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2019 年新型冠状病毒病大流行期间的压力和睡眠:远程学习对美国大学生健康轨迹的影响。

Stress and sleep across the onset of the novel coronavirus disease 2019 pandemic: impact of distance learning on US college students' health trajectories.

机构信息

Department of Psychology, Arizona State University, Tempe, AZ, USA.

出版信息

Sleep. 2021 Dec 10;44(12). doi: 10.1093/sleep/zsab193.


DOI:10.1093/sleep/zsab193
PMID:34331445
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8385849/
Abstract

STUDY OBJECTIVES: This study examined associations between average and intraindividual trajectories of stress, sleep duration, and sleep quality in college students before, during, and after transitioning to online learning due to the COVID-19 pandemic. METHODS: One hundred and sixty-four first-year college students answered twice-weekly questionnaires assessing stress exposure and perception, sleep duration, and sleep quality from January until May, 2020 (N = 4269 unique observations). RESULTS: Multilevel growth modeling revealed that prior to distance learning, student stress was increasing and sleep duration and quality were decreasing. After transitioning online, students' stress exposure and perception trajectories immediately and continuously decreased; sleep quality initially increased but decreased over time; and sleep duration increased but then plateaued for the remainder of the semester. Days with higher stress exposure than typical for that student were associated with lower sleep quality, and both higher stress exposure and perception at the transition were linked with simultaneous lower sleep quality. Specific groups (eg, females) were identified as at-risk for stress and sleep problems. CONCLUSIONS: Although transitioning to remote learning initially alleviated college students' stress and improved sleep, these effects plateaued, and greater exposure to academic, financial, and interpersonal stressors predicted worse sleep quality on both daily and average levels. Environmental stressors may particularly dictate sleep quality during times of transition, but adaptations in learning modalities may help mitigate short-term detrimental health outcomes during global emergencies, even during a developmental period with considerable stress vulnerability. Future studies should examine longer-term implications of these trajectories on mental and physical health.

摘要

研究目的:本研究考察了大学生在因 COVID-19 大流行转为在线学习前后的压力、睡眠时间和睡眠质量的平均轨迹和个体内轨迹之间的关联。

方法:164 名一年级大学生从 2020 年 1 月至 5 月期间,每周两次回答评估压力暴露和感知、睡眠时间和睡眠质量的问卷(N = 4269 个独特的观察结果)。

结果:多层次增长模型显示,在远程学习之前,学生的压力在增加,睡眠时间和睡眠质量在下降。在线学习后,学生的压力暴露和感知轨迹立即且持续下降;睡眠质量最初增加,但随着时间的推移而下降;睡眠时间增加,但在学期剩余时间内趋于平稳。压力暴露水平高于学生日常水平的天数与较低的睡眠质量相关,而在过渡时期的较高压力暴露和感知都与同时较低的睡眠质量有关。特定群体(例如女性)被确定为有压力和睡眠问题的风险群体。

结论:尽管过渡到远程学习最初减轻了大学生的压力并改善了睡眠质量,但这些效果趋于平稳,并且学术、财务和人际压力源的更大暴露预示着在日常和平均水平上的睡眠质量更差。环境压力源可能在过渡时期特别影响睡眠质量,但学习模式的适应可能有助于减轻全球紧急情况下的短期不良健康后果,即使在具有相当大压力脆弱性的发展时期也是如此。未来的研究应探讨这些轨迹对心理健康和身体健康的长期影响。

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