Relationship between qi stagnation constitution and anxiety/depression in 10, 325 junior high school students, and in which the mediating effect of sleep duration

WANG Mengshu; LI Yi; DU Yun; DAI Jinhe; CHEN Jianghe; QU Miao

doi:10.3969/j.issn.1006-2157.2024.10.016

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Relationship between qi stagnation constitution and anxiety/depression in 10, 325 junior high school students, and in which the mediating effect of sleep duration

TCM Constitution | 更新时间：2024-10-29

- Relationship between qi stagnation constitution and anxiety/depression in 10, 325 junior high school students, and in which the mediating effect of sleep duration
  增强出版
- Journal of Beijing University of Traditional Chinese Medicine Vol. 47, Issue 10, Pages: 1457-1465(2024)
- 作者机构：
  
  1.北京中医药大学　北京　100029
  2.北京中医药大学第三附属医院
  3.首都医科大学宣武医院
- 作者简介：
  
  Prof. QU Miao, Ph.D., Chief Physician, Doctoral Supervisor. Xuanwu Hospital, Capital Medical University, No.45, Changchun Street, Xicheng District, Beijing 100053. E-mail: qumiao@xwhosp.org
- 基金信息：
  
  Capital Health Development Research Project(2020-1-2011)
- DOI：10.3969/j.issn.1006-2157.2024.10.016
  CLC： R277.7
- Received：19 July 2024，
  
  Published Online：21 August 2024，
  
  Published：30 October 2024
- 稿件说明：
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WANG Mengshu, LI Yi, DU Yun, et al. Relationship between qi stagnation constitution and anxiety/depression in 10, 325 junior high school students, and in which the mediating effect of sleep duration[J]. Journal of beijing university of traditional chinese medicine, 2024, 47(10): 1457-1465.
DOI：

WANG Mengshu, LI Yi, DU Yun, et al. Relationship between qi stagnation constitution and anxiety/depression in 10, 325 junior high school students, and in which the mediating effect of sleep duration[J]. Journal of beijing university of traditional chinese medicine, 2024, 47(10): 1457-1465. DOI： 10.3969/j.issn.1006-2157.2024.10.016.

摘要

目的

探讨睡眠时长在气郁质和初中生焦虑、抑郁之间的中介效应。

方法

采用整群抽样法，于2020年3月20日—3月31日，从河南、辽宁、陕西、山东、福建省抽取了6所初中学校、共10 325名在读学生。首先，收集其一般情况(年龄、性别、年级、生源地、是否独生子女)及睡眠时长，使用“中医体质分类与判定表(气郁质)”“患者健康问卷”(PHQ-9)、“广泛性焦虑量表”(GAD-7)对其气郁质、抑郁状态及焦虑状态进行评估；其次，运用Spearman相关分析探究气郁质、睡眠时长、焦虑、抑郁间的相关性；然后，通过线性回归分析和中介效应检验探析气郁质与焦虑、抑郁的关系及睡眠时长的中介效应，并对结果进行验证。

结果

①非独生子女的焦虑检出率高于独生子女(

＝11.198，

＝0.001)；高年级学生焦虑(

＝106.967，

0.001)、抑郁(

＝84.692，

0.001)检出率高于低年级学生；女生焦虑(

＝100.441，

0.001)、抑郁(

＝71.418，

0.001)检出率高于男生；气郁质学生的焦虑(

＝1 092.298，

0.001)、抑郁(

＝866.740，

0.001)检出率均高于非气郁质学生；夜间睡眠时长少于8 h的学生焦虑(

＝1 076.716，

0.001)、抑郁(

＝1 099.725，

0.001)检出率均高于睡眠时长≥8 h者，且睡眠时长越短，检出率越高。②气郁质正向预测焦虑、抑郁(

＝0.679，

0.001；

＝0.718，

0.001)；睡眠时长对焦虑、抑郁均有负向预测作用(

＝－0.403，

0.001；

＝－0.439，

0.001)。③睡眠时长在气郁质与初中生焦虑、抑郁之间均起到部分中介作用，中介效应分别占总效应的13.40%、13.79%。

结论

气郁质虽然主要通过直接作用对焦虑、抑郁产生影响，但是仍然可部分通过睡眠时长这一中介变量间接实现对焦虑、抑郁的效应，即睡眠时长越短，由气郁质导致初中生焦虑、抑郁的风险越高。因此，对于初中生心理健康问题可通过调节气郁质、保证充足的睡眠时长等途径来预防和改善。

Abstract

Objective

To explore the mediating effect of sleep duration on the relationship between qi stagnation constitution and anxiety/depression in junior high school students.

