上海市中学生负性情绪与失眠症状的相关研究

doi:10.11852/zgetbjzz2019-0162

中国儿童保健杂志 ›› 2019, Vol. 27 ›› Issue (9): 936-940.DOI: 10.11852/zgetbjzz2019-0162

上海市中学生负性情绪与失眠症状的相关研究

刘飒, 姜艳蕊, 林青敏, 孟敏, 张云婷, 单文婕, 赵瑾, 朱绮, 王广海, 江帆

上海交通大学医学院附属上海儿童医学中心发育行为儿科,教育部-上海环境与健康重点实验室,上海 200127

收稿日期:2019-02-15 发布日期:2019-09-10 出版日期:2019-09-10
通讯作者: 江帆,E-mail:fanjiang@shsmu.edu.cn
作者简介:刘飒(1993-),女,浙江人,博士研究生在读,主要研究方向为儿童、青少年睡眠健康。
基金资助:
国家自然科学基金(81602868、81602870、81601162、81773443);上海市公共卫生体系建设第四轮三年行动计划(2015年-2017年)(GWIV-36);上海市科委重大专项(2018SHZDZX05);上海市科委国内合作项目(18695840200);上海市科委产学研项目(14441904004);上海市科委引导类(17411965300);上海市卫计委重要薄弱学科建设项目(2016ZB0104);上海市卫计委青年基金(20164Y0095、20164Y0001)

Association between negative emotions and insomnia symptoms in middle school students in Shanghai

LIU Sa, JIANG Yan-rui, LIN Qing-min, MENG Min, ZHANG Yun-ting, SHAN Wen-jie, ZHAO Jin, ZHU Qi, WANG Guang-hai, JIANG Fan

Department of Developmental and Behavioral Pediatrics,Shanghai Children′s Medical Center Affiliated to Shanghai Jiao Tong University School of Medicine,MOE-Shanghai Key Laboratory of Environment Child Health,Shanghai 200127,China

Received:2019-02-15 Online:2019-09-10 Published:2019-09-10
Contact: JIANG Fan,E-mail:fanjiang@shsmu.edu.cn

摘要/Abstract

摘要： 目的探讨上海市中学生负性情绪与失眠症状的相关性,为进一步的心理健康教育和睡眠干预提供参考。方法采用多阶段分层随机整群抽样方法,于2017年11月-2018年1月抽取上海市24所中学的学生进行调查,由学生填写抑郁-焦虑-压力自评量表精简版(DASS-21)和失眠严重程度指数量表(ISI),家长填写中学生个人及家庭社会环境问卷。结果有效样本1 986人,平均年龄(14.71±2.01)岁,男生1 019名(51.3%)。压力、焦虑、抑郁情绪的发生率分别为23.9%、51.0%和29.0%,失眠症状发生率为37.0%。在校正了人口学因素后,有压力、焦虑、抑郁等负性情绪的中学生失眠症状风险分别高于无相应负性情绪中学生(压力:OR=2.17,95%CI:1.60~2.95;焦虑:OR=2.97,95%CI:2.27~3.88;抑郁:OR=2.59,95%CI:1.94~3.47),且在初中生中更高。结论上海市中学生负性情绪与失眠症状风险增加相关,特别是在初中生中相关性更高,应当进行综合评估和干预

关键词: 中学生, 失眠症状, 负性情绪

Abstract: Objective To investigate the association between negative emotions and insomnia symptoms in middle school students in Shanghai,so as to provide reference for further mental health education and sleep intervention. Methods Multi-stage stratified random cluster sampling method was used to select adolescents from 24 middle schools from November 2017 to January 2018. Students filled out 21-item Depression Anxiety and Stress Scale(DASS-21) and Insomnia Severity Index(ISI),their parents completed social-demographic questionnaire. Results Finally 1 986 cases were available for the analysis,the average age was(14.71±2.01) years old,and 1 019(51.3%) were male. The prevalence rates of stress,anxiety and depression emotions were 23.9%,51.0% and 29.0%,respectively. And the prevalence of insomnia symptoms was 37.0%.After adjusting for demographics,the risk ratios of insomnia symptoms in middle school students with stress,anxiety and depression were higher than those without negative emotions(stress:OR=2.17,95%CI:1.60—2.95;anxiety:OR=2.97,95%CI:2.27—3.88;depression:OR=2.59,95%CI:1.94—3.47),and were higher in junior middle school students. Conclusions Negative emotions are associated with increased risk of insomnia symptoms in middle school students from Shanghai,especially for junior middle school students. Therefore,comprehensive assessments and interventions are required.

Key words: middle school students, insomnia symptoms, negative emotions

中图分类号:

刘飒, 姜艳蕊, 林青敏, 孟敏, 张云婷, 单文婕, 赵瑾, 朱绮, 王广海, 江帆. 上海市中学生负性情绪与失眠症状的相关研究[J]. 中国儿童保健杂志, 2019, 27(9): 936-940.

LIU Sa, JIANG Yan-rui, LIN Qing-min, MENG Min, ZHANG Yun-ting, SHAN Wen-jie, ZHAO Jin, ZHU Qi, WANG Guang-hai, JIANG Fan. Association between negative emotions and insomnia symptoms in middle school students in Shanghai[J]. journal1, 2019, 27(9): 936-940.

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上海市中学生负性情绪与失眠症状的相关研究

Association between negative emotions and insomnia symptoms in middle school students in Shanghai

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