中国青少年手机成瘾与自杀行为:睡眠质量差的中介作用

IF 6.6 1区 医学 Q1 PSYCHIATRY Journal of Behavioral Addictions Pub Date : 2024-01-15 Print Date: 2024-03-26 DOI:10.1556/2006.2023.00078
Junhan Cheng, Chang Peng, Fajuan Rong, Yan Wang, Yafei Tan, Yizhen Yu
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引用次数: 0

摘要

背景和目的:手机成瘾(MPA)正在青少年中出现,尤其是在 COVID-19 大流行期间。然而,人们对 MPA 与自杀行为之间的相关性及其机制还缺乏了解。本研究旨在探讨MPA对自杀行为的直接影响,以及通过不良睡眠质量产生的间接影响:方法:通过多阶段整群抽样法,共招募了18900名12至18岁的中国青少年:结果:MPA和睡眠质量差的发生率分别为26.2%和23.1%。在过去一年中,24.4%的参与者有自杀行为。其中,自杀意念者、自杀策划者和自杀企图者分别占 10.7%、8.4% 和 5.3%。其中,农村女性自杀行为、MPA 和睡眠质量差的发生率最高。逻辑回归分析显示,MPA 与自杀意念者(OR = 1.22,95% CI:1.09-1.37,p < 0.001)和策划者(OR = 1.18,95% CI:1.04-1.34,p < 0.05)显著相关,但与自杀企图者无关(p > 0.05)。结构方程模型显示,MPA 对自杀行为有直接影响(β = 0.145,95% CI = 0.127-0.160),而睡眠质量差则部分调解了这种关系(调解比率为 46.7%)。睡眠质量差的中介比率在城市男性中最高:MPA对自杀行为有直接和间接的影响。为了预防自杀,限制青少年使用手机和提高睡眠质量可能是切实可行的。此外,可优先考虑对农村女孩采取更多干预措施。
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Mobile phone addiction and suicide behaviors among Chinese adolescents: The mediation of poor sleep quality.

Background and aims: Mobile phone addiction (MPA) is emerging among adolescents, especially during the COVID-19 pandemic. Nevertheless, there is a dearth of knowledge regarding the correlation between MPA and suicide behaviors and its mechanism. The objective of the current study is exploring the direct effect of MPA on suicide behaviors and the indirect effect through poor sleep quality.

Methods: A total of 18,900 Chinese adolescents aged 12 to 18 were recruited via a multi-stage cluster sampling method.

Results: The prevalence of MPA and poor sleep quality was 26.2 and 23.1%, respectively. During the past year, 24.4% participants were involved in suicide behaviors. Specifically, suicide ideators, suicide planners, and suicide attempters were 10.7, 8.4, and 5.3%, respectively. Particularly, rural females had the highest prevalence of suicide behaviors, MPA, and poor sleep quality. Logistic regression analysis showed that MPA was significantly associated with suicide ideators (OR = 1.22, 95% CI: 1.09-1.37, p < 0.001) and planners (OR = 1.18, 95% CI: 1.04-1.34, p < 0.05), but not for suicide attempters (p > 0.05). Structural equation modelling demonstrated that MPA had direct effect on suicide behaviors (β = 0.145, 95% CI = 0.127-0.160), and poor sleep quality partially mediated the relationship (the mediating ratio was 46.7%). The mediating ratio of poor sleep quality was the highest in urban males.

Conclusions: MPA has both direct and indirect effects on suicide behaviors. For suicide prevention, limited mobile phone use and improvement sleep quality may be practical for adolescents. Additionally, more efforts of intervention could give priority to rural girls.

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来源期刊
CiteScore
12.30
自引率
7.70%
发文量
91
审稿时长
20 weeks
期刊介绍: The aim of Journal of Behavioral Addictions is to create a forum for the scientific information exchange with regard to behavioral addictions. The journal is a broad focused interdisciplinary one that publishes manuscripts on different approaches of non-substance addictions, research reports focusing on the addictive patterns of various behaviors, especially disorders of the impulsive-compulsive spectrum, and also publishes reviews in these topics. Coverage ranges from genetic and neurobiological research through psychological and clinical psychiatric approaches to epidemiological, sociological and anthropological aspects.
期刊最新文献
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