医学生睡眠与焦虑、抑郁情绪相关性的meta分析

职业与健康 ›› 2023, Vol. 39 ›› Issue (22): 3134-3138.

医学生睡眠与焦虑、抑郁情绪相关性的meta分析

黄闻¹, 徐莲英¹, 章新琼², 陆静茹²

1.安徽医科大学附属心理医院/安徽省精神卫生中心/合肥市第四人民医院护理部,安徽合肥 230022;
2.安徽医科大学护理学院,安徽合肥 230601

收稿日期:2023-05-04 修回日期:2023-05-21 出版日期:2023-11-15 发布日期:2026-03-26
通信作者: 徐莲英,副主任护师,E-mail：xulianying6504@126.com
作者简介:黄闻,女,护师,主要从事临床护理心理学工作。
基金资助:
国家级大学生创新创业训练计划项目（201910366056）

Correlation between sleep quality,anxiety and depression of medical college students：A meta-analysis

HUANG Wen¹, XU Lianying¹, ZHANG Xinqiong², LU Jingru²

1. Nursing Department,Affiliated psychological Hospital of Anhui Medical University/Anhui Mental Health Center/Hefei Fourth People's Hospital,Hefei Anhui 230022,China;
2. Nursing Department,Anhui Medical University,Hefei Anhui 230601,China

Received:2023-05-04 Revised:2023-05-21 Online:2023-11-15 Published:2026-03-26
Contact: XU Lianying,Deputy chief nurse,E-mail：xulianying6504@126.com

摘要/Abstract

摘要： 目的通过meta分析的方法,基于Pearson相关系数系统评价医学生睡眠情况与焦虑、抑郁的相关性。方法检索中国知网、维普中文期刊数据库、中国生物医学文献数据库、万方数据库、Pubmed、Cochrane Library、Sciencedirect、EMBASE、EBSCO等数据库中检索建库至2021年12月医学相关专业大学生睡眠与焦虑、抑郁情绪相关性的研究,按纳入与排除标准筛选文献、评价文献质量并提取数据,使用 RevMan 5.3 软件进行meta分析。结果共纳入14篇研究,9 798例研究对象。匹兹堡睡眠质量指数量表（Pittsburgh sleep quality index,PSQI）总分与症状自评量表（symptom cheek list 90,SCL-90）焦虑因子合并相关系数为0.405,95%CI：0.37~0.49;与SCL-90抑郁因子合并相关系数为0.414,95%CI：0.37~0.52;PSQI总分与焦虑自评量表（self-rating anxiety scale,SAS）合并相关系数为0.493,95%CI（0.38,0.69）,与抑郁自评量表（self-rating depression scale,SDS）合并相关系数为0.508,95%CI：0.33~0.79;PSQI总分与抑郁-焦虑-应激自评简版量表（the depression anxiety stress scale,DASS-21）焦虑因子合并相关系数为0.282,95%CI：0.16~0.42,与DASS-21抑郁因子合并相关系数为0.291,95%CI：0.11~0.49,差异均有统计学意义（均P<0.01）。结论医学生睡眠质量与抑郁、焦虑情绪均存在中等以上相关性。应建立系统的医学生身心健康保障机制,改善医学生睡眠质量,促进身心健康。

关键词: 医学生, 睡眠, 焦虑, 抑郁, 相关性, Meta分析

Abstract: Objective By using a meta-analysis,to systematically evaluate the correlation between sleep status,anxiety,and depression among medical students based on Pearson correlation coefficient. Methods The studies on correlation between sleep quality,anxiety and depression of medical college students were searched in CKNI,VIP,CBM,Wanfang,Pubmed,Cochrane Library,Sciencedirect,EMBASE and EBSCO from inception to December 2021. The literature was screened according to inclusion and exclusion criteria,to evaluate the quality,and extract the data,and the meta-analysis was performed by RevMan 5.3 software. Results Totally 14 studies were recruited,including 9 798 subjects. Meta-analysis showed that summary correlation coefficient of the total score of Pittsburgh sleep quality index（PSQI） with anxiety factors and depression factors of symptom cheek list-90（SCL-90） was 0.405,95%CI：0.37-0.49 and 0.414,95%CI：0.37-0.52,respectively. The summary correlation coefficient of the total score of PSQI with self-rating anxiety scale（SAS） and self-rating depression scale（SDS） was 0.493,95%CI：0.38-0.69 and 0.508,95%CI：0.33-0.79,respectively. The summary correlation coefficient of the total score of PSQI with anxiety factors and depression factors of the depression anxiety stress scale（DASS-21） was 0.282,95%CI：0.16-0.42 and 0.291,95%CI：0.11-0.49,respectively. The differences were statistically significant（all P<0.01）. Conclusions There is above the average correlation between sleep quality and depression,anxiety in medical college students. The systematic methods should be established to guarantee college students' physical and mental health so as to improve their sleep quality and promote their physical and mental health.

Key words: Medical students, Sleep, Anxiety, Depression, Correlation, Meta-analysis

中图分类号:

R181.2

黄闻, 徐莲英, 章新琼, 陆静茹. 医学生睡眠与焦虑、抑郁情绪相关性的meta分析. [J]职业与健康, 2023, 39(22): 3134-3138.

HUANG Wen, XU Lianying, ZHANG Xinqiong, LU Jingru. Correlation between sleep quality,anxiety and depression of medical college students：A meta-analysis. [J]OCCUPATION AND HEALTH, 2023, 39(22): 3134-3138.

