情绪调节困难在抑郁症患者睡眠节律障碍中的作用路径研究OA
Pathways of emotion regulation difficulties in the sleep rhythm disorder in patients with depression
目的 探讨抑郁症患者睡眠节律障碍的影响因素及情绪调节困难对睡眠节律障碍的作用路径.方法 选取2019年5月—2024年12月上海市杨浦区精神卫生中心就诊的95例抑郁症患者,问卷调查法收集研究对象一般信息、抑郁程度、情绪调节困难、睡眠节律障碍等信息.采用Pearson相关性分析抑郁症患者情绪调节困难、抑郁程度、睡眠节律障碍之间的相关性,多元线性回归分析患者睡眠节律障碍的影响因素.采用Amos 23.0软件构建结构方程模型,并分析情绪调节困难在抑郁症患者睡眠节律障碍中的作用路径.结果 95例抑郁症患者抑郁程度、情绪调节困难、睡眠节律障碍评分分别为(67.52±5.03)、(51.23±6.77)、(15.58±2.03)分.Pearson相关性分析显示,抑郁症患者的情绪调节困难与抑郁程度、睡眠节律障碍呈正相关(r=0.551、0.464,P均<0.001),抑郁程度与睡眠节律障碍呈正相关(r=0.452,P<0.001).多元线性回归分析显示,年龄、文化程度、抑郁症患病时间、合并慢性疾病、情绪调节困难、抑郁程度是抑郁症患者睡眠节律障碍的影响因素(P<0.05).结构方程模型显示,抑郁症患者情绪调节困难在抑郁程度与睡眠节律障碍间发挥中介效应(β=0.537,P<0.001),且间接效应大于直接效应,中介效应占总效应的56.06%,故需重视中介效应.结论 抑郁症患者睡眠节律障碍受年龄、文化程度、抑郁症患病时间、合并慢性疾病、情绪调节困难、抑郁程度的影响,核心作用路径为情绪调节困难在抑郁程度与睡眠节律障碍间发挥中介效应,即抑郁程度可通过加剧情绪调节困难,间接导致睡眠节律障碍加重.
Objective To explore the influencing factors of sleep rhythm disorder in patients with depression and the pathway of emotion regulation difficulties in sleep rhythm disorder.Methods A total of 95 patients with depression treated at Mental Health Center of Yangpu District,Shanghai City from May 2019 to December 2024 were enrolled.Questionnaires were used to collect information on the general information,depression severity,emotion regulation difficulties,and sleep rhythm disorders of the subjects.Pearson correlation analysis was used to analyze the correlations among emotion regulation difficulties,depression severity and sleep rhythm disorders in patients with depression.Multiple linear regression analysis was performed to explore the influencing factors of sleep rhythm disorders.AMOS 23.0 software was adopted to establish a structural equation model,to analyze the pathway of emotion regulation difficulties in sleep rhythm disorders in patients with depression.Results The scores of depression severity,emotion regulation difficulties and sleep rhythm disorders among 95 patients with depression were(67.52±5.03)scores,(51.23±6.77)scores and(15.58±2.03)scores respectively.Pearson correlation analysis showed that emotion regulation difficulties were positively correlated with depression severity and sleep rhythm disorders(r=0.551,0.464,all P<0.001),and depression severity was positively correlated with sleep rhythm disorders(r=0.452,P<0.001).Multiple linear regression analysis indicated that age,educational level,duration of depression,combined chronic diseases,emotion regulation difficulties and depression severity were influencing factors of sleep rhythm disorders in patients with depression(P<0.05).The structural equation model revealed that emotion regulation difficulties exerted a mediating effect between depression severity and sleep rhythm disorders in depressive patients(β=0.537,P<0.001).The indirect effect was larger than the direct effect,and the mediating effect accounted for 56.06%of the total effect,indicating that this mediating effect deserved great attention.Conclusion Sleep rhythm disorders in patients with depression are affected by age,education level,duration of depression,chronic diseases,emotion regulation difficulties,and depression severity.The core mechanism is that emotion regulation difficulties play a mediating role between the depression severity and sleep rhythm disorders,that is,the depression severity can indirectly lead to the aggravation of sleep rhythm disorders by aggravating the emotion regulation difficulties.
陈晨;沈文超;宋兵福
上海市杨浦区精神卫生中心普通精神一科,上海 200093上海市杨浦区精神卫生中心普通精神一科,上海 200093上海市杨浦区精神卫生中心普通精神一科,上海 200093
抑郁症情绪调节困难睡眠节律障碍影响因素作用路径中介效应结构方程模型
depressionemotion regulation difficultiessleep rhythm disordersinfluencing factorspathwaymediating effectstructural equation model
《临床误诊误治》 2026 (13)
53-58,6
杨浦区卫生健康委员会临床研究专项科研项目(YPQ202308)
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