新冠疫情全国封锁期间中国大学生的述情障碍与创伤后应激障碍症状:睡眠问题的中介作用与自尊的调节作用

Alexithymia and post-traumatic stress disorder symptoms in Chinese undergraduate students during the COVID-19 national lockdown: The mediating role of sleep problems and the moderating role of self-esteem.

作者信息

Zhang Yi, Zhao Yijin, Ni Ting, Chen Jing, Tang Wanjie

机构信息

School of Economics and Business Administration, Yibin University, Yibin, China.

School of Business, Sichuan University, Chengdu, Sichuan Province, China.

出版信息

Front Psychol. 2022 Nov 11;13:1040935. doi: 10.3389/fpsyg.2022.1040935. eCollection 2022.

Abstract

OBJECTIVE

This study examined whether sleep disturbance was a mediator between alexithymic traits and post-traumatic stress disorder (PTSD) COVID-19 pandemic-related stress symptoms, and explored whether self-esteem moderated the alexithymic contribution to poor sleep and PTSD symptoms.

METHOD

A representative sample of young adults ( = 2,485) from six universities in Southwest China completed online self-report surveys on alexithymia, sleep, PTSD, self-esteem, sociodemographic information, and health-related behaviors.

RESULTS

High alexithymic young adults were found to be more likely to have higher sleep problems and higher PTSD symptoms. The moderated mediation model showed that sleep problems mediated the associations between alexithymia and PTSD symptoms. Alexithymic people with lower self-esteem were more likely to have elevated PTSD symptoms and sleep problems than those with higher self-esteem.

CONCLUSION

Targeted psychological interventions for young people who have difficulty expressing and identifying emotions are recommended as these could assist in reducing their post-traumatic psychophysical and psychological problems. Improving self-esteem could also offer some protection for trauma-exposed individuals.

摘要

目的

本研究探讨睡眠障碍是否是述情障碍特质与创伤后应激障碍(PTSD)新冠疫情相关应激症状之间的中介变量,并探究自尊是否调节了述情障碍对睡眠不佳和PTSD症状的影响。

方法

来自中国西南部六所大学的2485名青年成年人的代表性样本完成了关于述情障碍、睡眠、PTSD、自尊、社会人口学信息和健康相关行为的在线自我报告调查。

结果

发现述情障碍得分高的青年成年人更有可能出现更高的睡眠问题和更高的PTSD症状。有调节的中介模型表明,睡眠问题在述情障碍与PTSD症状之间起中介作用。自尊较低的述情障碍患者比自尊较高的患者更有可能出现更高的PTSD症状和睡眠问题。

结论

建议针对难以表达和识别情绪的年轻人进行有针对性的心理干预,因为这有助于减少他们的创伤后身心和心理问题。提高自尊也可以为经历创伤的个体提供一些保护。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6def/9691979/75c578da479f/fpsyg-13-1040935-g001.jpg

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