Relationship between sleep quality with depression and anxiety symptoms in college students at Tibet Plateau areas
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摘要:
目的 探讨西藏高原地区大学生睡眠质量与抑郁、焦虑症状的关系，为改善高海拔地区人群的睡眠质量，缓解抑郁、焦虑症状提供科学依据。 方法 采用分层整群抽样法，于2019年10—11月，使用中文版匹兹堡睡眠质量指数量表(PSQI)、抑郁自评量表(SDS)和焦虑自评量表(SAS)，对西藏大学1 288名大二、大三年级在校大学生进行问卷测查，对测查结果进行t检验、方差分析和Logistic回归分析。 结果 被试睡眠质量指数量表平均得分为(5.32±2.94)分，20.5%(264名)睡眠质量差。抑郁和焦虑症状的检出率分别为46.0%(592名)和24.4%(314名)，20.4%(263名)的大学生抑郁和焦虑症状并存。Logistic回归分析显示，女性、藏族、吸烟、饮酒、睡眠质量差的大学生患抑郁的风险更高(OR值分别为1.55，1.80，1.51，1.67，5.60)，藏族、饮酒、睡眠质量差的大学生患焦虑的风险更高(OR值分别为1.52，1.91，10.22)(P值均 < 0.05)。 结论 西藏高原地区大学生睡眠质量与抑郁焦虑症状存在密切关系。高校心理教育部门应高度重视学生的睡眠质量问题，尤其要重点关注存在睡眠障碍的个体，从而降低大学生群体抑郁焦虑症状的发生率。 Abstract:Objective To explore the relationship between sleep quality with depression and anxiety symptoms among college students in Tibet plateau areas, and to provide scientific basis for sleep quality promotion, as well as depression and anxiety allevation in high-altitude areas. Methods The stratified cluster sampling method was used to investigate 1 288 second-and third-year college students in Tibet University from October to November 2019. The Chinese Version of Pittsburgh Sleep Quality Index(PSQI), Self-rating Depression Scale (SDS) and Self-rating Anxiety Scale (SAS) were used in this survey, and the survey results were tested by t-test, variance analysis and Logistics regression analysis. Results The mean sleep quality index was(5.32±2.94), and 20.5% (n=264) of participants reported poor sleep quality. The detection rates of depression and anxiety symptoms were 46.0% (n=592) and 24.4%(n=314), respectively. And 20.4% (n=263) had the worst sleep quality with the coexistence of depression and anxiety symptoms. College students who are female, Tibetan, smoking, drinking and poor sleep quality have a higher risk of depression(OR=1.55, 1.80, 1.51, 1.67, 5.60), while Tibetan, drinking and poor sleep quality college students have a higher risk of anxiety(OR=1.52, 1.91, 10.22)(P < 0.05). Conclusion There is a close relationship between the sleep quality of college students in Tibet Plateau areas with depression and anxiety symptoms. Mental health education department in colleges should attach great importance to the sleep quality of students, especially for individuals with sleep disorders, so as to reduce the incidence of depression and anxiety symptoms among college students. -
Key words:
- Sleep /
- Depression /
- Anxiety /
- Mental health /
- Regression analysis /
- Students
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表 1 不同人口统计学特征大学生睡眠质量和抑郁、焦虑症状得分比较
Table 1. Differences in demographic variables between sleep quality and symptoms of depression and anxiety
