[1]闫晓钒,王晓杰,徐媛媛,等.新兵知觉压力与失眠的关系:反刍和抑郁的链式中介效应[J].陆军军医大学学报(原第三军医大学学报),2022,44(18):1887-1892.
 YAN Xiaofan,WANG Xiaojie,XU Yuanyuan,et al.Relationship between perceived stress and insomnia in recruits: chain-mediated effects of brooding and depression[J].J Amry Med Univ (J Third Mil Med Univ),2022,44(18):1887-1892.
点击复制

新兵知觉压力与失眠的关系:反刍和抑郁的链式中介效应(/HTML )
分享到:

陆军军医大学学报(原第三军医大学学报)[ISSN:1000-5404/CN:51-1095/R]

卷:
44卷
期数:
2022年第18期
页码:
1887-1892
栏目:
医学心理学
出版日期:
2022-09-30

文章信息/Info

Title:
Relationship between perceived stress and insomnia in recruits: chain-mediated effects of brooding and depression
作者:
闫晓钒王晓杰徐媛媛许辰彭李李敏
陆军军医大学(第三军医大学)医学心理系军事心理学教研室
Author(s):
YAN Xiaofan WANG Xiaojie XU Yuanyuan XU Chen PENG Li LI Min

Department of Military Psychology, Army Medical University (Third Military Medical University), Chongqing, 400038, China.

关键词:
知觉压力失眠反刍抑郁中介
Keywords:
perceived stress insomnia brooding depression mediation
分类号:
R256.23; R395.1; R821.2
文献标志码:
A
摘要:

目的探索反刍和抑郁在新兵知觉压力与失眠之间的中介效应。方法采用方便取样的方法,抽取海南某部新兵928人进行现场心理调查。评估工具包括知觉压力量表(Chinese Perceived Stress Scale, CPSS)、抑郁自评量表(Self-rating Depression Scale, SDS)、失眠严重程度指数(Insomnia Severity Index, ISI)、沉思反应量表(Ruminative Response Scale, RSS)和人口学基本信息问卷。结果①海南某部新兵失眠发生率为31.6%,其中中重度失眠占6.5%;②新兵知觉压力、反刍、抑郁、失眠严重程度两两显著正相关(r=0.310~0.702;P<0.01);③知觉压力显著正向预测反刍、抑郁和失眠严重程度(β=0.36、0.70、0.55,P<0.001);④知觉压力可通过3条中介路径影响失眠,反刍的中介效应量为31.41%,抑郁的中介效应量为9.67%,反刍和抑郁的链式中介效应量为2.62%。结论新兵知觉压力可直接影响失眠,也可通过反刍和抑郁间接影响失眠。

Abstract:

ObjectiveTo investigate the mediation effect of brooding and depression in perceived stress and insomnia among recruits. MethodsA total of 928 recruits were selected from a unit in Hainan Province with cluster sampling. They were surveyed with Chinese Perceived Stress Scale (CPSS), Insomnia Severity Index (ISI), Self-Rating Depression Scale (SDS), Ruminative Responses Scale (RSS) and a demographic information questionnaire, and all the questionnaires were collected on the spot. Results①The incidence of insomnia was 31.6% in the subjected recruits, with moderate or severe insomnia accounting for 6.5%. ② Perceived stress, depression, brooding and insomnia showed significant corrections with each other (r=0.310~0.702; P<0.01). ③ The regression analysis results showed that perceived stress had direct and positive effects on predicted brooding, depression, and severity of insomnia (β=0.36, 0.70, 0.55; P<0.001). ④ Perceived stress affected insomnia mainly through 3 mediation paths. The mediation effective size was 31.41% for brooding and 9.67% for depression, and the chain mediation effect size was 2.62% for brooding and depression. ConclusionPerceived stress can not only directly affect insomnia, but also indirectly through the mediation of brooding and depression in the recruits.

参考文献/References:

[1]BOLSTAD C J, NADORFF M R. What types of insomnia relate to anxiety and depressive symptoms in late life? [J]. Heliyon, 2020, 6(11):  e05315. DOI: 10.1016/j.heliyon.2020.e05315.
 
[2]ROBERTS R E, DUONG H T. Depression and insomnia among adolescents:  a prospective perspective[J]. J Affect Disord, 2013, 148(1):  66-71. DOI: 10.1016/j.jad.2012.11.049.
 
