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心理弹性在睡眠质量与焦虑症状之间的关系中起中介作用：一项大学生重复测量研究。

Psychological resilience mediates the association between sleep quality and anxiety symptoms: A repeated measures study in college students.

机构信息

Mental Health Guidance Center, Fujian Medical University, Fuzhou, China.

Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, China.

出版信息

PLoS One. 2023 Oct 25;18(10):e0292887. doi: 10.1371/journal.pone.0292887. eCollection 2023.

DOI:10.1371/journal.pone.0292887
PMID:37878594
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10599530/
Abstract

OBJECTIVE: To explore the association between sleep quality and anxiety symptoms, and the mediation effect of psychological resilience on this association by a repeated measures study. METHODS: In this study, 127 college students were randomly recruited and their sleep quality and psychological status were repeatedly collected using the Pittsburgh Sleep Quality Index (PSQI) scale, Connor-Davidson resilience scale (CD-RISC), and 7-items generalized anxiety disorder scale (GAD-7). Linear mixed-effects models were used to explore the association between sleep quality and anxiety symptoms, and a mediated effects analysis was used to explore the role played by psychological resilience in this association. RESULTS: This study found a positive association between sleep quality and anxiety symptoms (β = 0.40, 95% confidence interval: 0.27, 0.52). Psychological resilience scores and its various dimensions play a significant mediating role in this association. CONCLUSIONS: Although the role of sleep quality in anxiety disorders is not fully understood, this study highlights the importance of improving sleep quality while enhancing psychological resilience to prevent the onset of anxiety symptoms in college students.

摘要

目的：通过重复测量研究，探讨睡眠质量与焦虑症状之间的关系，以及心理弹性在这种关系中的中介作用。

方法：本研究随机招募了 127 名大学生，使用匹兹堡睡眠质量指数（PSQI）量表、Connor-Davidson 韧性量表（CD-RISC）和 7 项广泛性焦虑障碍量表（GAD-7）反复收集他们的睡眠质量和心理状况。采用线性混合效应模型探讨睡眠质量与焦虑症状之间的关系，采用中介效应分析探讨心理弹性在这种关系中的作用。

结果：本研究发现睡眠质量与焦虑症状之间存在正相关（β=0.40，95%置信区间：0.27，0.52）。心理弹性评分及其各维度在这种关联中起显著中介作用。

结论：尽管睡眠质量在焦虑障碍中的作用尚不完全清楚，但本研究强调了改善睡眠质量同时增强心理弹性对于预防大学生焦虑症状发生的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62f3/10599530/c3a2388782c1/pone.0292887.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62f3/10599530/1617ea4b26a8/pone.0292887.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62f3/10599530/c3a2388782c1/pone.0292887.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62f3/10599530/1617ea4b26a8/pone.0292887.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62f3/10599530/c3a2388782c1/pone.0292887.g002.jpg

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Psychological resilience mediates the association between sleep quality and anxiety symptoms: A repeated measures study in college students.

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[2]
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[3]
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[4]
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[5]
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本文引用的文献

[1]
Psychological resilience mediates the association of the middle frontal gyrus functional connectivity with sleep quality.

Brain Imaging Behav. 2022-12

[2]
Short-term exposure to fine particulate matter and its constituents may affect renal function via oxidative stress: A longitudinal panel study.

Chemosphere. 2022-4

[3]
Sleep Quality and Mental Health of Medical Students in Greece During the COVID-19 Pandemic.

Front Public Health. 2021

[4]
Improving sleep quality leads to better mental health: A meta-analysis of randomised controlled trials.

Sleep Med Rev. 2021-12

[5]
Relationship between Sleep and Hypertension: Findings from the NHANES (2007-2014).

Int J Environ Res Public Health. 2021-7-25

[6]
Prevalence of anxiety symptom and depressive symptom among college students during COVID-19 pandemic: A meta-analysis.

J Affect Disord. 2021-9-1

[7]
The prevalence of depressive symptoms, anxiety symptoms and sleep disturbance in higher education students during the COVID-19 pandemic: A systematic review and meta-analysis.

Psychiatry Res. 2021-7

[8]
Sleep duration and all-cause mortality in the elderly in China: a population-based cohort study.

BMC Geriatr. 2020-12-30

[9]
Determinants of sleep quality in college students: A literature review.

Explore (NY). 2021

[10]
Nurses´ stressors and psychological distress during the COVID-19 pandemic: The mediating role of coping and resilience.

J Adv Nurs. 2021-3

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