Yuan-Yuan Jiang, Meng-Yi Chen, Li-Ya A, Pan Chen, Hui-Ting Huang, Shou Liu, Shuai Yuan, Yi Ma, Zhaohui Su, Teris Cheung, Gabor S Ungvari, Chee H Ng, Yu-Tao Xiang
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The centrality index of \"Expected influence\" was applied to identify the most central symptoms in the network, and the \"flow\" function was used to identify specific symptoms that were directly related to QoL.</p><p><strong>Results: </strong>The prevalence of insomnia among the 6,514 college students was 26.42% (<i>n</i> = 1,721; 95% confidence interval [95% CI] [25.17, 27.67%]). The logistic regression analysis revealed that having a history of psychiatric problems (odds ratio [OR] = 1.316, <i>p</i> = .003), being quarantined during the COVID-19 pandemic (OR = 1.134, <i>p</i> = .035), and currently smoking (OR = 1.431, <i>p</i> = .005) and drinking (OR = 1.386, <i>p</i> < .001) were associated with an increased risk of insomnia. In contrast, being a freshman (OR = 0.782, <i>p</i> = .001), majoring in a health-related discipline (OR = 0.747, <i>p</i> < .001), and having good health status (OR = 0.415-0.594, <i>p</i> < .001) and good economy status (OR = 0.413, <i>p</i> < .001) were associated with a reduced risk of insomnia. The most central symptoms included ISI7 (\"Distress caused by the sleep difficulties\"), ISI2 (\"Sleep maintenance\"), and ISI1 (\"Severity of sleep onset\"), while ISI2 (\"Sleep maintenance\"), ISI7 (\"Distress caused by the sleep difficulties\"), and ISI5 (\"Interference with daytime functioning\") had the strongest negative association with QoL.</p><p><strong>Conclusion: </strong>Among Chinese college students, insomnia was common and had a negative impact on QoL. 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引用次数: 0
摘要
背景：失眠是大学生普遍存在的睡眠问题。不同失眠症状及其相关因素与生活质量（QoL）的相互关系研究不足。本研究从网络视角考察了中国大学生失眠症状（以下简称失眠）的患病率、相关因素及其与生活质量的关系。方法：于2023年9月至12月在中国进行多中心横断面研究。采用失眠严重程度指数（ISI）评估失眠症状。应用“预期影响”的中心性指数识别网络中最核心的症状，使用“流量”函数识别与生活质量直接相关的特定症状。结果：6514名大学生失眠患病率为26.42% （n = 1721, 95%可信区间[95% CI][25.17, 27.67%]）。logistic回归分析显示，有精神病史者(优势比[OR] = 1.316, p =。003)，在COVID-19大流行期间被隔离(OR = 1.134, p =。0.35)，目前吸烟（OR = 1.431, p = 0.35）。005)和饮酒(OR = 1.386, p p =。结论：在中国大学生中，失眠是常见的，并且对生活质量有负面影响。解决这些症状并实施改善失眠的措施可以提高学生的幸福感和生活质量。
Prevalence and Correlates of Insomnia and Their Relationship With Quality of Life Among College Students in China: A Multi-Center Network Study.
Background: Insomnia is a common sleep problem among college students. There is insufficient research on the inter-relationships between different insomnia symptoms and their associated factors and quality of life (QoL). This study examined the prevalence and correlates of insomnia symptoms (insomnia hereafter) among Chinese college students as well as their association with QoL from a network perspective.
Methods: A multi-center, cross-sectional study was conducted between September and December 2023 in China. Insomnia symptoms were assessed using Insomnia Severity Index (ISI). The centrality index of "Expected influence" was applied to identify the most central symptoms in the network, and the "flow" function was used to identify specific symptoms that were directly related to QoL.
Results: The prevalence of insomnia among the 6,514 college students was 26.42% (n = 1,721; 95% confidence interval [95% CI] [25.17, 27.67%]). The logistic regression analysis revealed that having a history of psychiatric problems (odds ratio [OR] = 1.316, p = .003), being quarantined during the COVID-19 pandemic (OR = 1.134, p = .035), and currently smoking (OR = 1.431, p = .005) and drinking (OR = 1.386, p < .001) were associated with an increased risk of insomnia. In contrast, being a freshman (OR = 0.782, p = .001), majoring in a health-related discipline (OR = 0.747, p < .001), and having good health status (OR = 0.415-0.594, p < .001) and good economy status (OR = 0.413, p < .001) were associated with a reduced risk of insomnia. The most central symptoms included ISI7 ("Distress caused by the sleep difficulties"), ISI2 ("Sleep maintenance"), and ISI1 ("Severity of sleep onset"), while ISI2 ("Sleep maintenance"), ISI7 ("Distress caused by the sleep difficulties"), and ISI5 ("Interference with daytime functioning") had the strongest negative association with QoL.
Conclusion: Among Chinese college students, insomnia was common and had a negative impact on QoL. Addressing these symptoms and implementing measures to improve insomnia could enhance students' well-being and QoL.
期刊介绍：
The International Journal of Social Psychiatry, established in 1954, is a leading publication dedicated to the field of social psychiatry. It serves as a platform for the exchange of research findings and discussions on the influence of social, environmental, and cultural factors on mental health and well-being. The journal is particularly relevant to psychiatrists and multidisciplinary professionals globally who are interested in understanding the broader context of psychiatric disorders and their impact on individuals and communities.
Social psychiatry, as a discipline, focuses on the origins and outcomes of mental health issues within a social framework, recognizing the interplay between societal structures and individual mental health. The journal draws connections with related fields such as social anthropology, cultural psychiatry, and sociology, and is influenced by the latest developments in these areas.
The journal also places a special emphasis on fast-track publication for brief communications, ensuring that timely and significant research can be disseminated quickly. Additionally, it strives to reflect its international readership by publishing state-of-the-art reviews from various regions around the world, showcasing the diverse practices and perspectives within the psychiatric disciplines. This approach not only contributes to the scientific understanding of social psychiatry but also supports the global exchange of knowledge and best practices in mental health care.
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