军人的睡眠质量影响生活满意度:不执着与反刍思维的链式中介作用OA
Sleep quality affects life satisfaction in military personnel:the chain mediating effects of non-attachment and rumination
目的 军人群体因特殊职业压力和高强度任务,普遍存在睡眠问题,可能对其生活满意度产生负面影响,但其中的作用机制尚不清楚.本研究旨在探讨军人睡眠质量对生活满意度的影响以及不执着和反刍思维在睡眠质量对生活满意度关系中的作用.方法 采用横断面研究设计方案,不涉及前瞻性分组或干预处理.通过方便抽样法,选取某部军人作为研究对象,共纳入1 352名有效样本.调查工具包括:匹兹堡睡眠质量量表、生活满意度量表、不执着量表和反刍思维量表.采用线性回归分析睡眠质量对不执着、反刍思维和生活满意度的线性关系;采用描述性统计分析各变量的人口学特征;采用Spearman相关分析考察各研究变量间的相关性;采用SPSS 27.0插件Process中的Model 6,运用Bootstrap法估计β及其95%CI,以检验不执着和反刍思维在睡眠质量与生活满意度关系中的链式中介作用.结果 年龄≥29岁的军人睡眠质量得分显著高于18~28岁的军人(P<0.05);18~23岁的军人反刍思维得分显著高于≥24岁的军人(P<0.05).本科及以上学历的军人睡眠质量和反刍思维得分显著高于大专与高中及以下的军人(P<0.01);在不执着得分上,本科及以上学历的军人的不执着得分显著低于大专及以下的军人(P<0.01);本科及以上的军人的生活满意度得分显著低于大专学历的军人(P<0.05).相关性分析显示,睡眠质量与不执着显著负相关(r=-0.395,95%CI:-0.441~-0.348,P<0.001)、与生活满意度显著负相关(r=-0.407,95%CI:-0.452~-0.361,P<0.001),与反刍思维显著正相关(r=0.440,95%CI:0.395~0.483,P<0.001);不执着与反刍思维显著负相关(r=-0.508,95%CI:-0.547~-0.466,P<0.001),与生活满意度显著正相关(r=0.515,95%CI:0.473~0.554,P<0.001),反刍思维与生活满意度显著负相关(r=-0.442,95%CI:-0.485~-0.397,P<0.001).线性回归结果显示,睡眠质量显著负向预测生活满意度(β=-0.456,P<0.001),不执着显著正向预测生活满意度(β=0.242 6,P<0.001),反刍思维显著负向预测生活满意度(β=-0.183 5,P<0.001).睡眠质量对生活满意度的总效应显著,总效应量为-0.868(95%CI:-0.977~-0.759,P<0.001);不执着、反刍思维在睡眠质量对生活满意度的影响中中介效应显著,效应值分别为-0.172(95%CI:-0.232~-0.122,P<0.001)、-0.196(95%CI:-0.251~-0.140,P<0.001),效应占比分别为19.82%和22.58%;不执着和反刍思维在睡眠质量对生活满意度的影响中起链式中介作用,效应值为-0.044(95%CI:-0.061~-0.029,P<0.001),效应占比5.07%.结论 军人睡眠质量、不执着、反刍思维和生活满意度关系密切,睡眠质量通过不执着、反刍思维的链式中介作用影响生活满意度.建议在军事心理干预中注重改善军人睡眠质量,同时通过正念训练降低反刍思维、培养不执着态度,以系统提升军人的生活满意度.
