青少年抑郁及焦虑情绪与睡眠质量关系的交叉滞后分析OACHSSCD
A cross-lagged analysis of bidirectional relationship between depression,anxiety and sleep quality among adolescents
目的:探讨青少年抑郁、焦虑情绪与睡眠质量的动态交互影响.方法:使用儿童抑郁量表(CDI)、儿童青少年多维度焦虑量表 MASC)和匹兹堡睡眠质量指数量表(均 P＜0.01),对 1 111 名青少年分别于2023 年3 月(T1)和2023 年6 月(T2)进行两次测评.结果:两个时间点睡眠质量问题的检出率分别为27.8%和21%;两次测查的女性 CDI、MASC 和 PSQI 得分均高于男性(均 P＜0.001);相关分析显示,两次调查的 CDI、MASC 与 PSQI 得分的同时性相关和继时性相关均有统计学意义(均 P＜0.01);交叉滞后分析结果显示,T1 PSQI 得分与 T2 CDI 得分存在纵向正关联(β=0.18,P＜0.001),T1 CDI 得分与 T2 PSQI 得分亦呈现显著纵向关联(β=0.17,P＜0.001),而 MASC 和 PSQI 得分也具有跨时间点的双向影响关系,且性别的预测作用显著(P＜0.05).结论:女生的睡眠问题和情绪问题更为严重,青少年睡眠质量下降既是抑郁、焦虑情绪导致的消极结果,也是引起抑郁和焦虑情绪的潜在风险因素.
Objective:To explore the bidirectional relationship among depression,anxiety and sleep quality a-mong adolescents.Methods:A total of 1 111 adolescents completed assessments in March 2023(T1)and June 2023(T2)using the Children's Depression Inventory(CDI),Multidimensional Anxiety Scale for Children(MASC)and Pittsburgh Sleep Quality Index Scale(PSQI).Cross-lagged path models were constructed using struc-tural equation modeling.Results:The detection rate of sleep disorder in the two time points was 27.8%and 21%respectively.The scores of CDI,MASC and PSQI were higher in girls than in boys(Ps＜0.01).Correlation analy-sis showed the simultaneous and sequential correlation between CDI.MASC and PSQI scores in both stages were significant(Ps＜0.001).The results of cross-lagged analysis showed T1 PSQI scores predicted T2 CDI scores(β=0.18,P＜0.001).and T1 CDI scores also predicted T2 PSQI scores(β=0.17,P＜0.001).while MASCand PSQI scores had a two way influence relationship across time points,and the gender difference in the cross-lagged effect of the two was significant(P＜0.05).Conclusion:Sleep problems and emotional issues are more prevalent in girls.A bidirectional predictive relationship exists between depression,anxiety,and sleep quality among adolescents.
雷辉;饶玉玲;张小崔
湖南农业大学教育学院,长沙 410128湖南农业大学教育学院,长沙 410128中南大学湘雅二医院医学心理中心,长沙 410011||中南大学医学心理研究所,长沙 410011||国家精神障碍临床研究中心,长沙 410011
医药卫生
睡眠质量抑郁情绪焦虑情绪交叉滞后分析青少年
sleep qualitydepressionanxietycross-lagged analysisadolescent
《中国心理卫生杂志》 2026 (5)
428-434,7
国家自然科学基金项目(82371537)
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