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焦虑对医学生睡眠障碍的影响:一个有调节的中介模型。

The effect of anxiety on sleep disorders in medical students: a moderated mediation model.

作者信息

Yu Chuang, Liu Zhiyi, Su Tiehong, Li Zhongyu, Jiang Zinan, Zhong Wen, Xiao Zhongju

机构信息

Department of Psychology, School of Public Health, Southern Medical University, Guangzhou, China.

Department of Physiology, School of Basic Medical Sciences, Key Laboratory of Psychiatric Disorders of Guangdong Province, Guangdong-Hong Kong-Macao Greater Bay Area Center for Brain Science and Brain-Inspired Intelligence, Key Laboratory of Mental Health of the Ministry of Education, Southern Medical University, Guangzhou, China.

出版信息

Front Psychol. 2024 Mar 11;15:1338796. doi: 10.3389/fpsyg.2024.1338796. eCollection 2024.

DOI:10.3389/fpsyg.2024.1338796
PMID:38529089
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10961465/
Abstract

The relationship between anxiety and sleep disorders is a key research topic in the academic community. However, evidence on the mechanism through which anxiety influences sleep disorders remains limited. The purpose of this study was to investigate the roles of flourishing and neuroticism in the mechanism through which anxiety influences sleep disorders in medical students. We constructed a moderated mediation model and tested the mediating role of flourishing and the moderating role of neuroticism in medical college students. The results showed that: (1) anxiety was significantly and positively related to sleep disorders and significantly and negatively related to flourishing; flourishing was significantly and negatively related to sleep disorders; neuroticism was significantly and positively related to sleep disorders; (2) flourishing had a mediation effect on the relationship between anxiety and sleep disorders; (3) neuroticism moderated the process through which flourishing mediated the effect of anxiety on sleep disorders. Our research expands the literature on the mechanism underlying the effects of anxiety on sleep disorders and provides insights into the potential prevention and intervention of sleep and emotional problems in medical students.

摘要

焦虑与睡眠障碍之间的关系是学术界的一个关键研究课题。然而,关于焦虑影响睡眠障碍的机制的证据仍然有限。本研究的目的是探讨蓬勃发展和神经质在焦虑影响医学生睡眠障碍的机制中的作用。我们构建了一个有调节的中介模型,并测试了蓬勃发展的中介作用和神经质在医科大学生中的调节作用。结果表明:(1)焦虑与睡眠障碍呈显著正相关,与蓬勃发展呈显著负相关;蓬勃发展与睡眠障碍呈显著负相关;神经质与睡眠障碍呈显著正相关;(2)蓬勃发展在焦虑与睡眠障碍的关系中起中介作用;(3)神经质调节了蓬勃发展介导焦虑对睡眠障碍影响的过程。我们的研究扩展了关于焦虑对睡眠障碍影响机制的文献,并为医学生睡眠和情绪问题的潜在预防和干预提供了见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc6c/10961465/5e6286e6a168/fpsyg-15-1338796-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc6c/10961465/d5900f0a3575/fpsyg-15-1338796-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc6c/10961465/5e6286e6a168/fpsyg-15-1338796-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc6c/10961465/d5900f0a3575/fpsyg-15-1338796-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc6c/10961465/5e6286e6a168/fpsyg-15-1338796-g002.jpg

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本文引用的文献

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2
Sleep and Happiness in Urban-Dwelling Older Adults in Ghana: A Serial Multiple Mediation Model of Generalized Anxiety and Depressive Symptoms.加纳城市老年人的睡眠与幸福感:广义焦虑和抑郁症状的系列多重中介模型
Am J Geriatr Psychiatry. 2023 Nov;31(11):953-964. doi: 10.1016/j.jagp.2023.05.004. Epub 2023 May 13.
3
Beliefs about sleep: links with ruminations, nightmare, and anxiety.
对睡眠的信念:与沉思、噩梦和焦虑的联系。
BMC Psychiatry. 2023 Mar 24;23(1):198. doi: 10.1186/s12888-023-04672-5.
4
Intolerance of uncertainty and future career anxiety among Chinese undergraduate students during COVID-19 period: Fear of COVID-19 and depression as mediators.新冠疫情期间中国大学生对不确定性的容忍度和未来职业焦虑:以 COVID-19 恐惧和抑郁为中介。
Front Public Health. 2022 Nov 29;10:1015446. doi: 10.3389/fpubh.2022.1015446. eCollection 2022.
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What does it mean to flourish? Piloting the flourishing measure with adolescents and young adults with mood and anxiety disorders.繁荣意味着什么?用情绪和焦虑障碍的青少年和年轻人来试行繁荣衡量标准。
Clin Child Psychol Psychiatry. 2023 Oct;28(4):1612-1622. doi: 10.1177/13591045221143898. Epub 2022 Dec 5.
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BMC Psychol. 2022 Nov 4;10(1):249. doi: 10.1186/s40359-022-00954-x.
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Bedtime procrastination mediates the relation between anxiety and sleep problems.熬夜拖延行为在焦虑与睡眠问题之间起中介作用。
J Clin Psychol. 2023 Mar;79(3):803-817. doi: 10.1002/jclp.23440. Epub 2022 Sep 28.
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Mediation, Moderation, and Conditional Process Analysis: Concepts, Computations, and Some Common Confusions.中介、调节和条件过程分析:概念、计算和一些常见混淆。
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