世界睡眠医学杂志2024,Vol.11Issue(4) :947-950.DOI:10.3969/j.issn.2095-7130.2024.04.067

青少年抑郁睡眠障碍现状及体育锻炼对其睡眠质量改善的影响分析

Analysis of the Current Status of Depression and Sleep Disorders in Adolescents and the Impact of Physical Exercise on Their Sleep Quality Improvement

李凌峰
世界睡眠医学杂志2024,Vol.11Issue(4) :947-950.DOI:10.3969/j.issn.2095-7130.2024.04.067

青少年抑郁睡眠障碍现状及体育锻炼对其睡眠质量改善的影响分析

Analysis of the Current Status of Depression and Sleep Disorders in Adolescents and the Impact of Physical Exercise on Their Sleep Quality Improvement

李凌峰1
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作者信息

  • 1. 山东淄博市精神卫生中心感染管理科,淄博,255100
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摘要

目的:分析青少年抑郁睡眠障碍现状,及体育锻炼对其睡眠质量改善的影响因素.方法:选取2019年1月至2023年1月山东淄博市精神卫生中心感染管理科收治的青少年患者100例作为研究对象,根据汉密顿抑郁评分量表(Hamil-ton Depression Scale,HAMD)和阿森斯失眠量表(Athens Insomnia Scale,AIS)对其进行测评,根据研究结果划分为抑郁合并失眠组(n=80)和无症状组(n=20),并采取问卷调查法收集一般资料,对其进行单因素分析、logistic多因素分析及接收者操作特性曲线(ROC)分析.并按照随机数字表法将抑郁合并失眠组分为观察组(开展体育锻炼)和对照组(未开展任何措施),每组40例.评估其睡眠质量的改善效果.结果:单因素方面,抑郁合并失眠组激素分泌失调(是)、经济因素(贫穷)、家庭人均月收入(<5 000元)、电子产品(长期接触)、校园霸凌(是)、环境因素(嘈杂)、家庭成长(家庭暴力)及学习压力(大)比例均高于无状态组,差异均有统计学意义(均P<0.05);logistic回归分析结果显示,电子产品(长期接触)、校园霸凌(是)、环境因素(嘈杂)、家庭成长(家庭暴力)及学习压力(大)等均为导致青少年抑郁睡眠障碍的独立危险因素,差异均有统计学意义(均P<0.05);观察组的AIS量表评分低于对照组(P<0.05).结论:导致青少年抑郁睡眠障碍的危险因素较多,针对电子产品(长期接触)、校园霸凌(是)、环境因素(嘈杂)、家庭成长(家庭暴力)及学习压力(大)的青少年,需开展针对性的体育锻炼,以实现改善其睡眠质量.

Abstract

Objective:Analyze the current situation of adolescent depression and sleep disorders and the influencing factors of physical exercise on their sleep quality improvement.Methods:A total of 100 teenage patients admitted to our hospital from Janu-ary 2019 to January 2023 were selected as the research subjects.They were evaluated using the Hamilton Depression Scale(HAMD)and the Athens Insomnia Scale(AIS).Based on the research results,they were divided into a depression combined with insomnia group(n=80)and an asymptomatic group(n=20),and general information was collected through a questionnaire survey.Univariate analysis was conducted on them,as well as logistic multivariate analysis and receiver operating characteristic curve(ROC)analysis.A random number method was used to divide the depression combined with insomnia group into an obser-vation group(with physical exercise)and a control group(without any measures),n=40,to evaluate the improvement effect of their sleep quality.Results:In terms of univariate factors,the proportion of hormone secretion imbalance(yes),economic factors(poverty),per capita monthly household income(<5000 yuan),electronic products(long-term exposure),campus bullying(yes),environmental factors(noisy),family growth(domestic violence),and academic pressure(high)in the depression com-bined with insomnia group were higher than those in the stateless group,and the differences were statistically significant(P<0.05);The results of logistic regression analysis showed that electronic products(long-term exposure),campus bullying(yes),environmental factors(noisy),family growth(domestic violence),and academic pressure(high)were all independent risk fac-tors for adolescent depression and sleep disorders,and the differences were statistically significant(P<0.05);After interven-tion,the AIS score of the depression combined with insomnia group was lower than before intervention(P<0.05).Conclusion:Many risk factors can lead to depression and sleep disorders in adolescents.Targeted physical exercise is necessary for adolescents who have long-term exposure to electronic devices,campus bullying,environmental factors(noise),family growth(domestic vio-lence),and high academic pressure to improve their sleep quality.

关键词

青少年/抑郁症/睡眠障碍/失眠/校园霸凌/电子产品/体育锻炼/家庭因素

Key words

Adolescents/Depression/Sleep disorders/Insomnia/Campus bullying/Electronic products/Physical exercise/Family factors

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出版年

2024
世界睡眠医学杂志

世界睡眠医学杂志

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参考文献量15
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