睡眠质量和心理复原力与童年期不良经历及中学生非自杀性自伤的关系  

Relationship between sleep quality,psychological resilience,adverse childhood experiences,and non-suicidal self-Injury among middle school students

作　　者：陈思银 汪俊华[1] 王群 徐孟群 彭晓唯 杨婷[1] 李秀玲 张江萍[1,2] CHEN Si-yin;WANG Jun-hua;WANG Qun;XU Meng-qun;PENG Xiao-wei;YANG Ting;LI Xiu-ling;ZHANG Jiang-ping(School of Public Health,the key Laboratory of Environmental Pollution Monitoring and Disease Control,Ministry of Education,Guizhou Medical University,Guiyang,Guizhou 561113,China;不详)

机构地区：[1]贵州医科大学公共卫生与健康学院,环境污染与疾病监控教育部重点实验室,贵州贵阳561113 [2]贵阳市云岩区卫生健康局,贵州贵阳550001 [3]贵阳市云岩区疾病预防控制中心

出　　处：《现代预防医学》2024年第15期2759-2764,共6页Modern Preventive Medicine

基　　金：贵阳市云岩区科学计划项目(云科项目[2021]3号)。

摘　　要：目的探讨睡眠质量在童年期不良经历(ACEs)与中学生非自杀性自伤(NSSI)间中介作用机制和心理复原力的调节作用,为促进青少年心理健康提供参考依据。方法采用分层随机整群抽样方法,利用一般资料调查表、青少年非自杀性自伤行为评定问卷、童年期不良经历国际调查表、匹兹堡睡眠质量指数量表、中学生心理复原力自评量表对贵州省贵阳市4767名初、高中及职业高中学生进行调查。采用中介效应模型分析睡眠质量在ACEs与NSSI间的中介效应及心理复原力的调节作用。结果中学生NSSI检出率为34.3%。睡眠质量在ACEs与NSSI间起部分中介作用(β=0.282,t=19.115,P<0.001),占总效应的32.89%;心理复原力负向调节中介路径ACEs→睡眠质量→NSSI后半段和直接效应,中学生心理复原力水平越高,低睡眠质量对NSSI的影响越弱(β=-0.091,t=-6.805,P<0.001),高ACEs对NSSI的影响越弱(β=-0.074,t=-5.349,P<0.001)。结论ACEs与中学生NSSI之间存在有调节的中介效应,睡眠质量是两者关系的中介变量,同时心理复原力能削弱高ACEs、低睡眠质量对NSSI的影响。Objective To investigate the mediating role of sleep quality in the relationship between adverse childhood experiences(ACEs)and non-suicidal self-injury(NSSI)among middle school students,as well as the moderating effect of psychological resilience,to provide reference for promoting the mental health of adolescents.Methods A total of 4767 middle and high school students in Guiyang city,Guizhou Province,were selected by a stratified random cluster sampling method and surveyed using multiple questionnaires including the General Information Questionnaire,Adolescent Non-Suicidal Self-Injury Behavior Assessment Questionnaire,Adverse Childhood Experiences International Survey Questionnaire,Pittsburgh Sleep Quality Index,and Self-Rating Scale for Psychological Resilience.The mediating effect of sleep quality in the relationship between ACEs and NSSI,as well as the moderating effect of psychological resilience,were analyzed using a mediation model.Results The prevalence of NSSI among middle school students was 34.3%.Sleep quality partially mediated the relationship between ACEs and NSSI(β=0.282,t=19.115,P<0.001),accounting for 32.89%of the total effect.Psychological resilience negatively moderated the mediating pathway ACEs→sleep quality→NSSI,indicating that higher levels of psychological resilience weakened the impact of low sleep quality on NSSI(β=-0.091,t=-6.805,P<0.001)and the impact of high ACEs on NSSI(β=-0.074,t=-5.349,P<0.001).Conclusion There is a moderated mediating effect between ACEs and NSSI among middle school students,with sleep quality serving as a mediating variable in this relationship.Additionally,psychological resilience can weaken the impact of high ACEs and low sleep quality on NSSI.

关 键 词：非自杀性自伤 不良经历 睡眠质量 心理复原力 中学生 

分 类 号：R179[医药卫生—妇幼卫生保健]