广州市大学生压力调节ADHD症状对睡眠质量的影响

摘要/Abstract

摘要： 目的探讨大学生注意缺陷多动障碍（attention-deficit hyperactivity disorder,ADHD）症状是否影响其睡眠质量,并检验压力在其中是否发挥中介作用。方法于2023年2—5月采用成人注意缺陷多动障碍自评量表、匹兹堡睡眠量表、大学生压力量表对广州市306名在校大学生开展调查。结果广州市大学生有注意缺陷症状、多动冲动症状及兼具2种症状（ADHD）、睡眠障碍和压力障碍的筛查率分别为25.91%、4.32%、14.95%、60.13%和17.61%,且兼具注意缺陷与多动冲动症状的受家庭子女数量的影响（t=2.49,P<0.05）;相关分析表明,ADHD症状、睡眠质量和压力三者两两均呈显著正相关（r=0.205~0.357,均P<0.01）;结构方程模型显示,ADHD症状通过压力间接预测睡眠质量（“ADHD症状→压力→睡眠质量”）,即压力在ADHD症状对睡眠质量的影响中起完全中介作用（β=0.168,P<0.01）;因子分析进一步表明,ADHD症状通过压力对睡眠质量中的日间功能障碍影响最为显著（β=0.140,P<0.01）。结论大学生ADHD症状通过压力影响其睡眠质量,即大学生ADHD症状会增加其压力水平,进而降低其睡眠质量。

关键词: 注意缺陷多动障碍, 睡眠质量, 压力, 日间功能障碍, 中介效应

Abstract: Objective To explore whether the symptoms of attention deficit hyperactivity disorder（ADHD） affect the sleep quality of college students,and examining whether stress plays a mediating role in it. Methods From February to May 2023,a survey was conducted on 306 college students in Guangzhou,using the adult attention deficit hyperactivity disorder self rating scale,Pittsburgh sleep scale,and college student stress scale. Results The screening rates for attention deficit symptoms,hyperactivity and impulsivity symptoms,as well as comorbidities of ADHD,sleep disorders,and stress disorders among college students in Guangzhou were 25.91%,4.32%,14.95%,60.13%,and 17.61%,respectively. The number of children in the family affected the comorbidities of attention deficit and hyperactivity（t=2.49,P<0.05）. Correlation analysis showed that ADHD symptoms,sleep quality, and stress were significantly positively correlated with each other（r=0.205-0.357,all P<0.01）. Structural equation modeling showed that ADHD symptoms could indirectly predict sleep quality through stress（ADHD symptoms → stress → sleep quality）,and stress played a completely mediating role in the impact of ADHD symptoms on sleep quality（β=0.168,P<0.01）. Factor analysis further indicated that ADHD symptoms had the most significant impact on daytime dysfunction in sleep quality through stress（β=0.140,P<0.01）. Conclusions The symptoms of ADHD in college students can affect their sleep quality through stress. ADHD symptoms in college students can increase their stress levels,then reducing their sleep quality.

Key words: Attention deficit and hyperactivity disorder, Sleep quality, Stress, Daytime dysfunction, Mediating effect

中图分类号:

R181.3⁺7

邓洋洋, 杨涵, 赖源燊, 雷宇韬, 叶圣炉, 党彩萍. 广州市大学生压力调节ADHD症状对睡眠质量的影响. [J]职业与健康, 2024, 40(19): 2700-2705.

DENG Yangyang, YANG Han, LAI Yuanshen, LEI Yutao, YE Shenglu, DANG Caiping. Impact of stress regulation ADHD symptoms on sleep quality among college students in Guangzhou City. [J]OCCUPATION AND HEALTH, 2024, 40(19): 2700-2705.

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