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青少年抑郁与睡眠问题双向关系的追踪研究
其他题名A Longitudinal Study of the Bidirectional Relationship between Adolescent Depression and Sleep Problems
韩宁
2016-10
摘要

抑郁和睡眠问题是青少年中常见的两大问题,据统计,大约20%-44%的青少年会有抑郁情绪的困扰,近14%-45%的青少年有睡眠问题,大量的研究发现,抑郁与睡眠问题之间具有紧密的关联,但是二者之间的相互预测关系迄今尚未有定论。国内的大多数研究以横向研究为主,所以造成了探讨抑郁和睡眠问题之间关系跨时间的局限性,对于因果关系的解释缺少说服力:而国外的纵向研究中对于这两者的关系也没有得出比较一致的结论,本研究旨在通过追踪数据的研究来发现青少年抑郁与睡眠问题之间的双向关系,并对二者之间关系的影响因素--性别、年级、睡眠模式—进行探讨。

本研究的样本数据来源一于中国科学院心理研究所全国青少年心理健康状况调查项目数据库,覆盖的范围包括西部、中部、东部和东北共九个省份。本研究选取了连续参加了三轮调查、且所有问卷信息完整有效的1006名12岁到18岁的在校学生进行了数据分析,平均年龄为15.04士1.86岁,其中男生461名,占45.8%,中间平均间隔12个月。研究中使用了流调中心抑郁量表中文9题简版、匹兹堡睡眠质量指数量表以及清晨型/夜晚型量表。

本研究结果表明抑郁和睡眠问题之间不仅存在着较高的相关关系,而月_存在一定程度的因果关系,即两者之间存在双向的预测关系。抑郁可以跨时间预测睡眠问题,睡眠问题也可以预测抑郁,两者并非是单向的因果关系:同时本研究结果在某种程度上支持了把抑郁作为一种连续的状态来研究,而不是离散的状态:同时采用结构方程模型进行多组比较的结果发现,在抑郁和睡眠之间的双向预测作用中,没有受到性别、年级、睡眠模式(昼夜偏好)因素的影响,在一定程度上说明了抑郁和睡眠这两者之间的预测关系在一定程度上的稳定性。

结论:青少年时期的抑郁和睡眠问题之间存在着跨时间且稳定的双向关系,在此发展时期两者能够对彼此产生预测作用。

其他摘要

Depression and sleep problems are common problems among adolescents. According to the statistics, around 20%-44% adolescents suffered from depression and around 14%-45% adolescents had the sleep problems. Many researchers reported that there was a close association between depression and sleep problems. However, the relationship of prediction between the two variables is not clear. Most of the existing researches in China were cross-sectional and did not discuss the bidirectional relationship between depression and sleep problems. A few longitudinal studies failed to get the consistent conclusion. The goal of the present study is to explore the bidirectional relationship between depression and sleep problems and its influencing factors such as gender and grade and sleep mode among Chinese adolescents.

The longitudinal data of 1006 adolescents aged 12-18 (thc average age is 15.04士1.86) of the National Survey of Adolescent Mental Health in China was used, the coverage included 9 provinces (west, middle china, east and northeast), including 461 male students (45.8%) and the studies were conducted about every 12 months in three years. The CES-D, PSQI and Morning/Night Preference Scale were used as research tools.

The research revealed that adolescent depression and sleep problems are highly correlated. The adolescent depression significantly predicted sleep problems and sleep problems also significantly predicted depression. Moreover, in sonic ways, the research supported that as a research object, depression is an ongoing status, not a discrete status.

The research used the structural equation model to conduct the multiple comparisons. The results showed that there is no gender and grade and sleep mode difference in the bidirectional relationship between adolescent depression and sleep problems. The bidirectional prediction relationship between adolescent depression and sleep problems was relatively stable to a certain extent.

Conclusion: There is a stable bidirectional relationship between adolescent depression and sleep problems across time instead of a one-way relationship. Adolescent depression and sleep problems can predict each other during adolescent development.

关键词睡眠 抑郁 青少年 双向关系
学位类型硕士
语种中文
学位名称理学硕士
学位专业健康心理学
学位授予单位中国科学院大学
学位授予地点中国科学院心理研究所
文献类型学位论文
条目标识符http://ir.psych.ac.cn/handle/311026/28906
专题健康与遗传心理学研究室
推荐引用方式
GB/T 7714
韩宁. 青少年抑郁与睡眠问题双向关系的追踪研究[D]. 中国科学院心理研究所. 中国科学院大学,2016.
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