Relationship between acute stress response and depression among college students: the mediating role of rumination and the moderated role of perceived social support

BackgroundDepression has become a public health concern that affects the physical and mental health of college students. acute stress response is a risk factor of depression. Exploring the relationship and mechanism between acute stress response and depression is of great significance for preventing...

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Main Authors: Luo Gui, Yuan Fenghui, Mou Yunjing, Yu Haijun, Liang Jingjing, Dang Jiangbo, Gao Bin
Format: Article
Language:zho
Published: Editorial Office of Sichuan Mental Health 2025-04-01
Series:Sichuan jingshen weisheng
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Online Access:http://www.psychjm.net.cn/scjswszz/ch/reader/view_abstract.aspx?file_no=202502009&flag=1
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author Luo Gui
Yuan Fenghui
Mou Yunjing
Yu Haijun
Liang Jingjing
Dang Jiangbo
Gao Bin
author_facet Luo Gui
Yuan Fenghui
Mou Yunjing
Yu Haijun
Liang Jingjing
Dang Jiangbo
Gao Bin
author_sort Luo Gui
collection DOAJ
description BackgroundDepression has become a public health concern that affects the physical and mental health of college students. acute stress response is a risk factor of depression. Exploring the relationship and mechanism between acute stress response and depression is of great significance for preventing and intervening depression in college students.ObjectiveTo examine the relationship between acute stress response and depression among college students, and to analyze the mediating role of rumination and the moderated effect of perceived social support, so as to provide references for the prevention and intervention of depression in college student .MethodsFrom March to April 2020, a cluster sampling method was employed to select 1 355 college students from three universities in Hubei, Jiangxi and Guangxi Zhuang Autonomous Region. Participants were assessed with Acute Stress Disorder Scale (ASDS), Ruminative Responses Scale (RRS), Brief form of Perceived Social Support Questionnaire (F-SozU) and Patients' Health Questionnaire Depression Scale-9 item (PHQ-9). Pearson correlation analysis was adopted to examine the correlation between the scores of each scale. The mediating role of rumination between acute stress response and depression and the moderated role of perceived social support were examined respectively by using Model 4 and Model 14 in Macro Program Process 3.3.ResultsA total of 1 303 valid questionnaires were collected, yielding a valid response rate of 96.16%. The results of Pearson correlation analysis showed that ASDS score was positively correlated with RRS score and PHQ-9 score (r=0.649, 0.528, P<0.01) among college students. The mediation analysis results demonstrated that rumination played a partial mediating role between acute stress response and depression, with the mediating effect value of 0.273 (95% CI:0.222~0.328), accounting for 68.59% of the total effect. Perceived social support played a moderated role in the latter path of the mediation model (rumination → depression) (β=-0.004, 95% CI: -0.017~-0.004, P<0.01).ConclusionRumination played a partial mediating role between acute stress response and depression in college students, and perceptive social support played a moderated role between rumination and depression. [Funded by Scientific Research Fund Project of Education Department of Yunnan Province (number, 2025J0437)]
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publisher Editorial Office of Sichuan Mental Health
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series Sichuan jingshen weisheng
spelling doaj-art-4572eee1eec3467993756fca73acfa442025-08-20T03:14:03ZzhoEditorial Office of Sichuan Mental HealthSichuan jingshen weisheng1007-32562025-04-0138215315810.11886/scjsws202412200011007-3256(2025)02-0153-06Relationship between acute stress response and depression among college students: the mediating role of rumination and the moderated role of perceived social supportLuo Gui0Yuan Fenghui1Mou Yunjing2Yu Haijun3Liang Jingjing4Dang Jiangbo5Gao Bin6Mental Health Center, Central China Normal University, Wuhan 430079, ChinaMental Health Center, Central China Normal University, Wuhan 430079, ChinaMental Health Center, Central China Normal University, Wuhan 430079, ChinaMental Health Center, Central China Normal University, Wuhan 430079, ChinaSchool of Psychology, Central China Normal University, Wuhan 430079, ChinaWuhan Asia General Hospital, Wuhan 430050, ChinaSchool of Education, Shanghai Normal University, Shanghai 200234, ChinaBackgroundDepression has become a public health concern that affects the physical and mental health of college students. acute stress response is a risk factor of depression. Exploring the relationship and mechanism between acute stress response and depression is of great significance for preventing and intervening depression in college students.ObjectiveTo examine the relationship between acute stress response and depression among college students, and to analyze the mediating role of rumination and the moderated effect of perceived social support, so as to provide references for the prevention and intervention of depression in college student .MethodsFrom March to April 2020, a cluster sampling method was employed to select 1 355 college students from three universities in Hubei, Jiangxi and Guangxi Zhuang Autonomous Region. Participants were assessed with Acute Stress Disorder Scale (ASDS), Ruminative Responses Scale (RRS), Brief form of Perceived Social Support Questionnaire (F-SozU) and Patients' Health Questionnaire Depression Scale-9 item (PHQ-9). Pearson correlation analysis was adopted to examine the correlation between the scores of each scale. The mediating role of rumination between acute stress response and depression and the moderated role of perceived social support were examined respectively by using Model 4 and Model 14 in Macro Program Process 3.3.ResultsA total of 1 303 valid questionnaires were collected, yielding a valid response rate of 96.16%. The results of Pearson correlation analysis showed that ASDS score was positively correlated with RRS score and PHQ-9 score (r=0.649, 0.528, P<0.01) among college students. The mediation analysis results demonstrated that rumination played a partial mediating role between acute stress response and depression, with the mediating effect value of 0.273 (95% CI:0.222~0.328), accounting for 68.59% of the total effect. Perceived social support played a moderated role in the latter path of the mediation model (rumination → depression) (β=-0.004, 95% CI: -0.017~-0.004, P<0.01).ConclusionRumination played a partial mediating role between acute stress response and depression in college students, and perceptive social support played a moderated role between rumination and depression. [Funded by Scientific Research Fund Project of Education Department of Yunnan Province (number, 2025J0437)]http://www.psychjm.net.cn/scjswszz/ch/reader/view_abstract.aspx?file_no=202502009&flag=1acute stress responsedepressionruminationperceived social supportcollege students
spellingShingle Luo Gui
Yuan Fenghui
Mou Yunjing
Yu Haijun
Liang Jingjing
Dang Jiangbo
Gao Bin
Relationship between acute stress response and depression among college students: the mediating role of rumination and the moderated role of perceived social support
Sichuan jingshen weisheng
acute stress response
depression
rumination
perceived social support
college students
title Relationship between acute stress response and depression among college students: the mediating role of rumination and the moderated role of perceived social support
title_full Relationship between acute stress response and depression among college students: the mediating role of rumination and the moderated role of perceived social support
title_fullStr Relationship between acute stress response and depression among college students: the mediating role of rumination and the moderated role of perceived social support
title_full_unstemmed Relationship between acute stress response and depression among college students: the mediating role of rumination and the moderated role of perceived social support
title_short Relationship between acute stress response and depression among college students: the mediating role of rumination and the moderated role of perceived social support
title_sort relationship between acute stress response and depression among college students the mediating role of rumination and the moderated role of perceived social support
topic acute stress response
depression
rumination
perceived social support
college students
url http://www.psychjm.net.cn/scjswszz/ch/reader/view_abstract.aspx?file_no=202502009&flag=1
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