| 5,388 | 0 | 28 |
| 下载次数 | 被引频次 | 阅读次数 |
目的:探讨青少年抑郁、焦虑情绪与睡眠质量的动态交互影响。方法:使用儿童抑郁量表(CDI)、儿童青少年多维度焦虑量表MASC)和匹兹堡睡眠质量指数量表(均P<0.01),对1 111名青少年分别于2023年3月(T1)和2023年6月(T2)进行两次测评。结果:两个时间点睡眠质量问题的检出率分别为27.8%和21%;两次测查的女性CDI、MASC和PSQI得分均高于男性(均P<0.001);相关分析显示，两次调查的CDI、MASC与PSQI得分的同时性相关和继时性相关均有统计学意义(均P<0.01);交叉滞后分析结果显示，T1 PSQI得分与T2 CDI得分存在纵向正关联(β=0.18,P<0.001),T1 CDI得分与T2 PSQI得分亦呈现显著纵向关联(β=0.17,P<0.001),而MASC和PSQI得分也具有跨时间点的双向影响关系，且性别的预测作用显著(P<0.05)。结论:女生的睡眠问题和情绪问题更为严重，青少年睡眠质量下降既是抑郁、焦虑情绪导致的消极结果，也是引起抑郁和焦虑情绪的潜在风险因素。
Abstract：Objective:To explore the bidirectional relationship among depression, anxiety and sleep quality among adolescents.Methods:A total of 1 111 adolescents completed assessments in March 2023(T1) and June 2023(T2) using the Children′s Depression Inventory(CDI),Multidimensional Anxiety Scale for Children(MASC) and Pittsburgh Sleep Quality Index Scale(PSQI).Cross-lagged path models were constructed using structural equation modeling.Results:The detection rate of sleep disorder in the two time points was 27.8% and 21% respectively.The scores of CDI,MASC and PSQI were higher in girls than in boys(Ps<0.01).Correlation analysis showed the simultaneous and sequential correlation between CDI.MASC and PSQI scores in both stages were significant(Ps<0.001).The results of cross-lagged analysis showed T1 PSQI scores predicted T2 CDI scores(β=0.18,P<0.001).and T1 CDI scores also predicted T2 PSQI scores(β=0.17,P<0.001).while MASC and PSQI scores had a two way influence relationship across time points, and the gender difference in the cross-lagged effect of the two was significant(P<0.05).Conclusion:Sleep problems and emotional issues are more prevalent in girls.A bidirectional predictive relationship exists between depression, anxiety, and sleep quality among adolescents.
[1] 余军洁，廖丽萍，严杰，等.重庆市青少年睡眠时型和睡眠时间与抑郁症状的关系[J].中国公共卫生，2024,40(9):1076-1080.
[2] 俞国良，黄潇潇.学生心理健康问题检出率比较：元分析的证据[J].教育研究，2023,44(6):105-121.
[3] Vargas PA,Flores M,Robles E.Sleep quality and body mass index in college students:the role of sleep disturbances[J].J Am Coll Health,2014,62(8):534-541.
[4] Li L,Zhang Y,Fan M,et al.Sleep and mental health among Chinese adolescents:the chain-mediating role of physical health perception and school adjustment[J].BMC Psychol,2024,12(1):228.doi:10.1186/s40359-024-01719-4.
[5] 姜艳蕊，陈文娟，孙莞绮，等.学龄儿童不同睡眠状况下的学业成绩表现[J].中国心理卫生杂志，2011,25(6):444-448.
[6] Shen L,van Schie J,Ditchburn G,et al.Positive and negative emotions:differential associations with sleep duration and quality in adolescents[J].J Youth Adolesc,2018,47(12):2584-2595.
[7] Wang Y,Lin H,Liu X,et al.Associations between capacity of cognitive control and sleep quality:a two-wave longitudinal study[J].Front Psychol,2024,15:1391761.doi:10.3389/fpsyg.2024.1391761.
