大一年级学生失眠心理弹性与负性情绪症状的关联

刘景; 张至贤; 金正格; 万宇辉

doi:10.16835/j.cnki.1000-9817.2023.08.021

大一年级学生失眠心理弹性与负性情绪症状的关联

doi: 10.16835/j.cnki.1000-9817.2023.08.021

1.
淮南联合大学医学院护理教研室, 安徽 232038
2.
安徽医科大学公共卫生学院儿少卫生与妇幼保健学系

基金项目:

安徽高校自然科学研究项目 KJ2020A0900

安徽高校优秀青年骨干教师国内访问研修项目 gxgnfx2022130

详细信息

作者简介:
刘景(1983-), 女, 安徽淮南人, 硕士, 副教授, 主要研究方向为大学生心理健康

通讯作者:
万宇辉, E-mail: 2004500039@ahmu.edu.cn

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R179 B844.2 G478
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- 被引次数: 0
出版历程
- 收稿日期: 2023-05-19
- 修回日期: 2023-06-11
- 网络出版日期: 2023-08-26
- 刊出日期: 2023-08-25

Association among insomnia, resilience and negative emotions in freshman students

1.
Department of Nursing, Faculty of Medicine, Union University of Huainan, Huainan (232038), Anhui Province, China

摘要

摘要: 目的探讨大学生心理弹性、失眠和负性情绪症状之间的关联, 为采取针对性措施改善大学生失眠症状和提高心理健康水平提供依据。方法于2022年4—5月采用整群抽样的方法选取安徽省淮南联合大学3 221名大一年级学生为研究对象, 采用问卷调查一般人口学特征、失眠情况、心理弹性及负性情绪症状等信息, 建立多因素Logistic回归模型分析大学生心理弹性、失眠和负性情绪症状之间的关联。结果大学生抑郁、焦虑、压力症状检出率分别为17.5%，22.7%和7.8%。调整混杂因素后，失眠大学生产生抑郁、焦虑、压力等负性情绪症状的风险增加，OR值(95%CI)分别为5.09(4.05~6.41)，4.89(3.91~6.12)，6.39(4.82~8.48)(P值均＜0.05)。中、低水平心理弹性与抑郁[OR值(95%CI)分别为2.86(2.06~3.97)，8.77(6.44~11.93)]、焦虑[OR值(95%CI)分别为3.21(2.43~4.23)，7.55(5.79~9.84)]、压力[OR值(95%CI)分别为2.48(1.53~4.01)，7.17(4.61~11.16)]症状均存在正向关联(P值均＜0.05)。失眠和心理弹性的交互项对大学生负性情绪症状存在交互作用，在同等失眠症状水平，心理弹性水平越低，负性情绪症状检出率越高(P值均＜0.05)。结论大一年级学生失眠和心理弹性与负性情绪症状相关。为改善大学生负性情绪症状, 应加强大学生睡眠健康教育和心理弹性的培养。
- 睡眠障碍 /
- 精神卫生 /
- 情绪 /
- 回归分析 /
- 学生
Abstract: Objective To explore the associations among resilience, insomnia, and negative emotional symptoms in college students, so as to provide a basis for implementing targeted measures to improve insomnia symptoms and the mental health of this population. Methods From April to May 2022, a cluster sampling method was employed to select 3 221 freshmen from Union University of Huainan in Anhui Province. Questionnaires were administered to investigate general demographic characteristics, insomnia, resilience, and depressive symptoms. Multivariate Logistic regression models were constructed to analyze the relationships among tinsomnia, resilience, and depressive symptoms of college students. Results The prevalence rates of depressive symptoms, anxiety symptoms, and stress-related symptoms were 17.5%, 22.7%, and 7.8%, respectively. After adjusting for confounding factors, insomnia was significantly associated with depressive symptoms [OR(95%CI)=5.09(4.05-6.41)], anxiety symptoms [OR(95%CI)=4.89(3.91-6.12)] and stress-related symptoms [OR(95%CI)=6.39(4.82-8.48)](P < 0.05). Medium and low levels of resilience were significantly associated with depressive symptoms [OR(95%CI)=2.86(2.06-3.97),8.77(6.44-11.93)], anxiety symptoms [OR(95%CI)=3.21(2.43-4.23),7.55(5.79-9.84)] and stress-associated symptoms [OR(95%CI)=2.48(1.53-4.01),7.17(4.61-11.16)](P < 0.05). The interaction between insomnia and Psychological resilience had interaction on college students' negative emotional symptoms.Comparable to the results regarding insomnia, decreased resilience corresponded to a higher detection rate of negative emotions in freshman students (P < 0.05). Conclusion Insomnia and resilience were correlated with negative emotions in college students. Emphasis should be placed on sleep health education and resilience in order to improve the negative emotions in college students.
- Sleep disorders /
- Mental health /
- Emotions /
- Regression analysis /
- Students
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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表 1 不同人口统计学特征大学生负性情绪症状检出率比较

