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Open Access 01-12-2024 | Mood Disorders | Research

The relationship between self-consciousness and depression in college students: the chain mediating effect of meaning life and self-efficacy, with the moderating effect of social support

Authors: Ye Yuan, Daili Wu, Zhongnong Chen, Daile Chen, Qiang Zhou, Jaesik Jeong, Yanling Tu

Published in: BMC Public Health | Issue 1/2024

Abstract

Background

This study aimed to investigate the impact of self-consciousness on depression of college students, and mainly focus on confirming the mediator role of life meaningful and self-efficacy, as well as the moderator role of social support.

Methods

In the present study, convenient sampling method was adopted, 583 college students were recruited from Harbin city and Wenzhou city in China. All students were assessed using self-assessment scales, including self-consciousness scale, life meaningful scale, self-efficacy scale, social support scale, and self-rating depression scale. Descriptive statistical analysis and correlation analysis, structural equation model analysis were conducted by SPSS 25.0 and M-plus.

Results

Results showed that self-consciousness was negatively related to depression, life meaningful and self-efficacy partially mediated the relation between self-consciousness and depression. Moderated mediation analysis further indicated that the relation between self-efficacy and depression were moderated bu social support. Compare with college students who had high social support, depression in those with low social support was more susceptible to the effect of self-efficacy.

Conclusion

These findings imply that college students with low levels of self-consciousness are more easy to be depressive, enhancing their sense of life meaning and self-efficacy can effectively alleviate depression, and college student with high social support can benefit more from self-efficacy. Therefore we should pay more attention to the mental health problems of low levels self-consciousness college students in university.

Hards E, Orchard F, Khalid S, et al. Self-evaluation and depression in adolescents with a chronic illness: a systematic review. Clin Child Psychol Psychiatry. 2023;28(1):382–97. https://doi.org/10.1177/13591045221115287.CrossRefPubMed

LeBlanc NJ, Toner ER, O’Day EB, et al. Shame, guilt, and pride after loss: exploring the relationship between moral emotions and psychopathology in bereaved adults. J Affect Disord. 2020;263:405–12. https://doi.org/10.1016/j.jad.2019.11.164.CrossRefPubMed

Huang H, Liu L, Su S, Xie D. Self-consciousness and depression in precocious pubertal chilren. J Int Med Res. 2021;49(5). https://doi.org/10.1177/03000605211020227.

Fernández Velasco P. Disorientation and self-consciousness: a phenomenological inquiry. Phenomenology Cogn Sci. 2022;21(1):203–22. https://doi.org/10.1007/s11097-020-09659-1.CrossRef

Kim HI, Doh HS, Chee YK. The effects of parental psychological control, dysfunctional perfectionism, and self-conscious emotions on depression in adolescents. Korean J Child Stud. 2011;32(4):15–36. https://doi.org/10.5723/KJCS.2011.32.4.15.CrossRef

Taylor DL, Kraft JD, Deros DE, et al. Temporal predictions of negative anxiety response styles in depression risk. Curr Psychol. 2023;42:29100–10. https://doi.org/10.1007/s12144-022-03987-y.CrossRef

Sullivan R, Green-Demers I, Lauzon A. When do self-conscious emotions distress teenagers? Interrelations between dispositional shame and guilt, depressive and anxious symptoms, and life satisfaction. Can J Behav Sci. 2020;52(3):210. https://doi.org/10.1037/cbs0000163.CrossRef

Visser DA, Tendolkar I, Schene AH, et al. A pilot study of smartphone-based memory Bias Modification and its Effect on Memory Bias and depressive symptoms in an unselected Population. Cogn Therapy Res. 2020;44:61–72. https://doi.org/10.1007/s10608-019-10042-x.CrossRef

Matheson D. The worthwhileness of meaningful lives. Philosophia. 2020;48:313–24. https://doi.org/10.1007/s11406-019-00082-8.CrossRef

10.

Van de Goor J, Sools AM, Westerhof GJ, Bohlmeijer ET. Wonderful life: exploring wonder in meaningful moments. J Humanistic Psychol. 2020;60(2):147–67. https://doi.org/10.1177/0022167817696837.CrossRef

11.

Duarte-Lores I, Rolo-González G, Suárez E, et al. Meaningful work, work and life satisfaction: Spanish adaptation of work and meaning inventory scale. Curr Psychol. 2023;42:12151–63. https://doi.org/10.1007/s12144-021-02569-8.CrossRef

12.

Joffrey F, Florian Cova. What makes a life meaningful? Folk intuitions about the content and shape of meaningful lives. Philosophical Psychol. 2023;36(3):477–509. https://doi.org/10.1080/09515089.2022.2046262.CrossRef

13.

Sharma G, Yukhymenko-Lescroart M, Sanchez T. Examining the role of life purpose in high school students’ self-esteem through structural equation modelling. Heliyon. 2023;9(9):19614. https://doi.org/10.1016/j.heliyon.2023.e19614.CrossRef

14.

