大学生神经质与失眠的关系:状态-特质焦虑和心理弹性的链式中介效应  

Relation between neuroticism and insomnia in college students:the chain mediating role of state-trait anxiety and resilience

作　　者：王旭 彭朕磊 黄安琪 陈晶 雷威 张涛 Wang Xu;Peng Zhenlei;Huang Anqi;Chen Jing;Lei Wei;Zhang Tao(Suining Central Hospital,Suining 629000,China;The Affiliated Hospital of Southwest Medical University,Luzhou 646000,China)

机构地区：[1]遂宁市中心医院,四川遂宁629000 [2]西南医科大学附属医院,四川泸州646000

出　　处：《四川精神卫生》2023年第6期547-551,共5页Sichuan Mental Health

摘　　要：背景失眠发病率逐年上升,影响各类人群的生活质量。状态-特质焦虑、心理弹性、神经质人格均与失眠相关,但在大学生群体中探讨四者之间内在联系的研究尚不足。目的 探讨神经质人格对大学生失眠的影响,并检验大学生的状态-特质焦虑、心理弹性在神经质人格与失眠之间的中介作用,为大学生失眠的干预提供参考。方法 于2020年9月—12月,采用简单随机抽样方法选取四川省某高校在校大学生1 416名,采用状态-特质焦虑问卷(STAI)、心理弹性量表(CD-RISC)、中国大五人格问卷极简版(CBF-PI-15)、失眠严重程度指数(ISI)进行评定。使用Pearson相关分析考查各量表评分之间的相关性。采用Process中介效应检验分析STAI和CD-RISC在CBF-PI-15的神经质维度与ISI之间的中介作用。结果 检出241名(17.02%)大学生存在失眠。男生的失眠检出率高于女生,差异有统计学意义(χ^(2)=16.417,P<0.01)。大学生ISI总评分与CBF-PI-15神经质维度评分和STAI总评分均呈正相关(r=0.127、0.563,P均<0.01),与CD-RISC总评分呈负相关(r=-0.149,P<0.01)。大学生的状态-特质焦虑和心理弹性在神经质与失眠之间存在链式中介作用(间接效应值为-0.011),其中神经质对失眠的直接效应为0.120,占总效应的75.00%。结论 大学生的状态-特质焦虑和心理弹性在神经质人格与失眠之间存在链式中介作用。神经质人格可直接影响失眠,也可通过状态-特质焦虑和心理弹性的链式中介作用间接影响失眠。Background The persistently high prevalence of insomnia seriously affects the quality of life of all populations.Studies showed that state-trait anxiety,resilience and neuroticism are related to the occurrence of insomnia,while the research on the relationship among the four factors in college students is still insufficient.Objective To discuss the impact of neuroticism on insomnia among college students,and to examine the mediating role of state-trait anxiety and resilience in the relationship between neuroticism and insomnia,thus providing references for the intervention of insomnia in college students.Methods From September to December 2020,simple random sampling techniques were utilized to select 1416 students in a university in Sichuan province,and all subjects were assessed using State-Trait Anxiety Inventory(STAI),Connor-Davidson Resilience Scale(CD-RISC),Chinese Big Five Personality Inventory-15(CBF-PI-15)and Insomnia Severity Index(ISI).Then Pearson correlation analysis was conducted to examine the correlation among the above four scales,and the mediating role of STAI and CD-RISC in the relationship between CBF-PI-15 neuroticism dimension and ISI was verified by Process macro mediation analysis.Results Insomnia was reported in 241/1416(17.02%)college students.The prevalence rate of insomnia in male students was higher than that in female students,with statistical difference(χ^(2)=16.417,P<0.01).Total ISI score was positively correlated with CBF-PI-15 neuroticism dimension and total STAI score(r=0.127,0.563,P<0.01),and negatively correlated with total CD-RISC score(r=-0.149,P<0.01).State-trait anxiety and resilience of college students had a chain mediation effect on the relationship between neuroticism and insomnia(indirect effect size was-0.011),and the size of direct effect of neuroticism on insomnia was 0.120,accounting for 75.00%of the total effect.Conclusion State-trait anxiety and resilience of college students exert a chain mediation effect on the relationship between neuroticism and insomnia,so

关 键 词：失眠 神经质 状态-特质焦虑 心理弹性 大学生 

分 类 号：R749.92[医药卫生—神经病学与精神病学]