Associations of family functioning with sleep disturbance and depressive symptoms among primary and secondary school students

WEN Fuhua; ZHOU Huannan; TU Nanping; ZHANG Min; YUAN Junyi; FAN Fang

doi:10.16835/j.cnki.1000-9817.2023.05.006

Volume 44 Issue 5

May 2023

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2023 > 44(5): 664-667

WEN Fuhua, ZHOU Huannan, TU Nanping, ZHANG Min, YUAN Junyi, FAN Fang. Associations of family functioning with sleep disturbance and depressive symptoms among primary and secondary school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(5): 664-667. doi: 10.16835/j.cnki.1000-9817.2023.05.006

Citation:

WEN Fuhua, ZHOU Huannan, TU Nanping, ZHANG Min, YUAN Junyi, FAN Fang. Associations of family functioning with sleep disturbance and depressive symptoms among primary and secondary school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(5): 664-667. doi: 10.16835/j.cnki.1000-9817.2023.05.006

Citation:

WEN Fuhua, ZHOU Huannan, TU Nanping, ZHANG Min, YUAN Junyi, FAN Fang. Associations of family functioning with sleep disturbance and depressive symptoms among primary and secondary school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(5): 664-667. doi: 10.16835/j.cnki.1000-9817.2023.05.006

PDF( 908 KB)

Associations of family functioning with sleep disturbance and depressive symptoms among primary and secondary school students

doi: 10.16835/j.cnki.1000-9817.2023.05.006

1.
Shenzhen Baoan District Education Development Affairs Center, Shenzhen(518101), Guangdong Province, China

Received Date: 2022-12-30
Rev Recd Date: 2023-03-03

Available Online: 2023-05-25

Publish Date: 2023-05-25

Abstract

Abstract

Objective The study aims to explore the associations of family functioning with sleep disturbance and depressive symptoms among primary and secondary school students, to provide scientific reference for preventing depression in primary and middle school students. Methods A convenience sampling method was used to recruit 124 357 primary and secondary school students in Baoan District, Shenzhen. A self-administered general information questionnaire, the Youth Self-Rating Insomnia Scale, and the Patient Heath Questionnaire-9 were used to assess the students' demographic characteristics, family functioning, sleep disturbance, and depressive symptoms. Results About 34.6% of students reported moderate family dysfunction, and 8.7% reported severe family dysfunction. The prevalence rates of sleep disturbance and depressive symptoms were 13.0% and 13.1% in elementary and secondary school students, respectively. The prevalence rates of sleep disturbance and depressive symptoms were statistically significantly higher in girls(14.6%, 16.8%) than boys(11.6%, 9.9%) (χ²=255.25, 1 269.50, P < 0.01). Depressive symptoms were positively correlated with sleep disturbance (r=0.61) and negatively correlated with family functioning (r=-0.31)(P < 0.01). Family functioning moderated the relationship between sleep disturbance and depressive symptoms, and the positive predictive effect of sleep disturbance on depressive symptoms decreases as the level of family functioning increases. Conclusion Family functioning buffers the effects of sleep disturbance on depressive symptoms among primary and secondary school students. Attention should be paid to sleep quality among primary and secondary school students, to improve their family functioning, and thus decrease and prevent the occurrence of depression in adolescents.
- Family,
- Sleep disorders,
- Depression,
- Mental health,
- Students

FullText(HTML)

References(25)

