西藏高原地区大学生睡眠质量与抑郁焦虑症状的关系

Relationship between sleep quality with depression and anxiety symptoms in college students at Tibet Plateau areas

目的探讨西藏高原地区大学生睡眠质量与抑郁、焦虑症状的关系,为改善高海拔地区人群的睡眠质量,缓解抑郁、焦虑症状提供科学依据。方法采用分层整群抽样法,于2019年10—11月,使用中文版匹兹堡睡眠质量指数量表(PSQI)、抑郁自评量表(SDS)和焦虑自评量表(SAS),对西藏大学1288名大二、大三年级在校大学生进行问卷测查,对测查结果进行t检验、方差分析和Logistic回归分析。结果被试睡眠质量指数量表平均得分为(5.32±2.94)分,20.5%(264名)睡眠质量差。抑郁和焦虑症状的检出率分别为46.0%(592名)和24.4%(314名),20.4%(263名)的大学生抑郁和焦虑症状并存。Logistic回归分析显示,女性、藏族、吸烟、饮酒、睡眠质量差的大学生患抑郁的风险更高(OR值分别为1.55,1.80,1.51,1.67,5.60),藏族、饮酒、睡眠质量差的大学生患焦虑的风险更高(OR值分别为1.52,1.91,10.22)(P值均<0.05)。结论西藏高原地区大学生睡眠质量与抑郁焦虑症状存在密切关系。高校心理教育部门应高度重视学生的睡眠质量问题,尤其要重点关注存在睡眠障碍的个体,从而降低大学生群体抑郁焦虑症状的发生率。

Objective To explore the relationship between sleep quality with depression and anxiety symptoms among college students in Tibet plateau areas,and to provide scientific basis for sleep quality promotion,as well as depression and anxiety allevation in high-altitude areas.Methods The stratified cluster sampling method was used to investigate 1288 second-and third-year college students in Tibet University from October to November 2019.The Chinese Version of Pittsburgh Sleep Quality Index(PSQI),Self-rating Depression Scale(SDS)and Self-rating Anxiety Scale(SAS)were used in this survey,and the survey results were tested by t-test,variance analysis and Logistics regression analysis.Results The mean sleep quality index was(5.32±2.94),and 20.5%(n=264)of participants reported poor sleep quality.The detection rates of depression and anxiety symptoms were 46.0%(n=592)and 24.4%(n=314),respectively.And 20.4%(n=263)had the worst sleep quality with the coexistence of depression and anxiety symptoms.College students who are female,Tibetan,smoking,drinking and poor sleep quality have a higher risk of depression(OR=1.55,1.80,1.51,1.67,5.60),while Tibetan,drinking and poor sleep quality college students have a higher risk of anxiety(OR=1.52,1.91,10.22)(P<0.05).Conclusion There is a close relationship between the sleep quality of college students in Tibet Plateau areas with depression and anxiety symptoms.Mental health education department in colleges should attach great importance to the sleep quality of students,especially for individuals with sleep disorders,so as to reduce the incidence of depression and anxiety symptoms among college students.