睡眠质量与抑郁症状在青少年网络成瘾与自杀意念间的链式中介作用
The chain mediating effect of sleep quality and depressive symptoms on the relation-ship between internet addiction and suicidal ideation in adolescents
肖琛嫦 1翟萌曦 2严婧琰 2俞斌 2燕虹 2罗健 1赵光红1
作者信息
- 1. 武汉城市学院医学部(湖北武汉,430083)
- 2. 武汉大学公共卫生学院
- 折叠
摘要
目的 了解睡眠质量与抑郁症状在青少年网络成瘾与自杀意念间的作用,为针对性干预提供参考.方法 方便选取武汉市2所中学的初中与高中学生509人,采用一般资料调查问卷、网络成瘾量表、自杀筛查量表简版、匹兹堡睡眠质量指数、流调中心抑郁量表进行问卷调查,构建并检验链式中介模型.结果 青少年网络成瘾倾向占25.74％,睡眠质量较差占11.79％,有抑郁症状占27.90％,在过去1年有自杀意念占45.97％.网络成瘾直接影响自杀意念(直接效应占总效应的60.20％);睡眠质量与抑郁症状在网络成瘾与自杀意念关系中存在链式中介作用(间接效应占总效应的7.65％).结论 部分青少年存在网络成瘾倾向、睡眠不佳、抑郁症状和自杀意念.网络成瘾可直接影响自杀意念,还通过影响睡眠质量或引发抑郁症状间接对自杀意念产生影响.学校和家长应采取针对性策略应对,以保护青少年身心健康.
Abstract
Objective To investigate the effects of sleep quality and depressive symptoms on the relationship between internet addic-tion and suicidal ideation in adolescents,and to provide evidence for targeted intervention.Methods A total of 509 middle school and high school students were selected from two schools using convenience sampling method and invited to complete a battery of ques-tionnaires,including a general information questionnaire,the Revised Chen Internet Addiction Scale(CIAS-R),Columbia Suicide Scale Brief Screening Version(CSSBSV),the Pittsburgh Sleep Quality Index,and the Center for Epidemiological Studies Depres-sion Scale.A chain mediation model was constructed.Results Among 509 participants,25.74％had a certain tendency of internet addiction,11.79％had poor sleep quality,27.90％had depressive symptoms,and 45.97％had suicidal ideation in the past year.Internet addiction directly affected suicidal ideation(direct effect accounted for 60.20％of the total effect).There was a chain me-diating effect of sleep quality and depressive symptoms on the relationship between internet addiction and suicidal ideation(indirect effect accounted for 7.65％of the total effect).Conclusion Some adolescents have internet addiction,poor sleep quality,depressive symptoms and suicidal ideation.Internet addiction not only directly affects suicidal ideation,but also indirectly affects suicidal idea-tion through sleep quality and depressive symptoms.Schools and parents should adopt targeted strategies to protect adolescents'physical and mental health.
关键词
青少年/中学生/网络成瘾/自杀意念/睡眠质量/抑郁症状/中介效应Key words
adolescent/middle school and high school student/internet addiction/suicidal ideation/sleep quality/depres-sive symptoms/mediation effect引用本文复制引用
基金项目
湖北省教育厅科研项目指导性项目(B2021417)
武汉城市学院科研项目(2023CYYYJJ02)
出版年
2024
NETL
NSTL
万方数据