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发育医学电子杂志  2023, Vol. 11 Issue (6): 411-415    DOI: 10.3969/j.issn.2095-5340.2023.06.002
  生长发育   论著 |
青少年噩梦影响因素分析
李然 朱晓昱 李景华 周双桨 胡光伟 陈景旭
(1. 北京回龙观医院 临床四科,北京 100096;2. 北京回龙观医院 心身医学科,北京 100096;3. 山西财经大学 统计学院,山西 太原 030012;4. 北京市平谷区夏各庄镇社区卫生服务中心 内科,北京 101200)
Analysis of the influencing factors of nightmares among adolescents
Li Ran, Zhu Xiaoyu, Li Jinghua, et al
(1. Clinical Departmentfour of Beijing Huilongguan Hospital, Beijing 100096, China; 2. Department of Psychosomatic Medicine,Beijing Huilongguan Hospital, Beijing 100096, China; 3. School of Statistics, Shanxi University of Financeand Economics, Taiyuan, Shanxi 030012, China; 4. Department of Internal Medicine, Xiagezhuang TownCommunity Health Service Center, Pinggu District, Beijing 101200, China)
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摘要 【摘要】 目的  探讨在青少年群体中噩梦体验的流行病学资料及其影响因素。方法 以在线问卷调查的形式,采用噩梦障碍指数(nightmare disorder index,NDI)、自编欺凌评估量表、失眠严重程度指数(Insomnia Severity Index,ISI)、压力感知量表(perceived stress scale 14-item version,PSS-14)病人健康问卷抑郁量表(patient health questionnaire-9,PHQ-9)和广泛性焦虑障碍量表(generalized anxiety disorder-7,GAD-7)对6 014 例年龄在12~18 岁(含)的青少年进行问卷调查,根据受试者1 个月内是否有噩梦分为无噩梦组(n=4 039)和噩梦组(n=1 975)。统计学方法采用t 检验、χ2 检验、Mann-Whitney U 检验。采用Logistic 回归模型,评估噩梦发生风险的影响因素。 结果 32.8%(1 975/6 014)例青少年过去1 个月内曾有噩梦体验,噩梦组的男性比例显著低于无噩梦组[52.7% (2 129/ 4 039)与41.6% (821/ 1 975),χ2=65.884,P<0.05],而噩梦组的平均年龄[(16.21±1.40)与(16.08±1.46)岁,t=-3.328,P=0.002)、欺凌量表总分[1(0,2)与0(0,1)分,Z=-16.379,P<0.001]、PSS-14 总分[21(14,26)与18(3,25)分,Z=-11.997,P<0.001]、ISI 总分[5( 2,9)与 1( 0,4)分,Z=-30.541,P<0.001]、PHQ-9 总分[6(3,10)与 2(0,5)分,Z=-29.432,P<0.001]、GAD-7 总分[4(1,7)与0(0,3)分,Z=-29.057,P<0.001]均显著高于无噩梦组(P 值均<0.05)。 结论  青少年噩梦体验频率较高且受多方面因素影响,女性发生噩梦的概率更高。欺凌量表总分、PSS-14 总分、ISI 总分、PHQ-9 总分、GAD-7 总分升高均会导致噩梦发生风险增加。可以利用以上指标来对噩梦发生的风险进行估测。
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关键词:  青少年  噩梦  发生风险  影响因素  问卷调查    
Abstract: 【Abstract】 Objective To explore the epidemiological data and influencing factors of adolescent
nightmare experience. Method In the form of an online questionnaire, the Nightmare Disorder Index
(NDI), Bullying Scale, Insomnia Severity Index (ISI),Perceived Stress Scale 14-item version (PSS-14),
Patient Health Questionnaire 9 (PHQ-9), and Generalized Anxiety Disorder 7 (GAD-7) were examined
in 6 014 subjects aged 12-18 years. According to whether they had nightmares in one month, the subjects
were divided into non-nightmare group (n=4 093) and nightmare group (n=1 975). The statistical methods performed by t-test, χ2 test, Mann-Whitney U test. Logistic regression model was used to evaluate the influencing factors of nightmare risk. Result 32.8% (1 975/6 014) adolescents had experienced nightmares in the past one month. The proportion of males in the nightmare group was significantly lower than that in the non-nightmare group [52.7% (2 129/4 039) and 41.6% (821/1 975), χ2=65.884, P<0.05]. The mean age of the nightmare group [(16.21±1.40) vs (16.08±1.46) years, Z=-3.328, P=0.002], the Bullying Scale score[1 (0, 2) vs 0 (0, 1), Z=-16.379, P<0.001], PSS-14 score [21 (14, 26) vs 18 (3, 25), Z=-11.997, P<0.001], ISIscore [5 (2, 9) vs 1 (0, 4), Z=-30.541, P<0.001], PHQ-9 score [6 (3, 10) vs 2 (0, 5), Z=-29.432, P<0.001],and GAD-7 score [4 (1, 7) vs 0 (0, 3), Z=-29.057, P<0.001] were significantly higher than those in the nonightmare group (all P<0.05). Conclusion  The frequency of nightmares in adolescents is high, which is affected by many factors. Females are more likely to have nightmares. Higher Bullying Scale score, PSS-14 score, ISI score, PHQ-9 score and GAD-7 score will increase the risk of nightmares. Above information can be used to assess the risk of nightmares.
Key words:  Adolescents    Nightmares    Risk of occurrence    Influencing factors    Questionnaire survey
收稿日期:  2023-04-18                出版日期:  2023-11-30      发布日期:  2023-11-29      期的出版日期:  2023-11-30
基金资助: 北京市医院管理中心“扬帆计划”(XMLX 202150)
通讯作者:  陈景旭    E-mail:  chenjx1110@163.com
引用本文:    
李然 朱晓昱 李景华 周双桨 胡光伟 陈景旭. 青少年噩梦影响因素分析[J]. 发育医学电子杂志, 2023, 11(6): 411-415.
Li Ran, Zhu Xiaoyu, Li Jinghua, et al. Analysis of the influencing factors of nightmares among adolescents. Journal of Developmental Medicine(Electronic Version), 2023, 11(6): 411-415.
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http://www.fyyxzz.com/CN/10.3969/j.issn.2095-5340.2023.06.002  或          http://www.fyyxzz.com/CN/Y2023/V11/I6/411
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