中国当代医药2025，Vol.32Issue(18)：26-31,6.DOI:10.3969/j.issn.1674-4721.2025.18.05
睡眠质量在青少年抑郁症患者抑郁症状与自杀风险间的中介效应分析
Analysis of the mediating effect of sleep quality between depressive symp-toms and suicide risk in adolescents with depression
摘要
Abstract
Objective To explore the impact of sleep quality on the relationship between depressive symptoms and suicide risk in adolescents with depression and the interrelationships among them.Methods A total of 232 adolescent depression patients admitted to the Third People's Hospital of Ganzhou from June 2021 to June 2024 were selected as study subjects.Questionnaires were administered using the center for epidemiological studies depression scale(CES-D),the Pittsburgh sleep quality index(PSQI)with the columbia suicide scale brief screening version(CSSBSV).Amos constructed structural equation modeling was used to analyze the mediating effect of sleep quality between depressive symptoms and suicide risk in adolescents with depression.Results The CSSBSV score of adolescent depressed patients was(1.49±0.50)and the number of cases with suicidal ideation(＞0 score)was 117(50.43％).The results of univariate analysis showed a statistically signifi-cant difference when comparing the CSSBSV scores of patients with different levels of education,family situation,and disease duration(P＜0.05).The results of multiple linear regression analysis showed that the total CES-D score(B=0.026,β=0.357,95％CI:0.016-0.036)and the PSQI score(B=0.065,β=0.436,95％CI:0.044-0.085)were independent influ-encing factors of the CSSBSV score in adolescents with depression(P＜0.05).The PSQI score,the total CES-D score,and the CSSBSV score were positively correlated(0.493 ≤r ≤ 0.966),with path coefficients of 0.462 and 0.320,respectively(P＜0.05).PSQI scores partially mediated between patients' to-tal CES-D scores and CSSBSV scores,with a path coefficient of 0.132 and none of the 95％CI of the mediating paths contained 0,indicating a significant mediating effect(P＜0.05).Conclusion The suicide risk of adolescents with depression is influenced by depressive symp-toms and sleep quality.Depressive symptoms can directly affect suicide risk,with sleep quality playing a partial mediating role.Healthcare professionals,families,and schools should pay more attention to the sleep quality and psychological changes of adolescents with depression,provide them with support and encouragement,and help reduce their suicide risk.关键词
青少年/抑郁症状/睡眠质量/自杀风险/中介效应Key words
Adolescents/Depressive symptoms/Sleep quality/Suicide risk/Mediating effect分类
医药卫生引用本文复制引用
吴联凤,郯志强,赖丽平..睡眠质量在青少年抑郁症患者抑郁症状与自杀风险间的中介效应分析[J].中国当代医药,2025,32(18):26-31,6.基金项目
江西省卫生健康委科技计划项目(202312080) （202312080）
江西省赣州市科技计划项目(GZ2023ZSF247). （GZ2023ZSF247）
