青少年压力、睡眠质量与非自杀性自伤的交叉滞后网络分析OA
Cross-lagged Network Analysis of Adolescent Stress,Sleep Quality,and Non-Suicidal Self-Injury
目的:探讨青少年压力、睡眠质量与非自杀性自伤想法和行为的动态交互关系.方法:采用抑郁-焦虑-压力量表、睡眠状况自评量表和渥太华自伤量表对1,621名青少年(女生44％,初中生63％)进行两阶段的追踪调查(T1、T2间隔六个月),通过交叉滞后网络面板模型进行数据分析 结果:压力症状中"放松困难"和睡眠症状中"睡眠不稳"是最强的预期外影响节点,压力症状中"不安"和"放松困难"是最强的预期内影响节点.在压力症状中不仅出现了症状间的中介现象("不安"→"放松困难"→"敏感"),也出现了症状间的循环("放松困难"→"神经质"→"不安"→"放松困难").结论:本研究揭示了青少年压力、睡眠与自伤之间存在动态交互作用.识别其中的关键靶点症状,可为青少年心理健康的预防和干预工作提供指导.
Objective:To explore the dynamic interaction among stress,sleep quality,and non-suicidal self-injury(NSSI)thoughts and behaviors in adolescents.Methods:A two-wave longitudinal survey with a 6-month interval was con-ducted on 1,621 adolescents(44％females,63％junior high school students)using the Depression Anxiety Stress Scales(DASS),the Self-Rating Scale of Sleep(SRSS),and the Ottawa Self-Injury Inventory(OSI).Data were analyzed using a cross-lagged network panel model.Results:"Difficulty relaxing"among stress symptoms and"sleep instability"among-sleep symptoms were the strongest out-expected influence nodes,while"uneasy"and"difficulty relaxing"among stress symptoms were the strongest in-expected influence nodes.Not only did mediating effects occur among stress symptoms(un-ease → difficulty relaxing → sensitivity),but also a cycle was observed(difficulty relaxing → neuroticism → unease → dif-ficulty relaxing).Conclusion:The study reveals the dynamic interaction among stress,sleep,and NSSI in adolescents.Identifying key target symptoms can provide guidance for the prevention and intervention strategies for adolescent mental health.
匡艳群;曾赛君;林卓婷;李玉婷;沙烨烨;龚靖波
湖南城市学院,益阳 413000湖南省益阳市特殊教育学校,益阳 413000湖南科技大学教育学院,湘潭 411201湖南科技大学教育学院,湘潭 411201上海市长宁区精神卫生中心,华东师范大学附属精神卫生中心,上海 200335上海市长宁区精神卫生中心,华东师范大学附属精神卫生中心,上海 200335
医药卫生
压力睡眠质量非自杀性自伤行为交叉滞后网络分析
StressSleep qualityNon-suicidal self-injuryCross-lagged panel network analysis
《中国临床心理学杂志》 2026 (1)
16-22,57,8
上海市科技计划项目资助(20dz2260300).
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