) and suicide attempt (SA) are not well understood. We aimed to examine these associations among Chinese adolescents, and whether any potential association is mediated through sleep quality. Methods: We conducted a cross-sectional study among 1,771 (994 boys [56.1%] and 777 girls [43.9%], mean [SD] age was 12.9 [0.6] years) adolescents who participated in the baseline survey of the Chinese Adolescent Health Growth Cohort (CAHGC) study. Depressive symptoms, anxiety symptoms, NSSI, SA and sleep quality were measured by validated questionnaire. Logistic regression models were employed to estimate the associations of depression and anxiety with NSSI and SA. Mediation analyses were conducted to explore the mediate effect of sleep quality. Results: The 12-month prevalence of NSSI and SA was 17.1 and 8.3%, respectively. Depressive and anxiety symptoms were significantly associated with NSSI (the adjusted odds ratio [aOR] was 1.89 [95% CI 1.34–2.65] for depressive symptoms and 2.84 [95% CI 2.05–3.94] for anxiety symptoms) and SA (the aOR was 3.20 [95% CI 2.03–5.05] for depressive symptoms and 2.98 [95% CI 1.84–4.84] for anxiety symptoms). No significant gender differences were found in the associations. The mediation proportion of sleep quality on the association of depressive and anxiety symptoms with NSSI, as well as depressive and anxiety symptoms with SA were 21.1, 13.9, 13.6, and 14.7, respectively. Conclusion: Independent associations of depressive and anxiety symptoms with NSSI and SA were observed in Chinese adolescents, and there were no significant gender differences in the associations. Moreover, these associations were partially mediated through sleep quality. Targeted interventions for adolescents’ NSSI and SA should focus on those who have depressive and anxiety symptoms, and poor sleep quality.en
dc.description.sponsorshipThis work was supported by the National Natural Science Foundation of China (Grant Nos. 82073571 and 81773457).en
dc.formatapplication/pdfen
dc.languageeng
dc.language.isoenen
dc.publisherFrontiers Mediaen
dc.relation.urlhttps://www.frontiersin.org/articles/10.3389/fpsyt.2022.1018525/fullen
dc.rightsLicence for published version: Creative Commons Attribution 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectadolescentsen
dc.subjectdepressive symptomsen
dc.subjectsleep qualityen
dc.subjectanxietyen
dc.subjectsuicide attempten
dc.subjectnon-suicidal self-injuryen
dc.titleAssociations of depressive and anxiety symptoms with non-suicidal self-injury and suicidal attempt among Chinese adolescents: The mediation role of sleep qualityen
dc.typeJournal articleen
dc.identifier.eissn1664-0640
dc.identifier.journalFrontiers in Psychiatryen
dc.date.updated2023-03-07T19:43:23Z
dc.contributor.institutionDepartment of Preventive Medicine, School of Public Health, Guangzhou Medical University, Guangzhou, China.
dc.identifier.articlenumber1018525
pubs.place-of-publicationSwitzerland
dc.date.accepted2022-12-08
rioxxterms.funderNational Natural Science Foundation of Chinaen
rioxxterms.identifier.project82073571, 81773457en
rioxxterms.versionVoRen
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by/4.0/en
rioxxterms.licenseref.startdate2023-03-08en
dc.source.volume13
dc.source.beginpage1
dc.description.versionPublished version
refterms.dateFCD2023-03-08T12:20:20Z
refterms.versionFCDVoR
refterms.dateFOA2023-03-08T12:20:32Z


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Licence for published version: Creative Commons Attribution 4.0 International
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