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内蒙古赤峰地区高中生睡眠问题现状调查

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目的:调查高中生的睡眠现状并分析睡眠问题的影响因素。方法:采用失眠严重程度指数量表、Epworth嗜睡量表、焦虑自评量表、心理复原力量表以及睡眠呼吸暂停初筛量表对2021年4月~5月内内蒙古赤峰地区3所中学1770名高中生进行睡眠、情绪及心理弹性进行调查分析,并运用Logistic回归以及分层回归等分析睡眠问题的影响因素。结果:在接受睡眠情况调查的1770名高中生中,既往存在失眠情况的有565人(31.9%)。针对焦虑等心理状态的分析发现,失眠组的焦虑程度显著高于无失眠组(P<0.001),而心理复原力得分显著低于无失眠组(P<0.001)。平均睡眠时间在高二组最短,但是报告失眠的严重程度在高一组最高。Logistic回归分析发现焦虑水平(OR=1.074,P<0.001)和心理复原力水平(OR=-0.971,P<0.001)与失眠情况显著相关。通过该两种量表评分可以对受试者是否出现失眠进行预测(AUC=0.724,P<0.001)。结论:焦虑以及心理复原力程度都与睡眠情况显著相关,随着焦虑情绪增加,睡眠质量明显下降,而较好的心理复原力则是失眠的保护因素。
Sleeping status in senior high school students
Objective:To investigate the sleeping status and its related factors in senior high school students.Methods:A total of 1770 high school students from 3 middle schools in Chifeng, Inner Mongolia, China were investigated with the Insomnia Severity Index, Epworth Sleeping Scale, Self-rating Anxiety Scale, Connor-Davidson Resilience Scale, and STOP-Bang questionnaire to investigate their sleep, mood, and mental resilience, and the factors related to sleep were analyzed by Logistic regression analysis and Hierarchical regression analysis.Results:Among the 1770 high school students surveyed, 565 (31.9%) had insomnia. In the analysis of psychological conditions such as anxiety, we found that the degree of anxiety of insomniacs was significantly higher than that of people without insomnia (P<0.001), and the psychological resilience score was significantly lower (P<0.001). The average sleep duration was the shortest in senior two students, but the reported insomnia severity was the highest in senior one students. Logistic regression analysis showed that anxiety level (OR=1.074, P<0.001) and psychological resilience level (OR=-0.971, P<0.001) were significantly correlated with insomnia, and the scores of these two scales could predict whether the subjects would have insomnia (area under curve=0.724, P<0.001).Conclusion:Anxiety and psychological resilience are significantly correlated with sleep. With the increase of anxiety, sleep quality decreases significantly, and better psychological resilience is a protective factor against insomnia.

李琼蔚、苏怡、卢喆、李谦、孙伟

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100191 北京,北京大学第六医院 北京大学精神卫生研究所;国家卫生健康委员会精神卫生学重点实验室(北京大学);国家精神心理疾病临床医学研究中心(北京大学第六医院)

100096 北京,北京回龙观医院精神疾病研究中心

高中生 睡眠 焦虑 心理复原力 现状调查

国家重点研发计划项目资助

2018YFC13111600

2023

中华临床医师杂志(电子版)
中华医学会

中华临床医师杂志(电子版)

CSTPCD
影响因子:0.99
ISSN:1674-0785
年,卷(期):2023.17(2)
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