目的 分析人际敏感性特质和情绪调节过程与青少年失眠的关系,初步探索内在过程和作用机制,为深入理解青少年失眠的心理机制及其干预策略的开发奠定基础。方法 2022年5月,采用方便抽样在广西某市选取3所中学的3 500名学生为研究对象进行纸质问卷填写,包括人口学资料、失眠严重程度指数、人际敏感性量表、情绪调节困难量表、广泛性焦虑量表、抑郁症筛查量表。采用SPSS AU在线统计软件,以方差分析、Pearson相关分析、结构方程模型和Bootstrap法对数据进行统计分析。结果 共回收有效问卷3 402份,其中失眠的有1 684人。有失眠的中学生人际敏感性特质总分及各维度得分(F=8.880~332.461,P＜0.001)、情绪调节过程困难总分及各维度得分(F=16.552~526.344, P<0.001)均高于无失眠的中学生。人际敏感性特质总分及各维度得分均与失眠呈正相关(r=0.083~0.349,P＜0.01);情绪调节困难总分及各维度得分均与失眠呈正相关(r=0.058~0.434,P＜0.01)。情绪调节过程困难在人际敏感性特质和失眠间存在部分中介作用,总间接效应值为0.012,效应占比为48%。结论 人际敏感性特质和情绪调节过程困难与中学生失眠密切相关,情绪调节过程困难在人际敏感性和失眠间存在部分中介作用,未来可构建中学生失眠风险预测模型,对中学生进行失眠风险评估,早期识别及干预有失眠风险的中学生,促进其心身健康发展。
Abstract
Objective To examine the associations of interpersonal sensitivity and emotion regulation difficulties with insomnia in adolescents, and to explore the underlying psychological mechanisms, so as to inform future intervention strategies. Methods In May 2022, a convenience sampling method was used to select 3 500 students from three middle schools in a city in Guangxi for the study to fill out the paper questionnaire including demographic information, Insomnia Severity Index(ISI), Interpersonal Sensitivity Measure(IPSM), the Difficulties in Emotion Regulation Scale (DERS), Generalized Anxiety Disorder 7-item Scale(GAD-7), and Patient Health Questionnare 9-item scale(PHQ-9).Data were analyzed using SPSS AU online statistical software with ANOVA, Pearson correlation analysis, Structural Equation Modeling, and Bootstrap method. Results Valid responses were obtained from 3 402 participants.Adolescents with insomnia reported significantly higher interpersonal sensitivity (total and subscale scores: F=8.880 - 332.461, P<0.001) and greater emotion regulation difficulties (total and subscale scores: F=16.552 - 526.344, P<0.001) compared to those without insomnia.Both interpersonal sensitivity (r=0.083 - 0.349, P<0.01) and emotion regulation difficulties (r=0.058 - 0.434, P<0.01) were positively correlated with insomnia severity.Mediation analysis revealed that emotion regulation difficulties partially mediated the relationship between interpersonal sensitivity and insomnia,with a total indirect effect value of 0.012 and an effect share of 48%. Conclusions Interpersonal sensitivity and emotion regulation difficulties are significantly associated with adolescent insomnia, with emotion regulation difficulties playing a partial mediating role.Future studies should develop an insomnia risk prediction model for adolescents, enabling school-based risk stratification, early identification of high-risk individuals, and targeted interventions to promote psychosocial well-being.
关键词
失眠 /
人际敏感性 /
情绪调节 /
中学生 /
中介作用
Key words
insomnia /
interpersonal sensitivity /
emotional regulation /
middle school students /
mediating role
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基金
川北医学院校级课题[青年项目(CBY22-QNB04)]
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