云南省大学新生抑郁焦虑与睡眠质量的相关研究  

Relationship between sleep quality and anxiety,depression in freshmen in Yunnan province

作　　者：杨婉秋[1,2] 沐炜 章光洁[3] 张飞宇[4] 龚容 蒋浩 赵洁 季加翠 YANG Wanqiu;MU Wei;ZHANG Guangjie(Mental Health Center of Yunan University, Kunming 650091, China)

机构地区：[1]云南大学心理健康咨询服务中心,云南昆明650091 [2]云南大学民族学与社会学学院 [3]云南大学职业与继续教育学院 [4]云南中医药大学基础医学院 [5]云南大学软件学院 [6]山东省精神卫生中心

出　　处：《精神医学杂志》2021年第2期104-108,共5页Journal of Psychiatry

基　　金：云南大学国家社科基金培育项目(编号:C176240104);云南大学2019“课程思政”建设计划项目。

摘　　要：目的调查云南省大学新生睡眠质量与抑郁、焦虑的关系。方法选取云南省845名大学一年级新生,采用匹兹堡睡眠质量指数(PSQI)、患者健康问卷抑郁量表(PHQ-9)、广泛性焦虑量表(GAD-7)评定其睡眠质量以及抑郁、焦虑状况。结果845名大学新生中,PSQI总分为(5.68±2.42)分,睡眠问题检出率为19.5%。男生PSQI评分低于女生,重点本科院校学生PSQI评分低于普通本科院校学生(P<0.05)。大学新生准备入睡的平均时间为(23.76±0.73)时,平均睡眠维持时间为(6.55±0.88)h/d。抑郁和焦虑的检出率分别为13.7%和6.6%。睡眠问题检出组PSQI总分及各因子分,PHQ-9、GAD-7评分,抑郁、焦虑阳性检出率均高于睡眠问题未检出组(P<0.001)。PSQI总分及各因子分与PHQ-9、GAD-7评分均呈正相关(P<0.05)。睡眠障碍、主观睡眠质量、日间功能障碍均能预测大学生的抑郁、焦虑(P<0.05);抑郁、焦虑同时也预测睡眠质量(P<0.05)。结论云南省大学新生的睡眠模式普遍存在入睡晚、睡眠不足、睡眠问题检出率高,且睡眠质量与抑郁、焦虑相关。Objective To explore the relationship between depression,anxiety and sleep quality in freshmen of Yunnan province.Methods A total of 845 freshmen of Yunnan province were selected and assessed with Pittsburgh Sleep Quality Index(PSQI),Patient Health Questionnaire(PHQ-9),Generalized Anxiety Disorder(GAD-7)to evaluate sleep quality,depression and anxiety.Results Among 845 freshmen,the total score of PSQI was 5.68±2.42,and the detection rate of sleep problems was 19.5%.The total scores of PSQI in boys and freshmen in key universities were significantly lower than those in girls and freshmen in general universities respectively(P<0.05).The average time for freshmen to get ready for sleep was 23.76±0.73,and the average sleep duration was(6.55±0.88)h/d.The detection rates of depressive and anxious symptoms were 13.7%and 6.6%,respectively.Freshmen with sleep problems showed higher total score and all subscale scores of PSQI,higher total scores of PHQ-9 and GAD-7,and higher positive detection rates of depression and anxiety than those without sleep problems(P<0.001).The total score and all subscale scores of PSQI were significantly positively correlated with the total scores of PHQ-9 and GAD-7(P<0.05).Sleep disorder,sleep quality and daytime dysfunction of PSQI could predict depression and anxiety(P<0.05);meanwhile depression and anxiety could also predict sleep quality significantly(P<0.05).Conclusion The sleep patterns of freshmen in Yunnan province are generally characterized by late falling asleep,insufficient sleep and high positive detection rate of sleep problems,and sleep quality is correlated with depression and anxiety.

关 键 词：大学新生 睡眠质量 抑郁 焦虑 

分 类 号：B844[哲学宗教—发展与教育心理学]