临床误诊误治2026，Vol.39Issue(13)：53-58,6.DOI:10.3969/j.issn.1002-3429.2026.13.009
情绪调节困难在抑郁症患者睡眠节律障碍中的作用路径研究
Pathways of emotion regulation difficulties in the sleep rhythm disorder in patients with depression
摘要
Abstract
Objective To explore the influencing factors of sleep rhythm disorder in patients with depression and the pathway of emotion regulation difficulties in sleep rhythm disorder.Methods A total of 95 patients with depression treated at Mental Health Center of Yangpu District,Shanghai City from May 2019 to December 2024 were enrolled.Questionnaires were used to collect information on the general information,depression severity,emotion regulation difficulties,and sleep rhythm disorders of the subjects.Pearson correlation analysis was used to analyze the correlations among emotion regulation difficulties,depression severity and sleep rhythm disorders in patients with depression.Multiple linear regression analysis was performed to explore the influencing factors of sleep rhythm disorders.AMOS 23.0 software was adopted to establish a structural equation model,to analyze the pathway of emotion regulation difficulties in sleep rhythm disorders in patients with depression.Results The scores of depression severity,emotion regulation difficulties and sleep rhythm disorders among 95 patients with depression were(67.52±5.03)scores,(51.23±6.77)scores and(15.58±2.03)scores respectively.Pearson correlation analysis showed that emotion regulation difficulties were positively correlated with depression severity and sleep rhythm disorders(r=0.551,0.464,all P<0.001),and depression severity was positively correlated with sleep rhythm disorders(r=0.452,P<0.001).Multiple linear regression analysis indicated that age,educational level,duration of depression,combined chronic diseases,emotion regulation difficulties and depression severity were influencing factors of sleep rhythm disorders in patients with depression(P<0.05).The structural equation model revealed that emotion regulation difficulties exerted a mediating effect between depression severity and sleep rhythm disorders in depressive patients(β=0.537,P<0.001).The indirect effect was larger than the direct effect,and the mediating effect accounted for 56.06%of the total effect,indicating that this mediating effect deserved great attention.Conclusion Sleep rhythm disorders in patients with depression are affected by age,education level,duration of depression,chronic diseases,emotion regulation difficulties,and depression severity.The core mechanism is that emotion regulation difficulties play a mediating role between the depression severity and sleep rhythm disorders,that is,the depression severity can indirectly lead to the aggravation of sleep rhythm disorders by aggravating the emotion regulation difficulties.关键词
抑郁症/情绪调节困难/睡眠节律障碍/影响因素/作用路径/中介效应/结构方程模型Key words
depression/emotion regulation difficulties/sleep rhythm disorders/influencing factors/pathway/mediating effect/structural equation model引用本文复制引用
陈晨,沈文超,宋兵福..情绪调节困难在抑郁症患者睡眠节律障碍中的作用路径研究[J].临床误诊误治,2026,39(13):53-58,6.基金项目
杨浦区卫生健康委员会临床研究专项科研项目(YPQ202308) （YPQ202308）
