四川精神卫生2026，Vol.39Issue(2)：165-170,174,7.DOI:10.11886/scjsws20251220001
住培医师压力知觉对睡眠质量的影响:自我控制和焦虑情绪的链式作用路径
Influence of perceived stress on sleep quality among resident physicians:the chain mediating role of self-control and anxiety emotions
张明辉 1张欣梦 1叶文静 1张晓涛 2宋红涛 1姚高峰3
作者信息
- 1. 蚌埠医科大学精神卫生学院,安徽 蚌埠 233000
- 2. 阜阳市人民医院,安徽 阜阳 236000
- 3. 阜阳市第三人民医院,安徽 阜阳 236000
- 折叠
摘要
Abstract
Background Resident physicians represent a high-risk group for sleep disorders,exhibiting a significantly higher prevalence of such conditions compared with the general population,which severely impairs their physical and mental health.It is hypothesized that perceived stress negatively impacts sleep quality through psychological mechanisms,such as depleting self-control resources and triggering anxiety.However,this pathway warrants empirical validation.Objective To explore the mediating role of self-control and anxiety emotions in the association between perceived stress and sleep quality among resident physicians,and to elucidate the underlying psychological mechanisms,aiming at providing theoretical basis for developing targeted psychological interventions.Methods A cross-sectional survey was conducted in April 2025.First-to third-year resident physicians at a hospital in Fuyang City were recruited as participants(n=372).The Chinese Perceived Stress Scales(CPSS),the Chinese version of the Dual-Mode of Self-Control Scale(DMSC-S),the Pittsburgh Sleep Quality Index(PSQI),and the Generalized Anxiety Disorder Scale-7 item(GAD-7)were used for group testing.The model 6 of the Process macro version 4.1 was ultilized to examine the mediating pathway of self-control and anxiety emotions between perceived stress and sleep quality.Results A total of 322 valid questionnaires were collected,yielding an effective responsive rate of 86.56%.Among the respondents,146(45.34%)reported poor sleep quality.The CPSS score and GAD-7 score of resident physicians were positively correlated with the PSQI score(r=0.727,0.784,P<0.01),while the DMSC-S score was negatively correlated with the PSQI score(r=-0.615,P<0.01).Perceived stress directly and positively predicted poor sleep quality(B=0.124,P<0.01),with the direct effect accounting for 31.39%of the total effect.Furthermore,perceived stress indirectly affected sleep quality through the independent mediating effects of self-control and anxiety emotions.The indirect effect values of 0.053(95%CI:0.019-0.091)and 0.192(95%CI:0.141-0.249),accounting for 13.42%and 48.61%of the total effect,respectively.Perceived stress also impact sleep quality through the serial mediating effect of self-control and anxiety,with the indirect effect value of 0.026(95%CI:0.005-0.049),accounting for 6.58%of the total effect.Conclusion The perceived stress of resident physicians can influence sleep quality by impairing self-control,exacerbating anxiety,and through the serial mediation of both factors.关键词
住培医师/压力知觉/自我控制/焦虑情绪/睡眠质量Key words
Resident physician/Perceived stress/Self-control/Anxiety emotions/Sleep quality分类
医药卫生引用本文复制引用
张明辉,张欣梦,叶文静,张晓涛,宋红涛,姚高峰..住培医师压力知觉对睡眠质量的影响:自我控制和焦虑情绪的链式作用路径[J].四川精神卫生,2026,39(2):165-170,174,7.
