大学生经验性回避与睡眠时间不足对抑郁症状的交互作用

Interaction between experiential avoidance and insufficient sleep duration on depressive symptoms in college students

目的:探究大学生经验性回避、睡眠时间不足与抑郁症状的关系,以及对抑郁症状的交互作用。方法:采用大学生心理健康素养调查问卷,通过问卷星平台对来自山东、吉林、陕西的7所综合性大学的大学生进行调查。收集资料包括研究对象的一般人口学信息、经验性回避、睡眠时长、抑郁症状等信息。使用logistic回归模型分析经验性回避、睡眠时间不足与抑郁症状的关系,使用相加交互作用分析经验性回避与睡眠时间不足的交互作用。结果:共纳入4803例大学生,其中男2207例(45.95%),女2596例(54.05%)。研究对象的年龄范围为18~26岁。logistic回归模型显示,与低度水平相比,中等、中高、高度水平的经验性回避均与抑郁症状相关(P<0.001),睡眠时间不足与抑郁症状相关(P<0.001)。交互作用分析显示,中高、高度水平经验性回避与睡眠时间不足之间存在相加交互作用。结论:经验性回避、睡眠时间不足与大学生抑郁症状相关,且中高、高度水平经验性回避与睡眠时间不足之间存在相互影响。

Objective:To investigate the relationship between experiential avoidance,insufficient sleep duration,and depressive symptoms among college students,as well as their interaction on depressive symptoms.Methods:The students from seven comprehensive universities in Shandong,Jilin and Shaanxi Provinces were investigated by using a mental health literacy questionnaire on the online platform of Questionnaire Star.Data collected included general demographic information,experiential avoidance,sleep duration,and depressive symptoms of the participants.The logistic regression model was employed to analyze the relationship between experiential avoidance,insufficient sleep duration,and depressive symptoms.The interaction was assessed using additive interaction analysis for experiential avoidance and insufficient sleep duration.Results:A total of 4,803 college students were included,comprising 2,207 males(45.95%)and 2,596 females(54.05%),with an age range of 18-26 years.The logistic regression model showed that moderate level,medium-high level,and high level experiential avoidance were all associated with depressive symptoms compared with low levels(P<0.001),and insufficient sleep duration was associated with depressive symptoms(P<0.001).Interaction analysis revealed additive interactions between medium-high level and high-level experiential avoidance and insufficient sleep duration.Conclusion:Experiential avoidance and insufficient sleep duration are related to depressive symptoms in college students,and there is a mutual influence between medium-high level and high-level experiential avoidance and insufficient sleep duration.