[3]KIRWAN M, SVENSON D W, PICKETT S M, et al. Emotion regulation as a mediator between sleep quality and interpersonal aggression[J]. Pers Individ Differ, 2019, 148:  32-37. DOI: 10.1016/j.paid.2019.05.018.
 
[4]SEELIG A D, JACOBSON I G, DONOHO C J, et al. Sleep and health resilience metrics in a large military cohort[J]. Sleep, 2016, 39(5):  1111-1120. DOI: 10.5665/sleep.5766.
 
[5]余海鹰, 杨春, 赵汉清, 等. 新兵睡眠质量与一般健康状况的相关性[J]. 解放军预防医学杂志, 2015, 33(1):  27-29. DOI: 10.13704/j.cnki.jyyx.2015.01.009.
 
YU H Y, YANG C, ZHAO H Q,et al. Relationship between sleep quality and general health status in some recruits[J]. J Prev Med Chin PLA, 2015, 33(1):  27-29. DOI: 10.13704/j.cnki.jyyx.2015.01.009.
 
[6]LO MARTIRE V, CARUSO D, PALAGINI L, et al. Stress & sleep:  a relationship lasting a lifetime[J]. Neurosci Biobehav Rev, 2020, 117:  65-77. DOI: 10.1016/j.neubiorev.2019.08.024.
 
[7]AZAD M C, FRASER K, RUMANA N, et al. Sleep disturbances among medical students:  a global perspective[J]. J Clin Sleep Med, 2015, 11(1):  69-74. DOI: 10.5664/jcsm.4370.
 
[8]DRAKE C L, PILLAI V, ROTH T. Stress and sleep reactivity:  a prospective investigation of the stress-diathesis model of insomnia[J]. Sleep, 2014, 37(8):  1295-1304. DOI: 10.5665/sleep.3916.
 
[9]VARGAS I, PERLIS M L. Insomnia and depression:  clinical associations and possible mechanistic links[J]. Curr Opin Psychol, 2020, 34:  95-99. DOI: 10.1016/j.copsyc.2019.11.004.
 
[10]KALMBACH D A, ANDERSON J R, DRAKE C L. The impact of stress on sleep:  Pathogenic sleep reactivity as a vulnerability to insomnia and circadian disorders[J]. J Sleep Res, 2018, 27(6):  e12710. DOI: 10.1111/jsr.12710.
 
[11]LI L Q, WU C M, GAN Y, et al. Insomnia and the risk of depression:  a meta-analysis of prospective cohort studies[J]. BMC Psychiatry, 2016, 16(1):  375. DOI: 10.1186/s12888-016-1075-3. 
 
[12]YON A, SCOGIN F, DINAPOLI E A, et al. Do manualized treatments for depression reduce insomnia symptoms? [J]. J Clin Psychol, 2014, 70(7):  616-630. DOI: 10.1002/jclp.22062.
 
[13]YE B J, WU D H, IM H, et al. Stressors of COVID-19 and stress consequences:  the mediating role of rumination and the moderating role of psychological support[J]. Child Youth Serv Rev, 2020, 118:  105466. DOI: 10.1016/j.childyouth.2020.105466.
 
[14]ARMSTEAD E A, VOTTA C M, DELDIN P J. Examining rumination and sleep:  a transdiagnostic approach to depression and social anxiety[J]. Neurol Psychiatry Brain Res, 2019, 32:  99-103. DOI: 10.1016/j.npbr.2019.05.003.
 
[15]TREYNOR W, GONZALEZ R, NOLEN-HOEKSEMA S. Rumination reconsidered:  a psychometricanalysis[J]. Cognitive Ther Res, 2003, 27(3):  247-259. DOI: 10.1023/A: 1023910315561.
 
[16]LACKNER R J, FRESCO D M. Interaction effect of brooding rumination and interoceptive awareness on depression and anxiety symptoms[J]. Behav Res Ther, 2016, 85:  43-52. DOI: 10.1016/j.brat.2016.08.007.
 
[17]BASTIEN C H, VALLIRES A, MORIN C M. Validation of the Insomnia Severity Index as an outcome measure for insomnia research[J]. Sleep Med, 2001, 2(4):  297-307. DOI: 10.1016/s1389-9457(00)00065-4.
 