人口统计学指标 人数 睡眠质量 抑郁 焦虑 x±s t/F值 P值 x±s t/F值 P值 x±s t/F值 P值 性别 男 581 5.20±3.17 -1.26 0.21 37.87±7.87 -4.86 < 0.01 34.22±8.58 -3.44 < 0.01 女 707 5.41±2.74 39.92±7.03 35.75±7.13 民族 汉族 688 5.66±3.13 4.56 < 0.01 38.21±8.04 -4.11 < 0.01 34.50±8.45 -2.80 0.01 藏族 600 4.92±2.66 39.92±6.70 35.70±7.05 高原反应 有 318 6.10±3.28 5.11 < 0.01 38.66±7.98 -0.91 0.36 35.10±8.40 0.09 0.93 无 970 5.06±2.78 39.10±7.32 35.05±7.67 吸烟 是 159 6.14±3.80 3.00 < 0.01 39.80±8.78 1.25 0.21 35.73±9.81 0.95 0.34 否 1 129 5.20±2.78 38.88±7.29 34.96±7.53 饮酒 是 91 6.87±3.85 4.05 < 0.01 41.07±9.31 2.23 0.03 38.75±9.24 4.00 < 0.01 否 1 197 5.20±2.83 38.84±7.32 34.78±7.67 运动习惯 有 1 178 5.23±2.88 -2.85 0.01 38.84±7.44 -2.42 0.02 34.87±7.76 -2.77 0.01 无 110 6.20±3.44 40.65±7.83 37.03±8.60 BMI 偏瘦 301 5.40±3.08 2.59 0.08 39.30±7.48 2.45 0.09 35.08±7.93 2.08 0.13 正常 863 5.21±2.84 38.71±7.42 34.86±7.67 超重 124 5.84±3.24 40.17±7.91 36.39±8.80 
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表 2 不同睡眠质量大学生抑郁焦虑症状得分比较(x±s)
Table 2. Depression and anxiety symptoms of different sleep quality subjects(x±s)
睡眠质量 人数 抑郁 焦虑 好 541 36.73±6.85 31.61±6.28 一般 483 38.70±6.81 35.36±6.82 差 264 44.17±7.47 41.56±8.27 F值 101.92 183.81 P值 < 0.01 < 0.01
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表 3 西藏高原地区大学生抑郁、焦虑症状的Logistic回归分析(n=1 288)
Table 3. Analysis of influencing factors of symptoms of depression and anxiety(n=1 288)
自变量 SDS SAS β值 标准误 Wald χ2值 P值 OR值(OR值95%CI) β值 标准误 Wald χ2值 P值 OR值(OR值95%CI) 性别 0.44 0.13 10.69 < 0.01 1.55(1.19~2.01) 民族 0.59 0.13 22.00 < 0.01 1.80(1.41~2.30) 0.42 0.15 8.36 < 0.01 1.52(1.14~2.02) 吸烟 0.41 0.20 4.11 0.04 1.51(1.01~2.25) 饮酒 0.52 0.25 4.21 0.04 1.67(1.02~2.74) 0.65 0.25 6.59 0.01 1.91(1.17~3.13) 睡眠质量 一般 0.25 0.13 3.53 < 0.01 1.28(0.99~1.67) 0.96 0.18 29.24 < 0.01 2.60(1.84~3.68) 差 1.72 0.17 98.96 < 0.01 5.60(3.99~7.86) 2.32 0.19 150.42 < 0.01 10.22(7.05~14.82)
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[1] 杨永勤, 李素芝, 张志刚, 等. 高原睡眠障碍发病调查分析[J]. 西藏科技, 2010(2): 28-29. doi: 10.3969/j.issn.1004-3403.2010.02.010YANG Y Q, LI S Z, ZHANG Z G, et al. Investigation and analysis of the morbidity of the sleep disorder of plateau[J]. Tibet Sci Technol, 2010(2): 28-29. doi: 10.3969/j.issn.1004-3403.2010.02.010 [2] 卜宪聪, 刘诗翔. 高原睡眠障碍的临床研究进展[J]. 西南国防医药, 2012, 22(8): 880-882. doi: 10.3969/j.issn.1004-0188.2012.08.028PU X C, LIU S X. Clinical research progress of sleep disorders at high altitude[J]. Med J Nat Def Forc Southwest China, 2012, 22(8): 880-882. doi: 10.3969/j.issn.1004-0188.2012.08.028 [3] LARSON E B, ROACH R C, SEHOENE R B, et al. Acute mountain sickness and acetazolamide[J]. JAMA, 1982, 248(3): 328-332. doi: 10.1001/jama.1982.03330030034021 [4] WEIL J V. Sleep at high altitude[J]. High Altitud Med Biol, 2004, 5(2): 180-189. doi: 10.1089/1527029041352162 [5] 马舒, 孔繁一, 符丽艳, 等. 高原睡眠障碍者脑血流变化的临床研究[J]. 西南国防医药, 2019, 29(7): 784-786. doi: 10.3969/j.issn.1004-0188.2019.07.022MA S, KONG F Y, FU L Y, et al. Clinical study of cerebral blood flow changes in patients with sleep disorders at high altitude[J]. Med J Nat Def Forc Southwest China, 2019, 29(7): 784-786. doi: 10.3969/j.issn.1004-0188.2019.07.022 [6] 闫明启, 朱立红. 失眠症患者心理健康状况调查[J]. 中国健康心理学杂志, 2013, 21(10): 1505-1507. