Xiong Peng, Feng Wanmin, Lin Yusi
Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, China.
J Sleep Res. 2025 Jun;34(3):e14358. doi: 10.1111/jsr.14358. Epub 2024 Oct 8.
Insomnia symptoms represent a significant public health concern, as it engenders substantial long-term health consequences. Considerable research has established the detrimental impacts of child maltreatment on sleep problems among university students. However, the role of self-efficacy in the association between childhood maltreatment and insomnia remains unclear. This study aimed to examine the associations between child maltreatment and insomnia symptoms among university students, and to investigate whether self-efficacy moderated the effects of child maltreatment on insomnia symptoms. A total of 2014 participants with random cluster sampling method were recruited from Jinan University in Guangzhou, China, from October 2022 to November 2022. Adjusting for covariates, the results of multiple logistic regression indicated that the participants with the experience of any type of child maltreatment (odds ratio [OR] 2.24, 95% confidence interval [CI] 1.63-3.07), childhood emotional abuse (OR 2.58, 95% CI 1.95-3.41), childhood emotional neglect (OR 1.16, 95% CI 0.87-1.54), childhood physical abuse (OR 2.15, 95% CI 1.60-2.8), childhood physical neglect (OR 2.19, 95% CI 1.64-2.92), childhood sexual abuse (OR 1.98, 95% CI 1.46-2.68) were more likely to report insomnia symptoms than those without. Individuals reporting one-two types and three-five types of child maltreatment were 1.81 times (95% CI 1.30-2.52) and 3.77 times (95% CI 2.58-5.50) more likely to report insomnia symptoms than those reporting zero types of child maltreatment, respectively. Furthermore, robust linear regression analysis revealed that self-efficacy moderated the associations between child maltreatment and insomnia symptoms (β = 0.007, 95% CI 0.004-0.010). These findings underscore the need for integrated mental health education, support services, and faculty training to address the impact of child maltreatment on insomnia symptoms among university students. Policy recommendations include advocating for comprehensive mental health services, incorporating self-efficacy initiatives, and fostering community engagement for a holistic approach to student well-being.
失眠症状是一个重大的公共卫生问题，因为它会产生严重的长期健康后果。大量研究已经证实了儿童期受虐对大学生睡眠问题的有害影响。然而，自我效能感在儿童期受虐与失眠之间的关联中所起的作用仍不明确。本研究旨在探讨大学生中儿童期受虐与失眠症状之间的关联，并调查自我效能感是否调节了儿童期受虐对失眠症状的影响。2022年10月至2022年11月，采用随机整群抽样方法从中国广州的暨南大学招募了总共2014名参与者。在对协变量进行调整后，多重逻辑回归结果表明，经历过任何类型儿童期受虐的参与者（比值比[OR]为2.24，95%置信区间[CI]为1.63 - 3.07）、儿童期情感虐待（OR为2.58，95% CI为1.95 - 3.41）、儿童期情感忽视（OR为1.16，95% CI为0.87 - 1.54）、儿童期身体虐待（OR为2.15，95% CI为1.60 - 2.8）、儿童期身体忽视（OR为2.19，95% CI为1.64 - 2.92）、儿童期性虐待（OR为1.98，95% CI为1.46 - 2.68）比没有这些经历的参与者更有可能报告失眠症状。报告经历一至两种和三至五种儿童期受虐类型的个体比报告未经历儿童期受虐的个体报告失眠症状的可能性分别高1.81倍（95% CI为1.30 - 2.52）和3.77倍（95% CI为2.58 - 5.50）。此外，稳健线性回归分析显示自我效能感调节了儿童期受虐与失眠症状之间的关联（β = 0.007，95% CI为0.004 - 0.010）。这些发现强调了需要综合的心理健康教育、支持服务和教师培训，以应对儿童期受虐对大学生失眠症状的影响。政策建议包括倡导全面的心理健康服务、纳入自我效能感提升举措以及促进社区参与，以采取整体方法促进学生的幸福感。
