目的 探讨上海市中学生负性情绪与失眠症状的相关性,为进一步的心理健康教育和睡眠干预提供参考。方法 采用多阶段分层随机整群抽样方法,于2017年11月-2018年1月抽取上海市24所中学的学生进行调查,由学生填写抑郁-焦虑-压力自评量表精简版(DASS-21)和失眠严重程度指数量表(ISI),家长填写中学生个人及家庭社会环境问卷。 结果 有效样本1 986人,平均年龄(14.71±2.01)岁,男生1 019名(51.3%)。压力、焦虑、抑郁情绪的发生率分别为23.9%、51.0%和29.0%,失眠症状发生率为37.0%。在校正了人口学因素后,有压力、焦虑、抑郁等负性情绪的中学生失眠症状风险分别高于无相应负性情绪中学生(压力:OR=2.17,95%CI:1.60~2.95;焦虑:OR=2.97,95%CI:2.27~3.88;抑郁:OR=2.59,95%CI:1.94~3.47),且在初中生中更高。 结论 上海市中学生负性情绪与失眠症状风险增加相关,特别是在初中生中相关性更高,应当进行综合评估和干预
Abstract
Objective To investigate the association between negative emotions and insomnia symptoms in middle school students in Shanghai,so as to provide reference for further mental health education and sleep intervention. Methods Multi-stage stratified random cluster sampling method was used to select adolescents from 24 middle schools from November 2017 to January 2018. Students filled out 21-item Depression Anxiety and Stress Scale(DASS-21) and Insomnia Severity Index(ISI),their parents completed social-demographic questionnaire. Results Finally 1 986 cases were available for the analysis,the average age was(14.71±2.01) years old,and 1 019(51.3%) were male. The prevalence rates of stress,anxiety and depression emotions were 23.9%,51.0% and 29.0%,respectively. And the prevalence of insomnia symptoms was 37.0%.After adjusting for demographics,the risk ratios of insomnia symptoms in middle school students with stress,anxiety and depression were higher than those without negative emotions(stress:OR=2.17,95%CI:1.60—2.95;anxiety:OR=2.97,95%CI:2.27—3.88;depression:OR=2.59,95%CI:1.94—3.47),and were higher in junior middle school students. Conclusions Negative emotions are associated with increased risk of insomnia symptoms in middle school students from Shanghai,especially for junior middle school students. Therefore,comprehensive assessments and interventions are required.
关键词
中学生 /
失眠症状 /
负性情绪
Key words
middle school students /
insomnia symptoms /
negative emotions
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基金
国家自然科学基金(81602868、81602870、81601162、81773443);上海市公共卫生体系建设第四轮三年行动计划(2015年-2017年)(GWIV-36);上海市科委重大专项(2018SHZDZX05);上海市科委国内合作项目(18695840200);上海市科委产学研项目(14441904004);上海市科委引导类(17411965300);上海市卫计委重要薄弱学科建设项目(2016ZB0104);上海市卫计委青年基金(20164Y0095、20164Y0001)
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