健康与遗传心理学研究室知识库

在事业单位改革持续深化的背景下，职工面临的工作生活压力显著增加，睡眠质量作为压力应对的重要生理指标，可能在其心理健康维护中发挥关键中介作用。现有研究多集中在压力、睡眠和心理健康的关系上，对睡眠的中介机制尚不确定，且针对该群体的循证干预研究亟待加强。

本研究基于压力-睡眠-心理健康的中介模型，通过两项系列研究揭示睡眠的中介机制，并验证催眠减压干预的效果。研究一采用横断面研究设计，以石家庄 市某些事业单位 1002 名职工为研究对象，采用压力自评量表、匹兹堡睡眠质量指数表以及 90 项症状自评量表全面评估该人群的压力水平、睡眠质量及心理健康状况。分析职工的压力、睡眠与心理健康之间的关系，并探讨睡眠在压力与心理健康之间的中介效应。研究二在研究一分析结果上，对其中某事业单位职工32 人按自愿原则分为观察组（n=15）与对照组（n=17）。观察组接受每周 1 次、持续 8 周的标准化催眠程序。对照组不进行任何干预。2 个月后再次测评，观察干预效果。

研究一结果显示：睡眠质量评分、心理健康评分与压力等级两两之间存在显著的正相关关系（ps<0.01），中介效应分析显示，睡眠部分中介了压力等级与心理健康之间的关系（p<0.001）。

研究二结果发现：干预前，观察组和对照组在各项指标上均不存在显著差异，

8 周催眠减压干预后，观察组在压力等级评分、睡眠主观感受、入睡时间、睡眠 障碍、日间功能障碍和睡眠总分，心理健康状况上的得分均低于对照组（p<0.001，ps<0.05，p<0.001）。观察组在干预后压力、睡眠、心理健康评分较干预前降低 （ps<0.05）。对照组在干预前后三者评分未见明显变化（ps > 0.05）。

本研究明确事业单位职工的压力、睡眠质量与心理健康评分之间存在显著的正相关关系，支持睡眠在压力与心理健康之间发挥部分中介效应的中介模型，催眠技术可通过减轻压力来调节睡眠，从而提高心理健康水平，为心理健康促进提供了非药物干预新路径。建议将减压管理纳入职业健康体系，未来研究需结合多模态评估技术深化机制探索，并研发更为丰富实用的压力、睡眠和心理管理方案。

Under the background of deepening institutional reforms in public service units, employees face significantly increased work-life stress. Sleep quality, as a critical physiological indicator of stress response, may play a key mediating role in maintaining mental health. Existing studies predominantly focus on the relationships among stress, sleep, and mental health, yet the mediating mechanisms of sleep remain unclear, and evidence-based intervention research for this population requires urgent strengthening.

This study utilizes a mediation model that examines the relationships between stress, sleep, and psychological health. TThrough two studies, this research reveals how sleep mediates the relationship between stress and psychological health, and it verifies the effectiveness of a hypnosis-based stress reduction intervention. Study One employs a cross-sectional research design and includes 1,002 employees from various institutions in Shijiazhuang City as research participants. This study employs several assessment tools, including a self-assessment stress scale, the Pittsburgh Sleep Quality Index, and a 90-item Symptom Self-Rating Scale. These tools comprehensively evaluate the stress levels, sleep quality, and psychological health of the participants. It analyzes the relationship between stress, sleep, and psychological health of the employees and explores the mediating effect of sleep between stress and psychological health. Building on the findings from Study One, Study Two involved 32 employees from a specific institution, who were voluntarily divided into an observation group (n=15) and a control group (n=17).The observation group received a standardized hypnosis program once a week for 8 weeks, while the control group did not receive any intervention. After 2 months, the assessment was conducted again to observe the intervention effect.

The results of Study One indicated that there were significant positive correlations between sleep quality scores, mental health scores and stress levels (ps < 0.01). The mediation effect analysis showed that sleep partially mediated the relationship between stress levels and mental health (p < 0.001).

The results of Study Two revealed that before the intervention, there were no significant differences between the observation group and the control group in all indicators. After 8 weeks of hypnosis-based stress reduction intervention, the observation group scored lower than the control group in stress level scores, subjective sleep quality, sleep onset latency, sleep disorders, daytime dysfunction and total sleep scores, as well as mental health status (p < 0.001, ps < 0.05, p < 0.001). The scores of stress, sleep and mental health in the observation group decreased after the intervention compared with those before the intervention (ps < 0.05). There were no significant changes in the scores of stress, sleep and mental health in the control group before and after the intervention (ps > 0.05).

This study confirms significant positive correlations among stress, sleep quality, and mental health in public service unit employees, supporting the partial mediating role of sleep in the stress-mental health pathway. Hypnotherapy provides a novel non-pharmacological intervention to alleviate stress, improve sleep, and enhance mental health. We recommend integrating stress management into occupational health systems and advocate for future research to explore mechanisms using multimodal assessment technologies and develop comprehensive stress-sleep-mental health management programs.