Relationship between coping style and insomnia in college students: the mediating effect of rumination

ObjectiveTo explore the mediating effect of rumination on coping style and insomnia in college students.MethodWe surveyed 767 college students from a university in Sichuan Province using Insomnia Severity Index (ISI), Ruminative Responses Scale (RRS), and Trait Coping Style Questionnaire (TCSQ).ResultsThe prevalence of insomnia was 36.6% in the surveyed college students. Positive coping style was negatively correlated with the total score and scores in each dimension of RRS (r=-0.127~-0.116, P < 0.001), and was negatively correlated with the total score of ISI (r=-0.159, P < 0.001). Negative coping style was positively correlated with the total score and the scores in each dimension of RRS (r=0.298-0.334, P < 0.001), and was positively correlated with the total score of ISI (r=0.264, P < 0.001). The total score and the scores in each dimension of RRS were positively correlated with the total score of ISI (r=0.251-0.281, P < 0.001). Rumination had a partial mediating effect on both positive and negative coping style and insomnia.ConclusionCoping style affects insomnia in college students not only directly but also indirectly through the mediating effect of rumination.