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中学生昼夜节律情绪调节与抑郁症状的相关性

徐莹 廖若男 邱霜 宋一颖 周宇帆 卢欣怡

徐莹, 廖若男, 邱霜, 宋一颖, 周宇帆, 卢欣怡. 中学生昼夜节律情绪调节与抑郁症状的相关性[J]. 中国学校卫生, 2022, 43(5): 722-726. doi: 10.16835/j.cnki.1000-9817.2022.05.019
引用本文: 徐莹, 廖若男, 邱霜, 宋一颖, 周宇帆, 卢欣怡. 中学生昼夜节律情绪调节与抑郁症状的相关性[J]. 中国学校卫生, 2022, 43(5): 722-726. doi: 10.16835/j.cnki.1000-9817.2022.05.019
XU Ying, LIAO Ruonan, QIU Shuang, SONG Yiying, ZHOU Yufan, LU Xinyi. Correlation between circadian rhythm, emotion regulation and depressive symptoms among adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(5): 722-726. doi: 10.16835/j.cnki.1000-9817.2022.05.019
Citation: XU Ying, LIAO Ruonan, QIU Shuang, SONG Yiying, ZHOU Yufan, LU Xinyi. Correlation between circadian rhythm, emotion regulation and depressive symptoms among adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(5): 722-726. doi: 10.16835/j.cnki.1000-9817.2022.05.019

中学生昼夜节律情绪调节与抑郁症状的相关性

doi: 10.16835/j.cnki.1000-9817.2022.05.019
基金项目: 

成都中医药大学苗圃人才项目 MPRC2021025

四川省教育厅人文社科重点项目 17SA0042

详细信息
    作者简介:

    徐莹(1984-), 女, 云南曲靖人, 博士, 副教授, 主要研究方向为健康心理学

  • 利益冲突声明  所有作者声明无利益冲突。
  • 中图分类号: G444 G478 B844.2

Correlation between circadian rhythm, emotion regulation and depressive symptoms among adolescents

  • 摘要:   目的  了解中学生抑郁情绪的现状以及与昼夜节律、情绪调节的关联,为改善青少年抑郁情绪的心理健康宣教提供科学依据。  方法  采用方便抽样法,抽取四川成都、阆中和乐山6所中学2 398名初、高中学生为被试,采用抑郁量表(CES-D)、清晨型与夜晚型量表简版和情绪调节量表进行调查,运用SPSS 21.0进行数据处理和分析。  结果  青少年抑郁症状检出率为37.9%(909名),女生、农村、15~18岁年龄组青少年的抑郁症状检出率高于男生、城镇、12~14岁年龄组(χ2值分别为25.15,15.45,187.24,P值均 < 0.01)。不同昼夜节律青少年抑郁症状检出率差异有统计学意义(χ2=55.19,P < 0.01),绝对夜晚型节律偏好青少年抑郁检出率(57.1%)最高。不同睡眠时长青少年抑郁症状检出率差异有统计学意义(χ2=141.99,P < 0.01),睡眠时长 < 6 h/d抑郁检出率(69.4%)最高。抑郁组较无抑郁组更多使用表达抑制策略,而无抑郁组较抑郁组更多使用认知重评策略。多因素Logistic回归分析结果显示,女生、15~18岁组、表达抑制、睡眠时长 < 6 h/d、睡眠时长6~8 h/d与青少年出现抑郁症状呈正相关(OR值分别为1.60,2.29,1.13,5.17,2.88),而睡眠时型中间型、清晨型和认知重评与抑郁症状呈负相关(OR值分别为0.53,0.55,0.90)(P值均 < 0.05)。  结论  青少年睡眠节律延迟、睡眠不足以及压抑情绪与抑郁症状呈正相关,应积极倡导青少年养成良好的睡眠习惯,采用合理的情绪调节方式,以减少青少年的抑郁状况。
    1)  利益冲突声明  所有作者声明无利益冲突。
  • 表  1  不同人口学特征中学生抑郁症状检出率比较

    Table  1.   Comparison of the detection rates of depressive symptoms in different demographic characteristics groups among middle school students

    人口统计学指标 选项 人数 抑郁症状人数 χ2 P
    性别 1 133 370(32.7) 25.15 < 0.01
    1 265 539(42.6)
    生源地 城镇 1 586 557(35.1) 15.45 < 0.01
    农村 812 352(43.3)
    民族 汉族 2 362 895(37.9) 0.02 0.90
    其他 36 14(38.9)
    年龄/岁 12~14 1 436 385(26.8) 187.24 < 0.01
    15~18 962 524(54.5)
    是否独生子女 1 196 449(37.5) 0.14 0.71
    1 202 460(38.3)
    父亲文化程度 初中及以下 875 377(43.1) 24.88 < 0.01
    高中 731 284(38.9)
    大专及以上 792 248(31.3)
    母亲文化程度 初中及以下 1 029 444(43.1) 24.87 < 0.01
    高中 702 256(36.5)
    大专及以上 667 209(31.3)
    睡眠时型 绝对夜晚型 21 12(57.1) 55.19 < 0.01
    中度夜晚型 303 170(56.1)
    中间型 1 955 678(34.7)
    中度清晨型 117 48(41.0)
    绝对清晨型 2 1(50.0)
    睡眠时长/(h·d-1) < 6 173 120(69.4) 141.99 < 0.01
    6~8 1 979 759(38.4)
    >8 246 30(12.2)
    注:( )内数字为检出率/%。
    下载: 导出CSV

    表  2  中学生抑郁症状相关因素多因素Logistic回归分析(n=2 398)

    Table  2.   Multi-factor Logistic regression analysis of related factors of depressive symptoms among middle school students(n=2 398)

    自变量 β 标准误 Wald χ2 P OR值(OR值95%CI)
    性别 0.47 0.10 22.42 < 0.01 1.60(1.32~1.95)
    年龄 0.83 0.11 61.93 < 0.01 2.29(1.86~2.81)
    睡眠时型
        中间型 -0.63 0.14 19.44 < 0.01 0.53(0.40~0.70)
        清晨型 -0.59 0.25 5.54 0.02 0.55(0.34~0.91)
    睡眠时长/(h·d-1)
        <6 1.64 0.29 32.63 < 0.01 5.17(2.94~9.08)
        6~8 1.06 0.22 23.39 < 0.01 2.88(1.87~4.41)
    认知重评 -0.10 0.01 205.42 < 0.01 0.90(0.89~0.91)
    表达抑制 0.12 0.01 251.51 < 0.01 1.13(1.12~1.15)
    下载: 导出CSV
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出版历程
  • 收稿日期:  2021-12-04
  • 修回日期:  2022-03-25
  • 网络出版日期:  2022-05-20
  • 刊出日期:  2022-05-25

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