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Depression is one of the leading mental health disorders that occurs frequently among university students. Self-esteem and lifestyle factors are modifiable factors that have the potential of preventing depression. The study aimed to explore the relationship for depression, self-esteem, and lifestyle factors among university students in Singapore and Malaysia, and whether individual lifestyle factors mediate the relationship. Participants completed an online questionnaire that consisted of socio-demographic, Beck Depression Inventory-ll. Rosenberg Self-Esteem Scale, and Simple Lifestyle Indicator Questionnaire. Data analyses showed that low self-esteem, diet, high smoking, and stress predicted an increase in the level of depression. Stress was a significant mediator for self-esteem and depression. Findings suggested that those with low self-esteem perceived stress as unmanageable, thereby increasing the level of depression scores.
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Kwok et al. (2022) studied this question.
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