[8] Herrera RN,Friedman M,Hilaire SAM,et al.Time of day and sleep deprivation effects on risky decision making[J].Clocks Sleep,2024,6(2):281-290.
[9] 阳德华，王耘，董奇.初中生的抑郁与焦虑：结构与发展特点[J].心理发展与教育，2000,16(3):12-17.
[10]Hutka P,Krivosova M,Muchova Z,et al.Association of sleep architecture and physiology with depressive disorder and antidepressants treatment[J].Int J Mol Sci,2021,22(3):1333.doi:10.3390/ijms22031333.
[11]Association AP.Diagnostic and Statistical Manual of Mental Disorders:DSM-V[M].Washington,DC:American Psychiatric Association,2013.
[12]WHO.International Classification of Diseases:11th ed[M].WHO:Geneva,2019.
[13]Vazsonyi AT,Liu D,Blatny M.Longitudinal bidirectional effects between sleep quality and internalizing problems[J].J Adolesc,2022,94(3):448-461.
[14]张美荣，杨廷忠，褚猷模.铜山县高中男生睡眠状况与负性情绪的关系[J].中国学校卫生，2003,24(1):14-15.
[15]赵霞.我国儿童青少年抑郁症状的人口学及生活方式相关影响因素研究[J].陆军军医大学学报，2024,46(20):2360-2368.
[16]石绪亮，李子涵，朱亚.初中生睡眠问题与抑郁和多动注意问题关系的纵向研究[J].中国心理卫生杂志，2023,37(11):958-964.
[17]Shi C,Wang S,Tang Q,et al.Cross-lagged relationship between anxiety,depression,and sleep disturbance among college students during and after collective isolation[J].Front Public Health,2022,10:1038862.doi:10.3389/fpubh.2022.1038862.
[18]石利娟，邝翩翩，罗学荣.父母焦虑及其情绪调节对青少年焦虑影响的网络分析[J].中国临床心理学杂志，2019,27(6):1237-1241,1236.
[19]陈丹，权治行，艾梦瑶，等.青少年心理健康状况及影响因素[J].中国健康心理学杂志，2020,28(9):1402-1409.
[20]Oh CM,Kim HY,Na HK,et al.The effect of anxiety and depression on sleep quality of individuals with high risk for insomnia:a population-based study[J].Front Neurol,2019,10:849.doi:10.3389/fneur.2019.00849.
[21]Kim H,Kim SH,Jang SI,et al.Association between sleep quality and anxiety in Korean adolescents[J].J Prev Med Public Health,2022,55(2):173-181.
[22]热依汗姑·吐尔逊，杜铭诗，刘莎.大学生睡眠质量与焦虑抑郁情况的交叉滞后分析[J].中国公共卫生管理，2021,37(5):647-649,653.
[23]Peng A,Ji S,Lai W,et al.The bidirectional relationship between sleep disturbance and anxiety:sleep disturbance is a stronger predictor of anxiety[J].Sleep Med,2024,121:63-68.doi:10.1016/j.sleep.2024.06.022.
[24]谌丁艳，周丽，黄园园，等.深圳市中学生睡眠时型及与心理健康状况的关联[J].中国学校卫生，2024,45(12):1743-1746.
[25]黄悦勤.医学科研中随机误差控制和样本量确定[J].中国心理卫生杂志，2015,29(11):874-880.
[26]徐涛，张天成，谌晓安，等.我国中学生睡眠障碍患病率的Meta分析[J].现代预防医学，2021,48(6):1023-1028.
[27]吴文峰，卢永彪，谭芙蓉，等.儿童抑郁量表中文版在中小学生中的信效度[J].中国心理卫生杂志，2010,24(10):775-779.
[28]Yao S,Zou T,Zhu X,et al.Reliability and validity of the Chinese version of the Multidimensional Anxiety Scale for Children among Chinese secondary school students[J].Child Psychiatry Hum Dev,2007,38(1):1-16.
