College of Education, Hebei University, Baoding, China.
Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
J Affect Disord. 2024 Oct 1;362:45-53. doi: 10.1016/j.jad.2024.06.104. Epub 2024 Jun 26.
BACKGROUND: Insomnia has been identified as a potential risk factor for suicidality. However, to date, few studies using the longitudinal-design have examined the underlying mechanism of this relationship. Based on a resilience perspective, this study aimed to investigate the dynamic longitudinal relationships between insomnia, resilience, and suicidality. METHODS: A total of 5785 freshmen were sampled from a large-scale health-related cohort among Chinese college students. This study spanned six waves, covering the period from 2020 to 2022. Data from T to T were used because resilience was not measured at baseline (T) and T. The cross-lagged panel models and the latent growth curve mediation model were used to examine the longitudinal dynamic relationships between insomnia, resilience, and suicidality. RESULTS: The results showed that insomnia symptoms and suicidality mutually predicted each other, and resilience played a longitudinal mediating role in linking insomnia symptoms and suicidality. CONCLUSIONS: Given that resilience served as a mediator in the relation between insomnia symptoms and suicidality, some resilience-oriented prevention and intervention programs will be helpful in reducing the risk of suicide among university students.
背景:失眠已被确定为自杀风险的潜在因素。然而,迄今为止,很少有使用纵向设计的研究来检验这种关系的潜在机制。基于弹性视角,本研究旨在探讨失眠、弹性和自杀之间的动态纵向关系。
方法:本研究从中国大学生的一项大型健康相关队列中抽取了 5785 名新生作为样本。该研究跨越六个时间点,涵盖了 2020 年至 2022 年的时间段。由于在基线 (T) 和 T 时没有测量弹性,因此使用 T 到 T 的数据。采用交叉滞后面板模型和潜在增长曲线中介模型来检验失眠、弹性和自杀之间的纵向动态关系。
结果:结果表明,失眠症状和自杀相互预测,而弹性在连接失眠症状和自杀方面发挥了纵向中介作用。
结论:鉴于弹性在失眠症状和自杀之间的关系中起中介作用,一些以弹性为导向的预防和干预计划将有助于降低大学生的自杀风险。
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