部队青年干部睡眠质量与心理健康的关系  

Analysis of sleep quality and its relationship with mental health among young army cadres

作　　者：王创[1,2] 李红政 陈海燕 雷美英 赵立琼 周宏奎 

机构地区：[1]解放军第三〇三医院全军心理卫生指导中心,南宁530021 [2]广西医科大学研究生院

出　　处：《中华健康管理学杂志》2015年第1期61-64,共4页Chinese Journal of Health Management

基　　金：全军医学科学技术“十二五”计划课题（CWS11J278）;军队心理卫生应用性科研课题（12XLZ204）：广州军区心理预防科研专项（xLYF20130610）;广西自然科学基金（桂0991289）

摘　　要：目的：探讨部队青年干部睡眠质量及其相关心理因素，为干部的健康干预提供理论依据。方法采用整群随机抽样的方法，对1100名年龄在18-34岁的青年干部进行问卷调查，包括匹兹堡睡眠质量指数（PSQI）、症状自评量表（SCL-90）和流调中心用抑郁量表（CES-D）,根据CES-D得分情况将干部分为抑郁组和非抑郁组，以850名士官作为对照组，采用t检验、卡方检验、多元回归等方法对数据进行分析。结果干部睡眠问题的检出率为13.5%，士官为12.1%；干部的总体睡眠状况要差于士官及常模；不经常锻炼、躯体疾病和心理问题是其危险因素。多元逐步回归分析显示，SCL-90各因子中抑郁对睡眠质量的预测作用最大（r=0.552，β=0.387），其次是躯体化（r=0.510，β=0.223），两个因子可解释PSQI总分变异的32.7%；相关分析显示，抑郁因子与主观睡眠质量、入睡时间、睡眠障碍及日间功能障碍的相关性较大（均r〉0.3）。干部抑郁程度（11.11±6.62）分低于同龄段男性常模（12.30±10.39）分，高于士官（8.11±6.56）分；抑郁组干部PSQI总量表（6.05±3.13）分高于非抑郁组（3.56±2.69）分及常模（3.23±3.12）分。结论抑郁是青年干部睡眠质量的主要相关因素；经常体育锻炼、提高身体和心理素质、减少抑郁情绪是改善干部睡眠的有效途径。Objective To explore sleep quality and related psychological factors among young army cadres to provide theoretical basis for health interventions. Method A total of 1 100 young army cadres aged 18 to 34 were assessed with Pittsburgh sleep quality index （PSQI）, Symptom Checklist-90 （SCL-90） and Center for Epidemiologic Studies Depression Scale by cluster random sampling. Based on CES-C scores, cadres were divided into two groups named depression group and non-depression group;850 sergeants were served as the control group. T test, chi-square test and multiple regressions were used in data analysis. Result Sleep problems were found in 13.5% of the cadres and 12.1% sergeants. General status of sleep quality of cadres was worse than sergeants＇ and norm＇s. Exercise less, physical disease and psychological problems were the risk factors. Multiple stepwise regression analysis showed that depression factors of SCL-90 had the most significantly predictive effect on sleep quality （r=0.552, Beta=0.387）, followed by somatization （r=0.552, Beta=0.223）, two factors could explain 32.7% of PSQI scores variation. Correlation analysis showed that depression is closely related to subjective sleep quality, sleep duration, sleep disorder and daytime dysfunction （all r〉0.3）. Cadres＇ depression （11.11 ± 6.62） was significantly lower than norm＇s （12.30 ± 10.39） and higher than sergeants＇（8.11 ± 6.56）. PSQI scores of depression group （6.05 ± 3.13） were significantly higher than non-depression group＇s （3.56 ± 2.69） and norm＇s （3.23 ± 3.12）. Conclusion Depression is a major correlation factor of the sleep quality. Regular exercise, improvement of the physical and psychological health quality, and reducing depression are effective ways to improve sleep quality.

关 键 词：青年 干部 睡眠质量 抑郁 

分 类 号：R82[医药卫生—临床医学]