新型冠状病毒感染疫情期间高校学生睡眠现状及其与心理健康的双向关联研究
Study on Sleep Status and Its Bidirectional Relationship with Mental Health of College Students during COVID-19
汤静 1张静霞 2陈少锋 2蒋霞 3王敏珍 4孙伟伟5
作者信息
- 1. 甘肃中医药大学卫生管理学院,兰州,730000
- 2. 西北民族大学附属医院(甘肃省第二人民医院)精神卫生中心儿童青少年心理科,兰州,730000
- 3. 西北民族大学附属医院(甘肃省第二人民医院)精神卫生中心心理危机干预科,兰州,730000
- 4. 兰州大学临床医学院流行病教研室,兰州,730000
- 5. 西北民族大学附属医院(甘肃省第二人民医院)精神卫生中心心身疾病科,兰州,730000
- 折叠
摘要
目的:分析新型冠状病毒感染疫情期间高校学生睡眠、抑郁和焦虑情绪现状及其双向关联.方法:以在校高校学生为研究对象,采用线上问卷调查方法,共收集有效问卷 1 078 份,使用匹兹堡睡眠质量指数量表(PSQI)、抑郁自评量表(SDS)、焦虑自评量表(SAS)评估睡眠质量及抑郁和焦虑情绪,主要分析方法有t检验、χ2 检验、Logistics回归分析.结果:新型冠状病毒感染疫情期间本科院校学生的抑郁、焦虑情绪和睡眠较差的检出率分别为 39.86%、23.13%和20.64%,高职(专科)院校学生分别为23.84%、50.83%和21.71%,本科院校与高职(专科)院校学生抑郁情绪检出率比较差异有统计学意义(P＜0.05).无论是本科院校还是高职(专科)院校,存在抑郁情绪的学生PSQI得分和睡眠较差的检出率均高于无抑郁情绪的学生(P＜0.05);存在焦虑情绪的学生PSQI得分和睡眠较差的检出率均高于无焦虑情绪的学生(P＜0.05).Logistics回归分析显示,无论是本科院校还是高职(专科)院校的学生,睡眠较差是产生抑郁情绪(OR=4.798,95%CI为2.448～9.402、OR=3.768,95%CI为 1.963～7.232)和焦虑情绪(OR=3.424,95%CI为2.324～5.046、OR=4.407,95%CI 为 3.006～6.459)的危险因素;存在抑郁情绪(OR =5.092,95%CI 为 2.640～9.822、OR = 3.614,95%CI为2.435～5.363)和焦虑情绪(OR =4.692,95%CI 为 2.513～8.759、OR =4.397,95%CI 为 2.979～6.490)是出现睡眠较差的危险因素.结论:新型冠状病毒感染疫情期间大学生睡眠质量一般,抑郁和焦虑情绪检出率较高,睡眠与焦虑、抑郁情绪存在双向关联.高校应加强对学生的心理健康教育,需要更加关注睡眠质量较差的学生,必要时干预存在抑郁和焦虑情绪学生的睡眠.
Abstract
Objective:To explore the status and the bidirectional relationship of sleep and mental health(anxiety,depression).Methods:The online questionnaire survey was taken including 1 078 subjects in college students.Pittsburgh sleep quality index(PSQI),Self-rating Depression Scale(SDS),Self-rating Anxiety Scale(SAS)were used to evaluate sleep quality,anxiety and de-pression,multiple Logistics aggression was used to analyze the bidirectional relationship between sleep quality and mental health.The main analysis methods were t test、2 test and Logistics aggression.Results:The detection rates of depression,anxiety and poor sleep among undergraduate college students were 39.86%,23.13%and 20.64%respectively,and those of vocational colleges were 23.84%,50.83%and 21.71%respectively.There is a statistically significant difference in the detection rate of depression among undergraduate and vocational college students(P＜0.05).Both undergraduate and vocational colleges have higher PSQI scores and detection rates of poor sleep among students with depression than those without depression(P＜0.05).The PSQI score and detection rate of poor sleep in students with anxiety were higher than those without anxiety(P＜0.05).Logis-tic regression analysis showed that poor sleep was a risk factor for depression(OR=4.798,95%CI 2.448 to 9.402,OR=3.768,95%CI 1.963 to 7.232)and anxiety(OR =3.424,95%CI 2.324 to 5.046,OR =4.407,95%CI 3.006 to 6.459)among students from both undergraduate and vocational colleges;Depression(OR=5.092,95%CI 2.640 to 9.822,OR=3.614,95%CI 2.435 to 5.363)and anxiety(OR=4.692,95%CI 2.513 to 8.759,OR =4.397,95%CI 2.979 to 6.490)are risk factors for poor sleep.Conclusion:During the epidemic of novel coronavirus infection,the sleep quality of college students was general,and the detection rate of depression and anxiety was high.There is a bidirectional correlation between sleep,anxiety,and depres-sion.Universities should strengthen mental health education for students,pay more attention to students with poor sleep quality,and intervene in the sleep of students with depression and anxiety if necessary.
关键词
新型冠状病毒感染/疫情/大学生/睡眠/焦虑/抑郁/双向关联Key words
COVID-19/Epidemic/College students/Sleep/Anxiety/Depression/Bidirectional relationship引用本文复制引用
基金项目
甘肃省自然科学基金项目(20JR10RA429)
科研平台建设(31920210032)
出版年
2024
国家科技期刊平台
NSTL
万方数据