情感虐待对青少年失眠的中介模型分析

A mediation model analysis of emotional abuse on adolescent insomnia

目的 本研究旨在评估情感虐待与青少年失眠之间的关系及作用机制,探讨羞耻倾向、反刍思维从中起到的中介作用。方法 2021年5月,随机选取安徽省合肥市4所中学学生作为研究对象进行问卷调查。采用情感虐待量表,中学生羞耻感量表,反刍思维量表,失眠严重指数量表对6 916名中学生进行测查。进行描述统计、相关分析及序列中介效应分析。结果 结果显示,情感虐待显著正向预测青少年失眠现状(β=0.291,P<0.001)。中介效应分析结果显示,情感虐待显著正向预测青少年羞耻倾向(β=0.365,P<0.001),而羞耻倾向显著正向预测青少年失眠症状(β=0.245,P<0.001),羞耻倾向在情感虐待与青少年失眠症状之间起中介作用。情感虐待显著正向预测青少年反刍思维(β=0.183,P<0.001),而反刍思维显著正向预测青少年失眠症状(β=0.981,P<0.001),反刍思维在情感虐待与青少年失眠症状之间起中介作用。同时,羞耻倾向可显著正向预测反刍思维(β=0.433,P<0.001),显示出羞耻倾向和反刍思维在情感虐待与青少年失眠之间的链式中介作用。结论 (1)情感虐待与青少年失眠症状呈正相关关系。(2)情感虐待可直接影响青少年失眠症状,也可以通过3种间接效应影响失眠症状,即羞耻倾向的中介作用、反刍思维的中介作用以及羞耻倾向和反刍思维的链式中介作用。

Objective To assess the relationship between emotional abuse and insomnia in adolescents and to discuss the mechanism of action and the mediating role played by shame tendencies and ruminative thinking.Methods In May 2021,students from 4 secondary schools in Hefei,Anhui Province were randomly selected as the study population for questionnaire survey.The emotional abuse scale,the shame scale for secondary school students,the regurgitated thinking scale,and the index of insomnia severity scale were used to measure 6 916 secondary school students.Descriptive statistics,correlation analysis and serial mediated effects analysis were performed.Results The results showed that,overall,emotional abuse positively and significantly predicted the current insomnia status in adolescents(β=0.291,P<0.001).The results of the mediation effect analysis showed that emotional abuse significantly and positively predicted adolescent shame tendencies(β=0.365,P<0.001),while shame tendencies significantly and positively predicted adolescent insomnia symptoms(β=0.245,P<0.001),indicating that shame tendencies mediated the relationship between emotional abuse and adolescent insomnia symptoms.Emotional abuse significantly and positively predicted ruminative thinking in adolescents(β=0.183,P<0.001),while ruminative thinking significantly and positively predicted insomnia symptoms in adolescents(β=0.981,P<0.001),showing that ruminative thinking mediates the relationship between emotional abuse and insomnia symptoms in adolescents.Meanwhile,shame tendencies significantly and positively predicted ruminative thinking(β=0.433,P<0.001),demonstrating a chain mediating role of shame tendencies and ruminative thinking between emotional abuse and insomnia in adolescents.Conclusion(1) Emotional abuse is significantly and positively associated with insomnia symptoms in adolescents.(2) Emotional abuse can affect insomnia symptoms in adolescents directly and also through three indirect effects,namely the mediating role of shame tendencies,the mediating role of ruminative thinking,and the chain mediating role of shame tendencies and ruminative thinking.This study reveals the mechanism of emotional abuse on adolescent insomnia and provides a theoretical basis for adolescent insomnia intervention.