湖南省童年不良经历青少年人格特征与睡眠质量的关系研究:睡眠卫生的中介作用  

Mediating effect of sleep hygiene on the relationship between personality traits and sleep quality in adolescents with adverse childhood experiences, Hunan

作　　者：彭莲华 毛平[1,2,3] 谭茗惠 姜珊 朱肖 郑美贞 PENG Lian-hua;MAO Ping;TAN Ming-hui;JIANG Shan;ZHU Xiao;ZHENG Mei-zhen(Xiangya School of Nursing,Central South Universityy Changsha,Hunan 410013,China;不详)

机构地区：[1]中南大学湘雅护理学院,湖南长沙410013 [2]中南大学湘雅三医院 [3]湖南省高等院校医学信息学重点实验室 [4]东南大学附属中大医院

出　　处：《现代预防医学》2021年第17期3126-3129,3134,共5页Modern Preventive Medicine

基　　金：湖南省教育厅创新平台开发项目创新平台开放基金(17K104)。

摘　　要：目的探讨睡眠卫生在人格特征与睡眠质量间的中介作用。方法选取ACEs青少年289名,采用问卷调查其一般情况、人格特征、睡眠卫生和睡眠质量状况,运用结构方程模型进行中介效应分析。结果 ACEs青少年睡眠障碍的检出率为34.6%;存在睡眠障碍的ACEs青少年内外倾、睡眠卫生得分明显更低,神经质、精神质得分明显更高。神经质、精神质得分与睡眠卫生(MC-ASHS)总分及各维度得分呈负相关关系(r=-0.52~-0.33,P<0.01),与睡眠质量(PSQI)总分呈正相关关系(r=0.54,P<0.05);MC-ASHS总分及各维度得分与PSQI总分呈负相关(r=-0.51~-0.33,P<0.01)。结构方程模型显示,睡眠卫生部分中介神经质与睡眠质量之间的关系,中介效应值为0.26(95%CI:0.107~0.429),占总效应(0.51)的51%;睡眠卫生完全中介精神质与睡眠质量之间的关系,中介效应值为0.07(95%CI:0.021~0.121),占总效应(0.11)的63.6%。结论 ACEs青少年睡眠障碍检出率高,神经质、精神质与睡眠障碍均呈正向关联,睡眠卫生中介神经质、精神质与睡眠障碍间的关系。Objective To explore the mediating role of sleep hygiene between personality traits and sleep quality. Methods A total of 289 adolescents with ACEs were selected. The general situation, personality traits, sleep hygiene and sleep quality were investigated by questionnaire. The mediating effect was analyzed by structural equation model. Results The prevalence of sleep disorders in adolescents with ACEs was 34.6%, among which the scores of extraversion and sleep hygiene were significantly lower, while the scores of neuroticism and psychoticism were significantly higher. The scores of neuroticism and psychoticism were negatively correlated with the total score of sleep hygiene(MC-ASHS) and each dimension score(r=-0.52--0.33,P<0.01), and positively correlated with the total score of sleep quality(PSQI)(r=0.54,P<0.05). The total score of MC-ASHS and the scores of each dimension were negatively correlated with the total score of PSQI(r=-0.51--0.33,P<0.01). The structural equation modeling showed that sleep hygiene partly mediated the relationship between neuroticism and sleep quality, and the mediating effect value was 0.26(95%CI:0.107-0.429), accounting for 51% of the total effect(0.51). Additionally, sleep hygiene completely mediated the relationship between psychoticism and sleep quality, the mediating effect value was 0.07(95%CI:0.021-0.121), accounting for 63.6% of the total effect(0.11). Conclusion The prevalence of sleep disorders in adolescents with ACEs is high. High neuroticism and psychoticism are both positively correlated with the degrees of sleep disorders, and the associations between them are mediated by sleep hygiene.

关 键 词：童年不良经历 睡眠质量 人格特征 睡眠卫生 青少年 

分 类 号：R179[医药卫生—妇幼卫生保健]