昼夜节律类型对精神分裂症患者社交功能的影响：探究睡眠质量和焦虑的链式中介作用。
The effect of chronotype on social functioning in schizophrenic patients: examining the chain-mediating role of sleep quality and anxiety.
作者信息
Luo Zheng, Zhang Jing, Guo Maoting, Wu Dongmei
机构信息
School of Nursing, Chengdu Medical College, Chengdu, Sichuan, China.
Department of Nursing, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
出版信息
Front Psychiatry. 2025 Jun 27;16:1574414. doi: 10.3389/fpsyt.2025.1574414. eCollection 2025.
INTRODUCTION
This study examines the relationship between chronotype and social functioning in individuals with schizophrenia, specifically assessing the mediating roles of sleep quality and anxiety symptoms.
METHODS
785 Chinese patients with schizophrenia (aged 18-60) completed assessments using the Morningness-Eveningness Questionnaire (chronotype), Pittsburgh Sleep Quality Index (sleep quality), General Anxiety Disorder-7 (anxiety), and Personal Social Performance Scale (social functioning). Hayes' SPSS process macros were used for analysis.
RESULTS
Significant associations were found, with chronotype directly impacting social functioning. Indirect mediation effects occurred through two pathways: anxiety alone, and a chain involving sleep quality and anxiety.
DISCUSSION
These findings contribute to understanding how chronotype influences social functioning in schizophrenia, offering insights for recovery support.
引言
本研究探讨精神分裂症患者的昼夜节律类型与社会功能之间的关系，特别评估睡眠质量和焦虑症状的中介作用。
方法
785名年龄在18至60岁之间的中国精神分裂症患者完成了使用晨型-夜型问卷（昼夜节律类型）、匹兹堡睡眠质量指数（睡眠质量）、广泛性焦虑障碍量表-7（焦虑）和个人社会表现量表（社会功能）的评估。使用海斯SPSS过程宏进行分析。
结果
发现了显著关联，昼夜节律类型直接影响社会功能。间接中介效应通过两条途径发生：单独的焦虑，以及涉及睡眠质量和焦虑的连锁反应。
讨论
这些发现有助于理解昼夜节律类型如何影响精神分裂症患者的社会功能，为康复支持提供见解。
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