某高校医学毕业生睡眠质量对负性情绪的影响:认知情绪调节策略的中介效应  

Effect of sleep quality on negative emotions in medical graduates:the mediating effect of cognitive emotion regulation strategies

作　　者：王钦 刘星宇 何倩 沈晓兰 孙金海 戴志鑫 Wang Qin;Liu Xingyu;He Qian;Shen Xiaolan;Sun Jinhai;Dai Zhixin(Department of Health Management,Faculty of Military Health Services,Naval Medical University,Shanghai 200433,China;The Third Group of Undergraduates,College of Basic Medical Sciences,Naval Medical University,Shanghai 200433,China;Department of Military Health Statistics,Faculty of Military Health Services,Naval Medical University,Shanghai 200433,China;Faculty of Military Health Services,Naval Medical University,Shanghai 200433,China)

机构地区：[1]海军军医大学卫生勤务学系健康管理学教研室,上海200433 [2]海军军医大学基础部学员三大队,上海200433 [3]海军军医大学卫生勤务学系军队卫生统计学教研室,上海200433 [4]海军军医大学卫生勤务学系,上海200433

出　　处：《中华航海医学与高气压医学杂志》2024年第4期513-518,共6页Chinese Journal of Nautical Medicine and Hyperbaric Medicine

基　　金：国家社会科学基金(2023-SKJJ-C-022);海军军医大学社科培育基金(2022SK016)。

摘　　要：目的分析高校医学毕业生群体认知情绪调节策略在睡眠质量对焦虑、抑郁情绪影响中的中介效应。方法采用匹兹堡睡眠质量指数量表(PSQI)、焦虑自评量表、抑郁自评量表、认知情绪调节策略量表对395名某高校2023届医学毕业生进行问卷调查,采用Spearman双变量相关分析探索各变量间的相关性,以睡眠质量为自变量、负性情绪(焦虑、抑郁)为因变量、认知情绪调节策略为中介变量,采用PROCESS程序中的模型4进行中介效应检验。结果PSQI得分与抑郁得分(r=0.432,P<0.01)、焦虑得分(r=0.419,P<0.01)、消极认知情绪调节策略得分(r=0.267,P<0.01)呈正相关,与积极认知情绪调节策略得分不相关(r=0.014,P>0.05);消极认知情绪调节策略得分与焦虑得分(r=0.261,P<0.01)、抑郁得分(r=0.257,P<0.01)呈正相关。消极认知情绪调节策略及其灾难化子策略在睡眠质量对焦虑情绪的影响中起部分中介效应,Bootstrap法检验结果显示95%置信区间分别为(0.014,0.078)和(0.033,0.122)。结论高校医学毕业生消极认知情绪调节策略及其灾难化子策略在睡眠质量对焦虑情绪的影响中起部分中介作用,可通过改善医学毕业生消极认知情绪调节策略的方式来缓解睡眠质量差对焦虑情绪的影响。ObjectiveTo analyze the mediating effect of cognitive emotion regulation strategies on the effects of sleep quality on anxiety and depression among medical graduates.MethodsA questionnaire survey was conducted among 395 medical students graduating in 2023 of a university using the Pittsburgh sleep quality index scale(PSQI),Anxiety self-rating scale,Depression self-rating scale,and cognitive emotion regulation strategies scale.Spearman’s bivariate correlation analysis was used to explore the correlations between the variables,with sleep quality as the independent variable,negative emotions(anxiety and depression)as the dependent variables,and cognitive emotion regulation strategies as the mediating variables.Model 4 in the PROCESS program was used to test the mediating effect.ResultsPSQI score was positively correlated with depression score(r=0.432,P<0.01),anxiety score(r=0.419,P<0.01),and negative cognitive emotion regulation strategy score(r=0.267,P<0.01),but not with positive cognitive emotion regulation strategy score(r=0.014,P>0.05).The scores of negative cognitive emotion regulation strategies were positively correlated with anxiety scores(r=0.261,P<0.01)and depression scores(r=0.257,P<0.01).Negative cognitive emotion regulation strategies and catastrophizing sub-strategies played partial mediating effects of sleep quality affecting anxiety,and the Bootstrap method showed that the 95%confidence intervals were(0.014,0.078)and(0.033,0.122),respectively.ConclusionThe negative cognitive emotion regulation strategy and its catastrophizing sub-strategy of medical graduates play partial mediating effects on sleep quality affecting anxiety,and the influence of poor sleep quality on anxiety can be alleviated by improving the negative cognitive emotion regulation strategy of the medical graduates.

关 键 词：睡眠质量 认知情绪调节策略 负性情绪 中介效应 

分 类 号：G444[哲学宗教—心理学] R-4[哲学宗教—发展与教育心理学]