情感虐待对青少年失眠的中介模型分析

崔亚楠; 黄云衡; 郭雅如; 方海健; 季益富; 余凤琼

doi:10.16766/j.cnki.issn.1674-4152.002906

情感虐待对青少年失眠的中介模型分析

doi: 10.16766/j.cnki.issn.1674-4152.002906

1.
安徽医科大学精神卫生与心理科学学院，安徽合肥 230032
2.
合肥第四人民医院精神科，安徽合肥 230032

基金项目:

国家自然科学基金项目 31771222

安徽省转化医学研究基金项目 2021zhyx-C29

详细信息

通讯作者:
余凤琼, E-mail：yufengqiong@ahmu.edu.cn

中图分类号: R395.6 G478
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- 文章访问数: 183
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- 被引次数: 0
出版历程
- 收稿日期: 2022-10-12
- 网络出版日期: 2023-04-19

A mediation model analysis of emotional abuse on adolescent insomnia

1.
Department of Mental Health and Psychological Science, Anhui Medical University, Hefei, Anhui 230032, China

摘要

摘要: 目的本研究旨在评估情感虐待与青少年失眠之间的关系及作用机制，探讨羞耻倾向、反刍思维从中起到的中介作用。方法 2021年5月，随机选取安徽省合肥市4所中学学生作为研究对象进行问卷调查。采用情感虐待量表，中学生羞耻感量表，反刍思维量表，失眠严重指数量表对6 916名中学生进行测查。进行描述统计、相关分析及序列中介效应分析。结果结果显示，情感虐待显著正向预测青少年失眠现状(β=0.291，P＜0.001)。中介效应分析结果显示，情感虐待显著正向预测青少年羞耻倾向(β=0.365，P＜0.001), 而羞耻倾向显著正向预测青少年失眠症状(β=0.245，P＜0.001)，羞耻倾向在情感虐待与青少年失眠症状之间起中介作用。情感虐待显著正向预测青少年反刍思维(β=0.183，P＜0.001), 而反刍思维显著正向预测青少年失眠症状(β=0.981，P＜0.001)，反刍思维在情感虐待与青少年失眠症状之间起中介作用。同时，羞耻倾向可显著正向预测反刍思维(β=0.433，P＜0.001)，显示出羞耻倾向和反刍思维在情感虐待与青少年失眠之间的链式中介作用。结论 (1) 情感虐待与青少年失眠症状呈正相关关系。(2)情感虐待可直接影响青少年失眠症状，也可以通过3种间接效应影响失眠症状，即羞耻倾向的中介作用、反刍思维的中介作用以及羞耻倾向和反刍思维的链式中介作用。
- 情感虐待 /
- 失眠 /
- 羞耻倾向 /
- 反刍思维
Abstract: Objective To assess the relationship between emotional abuse and insomnia in adolescents and to discuss the mechanism of action and the mediating role played by shame tendencies and ruminative thinking. Methods In May 2021, students from 4 secondary schools in Hefei, Anhui Province were randomly selected as the study population for questionnaire survey. The emotional abuse scale, the shame scale for secondary school students, the regurgitated thinking scale, and the index of insomnia severity scale were used to measure 6 916 secondary school students. Descriptive statistics, correlation analysis and serial mediated effects analysis were performed. Results The results showed that, overall, emotional abuse positively and significantly predicted the current insomnia status in adolescents (β=0.291, P < 0.001). The results of the mediation effect analysis showed that emotional abuse significantly and positively predicted adolescent shame tendencies (β=0.365, P < 0.001), while shame tendencies significantly and positively predicted adolescent insomnia symptoms (β=0.245, P < 0.001), indicating that shame tendencies mediated the relationship between emotional abuse and adolescent insomnia symptoms. Emotional abuse significantly and positively predicted ruminative thinking in adolescents (β=0.183, P < 0.001), while ruminative thinking significantly and positively predicted insomnia symptoms in adolescents (β=0.981, P < 0.001), showing that ruminative thinking mediates the relationship between emotional abuse and insomnia symptoms in adolescents. Meanwhile, shame tendencies significantly and positively predicted ruminative thinking (β=0.433, P < 0.001), demonstrating a chain mediating role of shame tendencies and ruminative thinking between emotional abuse and insomnia in adolescents. Conclusion (1) Emotional abuse is significantly and positively associated with insomnia symptoms in adolescents. (2) Emotional abuse can affect insomnia symptoms in adolescents directly and also through three indirect effects, namely the mediating role of shame tendencies, the mediating role of ruminative thinking, and the chain mediating role of shame tendencies and ruminative thinking. This study reveals the mechanism of emotional abuse on adolescent insomnia and provides a theoretical basis for adolescent insomnia intervention.
- Emotional abuse /
- Insomnia /
- Shame tendency /
- Ruminative thinking

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图 1 儿童期情感虐待和青少年失眠的序列中介效应模型

注：^aP＜0.001。

Figure 1. Serial mediating effect model for childhood emotional abuse and adolescent insomnia

下载: 全尺寸图片幻灯片

表 1 各变量之间的相关分析

Table 1. Correlation analysis among variables

变量	性别	年龄	情感虐待	羞耻倾向	反刍思维	失眠
性别	1
年龄	-0.035	1
情感虐待	0.071	-0.106	1
羞耻倾向	0.093	0.050	0.352	1
反刍思维	0.070	0.044	0.328	0.498	1
失眠	0.016	-0.081	0.302	0.359	0.280	1
注：均P＜0.01。

下载: 导出CSV

表 2 中介模型拟合分析

Table 2. Mediation model fitting analysis

因变量	自变量	R	R²	F值	β	t值	P值
羞耻倾向	性别	0.370	0.137	365.129^a	0.141	6.340	＜0.001
	年龄				0.090	8.033	＜0.001
	情感虐待				0.360	31.673	＜0.001
反刍倾向	性别	0.526	0.276	659.866^a	0.036	1.761	0.078
	年龄				0.042	4.055	＜0.001
	情感虐待				0.182	16.307	＜0.001
	羞耻倾向				0.432	39.080	＜0.001
失眠	性别	0.422	0.178	299.352^a	-0.057	-2.697	0.007
	年龄				-0.078	-7.307	＜0.001
	情感虐待				0.169	14.379	＜0.001
	羞耻倾向				0.247	19.613	＜0.001
	反刍倾向				0.099	7.966	＜0.001
注：R，R²为拟合指数。

下载: 导出CSV

表 3 中介效应路径的Bootstrap 95% CI

Table 3. Bootstrap of mediation effect path 95% CI

效应	路径	效应值	效果量(%)	95% CI
直接效应	情感虐待→失眠	0.169	58.08	0.146~0.192
间接效应	情感虐待→羞耻倾向→失眠	0.090	30.93	0.078~0.101
	情感虐待→反刍思维→失眠	0.018	6.19	0.013~0.024
	情感虐待→羞耻思维→反刍倾向→失眠	0.015	5.15	0.011~0.020
总中介效应		0.122	41.92	0.110~0.135
总效应		0.291	100.00	0.269~0.314

下载: 导出CSV

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