Methods

From March 20 to March 31

2020

a total of 10

325 students from 6 junior high schools in Henan

Liaoning

Shaanxi

Shandong

and Fujian provinces were sampled by cluster sampling. Firstly

the general conditions (age

gender

grade

hometown

whether they are an only child) and sleep duration were collected

and their qi stagnation constitution

depression and anxiety status were evaluated by using the Qi Stagnation Subscale in the " TCM Constitution Classification and Judgment Scale"

the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder (GAD-7). Secondly

Spearman correlation analysis was used to explore the correlation between qi stagnation constitution

sleep duration

and anxiety/depression. Then

linear regression analysis and mediating effect test were used to explore the relationship between qi stagnation constitution and anxiety/depression in junior high school students

and the mediating effect of sleep duration was analyzed

and the results were verified.

Results

(i) The detection rate of anxiety in non-only children was higher than that of only children (

=11.198

=0.001); The detection rate of anxiety (

=106.967

0.001) or depression (

=84.692

0.001) was higher among senior students than those in lower grades

while those of girls with anxiety (

=100.441

0.001) or depression (

=71.418

0.001) were higher than those of boys. The detection rates of anxiety (

=1 092.298

0.001) and depression (

=866.740

0.001) in qi stagnation constitution students were higher than those of non-qi stagnation constitution students

and the detection rates

of anxiety (

=1 076.716

0.001) and depression (

=1 099.725

0.001) in students whose sleep duration less than 8 h were higher than those of whose sleep duration more than 8 h

and the shorter the sleep duration

the higher the detection rate. (ii) Qi stagnation constitution positively predicted anxiety/depression (

=0.679

0.001;

=0.718

0.001)

and sleep duration had a negative predictive effect on anxiety/depression (

= -0.403

0.001;

= -0.439

0.001). (iii) Sleep duration played a partial mediating role in the relationship between qi stagnation constitution and anxiety/depression in junior high school students

and the mediating effect accounted for 13.40% and 13.79% of the total effect

respectively.

Conclusion

Although qi stagnation constitution mainly affects anxiety/depression through direct effect

it can still be partially indirectly realized through the mediating variable of sleep duration

that is

the shorter the sleep duration

the higher the risk of anxiety/depression in junior high school students. Therefore

the mental health problems of junior high school students can be prevented and improved by regulating qi stagnation constitution and ensuring adequate sleep duration.

关键词

Keywords

references

KONG LZ , LAI JB , HU SH . China initiates depression screening in children and adolescents [J ] . Lancet Psychiatry , 2022 , 9 ( 2 ): 107 - 108 .

刘瑞杰，彭玮婧，郑美欣，等 . 湖南省中学生抑郁、焦虑现状及流行病学特征 [J ] . 中国临床心理学杂志， 2023 , 31 ( 4 ): 816 - 820 .

CAO YJ , HUANG LY , SI T , et al . The role of only-child status in the psychological impact of COVID-19 on mental health of Chinese adolescents [J ] . J Affect Disord , 2021 , 282 : 316 - 321 .

PATTON GC , SAWYER SM , SANTELLI JS , et al . Our future: a Lancet commission on adolescent health and wellbeing [J ] . Lancet , 2016 , 387 ( 10036 ): 2423 - 2478 .

RIBEIRO JD , HUANG X , FOX KR , et al . Depression and hopelessness as risk factors for suicide ideation, attempts and death: meta-analysis of longitudinal studies [J ] . Br J Psychiatry , 2018 , 212 ( 5 ): 279 - 286 .

张笑丰，曹毓佳，陈江河，等 . 全国5省份新冠肺炎疫情期间青少年抑郁检出率及其与气郁质相关性的研究 [J ] . 北京中医药大学学报， 2021 , 44 ( 9 ): 824 - 829 .

