大一年级学生失眠心理弹性与负性情绪症状的关联

Association among insomnia, resilience and negative emotions in freshman students

目的 探讨大学生心理弹性、失眠和负性情绪症状之间的关联,为采取针对性措施改善大学生失眠症状和提高心理健康水平提供依据。方法 于2022年4—5月采用整群抽样的方法选取安徽省淮南联合大学3 221名大一年级学生为研究对象,采用问卷调查一般人口学特征、失眠情况、心理弹性及负性情绪症状等信息,建立多因素Logistic回归模型分析大学生心理弹性、失眠和负性情绪症状之间的关联。结果 大学生抑郁、焦虑、压力症状检出率分别为17.5%,22.7%和7.8%。调整混杂因素后,失眠大学生产生抑郁、焦虑、压力等负性情绪症状的风险增加,OR值(95%CI)分别为5.09(4.05~6.41),4.89(3.91~6.12),6.39(4.82~8.48)(P值均<0.05)。中、低水平心理弹性与抑郁[OR值(95%CI)分别为2.86(2.06~3.97),8.77(6.44~11.93)]、焦虑[OR值(95%CI)分别为3.21(2.43~4.23),7.55(5.79~9.84)]、压力[OR值(95%CI)分别为2.48(1.53~4.01),7.17(4.61~11.16)]症状均存在正向关联(P值均<0.05)。失眠和心理弹性的交互项对大学生负性情绪症状存在交互作用,在同等失眠症状水平,心理弹性水平越低,负性情绪症状检出率越高(P值均<0.05)。结论 大一年级学生失眠和心理弹性与负性情绪症状相关。为改善大学生负性情绪症状,应加强大学生睡眠健康教育和心理弹性的培养。

Objective To explore the associations among resilience,insomnia,and negative emotional symptoms in college students,so as to provide a basis for implementing targeted measures to improve insomnia symptoms and the mental health of this population.Methods From April to May 2022,a cluster sampling method was employed to select 3221 freshmen from Union University of Huainan in Anhui Province.Questionnaires were administered to investigate general demographic characteristics,insomnia,resilience,and depressive symptoms.Multivariate Logistic regression models were constructed to analyze the relationships among tinsomnia,resilience,and depressive symptoms of college students.Results The prevalence rates of depressive symptoms,anxiety symptoms,and stress-related symptoms were 17.5%,22.7%,and 7.8%,respectively.After adjusting for confounding factors,insomnia was significantly associated with depressive symptoms[OR(95%CI)=5.09(4.05-6.41)],anxiety symptoms[OR(95%CI)=4.89(3.91-6.12)]and stress-related symptoms[OR(95%CI)=6.39(4.82-8.48)](P<0.05).Medium and low levels of resilience were significantly associated with depressive symptoms[OR(95%CI)=2.86(2.06-3.97),8.77(6.44-11.93)],anxiety symptoms[OR(95%CI)=3.21(2.43-4.23),7.55(5.79-9.84)]and stress-associated symptoms[OR(95%CI)=2.48(1.53-4.01),7.17(4.61-11.16)](P<0.05).The interaction between insomnia and Psychological resilience had interaction on college students'negative emotional symptoms.Comparable to the results regarding insomnia,decreased resilience corresponded to a higher detection rate of negative emotions in freshman students(P<0.05).Conclusion Insomnia and resilience were correlated with negative emotions in college students.Emphasis should be placed on sleep health education and resilience in order to improve the negative emotions in college students.