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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

刘景, 张至贤, 金正格, 万宇辉. 大一年级学生失眠心理弹性与负性情绪症状的关联[J]. 中国学校卫生, 2023, 44(8): 1211-1215. doi: 10.16835/j.cnki.1000-9817.2023.08.021
引用本文: 刘景, 张至贤, 金正格, 万宇辉. 大一年级学生失眠心理弹性与负性情绪症状的关联[J]. 中国学校卫生, 2023, 44(8): 1211-1215. doi: 10.16835/j.cnki.1000-9817.2023.08.021
LIU Jing, ZHANG Zhixian, JIN Zhengge, WAN Yuhui. Association among insomnia, resilience and negative emotions in freshman students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(8): 1211-1215. doi: 10.16835/j.cnki.1000-9817.2023.08.021
Citation: LIU Jing, ZHANG Zhixian, JIN Zhengge, WAN Yuhui. Association among insomnia, resilience and negative emotions in freshman students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(8): 1211-1215. 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
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

Association among insomnia, resilience and negative emotions in freshman students

  • 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。
    1)  利益冲突声明  所有作者声明无利益冲突。
  • 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
    检出人数 χ2 检出人数 χ2 检出人数 χ2
    性别 1 064 202(19.0) 2.30 232(21.8) 0.72 80(7.5) 0.21
    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 534 107(20.0) 2.76 129(24.2) 0.78 45(8.4) 0.32
    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 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)
    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 2 834 389(13.7) 237.34* 525(18.5) 233.76* 148(5.2) 221.34*
    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。
    下载: 导出CSV

    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 5.09(4.05~6.41)* 4.89(3.91~6.12)* 6.39(4.82~8.48)*
    心理弹性 2.86(2.06~3.97)* 3.21(2.43~4.23)* 2.48(1.53~4.01)*
    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。
    下载: 导出CSV

    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
    β OR值(95%CI) β OR值(95%CI) β 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。
    下载: 导出CSV
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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

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