儿童期虐待经历和中学生睡眠质量对抑郁情绪的影响  

Impact of childhood maltreatment and sleep quality on depressive symptoms among middle school students

作　　者：李奕曈 梁亚男[2] 曹静 杨光 韦锦生 朱敏惠 张丽娜 黄海 张俊杰 王佳[1] 张慧颖[1] LI Yitong;LIANG Yanan;CAO Jing;YANG Guang;WEI Jinsheng;ZHU Minhui;ZHANG Lina;HUANG Hai;ZHANG Junjie;WANG Jia;ZHANG Huiying(School of Public Health,Harbin Medical University,Harbin(150081),Heilongjiang Province,China)

机构地区：[1]哈尔滨医科大学公共卫生学院,黑龙江150081 [2]哈尔滨医科大学药学院 [3]黑龙江省伊春市嘉荫县第一小学 [4]哈尔滨市阿城区胜利小学

出　　处：《中国学校卫生》2025年第1期73-77,共5页Chinese Journal of School Health

基　　金：黑龙江省自然科学基金项目(LH2021H013);黑龙江省家庭教育学会“十四五”课题项目(HLJSJJ-2022003)。

摘　　要：目的探讨中学生睡眠质量和儿童期虐待经历及其交互作用对抑郁情绪的影响,为中学生抑郁情绪的及早干预提供参考依据。方法2023年9—12月,采用方便抽样方法在黑龙江省哈尔滨市2所中学选取1231名学生进行问卷调查,内容包括一般人口学信息、儿童期虐待问卷(简版)、匹兹堡睡眠质量指数量表以及简版流调中心用抑郁量表。使用χ^(2)检验分析不同人口学特征中学生抑郁情绪、睡眠质量、儿童期虐待经历的差异,关联性分析采用Logistic回归,交互作用分析采用相加和相乘交互分析。结果中学生抑郁情绪检出率为22.7%,其中高中生检出率(35.2%)高于初中生(17.0%),差异有统计学意义(χ^(2)=50.35,P<0.01)。存在儿童期虐待经历和睡眠质量差的中学生抑郁情绪检出率分别为45.8%和44.0%。多因素Logistic回归分析结果显示,相比不存在儿童期虐待经历的中学生,存在儿童期虐待经历的中学生发生抑郁情绪的风险更高(OR=4.49,95%CI=3.31~6.09);睡眠质量差的中学生发生抑郁情绪的风险高于睡眠质量好的中学生(OR=5.99,95%CI=4.37~8.22)(P值均<0.01)。交互作用分析结果显示,存在儿童期虐待经历和睡眠质量差对中学生抑郁情绪的发生存在相加交互作用;与不存在儿童期虐待经历且睡眠质量好的中学生相比,同时存在儿童期虐待经历与存在睡眠质量差的中学生发生抑郁情绪的风险是前者的22.49倍(OR=22.49,95%CI=14.22~35.59,P<0.01)。结论中学生的抑郁情绪与儿童期虐待经历及睡眠质量有关联,且儿童期虐待经历和睡眠质量差对抑郁情绪的影响有相加交互作用。Objective To explore the impact of sleep quality,experience of childhood maltreatment,and their interaction on depressive symptoms among middle school students,so as to provide the reference for early intervention of depressive symptoms among middle school students.Methods From September to December 2023,a questionnaire survey was conducted among 1231 students from two secondary schools in Harbin,Heilongjiang Province by a convenient sampling method.The survey included general demographic information,Childhood Trauma Questionnaire Short Form,Pittsburgh Sleep Quality Index and Short Version of Center for Epidemiological Studies Depression Scale.The Chi-square test was used to analyze the differences in depressive symptom,sleep quality and childhood maltreatment among students with different demographic characteristics.Correlation analysis was conducted using Logistic regression,and interaction analysis was performed by both additive and multiplicative interaction models.Results The detection rate of depressive symptoms among middle school students was 22.7%,and the rate for high school students(35.2%)was significantly higher than that for middle school students(17.0%)(χ^(2)=50.35,P<0.01).The detection rates of depressive symptoms among middle school students with a history of childhood maltreatment and poor sleep quality were 45.8%and 44.0%,respectively.Multivariate Logistic regression analysis showed that compared to students without a history of childhood maltreatment,students with a history of childhood maltreatment had a higher risk of depressive symptoms(OR=4.49,95%CI=3.31~6.09,P<0.01);students with poor sleep quality had a higher risk of depressive symptoms than students with good sleep quality(OR=5.99,95%CI=4.37~8.22,P<0.01).The interaction results showed that the presence of childhood maltreatment and poor sleep quality had an additive interaction on the occurrence of depression in middle school students.Compared with students without childhood maltreatment and having good sleep quality,students with chil

关 键 词：虐待儿童 睡眠 抑郁 精神卫生 回归分析 学生 

分 类 号：R179[医药卫生—妇幼卫生保健] B844.1[医药卫生—公共卫生与预防医学] Q428[哲学宗教—发展与教育心理学]