Li Sihong, Chen Hui, Chen Xianliang, Tang Huajia, Ye Yanyue, Zhou Jiansong
Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China.
Depress Anxiety. 2025 May 14;2025:3713624. doi: 10.1155/da/3713624. eCollection 2025.
Aggression has been reported to be associated with insomnia in adolescents. However, the impact of aggression and different levels of aggression on insomnia needs further exploration. This study aimed to explore the association of aggression, as well as different profiles of aggression, with insomnia in Chinese adolescents. This was a prospective cohort study with an 8-month follow-up period. The Short-Form Buss-Perry Aggression Questionnaire (BPAQ-SF) was used to assess the aggression; the Insomnia Severity Index (ISI) was used to assess the symptoms of insomnia. Latent profile analysis (LPA) was conducted to identify profiles of aggression. The association between different profiles of aggression and insomnia was assessed using logistic regression analysis. We also used the restricted cubic spline model to investigate the pattern of the association. A total of 1124 students completed the questionnaire. The aggression was classified into three profiles: low aggression ( = 931, 82.8%), moderate aggression ( = 153, 13.6%), and high aggression ( = 40, 3.6%). A follow-up survey after 8 months found 228 (20.3%) new cases of insomnia. Moreover, high aggression was associated with a significantly increased risk of insomnia after adjustment for age, sex, ethnicity, anxiety state, and depressive state (odds ratio [OR]: 9.98, 95%CI: 4.94-20.15). The relationship between aggression and the risk of insomnia was linear in the restricted cubic spline regression analysis. High levels of aggression were significantly associated with insomnia among Chinese adolescents. Therefore, targeted interventions aimed at addressing insomnia among adolescents with high levels of aggression are needed to improve their mental well-being.
据报道，攻击行为与青少年失眠有关。然而，攻击行为以及不同程度的攻击行为对失眠的影响仍需进一步探索。本研究旨在探讨中国青少年中攻击行为以及不同攻击行为特征与失眠之间的关联。这是一项为期8个月随访期的前瞻性队列研究。使用简版布斯-佩里攻击性问卷（BPAQ-SF）评估攻击行为；使用失眠严重程度指数（ISI）评估失眠症状。进行潜在类别分析（LPA）以确定攻击行为特征。使用逻辑回归分析评估不同攻击行为特征与失眠之间的关联。我们还使用受限立方样条模型来研究这种关联的模式。共有1124名学生完成了问卷。攻击行为被分为三种特征：低攻击行为（n = 931，82.8%）、中度攻击行为（n = 153，13.6%）和高攻击行为（n = 40，3.6%）。8个月后的随访调查发现228例（20.3%）新的失眠病例。此外，在对年龄、性别、种族、焦虑状态和抑郁状态进行调整后，高攻击行为与失眠风险显著增加相关（优势比[OR]：9.98，95%置信区间：4.94 - 20.15）。在受限立方样条回归分析中，攻击行为与失眠风险之间的关系呈线性。高攻击行为在中国青少年中与失眠显著相关。因此，需要针对高攻击行为青少年的失眠问题进行有针对性的干预，以改善他们的心理健康。
