Wang Benhong, Wang Zhong, Zhang Xiaomei, Ji Yanbin, Shuai Yibin, Shen Yinping, Shen Zhongxia, Chen Wenhao
Department of Psychiatry, Huzhou Third Municipal Hospital, The Affiliated Hospital of Huzhou University, Zhejiang Province, Huzhou, 313000, China.
Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, 100191, China.
Sleep Breath. 2025 Mar 27;29(2):141. doi: 10.1007/s11325-025-03283-6.
Sleep and psychological disorders are critical global health issues, and medical personnel are not immune to their effects. This cross-sectional study explores the relationship between Dysfunctional Beliefs and Attitudes about Sleep (DBAS) and mental health among medical staff, with a focus on the mediating role of sleep quality.
A web-based questionnaire was distributed to participants between April and May 2023.The research employed several assessment tools, including a General Information Questionnaire, the Dysfunctional Beliefs and Attitudes about Sleep Scale (DBAS), the Pittsburgh Sleep Quality Index (PSQI), the Patient Health Questionnaire (PHQ-9), and the Generalized Anxiety Disorder Scale (GAD-7).
The study included 263 medical staff and 270 non-medical staff. Medical personnel reported significantly higher DBAS scores and poorer sleep quality than non-medical staff (p < 0.01). There were significant correlations between DBAS, sleep quality (r = -0.232, p < 0.01), and symptoms of depression (r = -0.242, p < 0.01) and anxiety (r = -0.274, p < 0.01) among medical staff. Further analysis of the intermediary effect revealed that sleep quality partially mediated the relationship between DBAS and symptoms of depression and anxiety.
The findings suggest that depression and anxiety can adversely impact beliefs and attitudes about sleep, potentially leading to poorer sleep quality. Conversely, cultivating positive beliefs and attitudes about sleep may act as cognitive protective factors, promoting better sleep quality and mental health, particularly among medical professionals.
睡眠和心理障碍是全球重要的健康问题，医务人员也不能免受其影响。本横断面研究探讨了医务人员睡眠功能障碍信念与态度（DBAS）与心理健康之间的关系，重点关注睡眠质量的中介作用。
于2023年4月至5月向参与者发放了基于网络的问卷。该研究采用了多种评估工具，包括一般信息问卷、睡眠功能障碍信念与态度量表（DBAS）、匹兹堡睡眠质量指数（PSQI）、患者健康问卷（PHQ-9）和广泛性焦虑障碍量表（GAD-7）。
该研究纳入了263名医务人员和270名非医务人员。医务人员的DBAS得分显著高于非医务人员，睡眠质量也明显较差（p < 0.01）。医务人员的DBAS与睡眠质量（r = -0.232，p < 0.01）、抑郁症状（r = -0.242，p < 0.01）和焦虑症状（r = -0.274，p < 0.01）之间存在显著相关性。中介效应的进一步分析表明，睡眠质量部分介导了DBAS与抑郁和焦虑症状之间的关系。
研究结果表明，抑郁和焦虑可能会对睡眠信念和态度产生不利影响，从而可能导致睡眠质量下降。相反，培养对睡眠的积极信念和态度可能作为认知保护因素，促进更好的睡眠质量和心理健康，尤其是在医学专业人员中。