Meester HFM, Teunissen CE, van Berckel BNM, Berkhof J, van der Flier WM, Rijnhart JJM. Life satisfaction across the entire trajectory of Alzheimer’s disease: a mediation analysis. Alzheimers Dement (Amst). 2022;14(1):e12389. https://doi.org/10.1002/dad2.12389.CrossRef

15.

vİlhan Yalçın. Relationships among life satisfaction, meaning in life and need satisfaction with mixture structural equation modelling. Br J Guidance Couns. 2023;51(4):465–75. https://doi.org/10.1080/03069885.2022.2085871.CrossRef

16.

Helm PJ, Greenberg J, Park YC, et al. Feeling alone in your subjective: introducing the state trait existential isolation model(STEIM). J Theoretical Social Psychol. 2019;3(3):146–57. https://doi.org/10.1002/jts5.41.CrossRef

17.

Merluzzi TV, Pustejovsky JE, Philip EJ, et al. Interventions to enhance self-efficacy in cancer patients: a meta‐analysis of randomized controlled trials. Psycho‐oncology. 2019;28(9):1781–90. https://doi.org/10.1002/pon.5148.CrossRefPubMedPubMedCentral

18.

Guerra C, Farkas C. Depression, anxiety and PTSD in sexually abused adolescents: Association with self-efficacy, coping and family support. Child Abuse Negl. 2018;76:310–20. https://doi.org/10.1016/j.chiabu.2017.11.013.CrossRefPubMed

19.

Lara MA, Patino P, Navarrete L, Hernandez Z, Niteto L. Association between depressive symptoms and psychosocial factors and perception of maternal self-efficacy in teenager mothers. Salud Mental. 2017;40(5):201–8. https://doi.org/10.17711/sm.0185-3325.2017.026.CrossRef

20.

Tak, YR, Brunwasser, SM, Lichtwarck-Aschoff, A. & Engels, RC. The prospective associations between self-efficacy and depressive symptoms from early to middle adolescence: A cross-lagged model. Journal of Youth and Adolescence, 2017;46(4):744–756. https://doi.org/10.1007/s10964-016-0614-z.

21.

Varghese R, Norman TS, Thavaraj S. Perceived stress and self efficacy among college students: A global review. International Journal of Human Resource Management and Research, 2015;5(3):15–24. https://doi.org/10.2139/ssrn.2703908.

22.

Melo HE, Severian PFG, Eid LP, et al. Impact of anxiety and depression symptoms on perceived self-efficacy in nursing students. Acta Paulista De Enfermagem. 2021;34. https://doi.org/10.37689/acta-ape/2021AO01113.

23.

DeWitz SJ. Exploring the relationship between self-efficacy beliefs and purpose in life. The Ohio State University; 2004.

24.

He H, Pan Y. Effects of sense of meaning in life and forgiveness on social self-efficacy of secondary school students. Teaching and Management, 2017;2017(12):71–73.

25.

Gallagher MW, Long LJ, Phillips CA. Hope, optimism, self-efficacy, and posttraumatic stress disorder: a meta‐analytic review of the protective effects of positive expectancies[J]. J Clin Psychol. 2020;76(3):329–55. https://doi.org/10.1002/jclp.22882.CrossRefPubMed

26.

Ge Y, Deng Y, Ji L. The relationship between personality traits, network efficacy and sense of meaning in life among urban left-behind children with internet addiction. Special Educ China, 2018(02);89–96.

27.

Geumsook OH, Jinhwan OH. The effect of perceived meaning of life and social support of nursing students on academic/career decision-making self-efficacy. Res J Pharm Technol. 2018;11(1):369–74.CrossRef

28.

Yang Q. Effects of academic self-efficacy on test anxiety in secondary school students: chain mediation effects and gender differences. Chin J Clin Psychol. 2022;30(02):414–20.

29.

Deci EL, Ryan RM. Self-determination theory: A macrotheory of human motivation, development, and health. Canadian Psychology/Psychologie Canadienne. 2008;49(3):182–185. https://doi.org/10.1037/a0012801.

30.

Eagle DE, Hybels CF, Proeschold-Bell RJ. Perceived social support, received social support, and depression among clergy. J Social Personal Relationships. 2019;36(7):2055–73. https://doi.org/10.1177/0265407518776134.CrossRef

31.

Shin H, Gyeong S. Social support and strain from different relationship sources: their additive and Buffering effects on Psychological Well-being in Adulthood. J Social Personal Relationships. 2023;40(8):2538–67. https://doi.org/10.1177/02654075231153350.CrossRef

32.

Mahasneh AM. The relationship between subjective well-being and social support among Jordanian university students. Psychol Russia. 2022;15(2):53. https://doi.org/10.11621/pir.2022.0204.CrossRef

33.

Backhaus I, Fitri M, Esfahani M, et al. Mental Health, loneliness, and Social Support among undergraduate students: a multinational study in Asia. Asia Pac J Public Health. 2023;35(4):244–50. https://doi.org/10.1177/10105395231172311.:.CrossRefPubMed

34.

Fenigstein A, Scheier MF, Buss AH. Public and private self-consciousness: Assessment and theory. J Consult Clin Psychol. 1975;43(4):522–7. https://doi.org/10.1037/h0076760.CrossRef

35.

