Association between negative emotions and insomnia symptoms in middle school students in Shanghai

LIU Sa; JIANG Yan-rui; LIN Qing-min; MENG Min; ZHANG Yun-ting; SHAN Wen-jie; ZHAO Jin; ZHU Qi; WANG Guang-hai; JIANG Fan

doi:10.11852/zgetbjzz2019-0162

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Chinese Journal of Child Health Care ›› 2019, Vol. 27 ›› Issue (9) : 936-940. DOI: 10.11852/zgetbjzz2019-0162

Association between negative emotions and insomnia symptoms in middle school students in Shanghai

LIU Sa, JIANG Yan-rui, LIN Qing-min, MENG Min, ZHANG Yun-ting, SHAN Wen-jie, ZHAO Jin, ZHU Qi, WANG Guang-hai, JIANG Fan

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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.

Key words

middle school students / insomnia symptoms / negative emotions

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LIU Sa, JIANG Yan-rui, LIN Qing-min, MENG Min, ZHANG Yun-ting, SHAN Wen-jie, ZHAO Jin, ZHU Qi, WANG Guang-hai, JIANG Fan. Association between negative emotions and insomnia symptoms in middle school students in Shanghai[J]. Chinese Journal of Child Health Care. 2019, 27(9): 936-940 https://doi.org/10.11852/zgetbjzz2019-0162

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