Table 1. Comparison of negative emotions symptoms among college students with different demography characteristics

人口统计学指标	选项	人数	抑郁症状		焦虑症状		压力症状
人口统计学指标	选项	人数	检出人数	χ²值	检出人数	χ²值	检出人数	χ²值
性别	男	1 064	202(19.0)	2.30	232(21.8)	0.72	80(7.5)	0.21
	女	2 157	363(16.8)		499(23.1)		172(8.0)
家庭所在地	农村	2 157	369(17.1)	0.85	476(22.1)	1.46	154(7.1)	4.24^*
	城镇	1 064	196(18.4)		255(24.0)		98(9.2)
独生子女	是	534	107(20.0)	2.76	129(24.2)	0.78	45(8.4)	0.32
	否	2 687	458(17.0)		602(22.4)		207(7.7)
父亲文化程度	高中以下	2 595	458(17.6)	0.11	599(23.1)	1.15	201(7.7)	0.11
	高中及以上	626	107(17.1)		132(21.1)		51(8.1)
母亲文化程度	高中以下	2 730	469(17.2)	1.62	614(22.5)	0.43	208(7.6)	1.04
	高中及以上	491	96(19.6)		117(23.8)		44(9.0)
自评经济情况	差	1 005	211(21.0)	13.68^*	268(26.7)	13.32^*	96(9.6)	6.08^*
	中等	2 096	340(16.2)		436(20.8)		148(7.1)
	好	120	14(11.7)		27(22.5)		8(6.7)
亲密伙伴数/个	≤2	1 285	287(22.3)	41.22^*	360(28.0)	41.39^*	135(10.5)	23.11^*
	3~5	1 406	222(15.8)		291(20.7)		92(6.5)
	≥6	530	56(10.6)		80(15.1)		25(4.7)
有无失眠	无	2 834	389(13.7)	237.34^*	525(18.5)	233.76^*	148(5.2)	221.34^*
	有	387	176(45.5)		206(53.2)		104(26.9)
心理弹性	低水平	1 186	318(36.7)	343.30^*	362(41.8)	331.03^*	144(16.6)	143.41^*
	中水平	1 168	183(15.7)		277(23.7)		80(6.8)
	高水平	867	64(5.4)		92(7.8)		28(2.4)
注：()内数字为检出率/%，* P＜0.05。

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表 2 大学生失眠心理弹性与负性情绪症状的多因素Logistic回归分析(n=3 221)

Table 2. Multivariate Logistic regression analysis of insomnia, resilience and negative emotions of college students(n=3 221)

自变量	选项	抑郁症状	焦虑症状	压力症状
失眠	有	5.09(4.05~6.41)^*	4.89(3.91~6.12)^*	6.39(4.82~8.48)^*
心理弹性	中	2.86(2.06~3.97)^*	3.21(2.43~4.23)^*	2.48(1.53~4.01)^*
	低	8.77(6.44~11.93)^*	7.55(5.79~9.84)^*	7.17(4.61~11.16)^*
注：* P＜0.05；a调整家庭经济状况和亲密伙伴个数因素，b调整家庭所在地、家庭经济状况和亲密伙伴个数等因素。

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表 3 大学生失眠和心理弹性交互作用与负性情绪症状的关联(n=3 221)

Table 3. The interaction of insomnia and resilience with negative emotion of college students(n=3 221)

模型	自变量	抑郁症状		焦虑症状		压力症状
模型	自变量	β值	OR值(95%CI)	β值	OR值(95%CI)	β值	OR值(95%CI)
模型1	失眠和心理弹性
	无×高水平		1.00		1.00		1.00
	有×中水平	1.33	3.78(2.56~5.59)^*	1.22	3.39(2.32~4.95)^*	1.34	3.82(2.32~6.30)^*
	有×低水平	2.05	7.76(5.81~10.36)^*	2.04	7.69(5.73~10.33)^*	2.19	8.96(6.47~12.39)^*
模型2	失眠和心理弹性
	无×高水平		1.00		1.00		1.00
	有×中水平	1.35	3.87(2.61~5.74)^*	1.24	3.47(2.37~5.08)^*	1.36	3.91(2.36~6.47)^*
	有×低水平	1.99	7.30(5.45~9.79)^*	1.99	7.31(5.43~9.84)^*	2.11	8.28(5.96~11.51)^*
注：*P＜0.05。

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