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL201310031.htmYAN M Q, ZHU L H. Mental health of patients with Insomnia[J]. China J Health Psychol, 2013, 21(10): 1505-1507. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL201310031.htm [7] 孟庆立, 张福英, 陈成雨, 等. 失眠症患者的心理健康分析[J]. 临床精神医学杂志, 2015, 25(4): 257. https://www.cnki.com.cn/Article/CJFDTOTAL-LCJS201504020.htmMENG Q L, ZHANG F Y, CHEN C Y, et al. Mental health analysis of insomnia patients[J]. J Clin Psych, 2015, 25(4): 257. https://www.cnki.com.cn/Article/CJFDTOTAL-LCJS201504020.htm [8] FORD D E, KAMEROW D B. Epidemiological study of sleep disturbances and psychiatric disorers: an opportunity for prevention[J]. JAMA, 1989, 262(11): 1479-1484. doi: 10.1001/jama.1989.03430110069030 [9] 中国肥胖问题工作组. 中国成人超重和肥胖症预防与控制指南(节录)[J]. 营养学报, 2004, 26(1): 1-4. https://www.cnki.com.cn/Article/CJFDTOTAL-YYXX200401004.htmChina Working Group on Obesity. Guidelines for the Prevention and Control of Overweight and Obesity in Chinese Adults(Excerpt)[J]. Acta Nutr Sin, 2004, 26(1): 1-4. https://www.cnki.com.cn/Article/CJFDTOTAL-YYXX200401004.htm [10] 刘贤臣, 唐茂芹. 匹兹堡睡眠质量指数的信度和效度研究[J]. 中华精神科杂志, 1996, 29(2): 103-107.LIU X C, TANG M Q, HU L, et al. Reliability and validity of the pittsburgh sleep quality index[J]. Chin J Psych, 1996, 29(2): 103-107. [11] ZUNG, WILLIAM W K. A rating instrument for anxiety disorders[J]. Psychosomatics, 1971, 12(6): 371-379. doi: 10.1016/S0033-3182(71)71479-0 [12] ZUNG, WILLIAM W K, CAROLYN C B, et al. Self-rating depression scale in an outpatient clinic. Further validation of the SDS[J]. Arch General Psychiatry, 1965, 13(6): 508-515. http://aje.oxfordjournals.org/external-ref?access_num=10.1001/archpsyc.1965.01730060026004&link_type=DOI [13] 段泉泉, 胜利. 焦虑及抑郁自评量表的临床效度[J]. 中国心理卫生杂志, 2012, 26(9): 676-679. doi: 10.3969/j.issn.1000-6729.2012.09.007DUAN Q Q, SHENG L. Differential validity of SAS and SDS among psychiatric non-psychotic outpatients and their partners[J]. Chin J Mental Health, 2012, 26(9): 676-679. doi: 10.3969/j.issn.1000-6729.2012.09.007 [14] 戴晓阳. 常用心理评估量表手册[M]. 北京: 人民军医出版社, 2011: 133-136, 153-155.DAI X Y. Manual of common psychological assessment scale[M]. Beijing: People's Military Medical Press, 2011: 133-136, 153-155. [15] 魏俊彪. 高中生焦虑抑郁症状及相关因素的研究[J]. 中国公共卫生, 2003, 19(4): 121-122. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW200304068.htmWEI J B. Study on anxiety and depression symptoms and related factors of senior high school students[J]. Chin J Public Health, 2003, 19(4): 121-122. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW200304068.htm [16] 刘桂兰, 宋志强, 韩国玲, 等. 高原地区大学生睡眠质量调查[J]. 中国心理卫生杂志, 2007, 21(1): 53. doi: 10.3321/j.issn:1000-6729.2007.01.017LIU G L, SONG Z Q, HAN G L, et al. Sleep quality of college students living in highland[J]. Chin J Mental Health, 2007, 21(1): 53. doi: 10.3321/j.issn:1000-6729.2007.01.017 [17] 白雪, 朱亚鑫, 王子琪, 等. 大学生睡眠质量及其影响因素研究[J]. 中国卫生统计, 2017, 34(5): 739-740, 744. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWT201705013.htmBAI X, ZHU Y X, WANG Z Q, et al. Research on the sleep quality and its influencing factors among college students[J]. Chin J Health Statist, 2017, 34(5): 739-740, 744. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWT201705013.htm [18] 仙登沁, 任晓兰, 刘攀丽. 影响高原援建军官睡眠质量有关因素的调查分析[J]. 武警医学, 2017, 28(11): 1118-1120. doi: 10.3969/j.issn.1004-3594.2017.11.010XIAN D Q, REN X L, LIU P L. Factors that affect sleep quality of military officers temporarily on the plateau[J]. Med J Chin People Armed Police Forces, 2017, 28(11): 1118-1120. doi: 10.3969/j.issn.1004-3594.2017.11.010 [19] BAKER L D, BALDWIN D S, GARNER M. Daytime intrusive thoughts and subjective insomnia symptoms[J]. Psychiatry Res, 2015, 229(3): 1038-1042. doi: 10.1016/j.psychres.2015.02.022 [20] 秦海霞, 赵文瑞, 喻婧, 等. 失眠患者静息态脑网络的改变: 网络内与网络间的功能连接异常[J]. 心理科学进展, 2019, 27(2): 289-300. https://www.cnki.com.cn/Article/CJFDTOTAL-XLXD201902010.htmQIN H X, ZHAO W R, YU J, et al. Altered resting-state brain networks in insomnia: functional connectivities within and between networks[J]. Adv Psychol Sci, 2019, 27(2): 289-300. https://www.cnki.com.cn/Article/CJFDTOTAL-XLXD201902010.htm [21] 张妍, 李飞, 周文华, 等. 中国大学生睡眠质量与心理健康关系的元分析[J]. 中国学校卫生, 2014, 35(3): 381-384. http://www.cjsh.org.cn/article/id/zgxxws201403021ZHANG Y, LI F, ZHOU W H, et al. Meta-analysis of the relationship between sleep quality and the mental health among Chinese college students[J]. Chin J Sch Health, 2014, 35(3): 381-384. http://www.cjsh.org.cn/article/id/zgxxws201403021 [22] 何兵, 李素芝, 黄学文. 高原环境对睡眠影响的研究进展[J]. 医学综述, 2013, 19(3): 480-482. doi: 10.3969/j.issn.1006-2084.2013.03.033HE B, LI S Z, HUANG X W. Research progress in influence of high altitude environment on sleep[J]. Med Recap, 2013, 19(3): 480-482. doi: 10.3969/j.issn.1006-2084.2013.03.033 [23] 魏晓波, 马海林, 高蕾, 等. 西藏高校藏族新生2008—2014年心理健康状况分析[J]. 中国学校卫生, 2017, 38(2): 231-234. doi: 10.16835/j.cnki.1000-9817.2017.02.021WEI X B, MA H L, GAO L, et al. Changes of mental health status of freshmen in Tibetan universities during 2008-2014[J]. Chin J Sch Health, 2017, 38(2): 231-234. doi: 10.16835/j.cnki.1000-9817.2017.02.021 [24] 叶海森, 周旭辉, 杨俊, 等. 曲唑酮对酒依赖患者焦虑抑郁症状的疗效观察[J]. 四川精神卫生, 2013, 26(3): 240-242. https://www.cnki.com.cn/Article/CJFDTOTAL-WANT201303031.htmYE H S, ZHOU X H, YANG J, et al. Effect of Trazodone on anxiety and depression in alcohol-dependent patients[J]. Sichuan Mental Health, 2013, 26(3): 240-242. https://www.cnki.com.cn/Article/CJFDTOTAL-WANT201303031.htm [25] LINDWALL M, JOSEFSSON T, ARCHER T. Effects of physical excicise on depression symptoms and biomarkers in depression[J]. Cns Neurol Disord Drug Targets, 2014, 13(10): 1640-1653. http://europepmc.org/abstract/MED/25470398 [26] WRANN C D, WHITE J P, SALOGIANNNIS J, et al. Exercise induces hippocampal BDNF through a PGC1α/FNDC5 pathway[J]. Cell Metab, 2013, 18(5): 649-659. doi: 10.1016/j.cmet.2013.09.008 -
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