参考文献

[1] 张培芳. 中部某省医学本科生心理健康状况及其影响因素分析[J].中国继续医学教育,2017,9(34):29-31.
[2] 张凤梅,陈建文,杜风芹,等.大学生睡眠质量与焦虑抑郁状况及其相关性研究[J].中国慢性病预防与控制,2013,21(5):574-575.
[3] 王婷,王丽.医学生睡眠障碍的影响因素及中医护理干预的研究进展[J].职业与健康,2022,38(2):276-278,283
[4] 张童欢,姜钊,张萌,等.湖北省某高校医学生A型行为与睡眠质量相关性研究[J].医学与社会,2021,34(3):84-88.
[5] STROUP D F,BERLIN J A,MORTON S C,et al.Meta-analysis of observational studies in epidemiology:a proposal for reporting.Meta-analysis of Observational Studies in Epidemiology(MOOSE)group[J].J Am Med Assoc,2000,283(15):2008-2012.
[6] ROSTOM A,DUBE C,CRANNEY A.Agency for healthcare researchand quality(US)[EB/OL].(2004-09-02)[2021-03-05].http://www.ncbi.nlm.nih.gov/books/NBK35156.
[7] TSILIGIANNI I,KOCKS J,TZANAKIS N,et al.Factors that influence disease-specific quality of life or health status in patients with COPD:a systematic review and meta-analysis of Pearson correlations[J].Prim Care Respir J,2011,20(3):257-268.
[8] 蒋红成,毛勇,李雨晴.边疆省份医学生睡眠质量与焦虑及抑郁相关性分析[J].中国公共卫生管理,2016,32(3):305-308.
[9] KALYANI M N,JAMSHIDI N,SALAMI J,et al.Investigation of the relationship between psychological variables and sleep quality in students of medical sciences[J].Depress Res Treat,2017,2017(1):1-6.
[10] SHAZI M R,SALEHI A,VARDANJANI H M.Problematic internet use,mental health,and sleep quality among medical students:a path-analytic model[J].Indian J Psychol Med,2020,42(2):128-135.
[11] 杨丽君,李晶,张红莲.拉萨市医学实习生睡眠质量现状及与心理健康状况的相关性研究[J].中国高等医学教育,2014,26(10):50-51.
[12] 于冬梅,陈瑜.医科大学男护生睡眠质量及心理健康状况研究[J].解放军护理杂志,2010,27(3):412-415.
[13] 袁洁,刘斯漫,张涛.医学生睡眠质量现况及其影响因素分析[J].中国药物与临床,2015,15(4):493-495.
[14] 郝弘宇. 某高职院校护理专业学生主观幸福感与心理健康、睡眠质量的关系研究[D].合肥:安徽医科大学,2017.
[15] FAWZY M,HAMED S A.Prevalence of psychological stress,depression and anxiety among medical[J].Psychiatry Res,2017,255(1):186-194.
[16] AWASTHIA A A,TANEJA N,MAHESHWARI S,et al.Prevalence of internet addiction,poor sleep quality,and depressive symptoms among medical students:a cross-sectional study[J].Osong Public Health Res Perspect,2020,11(5):303-308.
[17] 孟红,杨红玲.抑郁、焦虑水平及其相关因素对大学生睡眠质量影响的研究[C].第七届全国中西医结合心身医学学术交流会,西安,2013:72-84.
[18] 钱学艳,金佰明,吕鑫.医学生睡眠质量及其与心理健康关系的研究[J].医学信息,2010,23(7):2083-2084.
[19] 王玉珠,林烁,陈成鑫,等.生活事件、焦虑及抑郁情绪与大学生睡眠障碍的关系研究[J].卫生职业教育,2020,38(21):115-118.
[20] 崔玉玲,倪守建,刘鹏飞,等.医学生睡眠质量与心理健康及总体幸福感的关系[J].中国健康心理学杂志,2014,22(6):943-945.
[21] 王小丹. 海南省医学大学生睡眠质量影响因素及干预研究[D].太原:山西医科大学,2007.
[22] 魏明,李新华,王伟琼,等.医学生睡眠质量现状调查[J].中国健康心理学杂志,2014,22(3):454-455.
[23] 王小丹,李巧,陈用成,等.2 341名海南省本科大学生睡眠质量现况分析[J].中国健康教育,2014,30(7):587-589,601.
[24] 刘海燕,汪俊华,崔迪,等.医学生睡眠质量与自测健康状况的相关研究[J].现代预防医学,2012,39(13):3288-3291.
[25] 霍绍虎,付文学,夏天祥,等.医学生就业现状和结构分析——以皖南医学院临床医学、麻醉学、医学影像学专业为例[J].医学教育研究与实践,2018,26(3):466-469.
[26] 张秋梅,梅瑞华,吉峰.考研压力对医学生睡眠及认知功能的影响调查[J].济宁医学院学报,2016,39(5):341-344.
[27] 张敏,尉成芳,查日胜,等.医学实习生睡眠质量研究进展[J].职业与健康,2018,34(21):3023-3025.
[28] 舒梦雅,黄思涵,陈晶.临床医学生的医疗执业环境评价对职业认同的影响[J].医学与社会,2019,32(6):131-134.
[29] 范俊强,于静静.新冠肺炎疫情期间某高校大学生睡眠质量与压力负荷现状[J].环境与职业医学,2020,37(9):862-866.
[30] 张志贤,罗丽娜,胡瑞平,等.新时代医学院校心理健康教育工作策略研究[J].卫生职业教育,2018,36(12):153-154.