专科生睡眠时间与负性情绪症状的关联

刘景; 何嘉嘉; 金正格; 李书琴; 蒋志成; 李若瑜; 万宇辉

doi:10.16835/j.cnki.1000-9817.2021.11.016

专科生睡眠时间与负性情绪症状的关联

doi: 10.16835/j.cnki.1000-9817.2021.11.016

1.
淮南联合大学医学院护理教研室, 安徽 232038
2.
无锡科技职业学院基础部体育教育部
3.
安徽医科大学公共卫生学院儿少与妇幼保健学系/出生人口健康教育部重点实验室/人口健康与优生安徽省重点实验室

基金项目:

安徽高校自然科学研究项目 KJ2020A0900

国家自然科学基金项目 82073576

详细信息

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

通讯作者:
万宇辉, E-mail: wyhayd@163.com

中图分类号: G647.8 G444 B844.2
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- 文章访问数: 665
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- 被引次数: 0
出版历程
- 收稿日期: 2021-05-31
- 修回日期: 2021-07-28
- 网络出版日期: 2021-12-01
- 刊出日期: 2021-11-25

Associations between sleep duration and negative emotions among junior college students

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

摘要

摘要: 目的探讨专科生睡眠时间与负性情绪症状的关联, 为提高大学生心理健康水平提供参考。方法采用整群抽样的方法, 于2021年3月选取安徽省淮南市某专科院校2 524名大一学生为研究对象, 采用问卷调查一般人口学特征、睡眠时间、负性情绪症状等信息, 应用限制性立方样条和多因素Logistic回归模型分析专科生睡眠时间与负性情绪症状的关联。结果专科生中抑郁症状、焦虑症状、压力症状的检出率分别为19.4%(490名), 28.2%(713名), 9.9%(250名), 男生(24.3%, 34.0%, 19.1%)的负性情绪症状检出率高于女生(18.7%, 27.4%, 8.5%), 差异均有统计学意义(χ²值分别为5.81, 6.27, 36.23, P值均 < 0.01)。调整相关混杂因素后, 专科生睡眠时间与负性情绪症状呈非线性的剂量-反应关系。与参照组8~ < 9 h相比, 专科生学习日和周末的每天睡眠时间 < 7 h与抑郁和压力症状风险增加有关, < 8 h与焦虑症状风险增加有关; 与参照组 < 1 h相比, 专科生周末每天补充睡眠时间≥5 h与负性情绪症状风险增加有关(P值均 < 0.01)。结论专科生较短睡眠时间以及较长周末补充睡眠时间与负性情绪症状关联密切, 指导大学生合理安排睡眠时间有利于负性情绪问题的防控。
- 睡眠 /
- 时间 /
- 情绪 /
- 精神卫生 /
- 回归分析 /
- 学生
Abstract: Objective To explore the associations between sleep duration and negative emotions among junior college students, and to provide reference for mental health promotion among college students. Methods Cluster sampling method were used to select 2 524 freshmen from a college in Huainan, Anhui Province. Questionnaires were used to investigate general demographic characteristics, sleep timing, negative emotions and other information. The restricted cubic spline and multivariate Logistic regression were used to analyze the relationship between sleep duration and negative emotion among junior college students. Results The prevalence of depressive symptoms, anxiety symptoms, stress-associated symptoms were 19.41%(490), 28.2%(713), 9.9%(250) respectively.The prevalence of negative emotions was higher among boys(24.3%, 34.0%, 19.1%) than girls(18.7%, 27.4%, 8.5%). The differences between groups were statistically significant(P < 0.01). After adjusting for confounding factors, sleep duration and negative emotions showed a non-linear dose-response relationship. Compared with the reference group (8-<9 h), sleep duration < 7 h was significantly associated with an increased risk of depressive symptoms and stress symptoms, and < 8 h was associated with an increased risk of anxiety symptoms. The additional sleep time on weekends ≥5 h was associated with negative emotions compared with the reference group(< 1 h) (P < 0.01). Conclusion Short sleep duration and extra weekend sleep are associated with negative emotions. Reasonable sleep schedule among junior college students might be helpful for the prevention and control of negative emotions.
- Sleep /
- Time /
- Emotions /
- Mental health /
- Regression analysis /
- Students

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图 1 学习日与周末每天睡眠时间和抑郁症状的剂量-反应关系

Figure 1. The dose-response relationship between sleep duration and depressive symptoms

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图 2 周末每天补充睡眠时间和抑郁症状的剂量-反应关系

Figure 2. The dose-response relationship between supplementary sleep time on weekends and depressive symptoms

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表 1 不同组别专科生负性情绪症状检出率比较

Table 1. Comparison of negative emotional symptoms in different groups of junior college students

