中国临床心理学杂志

广东龙门县青少年失眠状况调查及相关因素分析

单位：1. 暨南大学附属第一医院精神心理科、睡眠中心广东广州 510630
2. 暨南大学附属第一医院护理部广东广州 510630

关键词：乡镇地区青少年失眠流行病学

分类号：R395.6

出版年,卷(期):页码：2012,20(3):401-403

摘要：

目的: 了解广东省龙门县青少年失眠状况及其相关因素。方法: 采用失眠严重指数量表(ISI)、焦虑自评量表(SAS)、贝克抑郁量表(BDI)等对4800名11～18岁青少年进行整群随机抽样调查。结果:轻度失眠的总发生率为30.4%,中重度失眠为7.8%。单因素分析显示失眠发病率女性稍高于男性并随年龄增加而升高。此外,失眠与住校、抽烟、高学习压力、低学习兴趣、SAS和BDI得分有关。逻辑回归分析显示失眠发生率主要与年龄、住校、SAS和BDI得分有关。结论: 失眠在青少年中非常普遍,随着年龄的增长患失眠的发生率增加。失眠与焦虑抑郁症状有关。

Objective: To investigate the epidemic characteristics and correlated factors of insomnia severity in adolescents in Guangdong Province. Methods: A total of 4800 adolescents aged from 11 to 18 years old from 4 middle schools were randomly selected. These adolescents were assessed by a series of questionnaires, including Insomnia Severity Index (ISI), Zung Self-Rating Anxiety Scale(SAS), and Beck Depression Inventory(BDI). Results: The prevalence of mild insomnia(ISI=8-14) was 30.4%, moderate to severe insomnia (ISI≥15) was 7.8%. Univariate analyses indicated that prevalence rates of mild insomnia and moderate to severe insomnia were associated with age, female sex, living in school, high study stress, low study interest, smoking, BDI score and SAS score. However, logistic regression analyses revealed insomnia(both mild and moderate to severe insomnia) was mainly associated with age, boarding school, SAS and BDI scores. Conclusion:Insomnia is a common sleep problem in middle school students and increases with the increasing of age. Insomnia is associated with both environmental factors and mood problems.

基金项目：

广东省医学科研基金项目(A2010340)

作者简介：

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