中国心理卫生杂志2026，Vol.40Issue(5)：428-434,7.DOI:10.3969/j.issn.1000-6729.2026.05.09
青少年抑郁及焦虑情绪与睡眠质量关系的交叉滞后分析
A cross-lagged analysis of bidirectional relationship between depression,anxiety and sleep quality among adolescents
摘要
Abstract
Objective:To explore the bidirectional relationship among depression,anxiety and sleep quality a-mong adolescents.Methods:A total of 1 111 adolescents completed assessments in March 2023(T1)and June 2023(T2)using the Children's Depression Inventory(CDI),Multidimensional Anxiety Scale for Children(MASC)and Pittsburgh Sleep Quality Index Scale(PSQI).Cross-lagged path models were constructed using struc-tural equation modeling.Results:The detection rate of sleep disorder in the two time points was 27.8%and 21%respectively.The scores of CDI,MASC and PSQI were higher in girls than in boys(Ps＜0.01).Correlation analy-sis showed the simultaneous and sequential correlation between CDI.MASC and PSQI scores in both stages were significant(Ps＜0.001).The results of cross-lagged analysis showed T1 PSQI scores predicted T2 CDI scores(β=0.18,P＜0.001).and T1 CDI scores also predicted T2 PSQI scores(β=0.17,P＜0.001).while MASCand PSQI scores had a two way influence relationship across time points,and the gender difference in the cross-lagged effect of the two was significant(P＜0.05).Conclusion:Sleep problems and emotional issues are more prevalent in girls.A bidirectional predictive relationship exists between depression,anxiety,and sleep quality among adolescents.关键词
睡眠质量/抑郁情绪/焦虑情绪/交叉滞后分析/青少年Key words
sleep quality/depression/anxiety/cross-lagged analysis/adolescent分类
医药卫生引用本文复制引用
雷辉,饶玉玲,张小崔..青少年抑郁及焦虑情绪与睡眠质量关系的交叉滞后分析[J].中国心理卫生杂志,2026,40(5):428-434,7.基金项目
国家自然科学基金项目(82371537) （82371537）
