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However, few studies in China have explored the relationship between psychological variables about them.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The purpose of this study was to explore the relationship between occupational stress and depression and to analyze the mediating role of sleep disorders and anxiety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A stratified cluster sampling method randomly selected 1871 construction workers in Chongqing, China. The survey was conducted as a questionnaire. SPSS 25.0 software was used for data analysis and statistical description. SPSS PROCESS macro version 4.0 was used for the chained mediation effect test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The detection rates of occupational stress, sleep disorders, anxiety, and depression among construction workers were 26.4%, 89.8%, 30.2%, and 18.7%, respectively. Analysis showed that these factors were positively correlated with each other. Mediation effect analysis showed that occupational stress directly influenced depression (\u03b2\u2009=\u20090.156, p\u2009&lt;\u20090.001) and also had an indirect effect through sleep disorders and anxiety, with respective mediation effects of 4.48% and 47.93%. Sleep disorders and anxiety played a chain-mediating role between occupational stress and depression, with a mediating effect of 3.69%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Occupational stress affects depression directly and also indirectly through sleep disorders and anxiety. These results indicate that reducing occupational stress, sleep disorders, and anxiety may be effective in preventing depression.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10519815251330868","type":"journal-article","created":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T04:27:36Z","timestamp":1744864056000},"page":"2994-3003","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Association between occupational stress and depression among construction workers: The chain mediating of sleep disorders and anxiety"],"prefix":"10.1177","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-9567-4802","authenticated-orcid":false,"given":"Xiao","family":"Liang","sequence":"first","affiliation":[{"name":"College of Public Health, Chongqing Medical University, Chongqing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2572-3796","authenticated-orcid":false,"given":"Fengqiong","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Occupational Health and Radiation Health, Chongqing Center for Disease Control and Prevention, Chongqing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-6902-7429","authenticated-orcid":false,"given":"Shasha","family":"Pang","sequence":"additional","affiliation":[{"name":"College of Public Health, Chongqing Medical University, Chongqing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3777-9954","authenticated-orcid":false,"given":"Mengliang","family":"Ye","sequence":"additional","affiliation":[{"name":"College of Public Health, Chongqing Medical University, Chongqing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,4,17]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40359-024-01801-x"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-022-13484-3"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.945902"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-023-03001-7"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-021-03636-x"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-publhealth-061022-040533"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2023.10.112"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.901251"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.3233\/WOR-230343"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2023.07.045"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2023.10.034"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.2147\/NSS.S431442"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.924471"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0000000000002541"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0000000000002901"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-020-08744-z"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2020.08.006"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41386-019-0411-y"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0307895"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2019.112705"},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2018.10.006"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2021.101583"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1226914"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.1002\/smi.2948"},{"key":"e_1_3_4_26_2","article-title":"Investigation on relationship between occupational stress and self-rating anxiety\uff0cdepression among internet employees in Tianjin","volume":"38","author":"Xin W","year":"2022","unstructured":"Xin W, Heren L, Xiaolin L, et al. 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