OpenLB
Open Library of Bioscience
Advanced Search
Frontiers in public health
2024;12 1497076.

Examining the effects of psychological resilience and wellbeing on perceived stress and depressive symptoms among undergraduate nursing interns: testing a moderated mediation model.

Miaomiao Yan, Lijuan Zhang, Dan Qin, Zhongtao Zhou, Yigao Wu, Nuoyu Hou, Xiubin Tao
Author Information
  1. Miaomiao Yan: Nursing Department, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College), Wuhu, Anhui, China.
  2. Lijuan Zhang: Department of General Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
  3. Dan Qin: Nursing Department, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College), Wuhu, Anhui, China.
  4. Zhongtao Zhou: College of Nursing, Bengbu Medical University, Bengbu, Anhui, China.
  5. Yigao Wu: Department of Psychology, The First Affiliated Hospital of Wannan (Yijishan Hospital of Wannan Medical College), Wuhu, Anhui, China.
  6. Nuoyu Hou: College of Nursing, Wannan Medical College, Wuhu, Anhui, China.
  7. Xiubin Tao: Nursing Department, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College), Wuhu, Anhui, China.
PMID: 39735745 DOI: 10.3389/fpubh.2024.1497076

Abstract

Background: Perceived stress is recognized as a significant risk factor for depressive symptoms, while psychological resilience and wellbeing are considered crucial protective factors. However, the intricate relationships among these variables in undergraduate nursing interns remain largely unexplored. This study aims to investigate the mediating role of psychological resilience in the relationship between perceived stress and depressive symptoms, as well as the moderating influence of wellbeing on this mediation.
Methods: From March 1 to 31, 2024, a cluster sampling survey was conducted to examine senior nursing undergraduates from a medical college in Anhui Province who were engaged in clinical practice at various hospitals. The surveyed hospitals were all Grade III, and Class A teaching institutions situated in Anhui, Jiangsu, Zhejiang, Shanghai, and other provinces. According to the Lewinsohn behavioral theory of depression, the study measured perceived stress, depressive symptoms, wellbeing, and psychological resilience using the Chinese Perceived Stress Scale (CPSS), Patient Health Questionnaire 9 (PHQ-9), Oxford Happiness Questionnaire (OHQ), and the Chinese version of the 10-item Connor-Davidson Resilience Scale (CD-RISC-10). The PROCESS v4.0 macro was utilized to evaluate the mediating role of psychological resilience and the moderating role of wellbeing.
Results: A total of 299 valid samples were included. Perceived stress, depressive symptoms, psychological resilience, and wellbeing were significantly correlated. Psychological resilience partially mediated the relationship between perceived stress and depressive symptoms [indirect effect = 0.111, 95% Boot CI (0.065, 0.162)]. Wellbeing also moderated the relationship between psychological resilience and depressive symptoms [B = 0.007, 95% Boot CI (0.003, 0.011)].
Conclusion: The mental health of undergraduate nursing interns warrants attention. To reduce perceived stress and depressive symptoms, interventions should focus on enhancing psychological resilience and wellbeing among these interns.

Keywords

depression moderated mediation model perceived stress psychological resilience wellbeing

