Influence of learning burnout and sleep quality on non-suicidal self-injurious behaviors among middle school students under"Double Reduction"policy context
Objective To investigate the influence of learning burnout and sleep quality on non-suicidal self-injuri-ous(NSSI)behaviors among middle school students.Methods A total of 5838 middle school students in Zunyi City were selected for on-site investigation using multi-stage stratified random sampling.The students'learning burnout,sleep quality and NSSI behaviors were estimated by self-compiled questionnaire,adolescent learning burnout scale,Pittsburgh sleep qual-ity index quantity table(PSQI),and adolescent self-injurious behavior questionnaire.Then,x2 test,stratified regression and path analysis were applied for statistical analysis.Results The detection rate of NSSI behavior in middle school students was 18.07％,and statistical differences for NSSI behaviors detection rate were found among different sexes,grades and schools(P＜0.05).Physical and mental exhaustion,academic alienation,low sense of achievement and sleep quality were positively associated with the occurrence of NSSI behavior(P＜0.05).Path analysis showed that physical and mental ex-haustion and low sense of achievement had indirect effects on the occurrence of NSSI behavior,academic alienation had both direct and indirect effects on the occurrence of NSSI behavior,and sleep quality had direct impact on NSSI behav-ior.Conclusion There was high detection rate of NSSI behavior among middle school students.Learning burnout(physical and mental exhaustion,academic alienation,and low sense of achievement)and sleep quality were important factors to af-fect the occurrence of NSSI behavior.The"Double Reduction"policy should continue to be promoted to reduce the level of learning burnout among middle school students and ensure sleep health.
Non-suicidal self-injuryLearning burnoutSleep qualityMiddle school studentsDouble reduc-tion
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