References

[1]	TROSMAN I, IVANENKO A. Classification and epidemiology of sleep disorders in children and adolescents[J]. Child Adolesc Psychiatr Clin N Am, 2021, 30(1): 47-64. doi: 10.1016/j.chc.2020.08.002
[2]	SAWYER S M, AZZOPARDI P S, WICKREMARATHNE D, et al. The age of adolescence[J]. Lancet Child Adolesc Health, 2018, 2(3): 223-228. doi: 10.1016/S2352-4642(18)30022-1
[3]	LIU B, GAO F, ZHANG J, et al. Sleep quality of students from elementary school to university: a cross-sectional study[J]. Nat Sci Sleep, 2020, 12: 855-864. doi: 10.2147/NSS.S266493
[4]	LIANG M, GUO L, HUO J, et al. Prevalence of sleep disturbances in Chinese adolescents: a systematic review and Meta-analysis[J]. PLoS One, 2021, 16(3): e247333.
[5]	PANDI-PERUMAL S R, MONTI J M, BURMAN D, et al. Clarifying the role of sleep in depression: a narrative review[J]. Psychiatry Res, 2020, 291: 113239. doi: 10.1016/j.psychres.2020.113239
[6]	高蕾, 李方明, 高晓雷. 西藏高原地区大学生睡眠质量与抑郁焦虑症状的关系[J]. 中国学校卫生, 2021, 42(4): 593-596. doi: 10.16835/j.cnki.1000-9817.2021.04.026 GAO L, LI F M, GAO X L. Relationship between sleep quality with depression and anxiety symptoms in college students at Tibet Plateau Areas[J]. Chin J Sch Health, 2021, 42(4): 593-596. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2021.04.026
[7]	方晓义, 徐洁, 孙莉, 等. 家庭功能: 理论、影响因素及其与青少年社会适应的关系[J]. 心理科学进展, 2004, 14(4): 544-553. doi: 10.3969/j.issn.1671-3710.2004.04.009 FANG X Y, XU J, SUN L, et al. Family functioning: theory, influencing factors, and its relationship with adolescent social adjustment[J]. Adv Psychol Sci, 2004, 14(4): 544-553. (in Chinese) doi: 10.3969/j.issn.1671-3710.2004.04.009
[8]	侯佳璐, 康凤英, 赵娟, 等. 青少年抑郁症风险预测模型的构建及验证[J]. 护理研究, 2022, 36(9): 1529-1536. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202209005.htm HOU J L, KANG F Y, ZHAO J, et al. Construction and validation of the depression risk prediction model in adolescents[J]. Chin Nurs Res, 2022, 36(9): 1529-1536. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202209005.htm
[9]	WU Z, ZOU Z, WANG F, et al. Family functioning as a moderator in the relation between perceived stress and psychotic-like experiences among adolescents during COVID-19[J]. Compr Psychiatry, 2021, 111: 152274. doi: 10.1016/j.comppsych.2021.152274
[10]	SMILKSTEIN G, ASHWORTH C, MONTANO D. Validity and reliability of the family APGAR as a test of family function[J]. J Fam Pract, 1982, 15(2): 303-311.
[11]	LIU X, YANG Y, LIU Z Z, et al. Psychometric properties of Youth Self-Rating Insomnia Scale (YSIS) in Chinese adolescents[J]. Sleep Biol Rhyth, 2019, 17(3): 339-348. doi: 10.1007/s41105-019-00222-3
[12]	WANG D, CHEN H, CHEN Z, et al. Resilience buffers the association between sleep disturbance and psychotic-like experiences in adolescents[J]. Schizophr Res, 2022, 244: 118-125. doi: 10.1016/j.schres.2022.05.018
[13]	WANG W, BIAN Q, ZHAO Y, et al. Reliability and validity of the Chinese version of the Patient Health Questionnaire (PHQ-9) in the general population[J]. Gen Hospita Psychiatry, 2014, 36(5): 539-544. doi: 10.1016/j.genhosppsych.2014.05.021
[14]	MANEA L, GILBODY S, MCMILLAN D. Optimal cut-off score for diagnosing depression with the Patient Health Questionnaire (PHQ-9): a Meta-analysis[J]. CMAJ, 2012, 184(3): E191-E196. doi: 10.1503/cmaj.110829
[15]	HAYES A. Introduction to mediation, moderation, and conditional process analysis[J]. J Educ Meas, 2013, 51(3): 335-337.
[16]	SHOREY S, NG E D, WONG C. Global prevalence of depression and elevated depressive symptoms among adolescents: a systematic review and Meta-analysis[J]. Br J Clin Psychol, 2022, 61(2): 287-305. doi: 10.1111/bjc.12333
[17]	ZHOU S, WANG L, YANG R, et al. Sleep problems among Chinese adolescents and young adults during the coronavirus-2019 pandemic[J]. Sleep Med, 2020, 74: 39-47. doi: 10.1016/j.sleep.2020.06.001
[18]	VAUGHAN C A, HALPERN C T. Gender differences in depressive symptoms during adolescence: the contributions of weight-related concerns and behaviors[J]. J Res Adolesc, 2010, 20(2): 389-419. doi: 10.1111/j.1532-7795.2010.00646.x
[19]	潘松涛, 陈艳, 张永利, 等. 舟山市中小学生睡眠情况调查[J]. 预防医学, 2022, 34(6): 626-630. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYFX202206016.htm PAN S T, CHEN Y, ZHANG Y L, et al. Investigation on sleep quality among primary and middle school students in Zhoushan City[J]. Prev Med, 2022, 34(6): 626-630. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZYFX202206016.htm
[20]	王鉴, 刘念, 陶莉. 父母冲突影响青少年焦虑和抑郁: 自尊的中介作用[J]. 中国健康心理学杂志, 2020, 28(11): 1714-1718. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL202011024.htm WANG J, LIU N, TAO L. Interparental conflict affects adolescents' anxiety and depression: self-esteem as mediator[J]. Chin J Health Psychol, 2020, 28(11): 1714-1718. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL202011024.htm
[21]	何筱荷, 侯金芹, 郭菲, 等. 父母婚姻质量对小学生内化问题的影响: 链式中介效应分析[J]. 中国临床心理学杂志, 2021, 29(2): 287-291. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY202102014.htm HE X H, HOU J Q, GUO F, et al. The impact of parents' marital quality on the internalizing problems of elementary students: an analysis of chained mediation[J]. Chin J Clin Psychol, 2021, 29(2): 287-291. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY202102014.htm
[22]	张晟, 李鹏声, 潘丝媛, 等. 深圳中学生睡眠质量与抑郁现况及其关系[J]. 中国公共卫生, 2017, 33(11): 1643-1646. doi: 10.11847/zgggws2017-33-11-26 ZHANG S, LI P S, PAN S Y, et al. Sleep quality, depressive symptoms and their relationship among middle school students in Shenzhen City[J]. Chin J Public Health, 2017, 33(11): 1643-1646. (in Chinese) doi: 10.11847/zgggws2017-33-11-26
[23]	SLINNER H, STEINHAUER P. Family assessment measure and process model of family functioning[J]. J Fam Ther, 2000, 22(2): 190-210. doi: 10.1111/1467-6427.00146
[24]	NG Y Y, WAN S. Resilience as mediator in the relationship between family functioning and depression among adolescents from single parent families[J]. Akademika, 2017, 87(1): 111-122. doi: 10.17576/akad-2017-8701-08
[25]	迟新丽, 陈诗韵, 王秋英, 等. 家庭功能对青少年问题行为的影响: 有调节的中介效应[J]. 中国临床心理学杂志, 2021, 29(2): 246-251. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY202102006.htm CHI X L, CHEN S Y, WANG Q Y, et al. Effect of family functioning on behavior problem in adolescents: a moderated mediating effect[J]. Chin J Clin Psychol, 2021, 29(2): 246-251. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY202102006.htm