马莹，马涛，陈曼曼，等 . 儿童青少年睡眠时间与社交焦虑的关联 [J ] . 中国学校卫生， 2022 , 43 ( 4 ): 540 - 544 .

SADEH A , TIKOTZKY L , KAHN M . Sleep in infancy and childhood: implications for emotional and behavioral difficulties in adolescence and beyond [J ] . Curr Opin Psychiatry , 2014 , 27 ( 6 ): 453 - 459 .

王琦 . 中医体质学 [M ] . 北京：人民卫生出版社， 2005 ： 22 - 27 .

王琦 . 9种基本中医体质类型的分类及其诊断表述依据 [J ] . 北京中医药大学学报， 2005 ， 28 ( 4 )： 1 - 8 .

上海艾瑞市场咨询有限公司．中国青少年儿童睡眠健康白皮书2019年 [R/OL ] // 艾瑞咨询系列研究报告(2019年第4期) .( 2019-04-01 )[ 2019-11-25 ] . https://kns.cnki.net/kcms2/article/abstract？v＝uagkX-Mi-j-V325dGHZswcFLKg3zE6RfKX1MmaGOthlJ8GOrViZdzVXrr-Gk1qKlugHPdNpfFL4h48HoO7CmrbduibFEE17O16fW4cTGBGZQ0AEKOeB-qEUBfGtTeqmJ26IE9UJCfJ8QNN1n2wHLKe2UThr8IJfzi0FwVS4PAz8FzDvskCXciZz1YphJieF8rjW2P0jOt-MG7bSwhi5HGqcVvskSj3GlMnEROAdodef2nR7YqBkKbuyg0hDc8VkmfVjtl58U7WiNgrey0snMFOimFpQ3PdYHiNk5blgGFdd44Bt5TxOPqg9VQnv6qCXGD8vUsqzmomdc＝&uniplatform＝NZKPT&language＝CHS .

HIRSHKOWITZ M , WHITON K , ALBERT SM , et al . National Sleep Foundation′s updated sleep duration recommendations: final report [J ] . Sleep Health , 2015 ， 1 ( 4 )： 233 - 243 .

CHENG W , ROLLS E , GONG WK et al . Sleep duration, brain structure, and psychiatric and cognitive problems in children [J ] . Mol Psychiatry , 2021 , 26 ( 8 )： 3992 - 4003 .

鹿佳，朱燕波，史会梅，等 . 睡眠时间与中医体质类型的关联性分析 [J ] . 中医杂志， 2016 , 57 ( 24 ): 2089 - 2093 .

中华中医药学会 . 中医体质分类与判定 [M ] . 北京：中国中医药出版社， 2009 : 4 .

LOWE B , KROENKE K , HERZOG W , et al . Measuring depression outcome with a brief self-report instrument: sensitivity to change of the Patient Health Questionnaire (PHQ-9) [J ] . J Affect Disord , 2004 , 81 ( 1 ): 61 - 66 .

QU M , YANG K , CAO YJ , et al . Symptoms of anxiety and depression among adolescents before vs during COVID-19-related school closures in China [J ] . JAMA Netw Open , 2022 , 5 ( 11 ): e2241752 .

胡星辰，张迎黎，梁炜，等 . 病人健康问卷抑郁量表(PHQ-9)在青少年中应用的信效度检验 [J ] . 四川精神卫生， 2014 , 27 ( 4 ): 357 - 360 .

SPITZER RL , KROENKE K , WILLIAMS JBW , et al . A brief measure for assessing generalized anxiety disorder: the GAD-7 [J ] . Arch Intern Med , 2006 , 166 ( 10 ): 1092 - 1097 .

王瑜，陈然，张岚 . 广泛性焦虑量表-7在中国综合医院住院患者中的信效度研究 [J ] . 临床精神医学杂志， 2018 , 28 ( 3 ): 168 - 171 .

SOUSA TV , VIVEIROS V , CHAI MV , et al . Reliability and validity of the Portuguese version of the Generalized Anxiety Disorder (GAD-7) scale [J ] . Health Qual Life Outcomes , 2015 , 13 : 50 .