[18]COHEN S, KAMARCK T, MERMELSTEIN R. A global measure of perceived stress[J]. J Heal Soc Behav, 1983, 24(4):  385. DOI: 10.2307/2136404.
 
[19]杨廷忠, 黄汉腾. 社会转型中城市居民心理压力的流行病学研究[J]. 中华流行病学杂志, 2003, 24(9):  473-475. 
 
YANG T Z, HUANG H T. An epidemiological study on stress among urban residents in social transition period[J]. Chin J Epidemiol, 2003, 24(9):  473-475. 
 
[20]ZUNG W W. A self-rating depression scale[J]. Arch Gen Psychiatry, 1965, 12:  63-70. DOI: 10.1001/archpsyc.1965.01720310065008.
 
[21]HAYES A F. PROCESS:  a versatile computational tool for mediation, moderation, and conditional process analysis[M]. New York:  Guilford Press, 2012: 1-39.
 
[22]PODSAKOFF P M, MACKENZIE S B, LEE J Y, et al. Common method biases in behavioral research:  a critical review of the literature and recommended remedies[J]. J Appl Psychol, 2003, 88(5):  879-903. DOI: 10.1037/0021-9010.88.5.879.
 
[23]NINA C, KATHERINE E, JANEESE B. Insomnia:  sex differences and age of onset in active duty army soldiers[J]. Sleep Health, 2021,4: 1-4. DOI: 10.1016/j.sleh.2021.03.003.
 
[24]FAZELI S, ZEIDI I M, LIN C Y, et al. Depression, anxiety, and stress mediate the associations between Internet gaming disorder, insomnia, and quality of life during the COVID-19 outbreak[J]. Addict Behav Rep, 2020, 12:  100307. DOI: 10.1016/j.abrep.2020.100307.
 
[25]NOLEN-HOEKSEMA S, PARKER L E, LARSON J. Ruminative coping with depressed mood following loss[J]. J Pers Soc Psychol, 1994, 67(1):  92-104. DOI: 10.1037//0022-3514.67.1.92.
 
[26]WANMAKER S, GERAERTS E, FRANKEN I H A. A working memory training to decrease rumination in depressed and anxious individuals:  a double-blind randomized controlled trial[J]. J Affect Disord, 2015, 175:  310-319. DOI: 10.1016/j.jad.2014.12.027.
 
[27]WATKINS E R, ROBERTS H. Reflecting on rumination:  Consequences, causes, mechanisms and treatment of rumination[J]. Behav Res Ther, 2020, 127:  103573. DOI: 10.1016/j.brat.2020.103573.
 
[28]CHICOINE J, MARCOTTE D, POIRIER M. Bullying perpetration and victimization among adolescents:  a diathesis-stress model of depressive symptoms[J]. J Appl Dev Psychol, 2021, 77:  101350. DOI: 10.1016/j.appdev.2021.101350.
 
[29]NAISBERG Y. Homeostatic disruption and sexual disorders[J]. Med Hypotheses, 1996, 47(3):  243-247. DOI: 10.1016/s0306-9877(96)90087-0.
 
[30]VIGNAUD P, DONDE C, SADKI T, et al. Neural effects of mindfulness-based interventions on patients with major depressive disorder:  a systematic review[J]. Neurosci Biobehav Rev, 2018, 88:  98-105. DOI: 10.1016/j.neubiorev.2018.03.004.
 

相似文献/References:

[1]卢金镶.加味甘麦大枣汤治疗更年期妇女失眠的疗效观察[J].陆军军医大学学报(原第三军医大学学报),2007,29(16):1634.
[2]韩容,赵媛,雷洋梅,等.催眠联合失眠的认知行为治疗对伴有焦虑的慢性失眠患者的疗效观察[J].陆军军医大学学报(原第三军医大学学报),2019,41(04):394.
 HAN Rong,ZHAO Yuan,LEI Yangmei,et al.Efficacy of hypnosis combined with cognitive behavior therapy for insomnia for intervention of chronic insomnia with anxiety [J].J Amry Med Univ (J Third Mil Med Univ),2019,41(18):394.

更新日期/Last Update: 2022-09-23