@article{ref1,
title="A longitudinal analysis of the relationships among daytime dysfunction, fatigue, and depression in college students",
journal="Journal of American college health",
year="2019",
author="Shim, Eun-Jung and Noh, Hae-Lim and Yoon, Jungmin and Sol Mun, Han and Hahm, Bong-Jin",
volume="67",
number="1",
pages="51-58",
abstract="OBJECTIVE: To examine the longitudinal trajectory of daytime dysfunction (DD) and its relationship with fatigue by depression status in university students. PARTICIPANTS: 243 students completed online surveys from September- December 2016. <br><br>METHODS: Surveys were conducted at three time points over a semester period: the beginning of the semester, the end of mid-term and the end of the semester. <br><br>RESULTS: Results indicated that the DD significantly increased in all students over the semester. Students with depression showed a higher initial level of DD and faster rate of change compared to those without depression. A faster rate of change of DD predicted a higher level of end-semester fatigue. <br><br>CONCLUSIONS: Depression is related to a higher initial level of DD and its faster rate change which in turn, predicted end-semester fatigue, identifying one of the possible pathways through which depression impacts the functioning and health of affected students.<p /> <p>Language: en</p>",
language="en",
issn="0744-8481",
doi="10.1080/07448481.2018.1462819",
url="http://dx.doi.org/10.1080/07448481.2018.1462819"
}