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[J].SICHUAN MENTAL HEALTH,2025,(2):153-158
Relationship between acute stress response and depression among college students: the mediating role of rumination and the moderated role of perceived social support
DOI:10.11886/scjsws20241220001
English keywords:Acute stress response  Depression  Rumination  Perceived social support  College students
Fund projects:云南省教育厅科学研究基金项目(项目名称:数智时代大学生积极心态的生成与引导路径探究,项目编号:2025J0437)
Author NameAffiliationPostcode
Luo Gui Mental Health Center Central China Normal University Wuhan 430079 China
School of Psychology Central China Normal University Wuhan 430079 China 
430079
Yuan Fenghui Mental Health Center Central China Normal University Wuhan 430079 China 430079
Mou Yunjing Mental Health Center Central China Normal University Wuhan 430079 China 430079
Yu Haijun Mental Health Center Central China Normal University Wuhan 430079 China 430079
Liang Jingjing School of Psychology Central China Normal University Wuhan 430079 China
Mental Health Education and Counseling Center Yunnan Agricultural University Kunming 650201 China 
650201
Dang Jiangbo Wuhan Asia General Hospital Wuhan 430050 China 430050
Gao Bin* School of Education Shanghai Normal University Shanghai 200234 China 200234
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English abstract:
      Background Depression 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.Objective To 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 .Methods From 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.Results A 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).Conclusion Rumination 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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