Steger MF, Shin JY. The relevance of the meaning in life questionnaire to therapeutic practice: a look at the initial evidence. Int Forum Logotherapy. 2010;33:95–104.

36.

Xiao S. Theoretical basis and research applications of the Social Support rating scale. J Clin Psychiatry. 1994;4(2):98–9.MathSciNet

37.

Jerusalem M, Schwarzer R. Self-efficacy as a resource factor in stress appraisal processes. In: Schwarzer R, editor. Self-efficacy: thought control of action. Washington, DC: Hemisphere; 1992. pp. 195–213.

38.

Zung WW. A self-rating depresion scale. Arch Gen Psychiatry. 1965;12:63–70.CrossRefPubMed

39.

Highfield J, Markham D, Skinner M, et al. An investigation into the experience of self-conscious emotions in individuals with bipolar disorder, unipolar depression and non‐psychiatric controls. Clin Psychol Psychother. 2010;17(5):395–405. https://doi.org/10.1002/cpp.674.CrossRefPubMed

40.

Liu Y, Tang K, Long J, et al. The association between hepatitis B self-awareness and depression: exploring the modifying effects of socio-economic factors. J Viral Hepatitis. 2017;24(4):330–6. https://doi.org/10.1111/jvh.12647.CrossRef

41.

Huang H, Liu L, Su S, et al. Self-consciousness and depression in precocious pubertal children. J Int Med Res. 2021;49(5):3000605211020227. https://doi.org/10.1177/03000605211020227.CrossRefPubMed

42.

Cazella K, Poole M, Urban M. The Correlation between Self-Consciousness and Depression in Adolescents. 2021.

43.

Milanovic M, Ayukawa E, Usyatynsky A, et al. Self efficacy in depression: bridging the gap between competence and real world functioning. J Nerv Ment Dis. 2018;206(5):350–5. https://doi.org/10.1097/NMD.0000000000000804.CrossRefPubMed

44.

Shek DTL, Chai W, Tan L. The relationship between anxiety and depression under the pandemic: the role of life meaning. Front Psychol. 2022;13:1059330. https://doi.org/10.3389/fpsyg.2022.1059330.CrossRefPubMedPubMedCentral

45.

Hedayati MAM, Khazaei MAM. An investigation of the relationship between depression, meaning in life and adult hope. Procedia-Social Behav Sci. 2014;114:598–601.CrossRef

46.

Sharma PK, Kumra R. Relationship between mindfulness, depression, anxiety and stress: mediating role of self-efficacy. Pers Indiv Differ. 2022;186:111363.CrossRef

47.

Shao R, He P, Ling B, et al. Prevalence of depression and anxiety and correlations between Depression, anxiety, Family Functioning, Social Support and Coping Style among Chinese Medical Students. BMC Psychol. 2020;8(1):38. https://doi.org/10.1186/s40359-020-00402-8.CrossRefPubMedPubMedCentral

48.

Stewart J, Garrido S, Hense C, McFerran K. Music Use for Mood Regulation: self-awareness and conscious listening choices in Young People with tendencies to Depression. Front Psychol. 2019;10:1199. https://doi.org/10.3389/fpsyg.2019.01199.CrossRefPubMedPubMedCentral

49.

Luo Y, Xiang Z, Zhang H, Wang Z. Protective factors for depressive symptoms in adolescents: interpersonal relationships and perceived social support. Psychol Sch. 2017;54(8):808–20. https://doi.org/10.1002/pits.22033.CrossRef

50.

Zhang Y, Jin S. The impact of social support on postpartum depression: the mediator role of self-efficacy. J Health Psychol. 2016;21(5):720–6. https://doi.org/10.1177/1359105314536454.CrossRefPubMed

51.

Maleki Pirbazari M, Nouri R, Sarami G. Social support and depression symptoms: the mediating role of self-efficacy. Contemporary psychology. Biannual J Iran Psychol Association. 2012;6(2):26–34.

52.

Albal E, Kutlu Y. The relationship between the depression coping self-efficacy level and perceived social support resources. J Psychiatric Nurs. 2010;1(3):115–20.

53.

Racine N, et al. Perinatal depression: the role of maternal adverse childhood experiences and social support. J Affect Disord. 2020;263:576–81. https://doi.org/10.1016/j.jad.2019.11.030.CrossRefPubMed

54.

Zeng L, Cook RJ, Lee J. Multistate analysis from cross-sectional and auxiliary samples. Stat Med. 2020;39(4):387–408. https://doi.org/10.1002/sim.8411.MathSciNetCrossRefPubMed

Title: The relationship between self-consciousness and depression in college students: the chain mediating effect of meaning life and self-efficacy, with the moderating effect of social support
Authors: Ye Yuan
Daili Wu
Zhongnong Chen
Daile Chen
Qiang Zhou
Jaesik Jeong
Yanling Tu
Publication date: 01-12-2024
Publisher: BioMed Central
Keywords: Mood Disorders
Affective Disorder
Published in: BMC Public Health / Issue 1/2024
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/s12889-024-18263-w

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The relationship between self-consciousness and depression in college students: the chain mediating effect of meaning life and self-efficacy, with the moderating effect of social support

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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