孤独、社会隔离和睡眠问题：一项针对中国中老年人的10年纵向研究的结果。

IF 3.2 2区心理学 Q1 PSYCHOLOGY

Health Psychology Pub Date : 2025-09-29 DOI:10.1037/hea0001556

Wenwen Yu, Wu Jin, Yingying Li, Wen Yao, Kang Ju, Ningning Zhou, Juzhe Xi

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引用次数: 0

摘要

目的：社会隔离、孤独和睡眠问题已成为老龄化人口的重要问题，但探索其相互关系的纵向研究有限。本研究考察了这些关系，并基于年龄和性别进行了亚组分析。方法：数据来源于中国健康与退休纵向研究（2011、2013、2015、2018和2020波，年龄≥45岁，n = 7,622）。随机截距交叉滞后面板模型（ri - clpm）被用来联合检验孤独感和睡眠问题之间的相互影响，以及总样本和年龄和性别亚组中社会隔离和睡眠问题之间的相互影响。结果：我们的研究结果揭示了孤独和睡眠问题之间的双向关联：睡眠问题预测后来的孤独，β = 0.032, 95%可信区间（CI）[0.019, 0.046]，至。0.41, 95% CI[0.024, 0.057]，反之亦然(β = 0.030, 95% CI[0.017, 0.042]，至。0.37, 95% ci[0.021, 0.053])。年龄和性别缓和了社会孤立和睡眠问题之间的关系。亚组分析显示，在老年人中，社会隔离预示着以后的睡眠问题（β = 0.031, 95% CI[0.009, 0.053]，至0.053）是双向模式。0.37, 95% CI[0.010, 0.064])，也观察到反向关联(β = 0.024, 95% CI[0.001, 0.046]，至。0.27, 95% ci[0.002, 0.052])。在女性中，出现了单向效应，社会隔离预示着随后的睡眠问题（β = 0.021, 95% CI[0.002, 0.040]）。0.26, 95% ci[0.003-0.050])。讨论：社会隔离和孤独与睡眠问题表现出明显的纵向关系。对孤独和睡眠问题的关注应该从中年开始。社会孤立对老年人和女性构成更大的威胁，有必要对这些人群进行进一步调查。（PsycInfo Database Record (c) 2025 APA，版权所有）。

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Loneliness, social isolation, and sleep problems: Findings from a 10-year longitudinal study of Chinese middle-aged and older adults.

Objectives: Social isolation, loneliness, and sleep problems have emerged as significant concerns in aging populations, yet longitudinal studies exploring their interconnections are limited. This study examined these relationships and performed subgroup analyses based on age and gender.

Method: Data were derived from the China Health and Retirement Longitudinal Study (2011, 2013, 2015, 2018, and 2020 waves; age ≥ 45 years, n = 7,622). The random intercept cross-lagged panel models (RI-CLPMs) were utilized to jointly examine the reciprocal effects between loneliness and sleep problems, as well as between social isolation and sleep problems in the total sample and within age and gender subgroups.

Results: Our findings revealed a bidirectional association between loneliness and sleep problems: sleep problems predicted later loneliness, β = .032, 95% confidence interval (CI) [0.019, 0.046], to .041, 95% CI [0.024, 0.057], and vice versa (β = .030, 95% CI [0.017, 0.042], to .037, 95% CI [0.021, 0.053]). Age and sex moderated the relationship between social isolation and sleep problems. Subgroup analyses showed a bidirectional pattern in older adults, with social isolation predicting later sleep problems (β = .031, 95% CI [0.009, 0.053], to .037, 95% CI [0.010, 0.064]), and the reverse association also observed (β = .024, 95% CI [0.001, 0.046], to .027, 95% CI [0.002, 0.052]). Among females, a unidirectional effect emerged, where social isolation predicted subsequent sleep problems (β = .021, 95% CI [0.002, 0.040], to .026, 95% CI [0.003-0.050]).

Discussion: Social isolation and loneliness exhibit distinct longitudinal relationships with sleep problems. Attention to loneliness and sleep problems should begin in middle age. Social isolation presents a greater threat to older adults and females, warranting further investigation in these populations. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

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来源期刊

Health Psychology 医学-心理学

CiteScore

4.90

自引率

2.40%

发文量

170

审稿时长

4-8 weeks

期刊介绍： Health Psychology publishes articles on psychological, biobehavioral, social, and environmental factors in physical health and medical illness, and other issues in health psychology.