中国儿童保健杂志 ›› 2022, Vol. 30 ›› Issue (8): 851-855.DOI: 10.11852/zgetbjzz2021-1097

• 科研论著 • 上一篇    下一篇

睡眠质量和抑郁在童年不良经历青少年神经质人格与执行功能之间的链式中介作用

彭莲华1, 刘冬冬2, 朱肖3, 姜珊4, 徐萍5, 毛平1,3,6   

  1. 1.中南大学湘雅护理学院,湖南 长沙 410013;
    2.井冈山大学附属医院;
    3.中南大学湘雅三医院护理部;
    4.东南大学附属中大医院;
    5.淄博市中西医结合医院;
    6.护理学湖南省重点实验室
  • 收稿日期:2021-07-20 修回日期:2021-10-07 发布日期:2022-08-17 出版日期:2022-08-10
  • 通讯作者: 毛平,E-mail:maoping627@126.com
  • 作者简介:彭莲华(1995-),女,江西人,硕士研究生在读,主要研究方向为儿童青少年心理健康。
  • 基金资助:
    湖南省教育厅创新平台开发项目(17K104)

Chain mediating effects of sleep quality and depression on neurotic personality and executive function in adolescents with adverse childhood experiences

PENG Lian-hua*, LIU Dong-dong, ZHU Xiao, JIANG Shan, XU Ping, MAO Ping   

  1. *Xiangya School of Nursing, Central South University,Changsha,Hunan 410013,China
  • Received:2021-07-20 Revised:2021-10-07 Online:2022-08-10 Published:2022-08-17
  • Contact: MAO Ping,E-mail:maoping627@126.com

摘要: 目的 探讨睡眠质量与抑郁在有童年不良经历(ACEs)的青少年神经质人格与执行功能间的中介作用,为提高该群体的执行功能提供参考。方法 2020年7—10月,运用心理相关评定量表对324名ACEs青少年的执行功能、抑郁、睡眠质量及神经质人格进行调查,采用Pearson相关分析分析各变量间关系,运用结构方程模型分析睡眠质量和抑郁在神经质与执行功能间的中介作用。结果 1)ACEs青少年的神经质人格、睡眠质量、抑郁总分及各维度和执行功能得分呈显著正相关关系(r=0.13~ 0.91,P<0.05)。2)神经质人格显著预测ACEs青少年执行功能(β=0.31,t=5.24,P<0.001);睡眠质量和抑郁分别在神经质与ACEs青少年执行功能间起中介作用,中介效应分别为20.3%、21.9%;同时,睡眠质量和抑郁在神经质与执行功能间起链式中介作用,中介效应为9.4%。结论 神经质人格可直接预测ACEs青少年执行功能,还可通过睡眠质量和抑郁的链式中介作用间接预测ACEs青少年的执行功能。

关键词: 神经质人格, 睡眠质量, 抑郁, 执行功能, 童年不良经历

Abstract: Objective To explore the mediating role of sleep quality and depression between neurotic personality and executive function in adolescents with adverse childhood experiences(ACEs),so as to provide reference for improving executive function of adolescents. Methods From July to October 2020,the executive function,depression,sleep quality and neuroticism of 324 adolescents with ACEs were investigated by psychological assessment scale. Pearson correlation analysis was used to analyze the relationship between the variables. Structural equation model was used to analyze the mediating role of sleep quality and depression between neuroticism and executive function. Results 1) The total score and each dimension scores of neuroticism,sleep quality,depression of adolescents with ACEs were positively correlated with executive function(r=0.13 - 0.91,P<0.05). 2) Neuroticism significantly predicted executive function of adolescents with ACEs(β=0.31,t=5.24,P<0.001). Sleep quality and depression played mediating roles between neuroticism and executive function of adolescents with ACEs,and mediation effects were 20.3% and 21.9%,respectively. Meanwhile,sleep quality and depression played a chain mediating role between neuroticism and executive function,with a mediation effect of 9.4%. Conclusions Neuroticism can not only directly predict the executive function of adolescents with ACEs,but also indirectly predict the executive function of adolescents with ACEs through the chain mediating effect of sleep quality and depression.

Key words: neuroticism personality, sleep quality, depression, executive function, adverse childhood experiences

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