References

  1. Nurse Educ Today. 2020 Apr 19;90:104440 [PMID: 32353643]
  2. Psychol Sci. 2007 Mar;18(3):233-9 [PMID: 17444920]
  3. Zhonghua Liu Xing Bing Xue Za Zhi. 2003 Sep;24(9):760-4 [PMID: 14521764]
  4. Adv Med Educ Pract. 2011 May 06;2:109-16 [PMID: 23745082]
  5. Mol Psychiatry. 2023 Nov;28(11):4602-4612 [PMID: 37076616]
  6. NCHS Data Brief. 2018 Feb;(303):1-8 [PMID: 29638213]
  7. Healthcare (Basel). 2023 Feb 21;11(5): [PMID: 36900639]
  8. Front Psychol. 2022 Apr 29;13:813894 [PMID: 35572338]
  9. J Affect Disord. 2021 Jan 15;279:473-483 [PMID: 33126078]
  10. Front Public Health. 2022 Aug 04;10:951717 [PMID: 35991064]
  11. J Health Soc Behav. 1983 Dec;24(4):385-96 [PMID: 6668417]
  12. CMAJ. 2012 Feb 21;184(3):E191-6 [PMID: 22184363]
  13. Annu Rev Psychol. 2023 Jan 18;74:547-576 [PMID: 36103999]
  14. J Affect Disord. 2016 Oct;203:213-220 [PMID: 27310100]
  15. Sci Rep. 2020 Sep 25;10(1):15798 [PMID: 32978428]
  16. Annu Rev Clin Psychol. 2011;7:1-38 [PMID: 21275642]
  17. Asia Pac Psychiatry. 2017 Sep;9(3): [PMID: 28856843]
  18. J Trauma Stress. 2007 Dec;20(6):1019-28 [PMID: 18157881]
  19. J Affect Disord. 2020 Sep 1;274:897-902 [PMID: 32664030]
  20. Int J Nurs Educ Scholarsh. 2013 Nov 07;10: [PMID: 24200536]
  21. JAMA. 2016 Dec 6;316(21):2214-2236 [PMID: 27923088]
  22. Int J Behav Med. 2008;15(3):194-200 [PMID: 18696313]
  23. Psychol Health Med. 2020 Oct;25(9):1094-1105 [PMID: 31887065]
  24. J Affect Disord. 2021 Sep 1;292:89-94 [PMID: 34107425]
  25. J Am Psychiatr Nurses Assoc. 2021 Jan-Feb;27(1):44-53 [PMID: 31347437]
  26. BMJ Open. 2023 Jul 10;13(7):e071062 [PMID: 37429678]
  27. Gen Hosp Psychiatry. 2014 Sep-Oct;36(5):539-44 [PMID: 25023953]
  28. Annu Rev Psychol. 2012;63:539-69 [PMID: 21838546]
  29. J Affect Disord. 2020 Oct 1;275:188-193 [PMID: 32734907]
  30. Br J Clin Psychol. 2022 Jun;61(2):287-305 [PMID: 34569066]
  31. Behav Res Methods. 2007 May;39(2):175-91 [PMID: 17695343]
  32. Child Dev. 2000 May-Jun;71(3):543-62 [PMID: 10953923]
  33. Syst Rev. 2021 May 5;10(1):136 [PMID: 33952346]
  34. J Adv Nurs. 2020 Dec;76(12):3385-3397 [PMID: 33009859]
  35. Depress Anxiety. 2003;18(2):76-82 [PMID: 12964174]
  36. Med Teach. 2003 Sep;25(5):502-6 [PMID: 14522672]
  37. J Prof Nurs. 2022 Jan-Feb;38:45-53 [PMID: 35042589]
  38. BMC Psychiatry. 2021 Sep 8;21(1):444 [PMID: 34496834]

MeSH Term

Humans
Resilience, Psychological
Female
Students, Nursing
Male
Depression
Stress, Psychological
Surveys and Questionnaires
China
Adult
Young Adult
Cross-Sectional Studies
Journal Article
Article has an altmetric score of 1

Word Cloud

Created with Highcharts 10.0.0resiliencepsychologicalstressdepressivesymptomswellbeing0perceivednursingPerceivedamongundergraduateinternsrolerelationshipmediationmoderatedstudymediatingmoderatingAnhuihospitalsdepressionChineseScaleQuestionnaire=95%BootCI]modelBackground:recognizedsignificantriskfactorconsideredcrucialprotectivefactorsHoweverintricaterelationshipsvariablesremainlargelyunexploredaimsinvestigatewellinfluenceMethods:March1312024clustersamplingsurveyconductedexamineseniorundergraduatesmedicalcollegeProvinceengagedclinicalpracticevarioussurveyedGradeIIIClassteachinginstitutionssituatedJiangsuZhejiangShanghaiprovincesAccordingLewinsohnbehavioraltheorymeasuredusingStressCPSSPatientHealth9PHQ-9OxfordHappinessOHQversion10-itemConnor-DavidsonResilienceCD-RISC-10PROCESSv4macroutilizedevaluateResults:total299validsamplesincludedsignificantlycorrelatedPsychologicalpartiallymediated[indirecteffect111065162Wellbeingalso[B007003011Conclusion:mentalhealthwarrantsattentionreduceinterventionsfocusenhancingExaminingeffectsinterns:testing

Similar Articles

Cited By