患有抑郁症的青少年中问题智能手机使用与睡眠质量差之间的症状网络。

Symptom network between problematic smartphone use and poor sleep quality in adolescents with depression.

作者信息

Zhou Yongjie, Gong Jian, Shao Jing, Yan Nan, Meng Linlin, He Kongliang, Shen Ying, Wei Qian, Zhang Chunyan, Lei Xuan, Cao Yuehua, Wang Yanni

机构信息

Shenzhen Mental Health Center, Shenzhen Kangning Hospital, Shenzhen, Guangdong Province, China.

Department of Maternal, Child and Adolescent Health, School of Public Health, Lanzhou University, 222th South Tianshui Rd, Lanzhou, 730000, Gansu Province, China.

出版信息

BMC Psychiatry. 2025 May 13;25(1):482. doi: 10.1186/s12888-025-06920-2.

DOI:10.1186/s12888-025-06920-2

PMID:40361037

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12077027/

Abstract

BACKGROUND

This study established a network structure between problematic smartphone use (PSU) and poor sleep quality (PSQ) to explore their symptomatic relationship in adolescents with depression.

METHODS

The data were obtained from the baseline data of the Chinese Adolescent Depression Cohort, which included depressed adolescents aged between 12 and 18 years. PSU and PSQ were assessed via the Mobile Phone Addiction Index (MPAI) and Pittsburgh Sleep Quality Index (PSQI). This study utilized network analysis to identify the core and bridge symptoms between PSU and PSQ.

RESULTS

The core symptom of the network was 'Anxiety and craving' in the PSU. The symptoms 'Anxiety and craving', 'Daytime dysfunction' and 'Sleep disturbances' could function as bridges between PSU and PSQ. The symptom 'Anxiety and craving' played the most important role in the interaction between PSU and PSQ. It affects 'Sleep disturbances' that contribute to the harm of problematic smartphone use to sleep quality. The symptom 'Daytime dysfunction' of PSQ was the most severely affected by PSU.

CONCLUSIONS

Interventions that target regulating negative emotion and reducing daytime tiredness would be more effective in managing problematic smartphone use and improving sleep quality.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

本研究建立了问题性智能手机使用（PSU）与睡眠质量差（PSQ）之间的网络结构，以探讨它们在青少年抑郁症患者中的症状关系。

方法

数据来自中国青少年抑郁症队列的基线数据，其中包括12至18岁的抑郁症青少年。通过手机成瘾指数（MPAI）和匹兹堡睡眠质量指数（PSQI）评估PSU和PSQ。本研究利用网络分析来识别PSU和PSQ之间的核心症状和桥梁症状。

结果

网络的核心症状是PSU中的“焦虑和渴望”。“焦虑和渴望”、“日间功能障碍”和“睡眠障碍”等症状可作为PSU和PSQ之间的桥梁。“焦虑和渴望”症状在PSU和PSQ的相互作用中起最重要作用。它影响“睡眠障碍”，而睡眠障碍会导致问题性智能手机使用对睡眠质量的损害。PSQ的“日间功能障碍”症状受PSU影响最为严重。