公务员群体睡眠信念的异质性及其调节作用:基于潜在剖面分析  

Heterogeneity and mediating effect in beliefs and attitudes about sleep of cadres:a latent profile analysis

作　　者：陈子豪 姚艾伦 范欣薇 刘翠玲 孙倩 黎光明 CHEN Zihao;YAO Ailun;FAN Xinwei;LIU Cuiling;SUN Qian;LI Guangming(Department of Psychology,Guangzhou Cadres and Talent Health Management Center,Guangzhou 510530,China;School of Psychology,South China Normal University,Guangzhou 510631,China)

机构地区：[1]广州市干部和人才健康管理中心,广东广州510530 [2]华南师范大学心理学院,广东广州510631

出　　处：《新医学》2025年第2期182-189,共8页Journal of New Medicine

基　　金：广东省哲学社会科学规划2024年度学科共建项目(GD24XXL03);广东省普通高校特色创新类项目(2021WTSCX020);广州市干部和人才健康管理中心课题(JGZX20220201)。

摘　　要：目的探究公务员群体睡眠信念的潜在类别,及其对睡眠质量的影响机制,进而提供针对性的睡眠干预措施。方法选取广州市在职公务员507名,使用简式睡眠失功能信念及态度量表(DBAS-16)、匹兹堡睡眠质量指数量表(PSQI)和焦虑自评量表(SAS)进行调查。根据DBAS-16的各因子得分进行潜在剖面分析,采用回归混合模型分析睡眠质量的影响因素及睡眠信念的调节作用。结果公务员睡眠信念分为3种潜在剖面:睡眠信念良好型(15.2%)、后果偏差型(57.0%)、后果扩大-高担忧型(27.8%)。不同睡眠信念类型在性别、PSQI、SAS和自评压力得分差异均有统计学意义(均P<0.05)。焦虑和夜班影响了后果扩大-高担忧型的睡眠质量,但对睡眠信念良好型未见影响。结论公务员的睡眠信念存在群体异质性,睡眠信念在焦虑和夜班对睡眠质量的影响之间发挥了调节作用。睡眠信念偏差越少的类型,睡眠质量越不容易受到焦虑及夜班的影响。Objective To categorize civil servants’sleep beliefs and their effects on sleep quality to inform tailored interventions.Methods A total of 507 employed civil servants from Guangzhou were selected and surveyed using the Dysfunctional Beliefs and Attitudes about Sleep Scale(DBAS-16),Pittsburgh Sleep Quality Index(PSQI),and Self-Rating Anxiety Scale(SAS).Latent profile analysis was conducted on cadres’sleep belief types based on the DBAS-16,and regression mixture analysis was used to explore the factors influencing cadres’sleep quality and the moderating role of sleep beliefs.Results Analysis identified three sleep belief types:Good Sleep Beliefs(15.2%),Consequence Bias(57.0%),and High Worry-Exaggerated Consequences(27.8%).Significant differences in gender,PSQI,SAS,and stress scores were noted across types(all P<0.05).Anxiety and night shifts significantly affected the sleep quality of the High Worry-Exaggerated Consequences type,but not for Good Sleep Beliefs.Conclusion There is heterogeneity in the sleep beliefs of cadres,and sleep beliefs moderate the impact of anxiety and night work on sleep quality,those with fewer biased beliefs are less affected.

关 键 词：失眠 睡眠质量 睡眠信念及态度 公务员 潜在剖面分析 

分 类 号：R740[医药卫生—神经病学与精神病学]