中国大学生睡眠信念与睡眠质量的失调：抑郁、焦虑和压力的中介作用

Dysfunctional sleep beliefs and sleep quality among Chinese university students: the mediating roles of depression, anxiety, and stress.

作者信息

Wang Peisi, Xie Chun, Qian Jiali, Cai Shaobo, Xu Lei, Jiang Xianyong, Chen Guozhuang, Wang Kun

机构信息

Department of Physical Education, Shanghai Jiao Tong University, No.800 Dongchuan Road, Minhang District, Shanghai, 200240, China.

出版信息

BMC Psychol. 2025 Jul 28;13(1):844. doi: 10.1186/s40359-025-03210-0.

DOI:10.1186/s40359-025-03210-0

PMID:40721835

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12306029/

Abstract

BACKGROUND

Sleep problems faced by college students have become an important global health issue that requires immediate attention. This study investigates the relationship between dysfunctional beliefs and attitudes about sleep (DBAS) and sleep quality among college students, with a focus on examining the mediating effects of anxiety, stress, and depression in this relationship.

METHODS

A cross-sectional design was employed, with data collected through a survey conducted from January to March 2024 among Chinese university students. The survey evaluated DBAS, anxiety, depression, stress, and sleep quality. Descriptive statistics and correlation analysis were performed using SPSS 27.0, subsequently applying PROCESS models (Model 4 and Model 6) to develop parallel and chain mediation models.

RESULTS

A total of 864 valid responses were retained, comprising 629 male participants (72.8%) and 235 female participants (27.2%), with ages ranging from 16 to 23 years (M = 18.8, SD = 1.0). The findings demonstrated that DBAS negatively predicted sleep quality (B = - 0.15, 95% CI [- 0.20, - 0.09]). Anxiety (B = - 0.03, 95% CI [- 0.06, - 0.01]) and stress (B = - 0.05, 95% CI [- 0.08, - 0.02]) performed as parallel mediators in the association between DBAS and sleep quality. Furthermore, DBAS influenced sleep quality indirectly through the chain mediation of anxiety and stress (β = -0.04, 95% CI [- 0.07, - 0.02]).

CONCLUSIONS

DBAS has a direct negative impact on sleep quality and affects it indirectly through the parallel mediation of anxiety and stress. Additionally, DBAS may indirectly influence sleep quality through the chain-mediating effects of anxiety and stress. The study highlights the significance of addressing DBAS, as it directly affects students' emotional well-being and sleep quality. Future research should concentrate on creating targeted interventions to reduce DBAS, thus enhancing emotional health and sleep quality in university students.

摘要

背景

大学生面临的睡眠问题已成为一个需要立即关注的重要全球健康问题。本研究调查了大学生关于睡眠的功能失调信念和态度（DBAS）与睡眠质量之间的关系，重点考察焦虑、压力和抑郁在这种关系中的中介作用。

方法

采用横断面设计，于2024年1月至3月对中国大学生进行调查收集数据。该调查评估了DBAS、焦虑、抑郁、压力和睡眠质量。使用SPSS 27.0进行描述性统计和相关性分析，随后应用PROCESS模型（模型4和模型6）构建平行中介模型和链式中介模型。

结果

共保留864份有效问卷，其中男性参与者629名（72.8%），女性参与者235名（27.2%），年龄在16至23岁之间（M = 18.8，SD = 1.0）。研究结果表明，DBAS对睡眠质量有负向预测作用（B = -0.15，95% CI [-0.20, -0.09]）。焦虑（B = -0.03，95% CI [-0.06, -0.01]）和压力（B = -0.05，95% CI [-0.08, -0.02]）在DBAS与睡眠质量的关联中起平行中介作用。此外，DBAS通过焦虑和压力的链式中介间接影响睡眠质量（β = -0.04，95% CI [-0.07, -0.02]）。

结论

DBAS对睡眠质量有直接负面影响，并通过焦虑和压力的平行中介间接影响睡眠质量。此外，DBAS可能通过焦虑和压力的链式中介效应间接影响睡眠质量。该研究强调了解决DBAS的重要性，因为它直接影响学生的情绪健康和睡眠质量。未来的研究应集中于制定针对性的干预措施以减少DBAS，从而提高大学生的情绪健康和睡眠质量。