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The mediating role of self-esteem in the relationship between big five personality traits and depressive symptoms among Chinese undergraduate medical students
Institution:1. English Department, School of Basic Disciplines, China Medical University, 77 Puhe Road, Shenyang North Development Zone, Shenyang, Liaoning, PR China;2. Department of Social Medicine, School of Public Health, China Medical University, 77 Puhe Road, Shenyang North Development Zone, Shenyang, Liaoning, PR China;1. Università Cattolica del Sacro Cuore, Department of Psychology, Largo Agostino Gemelli 1, Milano, Italy;2. Università degli Studi di Torino, Department of Psychology, Via Verdi 10, 10124 Torino, Italy;3. Örebro University, Youth & Society, Örebro University, Fakultetsgatan 1, 70182 Örebro, Sweden;1. Department of Psychology, Western University, 1151 Richmond Street, London N6A3K7, Canada;2. Educational Studies in School Psychology, University of Calgary, 2500 University Drive, Calgary T2N1N4, Canada;1. Clinical Psychology, 3301 Center for Psychological Studies, Nova Southeastern University, Fort Lauderdale, FL 33314, United States;2. Psychology Department, One UTSA Circle, University of Texas at San Antonio, San Antonio, TX 78249, United States
Abstract:The objectives of this study were to examine the correlations between big five personality traits and depressive symptoms among Chinese undergraduate medical students, and to explore the mediating role of self-esteem on the correlations. Self-reported questionnaires, including Big Five Inventory, the Center for Epidemiologic Studies Depression Scale, Rosenberg’s Self-Esteem scale, and socio-demographic section were distributed to 2000 undergraduate medical students at four medical colleges and universities in Liaoning province, China, in June 2014. 1738 students became the final subjects. After adjustment for age and gender, agreeableness (β = −0.329) and openness (β = −0.096) were negatively related to depressive symptoms, while neuroticism (β = 0.245) was positively related to the symptoms. Self-esteem functioned as a mediator in the relationship between agreeableness (a * b = −0.154, 95% CI: −0.182, −0.127)/openness (a * b = −0.097, 95% CI: −0.124, −0.069)/neuroticism (a * b = 0.031, 95% CI: 0.007, 0.058) and depressive symptoms. Therefore, identifying at-risk students and undertaking appropriate intervention strategies that focus on both personality traits and self-esteem may be effective in preventing and reducing depressive symptoms among Chinese medical students.
Keywords:Depressive symptoms  Big five personality traits  Self-esteem  Medical students
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