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Articles in Press
10/26/2026 10:13:46 AM | Browse: 17 | Download: 3
| Category |
Psychiatry |
| Manuscript Type |
Observational Study |
| Article Title |
Academic stress and anxiety among Chinese medical students: Chain mediation of loneliness and insomnia moderated by resilience
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| Manuscript Source |
Unsolicited Manuscript |
| All Author List |
Feng Li, Hai-Dong Yang, Jian-nan Li, Li Bai and Hui-Ning Ma |
| Funding Agency and Grant Number |
| Funding Agency |
Grant Number |
| Qiqihar Medical University Social Science Fund Project: Research on the Construction of General Practitioner Teaching Staff for Standardized Residency Training Oriented by Quality |
QYSKL2022-07YB |
| General Program of Lianyungang Health Committee |
202336 |
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| Corresponding Author |
Hui-Ning Ma, Assistant Professor, Lecturer, Department of Psychiatry, The Second Affiliated Hospital of Qiqihar Medical University, No. 64, Zhonghua West Road, Qiqihar 161006, Heilongjiang Province, China. mhnhyx@126.com |
| Key Words |
Academic stress; Anxiety symptoms; Loneliness; Insomnia; Psychological resilience; Moderated mediation; Medical students |
| Core Tip |
In a cross-sectional survey of 4219 Chinese medical students, academic stress was associated with anxiety symptoms both directly and indirectly through a sequential pathway involving loneliness and insomnia, which together accounted for 70.4% of the total effect, with insomnia representing the strongest single mediator. Psychological resilience significantly attenuated the insomnia–anxiety association, and this moderation effect extended to the mediational chain, as reflected in a significant index of moderated mediation. These findings suggest that loneliness, insomnia, and psychological resilience may represent relevant correlates warranting further investigation as potential targets for reducing anxiety among medical students facing high academic stress. |
| Citation |
Li F, Yang HD, Li JN, Bai L, Ma HN. Academic stress and anxiety among Chinese medical students: Chain mediation of loneliness and insomnia moderated by resilience. World J Psychiatry 2026; In press
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| PDF |
126785-in-press.pdf
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Received |
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2026-08-13 02:34 |
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Peer-Review Started |
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2026-08-13 02:36 |
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First Decision by Editorial Office Director |
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Return for Revision |
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2026-09-01 06:13 |
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Revised |
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2026-09-09 13:17 |
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Publication Fee Transferred |
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2026-09-23 11:51 |
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Second Decision by Editor |
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2026-10-26 07:15 |
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Second Decision by Editor-in-Chief |
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Final Decision by Editorial Office Director |
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2026-10-26 10:13 |
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Articles in Press |
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2026-10-26 10:13 |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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| ISSN |
2220-3206 (online) |
| Open Access |
This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc. |
| Copyright |
©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc. |
| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
Copyright © 1993-2026 Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA. All rights reserved, including rights relating to text and data mining, AI training, and similar technologies. For open-access content, the applicable copyright and licensing terms govern.
