Impact of childhood maltreatment and sleep quality on depressive symptoms among middle school students

LI Yitong; LIANG Yanan; CAO Jing; YANG Guang; WEI Jinsheng; ZHU Minhui; ZHANG Lina; HUANG Hai; ZHANG Junjie; WANG Jia; ZHANG Huiying

doi:10.16835/j.cnki.1000-9817.2025029

Volume 46 Issue 1

Jan. 2025

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Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2025 > 46(1): 73-77

LI Yitong, LIANG Yanan, CAO Jing, YANG Guang, WEI Jinsheng, ZHU Minhui, ZHANG Lina, HUANG Hai, ZHANG Junjie, WANG Jia, ZHANG Huiying. Impact of childhood maltreatment and sleep quality on depressive symptoms among middle school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(1): 73-77. doi: 10.16835/j.cnki.1000-9817.2025029

Citation:

LI Yitong, LIANG Yanan, CAO Jing, YANG Guang, WEI Jinsheng, ZHU Minhui, ZHANG Lina, HUANG Hai, ZHANG Junjie, WANG Jia, ZHANG Huiying. Impact of childhood maltreatment and sleep quality on depressive symptoms among middle school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(1): 73-77. doi: 10.16835/j.cnki.1000-9817.2025029

Citation:

LI Yitong, LIANG Yanan, CAO Jing, YANG Guang, WEI Jinsheng, ZHU Minhui, ZHANG Lina, HUANG Hai, ZHANG Junjie, WANG Jia, ZHANG Huiying. Impact of childhood maltreatment and sleep quality on depressive symptoms among middle school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(1): 73-77. doi: 10.16835/j.cnki.1000-9817.2025029

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Impact of childhood maltreatment and sleep quality on depressive symptoms among middle school students

doi: 10.16835/j.cnki.1000-9817.2025029

1.
School of Public Health, Harbin Medical University, Harbin (150081), Heilongjiang Province, China

Received Date: 2024-10-08
Rev Recd Date: 2024-11-15

Available Online: 2025-01-25

Publish Date: 2025-01-25

Abstract

Abstract

Objective To explore the impact of sleep quality, experience of childhood maltreatment, and their interaction on depressive symptoms among middle school students, so as to provide the reference for early intervention of depressive symptoms among middle school students. Methods From September to December 2023, a questionnaire survey was conducted among 1 231 students from two secondary schools in Harbin, Heilongjiang Province by a convenient sampling method. The survey included general demographic information, Childhood Trauma Questionnaire Short Form, Pittsburgh Sleep Quality Index and Short Version of Center for Epidemiological Studies Depression Scale. The Chi-square test was used to analyze the differences in depressive symptom, sleep quality and childhood maltreatment among students with different demographic characteristics. Correlation analysis was conducted using Logistic regression, and interaction analysis was performed by both additive and multiplicative interaction models. Results The detection rate of depressive symptoms among middle school students was 22.7%, and the rate for high school students (35.2%) was significantly higher than that for middle school students (17.0%) (χ²=50.35, P < 0.01). The detection rates of depressive symptoms among middle school students with a history of childhood maltreatment and poor sleep quality were 45.8% and 44.0%, respectively. Multivariate Logistic regression analysis showed that compared to students without a history of childhood maltreatment, students with a history of childhood maltreatment had a higher risk of depressive symptoms (OR=4.49, 95%CI=3.31~6.09, P < 0.01);students with poor sleep quality had a higher risk of depressive symptoms than students with good sleep quality (OR=5.99, 95%CI=4.37~8.22, P < 0.01).The interaction results showed that the presence of childhood maltreatment and poor sleep quality had an additive interaction on the occurrence of depression in middle school students. Compared with students without childhood maltreatment and having good sleep quality, students with childhood maltreatment and poor sleep quality had a 22.49 times higher risk of developing depression (OR=22.49, 95%CI=14.22~35.59, P < 0.01). Conclusion Depressive symptoms among middle school students are associated with childhood maltreatment and poor sleep quality, and there is an additive interaction between childhood maltreatment and poor sleep quality on the impact of depressive symptoms.
- Child abuse,
- Sleep,
- Depression,
- Mental health,
- Regression analysis,
- Students

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