组别	选项	人数	抑郁症状			焦虑症状			压力症状
组别	选项	人数	检出人数	χ²值	P值	检出人数	χ²值	P值	检出人数	χ²值	P值
性别	男	329	80(24.3)	5.81	0.02	112(34.0)	6.27	0.02	63(19.1)	36.23	< 0.01
	女	2 195	410(18.7)			601(27.4)			187(8.5)
是否独生子女	是	436	104(23.9)	6.64	0.01	136(31.2)	2.25	0.14	61(14.0)	9.86	< 0.01
	否	2 088	386(18.5)			577(27.6)			189(9.1)
家庭经济条件	较差	844	229(27.1)	49.33	< 0.01	296(35.1)	29.28	< 0.01	114(13.5)	20.68	< 0.01
	中等	1 594	244(15.3)			394(24.7)			125(7.8)
	较好	86	17(19.8)			23(26.7)			11(12.8)
亲密伙伴数/个	0	100	43(43.0)	65.34	< 0.01	40(40.0)	26.88	< 0.01	25(25.0)	35.01	< 0.01
	1~2	999	227(22.7)			324(32.4)			110(11.0)
	3~5	1 078	185(17.2)			273(25.3)			95(8.8)
	≥6	347	35(10.1)			76(21.9)			20(5.8)
注：( )内数字为检出率/%。

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表 2 不同睡眠时间专科生负性情绪症状检出率比较

Table 2. Comparison of the rate of negative emotional symptoms in different sleep time among junior college students

睡眠时间	选项	人数	抑郁症状			焦虑症状			压力症状
睡眠时间	选项	人数	检出人数	χ²值	P值	检出人数	χ²值	P值	检出人数	χ²值	P值
学习日睡眠时间/(h·d^-1)	< 6	97	50(51.5)	114.18	< 0.01	58(59.8)	114.17	< 0.01	41(42.3)	145.74	< 0.01
	6~ < 7	395	119(30.1)			162(41.0)			62(15.7)
	7~ < 8	861	154(17.9)			247(28.7)			62(7.2)
	8~ < 9	912	131(14.4)			199(21.8)			70(7.7)
	≥9	259	36(13.9)			47(18.1)			15(5.8)
周末睡眠时间/(h·d^-1)	< 6	56	23(41.1)	42.34	< 0.01	31(55.4)	38.90	< 0.01	17(30.4)	47.76	< 0.01
	6~ < 7	111	39(35.1)			44(39.6)			23(20.7)
	7~ < 8	198	46(23.2)			72(36.4)			25(12.6)
	8~ < 9	638	125(19.6)			175(27.4)			61(9.6)
	≥9	1 521	257(16.9)			391(25.7)			124(8.2)
周末补充睡眠时间/(h·d^-1)	< 1	706	138(19.5)	24.82	< 0.01	192(27.2)	18.62	< 0.01	73(10.3)	16.65	< 0.01
	1~ < 3	1 286	230(17.9)			348(27.1)			115(8.9)
	3~ < 5	460	92(20.0)			137(29.8)			45(9.8)
	≥5	72	30(41.7)			36(50.0)			17(23.6)
注：( )内数字为检出率/%。

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表 3 不同睡眠时间与专科生负性情绪症状的多因素Logistic回归分析[n=2 524, OR值(OR值95%CI)]

Table 3. Multivariate Logistic regression analysis of sleep duration and negative emotion symptoms among junior college students[n=2 524, OR(OR 95%CI)]

组别	选项	抑郁症状	焦虑症状	压力症状
学习日睡眠时间/(h·d^-1)	< 6	5.87(3.73~9.27)^**	4.89(3.16~7.66)^**	8.02(4.90~13.09)^**
	6~ < 7	2.34(1.75~3.13)^**	2.33(1.80~3.02)^**	2.00(1.38~2.91)^**
	7~ < 8	1.28(0.99~1.66)	1.41(1.14~1.76)^**	0.92(0.64~1.31)
	8~ < 9	1.00	1.00	1.00
	≥9	0.95(0.63~1.41)	0.79(0.55~1.12)	0.72(0.39~1.25)
周末睡眠时间/(h·d^-1)	< 6	2.60(1.43~4.68)^**	3.10(1.76 ~5.48)^**	3.47(1.76~6.60)^**
	6~ < 7	2.45(1.56~3.83)^**	1.79(1.17~2.73)^**	2.69(1.54~4.58)^**
	7~ < 8	1.15(0.77~1.70)	1.46(1.03~2.05)^*	1.24(0.74~2.05)
	8~ < 9	1.00	1.00	1.00
	≥9	0.88(0.70~1.13)	0.95(0.77~1.18)	0.91(0.66~1.26)
周末补充睡眠时间/(h·d^-1)	< 1	1.00	1.00	1.00
	1~ < 3	0.98(0.77~1.25)	1.05(0.85~1.30)	0.97(0.71~1.34)
	3~ < 5	1.10(0.81~1.48)	1.18(0.90~1.53)	1.06(0.71~1.58)
	≥5	3.02(1.78~5.08)^**	2.71(1.65~4.47)^**	2.75(1.45~5.01)^**
注：P < 0.05，*P < 0.01。

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