Depression, Anxiety, and Stress Mediate the Relationship Between Poor Sleep Quality and Suicidal Ideation Among Young Chinese Men.

IF 2.5 3区医学 Q2 PSYCHIATRY

Archives of Suicide Research Pub Date : 2024-10-30 DOI:10.1080/13811118.2024.2405733

Huifang Zhang, Lvfeng Zhang, Hongwei Zhang, Hua Guo

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引用次数: 0

Abstract

Objective: Poor sleep quality exacerbates suicidal ideation. Depression, anxiety, and stress may play important roles in this relationship. However, the underlying mechanisms remain unknown.

Method: A total of 2,598 young men were recruited for a cross-sectional study focusing on a range of sociodemographic factors, emotions, sleep quality, and suicidal ideation. Parallel, serial, and moderated mediation models were used to determine whether depression, anxiety, and stress mediated the relationship between poor sleep quality and suicidal ideation.

Results: Direct and indirect effects of poor sleep quality on suicidal ideation were observed. Depression, anxiety, and stress mediated the relationship between poor sleep quality and suicidal ideation (β_Depression = 0.166, 95% confidence interval [CI]: 0.144, 0191; β_Anxiety = 0.153, 95% CI: 0.130, 0.177; β_Stress = 0.176, 95% CI: 0.154, 0.200). The serial mediation model indicated that depressive and stress symptoms co-play a serial mediating role in the relationship between poor sleep quality and suicidal ideation (β_a = 0.049, 95% CI: 0.036, 0.062; β_b = 0.099, 95% CI: 0.080, 0.120). The moderated mediation model revealed that the mediating role of stress on the relationship between poor sleep quality and suicidal ideation was moderated by depression (β = 0.173, 95% CI: 0.150, 0.197). Self-reported measures and the study's cross-sectional design preclude the causal inferences reported.

Conclusions: The findings of this study prompt clinical and scientific researchers to consider the interplay among affective disorders when investigating etiological and psychological factors that may contribute to suicidal ideation.

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抑郁、焦虑和压力可调节睡眠质量差与中国男性自杀倾向之间的关系

目的睡眠质量差会加剧自杀倾向。抑郁、焦虑和压力可能在这种关系中扮演重要角色。然而，其背后的机制仍然未知：一项横断面研究共招募了 2,598 名年轻男性，研究重点包括一系列社会人口因素、情绪、睡眠质量和自杀意念。研究采用平行、序列和调节中介模型来确定抑郁、焦虑和压力是否对睡眠质量差与自杀意念之间的关系起中介作用：结果：观察到了睡眠质量差对自杀意念的直接和间接影响。抑郁、焦虑和压力介导了睡眠质量差与自杀意念之间的关系（β抑郁 = 0.166，95% 置信区间 [CI]：0.144，0191；β焦虑 = 0.166，95% 置信区间 [CI]：0.144，0191）：0.144，0191；β焦虑 = 0.153，95% 置信区间[CI]：0.130，0.177；β压力 = 0.176，95% 置信区间[CI]：0.154，0.200）。序列中介模型表明，抑郁症状和压力症状在睡眠质量差与自杀意念之间的关系中共同起着序列中介作用（βa = 0.049，95% CI：0.036，0.062；βb = 0.099，95% CI：0.080，0.120）。调节中介模型显示，压力对睡眠质量差与自杀意念之间关系的中介作用被抑郁所调节（β = 0.173，95% CI：0.150，0.197）。自我报告的测量方法和研究的横断面设计排除了所报告的因果推论：本研究的结果提示临床和科研人员在调查可能导致自杀意念的病因和心理因素时，应考虑情感障碍之间的相互作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of Suicide Research Multiple-

CiteScore

6.10

自引率

7.10%

发文量

期刊介绍： Archives of Suicide Research, the official journal of the International Academy of Suicide Research (IASR), is the international journal in the field of suicidology. The journal features original, refereed contributions on the study of suicide, suicidal behavior, its causes and effects, and techniques for prevention. The journal incorporates research-based and theoretical articles contributed by a diverse range of authors interested in investigating the biological, pharmacological, psychiatric, psychological, and sociological aspects of suicide.