中国当代儿科杂志2025，Vol.27Issue(3)：359-365,7.DOI:10.7499/j.issn.1008-8830.2409011
中学生抑郁症状与近视:睡眠时长的中介效应
Mediating effect of sleep duration between depression symptoms and myopia in middle school students
摘要
Abstract
Objective To explore the mediating role of sleep duration in the relationship between depression symptoms and myopia among middle school students.Methods This study was a cross-sectional research conducted using a stratified cluster random sampling method.A total of 1 728 middle school students were selected from two junior high schools and two senior high schools in certain urban areas and farms of the Xinjiang Production and Construction Corps.Questionnaire surveys and vision tests were conducted among the students.Spearman analysis was used to analyze the correlation between depression symptoms,sleep duration,and myopia.The Bootstrap method was employed to investigate the mediating effect of sleep duration between depression symptoms and myopia.Results The prevalence of myopia in the overall population was 74.02%(1 279/1 728),with an average sleep duration of(7.6±1.0)hours.The rate of insufficient sleep was 83.62%(1 445/1 728),and the proportion of students exhibiting depression symptoms was 25.29%(437/1 728).Correlation analysis showed significant negative correlations between visual acuity in both eyes and sleep duration with depressive emotions as measured by the Center for Epidemiologic Studies Depression Scale(with correlation coefficients of-0.064,-0.084,and-0.199 respectively;P<0.01),as well as with somatic symptoms and activities(with correlation coefficients of-0.104,-0.124,and-0.233 respectively;P<0.01)and interpersonal relationships(with correlation coefficients of-0.052,-0.059,and-0.071 respectively;P<0.05).The correlation coefficients for left and right eye visual acuity and sleep duration were 0.206 and 0.211 respectively(P<0.001).Sleep duration exhibited a mediating effect between depression symptoms and myopia(indirect effect=0.056,95%CI:0.029-0.088),with the mediating effect value for females(indirect effect=0.066,95%CI:0.024-0.119)being higher than that for males(indirect effect=0.042,95%CI:0.011-0.081).Conclusions Sleep duration serves as a partial mediator between depression symptoms and myopia in middle school students.关键词
抑郁症状/睡眠时长/近视/中介作用/中学生Key words
Depression symptom/Sleep duration/Myopia/Mediating effect/Middle school student引用本文复制引用
杜威,李毓,文静,韩党,杜群,何佳,杨旭翔,曾如双,赵春瑶,向智鹏,李元春,王杰松,粟晓宏,陆枭..中学生抑郁症状与近视:睡眠时长的中介效应[J].中国当代儿科杂志,2025,27(3):359-365,7.基金项目
铁门关市科技攻关项目(2020SFGG04) （2020SFGG04）
石河子大学大学生研究训练计划项目(SRP2024444). （SRP2024444）