Objective The military population,due to special occupational stress and high-intensity tasks,commonly experiences sleep problems,which may have a negative impact on life satisfaction;however,the underlying mechanism remains unclear.This study aims to explore the effect of sleep quality on life satisfaction among military personnel and the roles of non-attachment and rumination in the relationship between sleep quality and life satisfaction.Methods A cross-sectional study design was adopted without prospective grouping or intervention.A total of 1 352 military personnel from a certain unit were selected using convenience sampling.The survey instruments included the Pittsburgh Sleep Quality Index,the Satisfaction with Life Scale,the Non-Attachment Scale,and the Ruminative Response Scale.Statistical analyses included:descriptive statistics to analyze the demographic characteristics of variables;Spearman correlation analysis to examine the correlations among the variables;Linear regression was used to analyze the linear relationships of sleep quality with non-attachment,rumination,and life satisfaction;and PROCESS macro Model 6 in SPSS to estimate regression coefficients(β)and their 95%confidence intervals(CIs)using Bootstrap method,in order to test the chain mediating effect of non-attachment and rumination in the relationship between sleep quality and life satisfaction.Results Military personnel aged ≥29 years had significantly higher sleep quality scores than those aged 18 to 28 years(P<0.05).Military personnel aged 18 to 23 years exhibited significantly higher rumination scores than those aged 24 years(P<0.05).Military personnel with bachelor's degree or above had significantly higher sleep quality and rumination scores than those with college degree or high school and below(P<0.01).In terms of non-attachment scores,military personnel with a bachelor's degree or above had significantly lower non-attachment scores than those with college degree or below(P<0.01).Military personnel with bachelor's degree or above had significantly lower life satisfaction scores than those with college degree(P<0.05).Correlation analysis revealed that sleep quality was significantly negatively correlated with non-attachment(r=-0.395,95%CI:-0.441 to-0.348,P<0.001)and life satisfaction(r=-0.407,95%CI:-0.452 to-0.361,P<0.001),and positively with rumination(r=0.440,95%CI:0.395 to 0.483,P<0.001).Non-attachment was significantly negatively correlated with rumination(r=-0.508,95%CI:-0.547 to-0.466,P<0.001)and positively with life satisfaction(r=0.515,95%CI:0.473 to 0.554,P<0.001),and rumination was significantly negatively correlated with life satisfaction(r=-0.442,95%CI:-0.485 to-0.397,P<0.001).The linear regression showed that sleep quality significantly negatively predicted life satisfaction(β=-0.456,P<0.001);non-attachment significantly positively predicted life satisfaction(β=0.243,P<0.001);rumination significantly negatively predicted life satisfaction(β=-0.184,P<0.001).The total effect of sleep quality on life satisfaction was significant,with a total effect size of-0.868(95%CI:-0.977 to-0.759,P<0.001).The mediating effects of non-attachment and rumination in the impact of sleep quality on life satisfaction were significant,with effect values of-0.172(95%CI:-0.232 to-0.122,P<0.001)and-0.196(95%CI:-0.251 to-0.140,P<0.001),respectively,accounting for 19.82%and 22.58%of the total effect,respectively.Non-attachment and rumination played chain mediating roles in the impact of sleep quality on life satisfaction,with an effect value of-0.044(95%CI:-0.061 to-0.029,P<0.001),accounting for 5.07%of the total effect.Conclusion Sleep quality,non-attachment,rumination,and life satisfaction are closely related among military personnel,and sleep quality affects life satisfaction through the chain mediating effects of non-attachment and rumination.It is recommended that military psychological interventions focus on improving sleep quality,while reducing rumination and cultivating non-attachment attitudes through mindfulness training,to systematically enhance life satisfaction among military personnel.
杨艳贞;张琼月;刘溢;许辰;徐晓晓;彭李;李敏
陆军军医大学(第三军医大学)医学心理系军事心理学教研室||中国人民解放军第73106部队91分队,江苏淮安陆军军医大学(第三军医大学)大坪医院肾内科,重庆陆军军医大学(第三军医大学)医学心理系军事心理学教研室陆军军医大学(第三军医大学)医学心理系军事心理学教研室陆军军医大学(第三军医大学)医学心理系军事心理学教研室陆军军医大学(第三军医大学)医学心理系军事心理学教研室陆军军医大学(第三军医大学)医学心理系军事心理学教研室
医药卫生
军人睡眠质量生活满意度不执着反刍思维
military personnelsleep qualitylife satisfactionnon-attachmentrumination
《陆军军医大学学报》 2026 (11)
1629-1636,封3,9
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