文献类型：期刊文献

中文题名：基于结构方程模型探讨大学生阳虚体质睡眠质量和抑郁的关系

英文题名：Study on the Mediating Effect of Sleep Quality Between Yang-Deficiency Constitution and Depression in College Students Based on Structural Equation Model

作者：纪可[1,2,3];刘玲[1,2,3];刘茹[1,2];黄亮亮[3];解丹[3];徐福平[4];卢玉俊[5];王平[3]

第一作者：纪可

机构：[1]湖北省中医院,武汉430061;[2]湖北省中医药研究院,武汉430074;[3]湖北中医药大学,武汉430061;[4]广东省中医院,广州510120;[5]甘肃中医药大学附属医院,兰州730000

第一机构：湖北省中医院,武汉430061

年份：2021

卷号：23

期号：5

起止页码：1362

中文期刊名：世界科学技术-中医药现代化

外文期刊名：Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

收录：CSTPCD;;北大核心:【北大核心2020】；CSCD:【CSCD_E2021_2022】；

基金：国家科学技术部国家重点研发计划(2018YFC1705600):慢性失眠中医诊疗新方案及机制研究,负责人:王平。

语种：中文

中文关键词：阳虚体质;大学生;睡眠质量;抑郁

外文关键词：Yang-deficiency constitution;College students;Sleep quality;Depression

摘要：目的研究睡眠质量在大学生阳虚体质与抑郁症状之间的中介作用,为制定中医防治抑郁的综合方案提供依据。方法采用横断面研究的方法,随机抽取湖北、甘肃、广东中医药大学大一至大三1028名在校学生作为研究对象,采用一般资料调查表、中医阳虚体质量表、匹兹堡睡眠质量指数、抑郁自评量表进行调查。采用Spearman法进行相关性分析,应用潜变量中介效应模型分析中介效应。结果大学生失眠的检出率为23.7%,抑郁检出率为40.9%。相关分析结果显示,大学生阳虚体质得分与SDS得分(r=0.23,P<0.01)、PSQI得分与SDS得分(r=0.40,P<0.01)、阳虚体质得分与PSQI得分(r=0.36,P<0.01)呈正相关关系,有统计学意义。在阳虚体质与抑郁相关的潜变量中介效应模型中,睡眠质量中介效应值为0.21。结论大学生睡眠质量欠佳在阳虚体质与抑郁之间起中介作用。
Objective To study the mediating effect of yang-deficiency constitution between sleep quality and depression in medical students,and to provide a basis for the comprehensive prevention and treatment.Methods Totally 1028 students were selected from Hubei,Gansu and Guangdong universities of Chinese medicine by using the method of cross-sectional study.The general information questionnaire,the TCM constitution scale,Pittsburgh Sleep Quality Index Scale(PSQI)and Self-rating Depression Scale were used to assess constitution,sleep quality and depression.Spearman method was used for correlation analysis and latent variable mediating effect model was used to analyze the mediating effect.Results The detection rate of insomnia and depression was 23.7%and 40.9%respectively.Correlation analysis results showed that SDS score was also positively correlated with yang-deficiency constitution transformation score(r=0.23,P<0.01),the total PSQI score was positively correlated with SDS score(r=0.40,P<0.01)and yang-deficiency constitution conversion score(r=0.36,P<0.01).The correlation was statistically significant.In the mediating effect model of sleep quality and depression,the mediating effect value of sleep quality was 0.21.Conclusion The poor sleep quality mediates the association between yang-deficiency constitution and depression in college students.