大学生应对方式与失眠的关系:反刍思维的中介效应  

Relationship between coping style and insomnia in college students: the mediating effect of rumination

作　　者：余佳 刘可智[1] 刘帅 YU Jia;LIU Kezhi;LIU Shuai(Department of Psychiatry,Affiliated Hospital of Southwest Medical University,Luzhou 646000,China;Third People's Hospital of Panzhihua,Panzhihua 617061,China;Department of Psychiatry,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China;Third People's Hospital of Qinghai Province,Xining 810007,China)

机构地区：[1]西南医科大学附属医院精神科,四川泸州646000 [2]攀枝花市第三人民医院,四川攀枝花617061 [3]南方医科大学南方医院精神心理科,广东广州510515 [4]青海省第三人民医院,青海西宁810007

出　　处：《南方医科大学学报》2020年第1期137-141,共5页Journal of Southern Medical University

基　　金：国家自然科学基金(81901348);中国睡眠研究会豪森项目(2019HSC03)~~

摘　　要：目的探讨大学生反刍思维在应对方式与失眠之间的中介效应。方法采用失眠严重程度指数(ISI)、反刍思维量表(RRS)、特质应对方式问卷(TCSQ)对四川省某所高校767名大学生进行调查。结果大学生失眠检出率为36.6%;积极应对与RRS总分及各维度得分呈显著负相关(r=-0.127^-0.116,P<0.01),与ISI总分呈显著负相关(r=-0.159,P<0.001);消极应对与RRS总分及各维度得分呈显著正相关(r=0.298~0.334,P<0.001),与ISI总分呈显著正相关(r=0.264,P<0.001);RRS总分及各维度得分与ISI总分呈显著正相关(r=0.251~0.281,P<0.001);反刍思维在积极应对、消极应对与失眠之间均存在部分中介效应。结论应对方式既可以直接影响大学生的失眠状况,也可以通过反刍思维的中介效应间接影响其失眠状况。Objective To explore the mediating effect of rumination on coping style and insomnia in college students. Method We surveyed 767 college students from a university in Sichuan Province using Insomnia Severity Index(ISI), Ruminative Responses Scale(RRS), and Trait Coping Style Questionnaire(TCSQ). Results The prevalence of insomnia was 36.6% in the surveyed college students. Positive coping style was negatively correlated with the total score and scores in each dimension of RRS(r=-0.127^-0.116, P<0.001), and was negatively correlated with the total score of ISI(r=-0.159, P<0.001). Negative coping style was positively correlated with the total score and the scores in each dimension of RRS(r=0.298-0.334, P<0.001), and was positively correlated with the total score of ISI(r=0.264, P<0.001). The total score and the scores in each dimension of RRS were positively correlated with the total score of ISI(r=0.251-0.281, P<0.001). Rumination had a partial mediating effect on both positive and negative coping style and insomnia. Conclusion Coping style affects insomnia in college students not only directly but also indirectly through the mediating effect of rumination.

关 键 词：大学生 应对方式 失眠 反刍思维 中介效应 

分 类 号：R740[医药卫生—神经病学与精神病学]