孤独感对老年人睡眠质量的影响:一个有调节的中介模型  

Effect of loneliness on sleep quality of the elderly: a moderated mediating model

作　　者：付利婷 门瑞雪[1] 范志光[1] 郑闪闪 安倩倩 FU Li-ting;MEN Rui-xue;FAN Zhi-guang;ZHENG Shan-shan;AN Qian-qian(Changchun University of Chinese Medicine, Changchun, Jilin 130017 , China)

机构地区：[1]长春中医药大学

出　　处：《现代预防医学》2019年第19期3565-3569,共5页Modern Preventive Medicine

基　　金：吉林省中医药科技联合基金项目(2018DZ04)

摘　　要：目的探讨孤独感、反刍思维、知觉压力与老年人睡眠质量之间的关系及内在作用机制。方法采用孤独感量表、反刍思维量表、知觉压力量表及阿斯森失眠量表对60岁及以上1 957名老年人进行问卷调查。结果(1)孤独感(r=0.248,P<0.01)、反刍思维(r=0.377,P<0.01)、知觉压力(r=0.324,P<0.01)与睡眠得分均呈正相关;(2)反刍思维在老年人孤独感和睡眠得分间起着部分中介作用,中介效应占总效应的比例为58%;(3)知觉压力能够调节中介效应的前半段路径(β=0.011,P<0.01)及后半段路径(β=0.005,P<0.01)。结论孤独感可以通过反刍思维的中介作用影响老年人的睡眠质量,知觉压力调节孤独感对反刍思维的关系,反刍思维对睡眠质量的关系,有调节的中介模型成立。Objective To explore the relationship among loneliness,rumination,perceived stress,and sleep quality in the elderly.Methods 1 957 people aged 60 and above were conveniently investigated with UCLA,RRS,CPSS,AIS.Results Loneliness(r=0.248,P<0.01),rumination(r=0.377,P<0.01)and perceived stress(r=0.324,P<0.01)were significantly and positively related with sleep score.Rumination played a partial mediating role between loneliness and sleep score,and the mediating effect accounted for 58%.Perceived stress moderated the mediating effect of the first half(β=0.011,P<0.01)and the second half(β=0.005,P<0.01).Conclusion Loneliness can affect sleep quality of the elderly through rumination,perceived stress can moderate the relationship not only between loneliness and rumination,but also between rumination and sleep quality,so the moderated mediating model is feasible.

关 键 词：孤独感 反刍思维 知觉压力 睡眠质量 

分 类 号：R196[医药卫生—卫生事业管理]