[29]刘贤臣，唐茂芹，胡蕾，等.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.
[30]孙锋，王田丽，吴楠，等.职业人群身体活动认知与睡眠质量的关联研究——基于社会支持中介效应分析[J].现代预防医学，2024,51(17):3114-3118.
[31]Podsakoff PM,MacKenzie SB,Lee JY,et al.Common method biases in behavioral research:a critical review of the literature and recommended remedies[J].J Appl Psychol,2003,88(5):879-903.
[32]雷辉，黄文婧，张小崔.负性生活事件对初中生睡眠质量的影响：有调节的中介作用[J].中国临床心理学杂志，2023,31(4):971-974.
[33]Liu X,Chen H,Liu Z,et a1.Early menarche and menstnlal porblems are associated with sleep disturbance in a large sample of Chinese adolescent girls[J].Sleep,2017,40(9):zsx107.doi:10.1093/sleep/zsx107
[34]Kocevska D,Lycen TS,Dotinga A,et al.Sleep characteristics across the lifespan in 1.1 million people from the Netherlands,United Kingdom and United States:a systematic review and meta-analysis[J].Nat Hum Behav,2021,5(1):113-122.
[35]Hankin BL,Young JF,Abela JR,et al.Depression from childhood into late adolescence:influence of gender,development,genetic susceptibility,and peer stress[J].J Abnorm Psychol,2015,124(4):803-816.
[36]Gupta P,Sagar R,Mehta M.Subjective sleep problems and sleep hygiene among adolescents having depression:a case-control study[J].Asian J Psychiatry,2019,44:150-155.doi:10.1016/j.ajp.2019.07.034.
[37]丁倩，李明蔚，李晓彤，等.人言可畏：校园负面八卦对青少年睡眠质量问题的影响[J].中国临床心理学杂志，2023,31(5):1107-1111.
[38]Cheng M,Lei X,Zhu C,et al.The association between poor sleep quality and anxiety and depression symptoms in Chinese patients with coronary heart disease[J].Psychol Health Med,2022,27(6):1347-1356.
[39]付尚，翟石磊.大学生焦虑与睡眠困扰的追踪研究：以江苏高校为例[J].中国临床心理学杂志，2023,31(5):1253-1256.
[40]Hertenstein E,Feige B,Gmeiner T,et al.Insomnia as a predictor of mental disorders:a systematic review and meta-analysis[J].Sleep Med Rev,2019,43:96-105.doi:10.1016/j.smrv.2018.10.006.
[41]Liu X,Yang Y,Liu Z,et al.Associations between insomnia,daytime sleepiness,and depressive symptoms in adolescents:a three-wave longitudinal study[J].J Clin Med,2022,11(23):6912.doi:10.3390/jcm11236912.
[42]王道阳，戴丽华，殷欣.大学生的睡眠质量与抑郁、焦虑的关系[J].中国心理卫生杂志，2016,30(3):226-230.
[43]Becker PS,Jarrett AM,Luebbe MA,et al.Sleep in a large,multi-university sample of college students:sleep problem prevalence,sex differences,and mental health correlates[J].Sleep Health,2018,4(2):174-181.
[44]Shanahan L,Copeland EW,Angold A,et al.Sleep problems predict and are predicted by generalized anxiety/depression and oppositional defiant disorder[J].J Am Acad Child Adolesc Psychiatry,2014,53(5):550-558.
[45]Yoo SS,Gujar N,Hu P,et al.The human emotional brain without sleep-a prefrontal amygdala disconnect[J].Curr Biol,2007,17(20):R877-R878.
基本信息:
中图分类号:R749
引用信息:
[1]雷辉,饶玉玲,张小崔.青少年抑郁及焦虑情绪与睡眠质量关系的交叉滞后分析[J].中国心理卫生杂志,2026,40(05):428-434.
基金信息:
国家自然科学基金项目(82371537)
2026-04-14
2026-04-14
2026-04-14