Ma Yifan, Li Jingya, Zhang Meng, Zuo Tiantian, Kong Linghua, Yang Ying
Department of Child and Adolescent Mental Behavior, Shandong Mental Health Center, Shandong University, Jinan, China.
Clinical Psychology, The People's Hospital of Zouping City, Binzhou, China.
Front Psychiatry. 2024 Oct 10;15:1416130. doi: 10.3389/fpsyt.2024.1416130. eCollection 2024.
This study investigated the association between social anxiety and sleep quality and further explored the potential mediating role of internet addiction in depressed adolescents.
This study included 440 Chinese depressed adolescents (mean age = 15.0 years, SD = 2.0). Participants completed questionnaires, including Social Avoidance and Social Distress Scale, Internet Addiction Test, and Pittsburgh Sleep Quality Index. A structural equation model was used to analyze the association between social anxiety and sleep quality, with internet addiction as a mediator. Gender differences were examined by multi-group analysis.
Among participants, 61.8% reported poor sleep quality. The sleep quality was significantly different on the level of gender ( = 0.016), education level ( = 0.043), and family history ( = 0.002). Sleep quality was positively associated with social anxiety ( < 0.001) and internet addiction ( < 0.001). Furthermore, internet addiction partially mediated the relationship between social anxiety and sleep quality, and the mediation effect ratio was 16.1% ( < 0.001). Finally, no significant differences were found in this mechanism.
We concluded that both social anxiety and internet addiction were risk factors for depressed adolescents' poor sleep quality. Social anxiety further affected sleep quality through internet addiction.
本研究调查社交焦虑与睡眠质量之间的关联，并进一步探讨网络成瘾在抑郁青少年中可能的中介作用。
本研究纳入440名中国抑郁青少年（平均年龄=15.0岁，标准差=2.0）。参与者完成问卷调查，包括社交回避与苦恼量表、网络成瘾测试和匹兹堡睡眠质量指数。采用结构方程模型分析社交焦虑与睡眠质量之间的关联，以网络成瘾作为中介变量。通过多组分析检验性别差异。
参与者中，61.8%报告睡眠质量差。睡眠质量在性别水平（=0.016）、教育水平（=0.043）和家族史（=0.002）上存在显著差异。睡眠质量与社交焦虑（<0.001）和网络成瘾（<0.001）呈正相关。此外，网络成瘾部分中介了社交焦虑与睡眠质量之间的关系，中介效应比例为16.1%（<0.001）。最后，在这一机制中未发现显著差异。
我们得出结论，社交焦虑和网络成瘾都是抑郁青少年睡眠质量差的危险因素。社交焦虑通过网络成瘾进一步影响睡眠质量。