曲姗，史欣欣，谢稚鹃，等．病人健康问卷和广泛性焦虑量表在非心源性胸痛患者中筛查抑郁焦虑的效度和信度 [J ] . 中国心理卫生杂志， 2021 ， 35 ( 5 )： 376 - 381 .

周浩，龙立荣．共同方法偏差的统计检验与控制方法 [J ] . 心理科学进展， 2004 ， 12 ( 6 )： 942 - 950 .

章赛月 . 杭州市初中学生中医体质分型调查 [J ] . 中国中医药科技， 2013 , 20 ( 1 ): 5 .

徐划萍，汪东颖，邱慧，等 . 大学生连续4年体质健康水平追踪分析与提升策略研究 [J ] . 中医药管理杂志， 2024 , 32 ( 1 ): 38 - 41 .

陈江河 . 新冠肺炎流行期青少年气郁质体质与心理健康相关性及影响因素分析 [D ] . 北京：北京中医药大学， 2022 .

陈江河，曲淼 . COVID-19潜在感染风险对初中生抑郁、焦虑的影响及心理弹性的中介作用 [J ] . 中西医结合心脑血管病杂志， 2021 , 19 ( 16 ): 2726 - 2730 .

张炎圣，杨艳杰，乔正学 . 重大突发公共卫生事件下青少年抑郁情绪现状及影响因素分析 [J ] . 中国公共卫生， 2022 , 38 ( 6 ): 647 - 651 .

郭琪，张鑫毅，温晓飒，等 . 上海市闵行区两所学校学生抑郁症状现状及影响因素调查 [J ] . 健康教育与健康促进， 2015 , 10 ( 6 ): 426 - 428 .

刘洋，张伟波，葛聪聪，等 . 2015年上海市初中生焦虑抑郁情绪现状调查 [J ] . 中国健康教育， 2018 , 34 ( 4 ): 299 - 303 .

胥寒梅，张航，陶圆美，等 . 儿童青少年抑郁症的重要社会心理因素 [J ] . 精神医学杂志， 2021 , 34 ( 6 ): 499 - 502 .

SOLOMON MB , HERMAN JP . Sex differences in psychopathology: of gonads, adrenals and mental illness [J ] . Physiol Behav , 2009 , 97 ( 2 ): 250 - 258 .

张媛媛，敬攀，乔正学，等 . 中学生焦虑状况及影响因素分析 [J ] . 中国公共卫生， 2018 , 34 ( 3 ): 401 - 403 .

郝梅 . 近三年独生子女与非独生子女大学生心理健康状况的比较与分析 [J ] . 教育观察(上旬刊) , 2014 , 3 ( 10 ): 26 - 29 .

程硕，贾存显 . 独生子女大学生与非独生子女大学生焦虑和抑郁症状的比较 [J ] . 中国心理卫生杂志， 2019 , 33 ( 10 ): 783 - 787 .

刘松涛，张晓娟，芦珊，等 . 独生子女与非独生子女中学生心理健康状况和人格特点 [J ] . 中国健康心理学杂志， 2018 , 26 ( 9 ): 1433 - 1435 .

董兴鲁，文玉敏，徐筱青，等 . 北京中医药大学大学生中医体质与焦虑的关系研究 [J ] . 现代中医临床， 2014 , 21 ( 3 ): 27 - 29 .

曹盼盼 . 山东省医学生中医体质调查及其与抑郁、焦虑障碍的相关性研究 [D ] . 青岛：青岛大学， 2017 .

李双，程兢，李艳平，等 . 锦州市大学生昼夜节律紊乱与抑郁焦虑症状关联 [J ] . 中国学校卫生， 2022 , 43 ( 5 ): 731 - 735 .

徐向青，曲淼 . “因郁致病”与“因病致郁”理论溯源及临证思考 [J ] . 北京中医药大学学报， 2022 , 45 ( 9 ): 878 - 881 .

李倩，曲丽芳 . 失眠与抑郁的相关性研究进展 [J ] . 中国中医基础医学杂志， 2011 , 17 ( 8 ): 937 - 938 .

董思颖，顾文昊，李文乐，等 . 中医体质学与心理问题成因相关性探析 [J ] . 中华中医药杂志， 2022 , 37 ( 9 ): 5480 - 5482 .

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