自怜是睡眠障碍与非自杀性自伤之间的中介：四波交叉滞后研究

IF 3 2区医学 Q2 CLINICAL NEUROLOGY

Nature and Science of Sleep Pub Date : 2024-08-19 eCollection Date: 2024-01-01 DOI:10.2147/NSS.S470557

Xuliang Shi, Miaomiao Hou, Xiaoyan Chen, Ya Zhu

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引用次数: 0

摘要

目的：本纵向研究探讨了睡眠障碍与非自杀性自我伤害之间的相互关系，以及自我同情是否能调节这些关系：这项纵向研究探讨了睡眠障碍与非自杀性自伤之间的相互关系，以及自我同情是否能调节这些关系：方法：本研究从一个大规模的中国大学生健康相关队列中抽取了 5785 名大一新生作为基线样本。该研究共进行了六次调查，每次调查间隔六个月。由于前两波没有测量自我同情或非自杀性自伤，因此使用了后四波的数据。交叉滞后面板模型用于研究睡眠障碍、自我同情和非自杀性自伤之间的纵向动态关系：结果显示，所有的自回归路径都是显著的。就交叉滞后路径而言，睡眠障碍与自我同情之间存在互为因果的关系。重要的是，自我同情在从睡眠障碍到非自杀性自伤的预测中起到了纵向中介作用（间接效应=0.007至0.009，所有P值均小于0.001）：结论：以改善睡眠质量和自我同情为目标的心理干预措施有望降低非自杀性自残的发生率。

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Self-Compassion as a Mediator Linking Sleep Disturbances with Non-Suicidal Self-Injury: A Four-Wave, Cross-Lagged Study.

Objective: This longitudinal study examined the reciprocal relationship between sleep disturbances with non-suicidal self-injury and whether self-compassion mediates these associations.

Methods: A total of 5785 freshmen were sampled from a large-scale health-related cohort among Chinese college students at the baseline. This study spanned six waves with a six-month interval between each wave. Data from the last four waves were used because self-compassion or non-suicidal self-injury was not measured in the first two waves. The cross-lagged panel models were used to examine the longitudinal dynamic relationships between sleep disturbances, self-compassion, and non-suicidal self-injury.

Results: The results showed that all the auto-regressive paths were significant. For the cross-lagged paths, there was a reciprocal relation between sleep disturbances and self-compassion. Importantly, self-compassion played a longitudinal mediating role in the prediction from sleep disturbances to non-suicidal self-injury (indirect effect = 0.007 to 0.009, all p values < 0.001).

Conclusion: Psychological interventions targeting improved sleep quality and self-compassion may hold great promise for reducing the incidence of non-suicidal self-injury.

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来源期刊

Nature and Science of Sleep Neuroscience-Behavioral Neuroscience

CiteScore

5.70

自引率

5.90%

发文量

245

审稿时长

16 weeks

期刊介绍： Nature and Science of Sleep is an international, peer-reviewed, open access journal covering all aspects of sleep science and sleep medicine, including the neurophysiology and functions of sleep, the genetics of sleep, sleep and society, biological rhythms, dreaming, sleep disorders and therapy, and strategies to optimize healthy sleep. Specific topics covered in the journal include: The functions of sleep in humans and other animals Physiological and neurophysiological changes with sleep The genetics of sleep and sleep differences The neurotransmitters, receptors and pathways involved in controlling both sleep and wakefulness Behavioral and pharmacological interventions aimed at improving sleep, and improving wakefulness Sleep changes with development and with age Sleep and reproduction (e.g., changes across the menstrual cycle, with pregnancy and menopause) The science and nature of dreams Sleep disorders Impact of sleep and sleep disorders on health, daytime function and quality of life Sleep problems secondary to clinical disorders Interaction of society with sleep (e.g., consequences of shift work, occupational health, public health) The microbiome and sleep Chronotherapy Impact of circadian rhythms on sleep, physiology, cognition and health Mechanisms controlling circadian rhythms, centrally and peripherally Impact of circadian rhythm disruptions (including night shift work, jet lag and social jet lag) on sleep, physiology, cognition and health Behavioral and pharmacological interventions aimed at reducing adverse effects of circadian-related sleep disruption Assessment of technologies and biomarkers for measuring sleep and/or circadian rhythms Epigenetic markers of sleep or circadian disruption.