基于结构方程模型探讨青少年睡眠质量与负性生活事件、应对方式的关系  

Exploration of the relationship between sleep quality and negative life events and coping styles in adolescents based on structural equation model

作　　者：朱文芬[1] 孔令娜[1] 傅一笑[2] 杜志银 Zhu Wenfen;Kong Linna;Fu Yixiao;Du Zhiyin(School of Nursing,Chongqing Medical University,Chongqing 400016,China;The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;School of Medical Information,Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学护理学院,重庆400016 [2]重庆医科大学附属第一医院,重庆400016 [3]重庆医科大学医学信息学院,重庆400016

出　　处：《四川精神卫生》2022年第6期566-571,共6页Sichuan Mental Health

基　　金：重庆市科学技术委员会基金资助项目(项目名称:多维睡眠监测便携系统的研发与推广应用,项目编号:cstc2016shmszx130051);重庆市渝中区科学技术局基金资助项目(项目名称:社区慢性失眠患者健康管理模式的构建与创新,项目编号:20210105);重庆市社会科学规划社会组织项目(项目名称:青少年抑郁症的注意负性偏向特征及心理干预策略研究,项目编号:2022sz11)。

摘　　要：目的采用结构方程模型探讨青少年睡眠质量与负性生活事件、应对方式之间的关系,为改善青少年睡眠质量提供参考。方法于2021年12月-2022年5月,选取重庆市3所中学767名初中生为研究对象,采用匹兹堡睡眠质量指数量表(PSQI)、青少年生活事件量表(ASLEC)和简易应对方式量表(SCSQ)评估青少年睡眠质量、负性生活事件以及应对方式。采用结构方程模型分析睡眠质量与负性生活事件、应对方式之间的关系。结果检出存在睡眠障碍者222人(28.94%),青少年PSQI评分与ASLEC评分、SCSQ消极应对维度评分均呈正相关(r=0.612、0.590,P均<0.01),与积极应对维度评分呈负相关(r=-0.435,P<0.01)。构建负性生活事件、应对方式和睡眠质量关系的结构方程模型,结果显示,青少年负性生活事件对睡眠质量有直接和间接正向效应(β=0.448、0.322,P<0.05),积极应对对睡眠质量有直接负向效应(β=-0.368,P<0.05),消极应对对睡眠质量有直接正向效应(β=0.442,P<0.05)。结论负性生活事件和消极应对对青少年睡眠质量产生负向影响,积极应对对青少年睡眠质量产生正向影响。Objective To explore the correlation of sleep quality with negative life events and coping styles in adolescents based on structural equation modeling,and to provide references for improving the adolescents′sleep quality.Methods From December 2021 to May 2022,a total of 767 junior middle school students from three schools in Chongqing were enrolled,and assessed using Pittsburgh Sleep Quality Index(PSQI),Adolescent Self-rating Life Events Checklist(ASLEC)and Simplified Coping Style Questionnaire(SCSQ).Then the structural equation model was applied to discuss the correlation of sleep quality with negative life events and coping styles in adolescents.Results A total of 222 adolescents(28.94%)were found to have sleep disorders.PSQI score was positively correlated with ASLEC score and negative coping dimension score of SCSQ(r=0.612,0.590,P<0.01),and negatively correlated with positive coping dimension score of SCSQ(r=-0.435,P<0.01).The structural equation model of the relationship between negative life events,coping styles and sleep quality denoted that negative life events exhibited both direct and indirect positive effects on sleep quality(β=0.448,0.322,P<0.05),positive coping style had direct negative effects on sleep quality(β=-0.368,P<0.05),and negative coping style had direct positive effects on sleep quality(β=0.442,P<0.05).Conclusion Negative life events and negative coping style cause adverse effects on adolescents′sleep quality,while positive coping style exerts positive effects on adolescents′sleep quality.

关 键 词：青少年 睡眠质量 负性生活事件 应对方式 结构方程模型 

分 类 号：R749[医药卫生—神经病学与精神病学]