| 1,225 | 1 | 517 |
| 下载次数 | 被引频次 | 阅读次数 |
目的 探讨身体活动、压力知觉、性别与大学生睡眠质量之间的关系。方法 于2022年10—12月采取方便抽样的方法选取贵州省、陕西省、山东省、湖北省、安徽省和浙江省各1所综合性本科院校的2338名经济学、管理学、教育学和理学大学生(男生925名，女生1413名)。采用国际身体活动量表-短卷、匹兹堡睡眠质量指数量表和压力知觉量表对大学生进行问卷调查，并使用Bootstrap抽样检验法进行有调节的中介效应分析。结果 调查对象的平均年龄为19.25岁，一至四年级分别为732人、769人、462人和375人。身体活动量与睡眠质量得分呈负相关(r=-0.103,P<0.01),压力知觉与睡眠质量得分呈正相关(r=0.215,P<0.01)。Bootstrap检验结果表明，压力知觉在身体活动和睡眠质量之间起中介作用。身体活动对大学生睡眠质量的直接效应为-0.06,压力知觉的中介效应值为-0.02,中介效应占总效应的27.63%。压力知觉与性别的交互项对睡眠质量的预测作用有统计学意义(β=-0.05,P<0.05),性别在压力知觉对睡眠质量的预测中起调节作用。性别对压力知觉与睡眠质量关系调节的简单斜率图表明，随着压力知觉的增加，男生(β=0.30,P<0.01)、女生(β=0.20,P<0.01)睡眠质量得分均呈显著上升趋势，且男生的上升趋势更明显。结论 大学生身体活动量与较好的睡眠质量有关，身体活动可以通过压力知觉的中介作用和性别的调节作用改善大学生的睡眠质量；且相对于女生，压力知觉对男生较差睡眠质量的预测作用更加显著。
Abstract：OBJECTIVE To explore the relationship among physical activity(PA), perceived stress, gender, and sleep quality of university students.METHODSA total of 2338(925 male and 1413 female) university students of economics, management, education and science from one comprehensive undergraduate university in Guizhou, Shaanxi, Shandong, Hubei, Anhui and Zhejiang provinces were selected by convenient sampling method from October to December 2022. International Physical Activity Questionnaire, Pittsburgh sleep quality index, and Perceived Stress Scale were used to conduct a questionnaire survey of university students, and Bootstrap sampling test was used to conduct moderated mediation effect analysis.RESULTS The average age of the respondents was 19.25. The first to fourth grades have 732, 769, 462 and 375 students, respectively. PA was negatively correlated with sleep quality(r=-0.103, P<0.01), and perceived stress was positively correlated with sleep quality(r=0.215, P<0.01). Bootstrap test indicated that perceived stress played a mediating role between PA and sleep quality. The direct effect of PA on sleep quality of university students was-0.06. The mediating effect of perceived stress was-0.02, accounted for 27.63% of the total effect. The interaction term of perceived stress and gender had a statistically significant effect on the prediction of sleep quality(β=-0.05, P<0.05), and gender played a moderating role in the prediction of sleep quality. The simple slope showed that with the increase of perceived stress, the sleep quality scores of males(β=0.30, P<0.01) and females(β=0.20, P<0.01) showed a significant upward trend, and the upward trend of males was more significant.CONCLUSION The total amount of PA is related to better sleep quality. PA can improve the sleep quality of university students through the mediating effect of perceived stress and the moderating effect of gender. Compared with female students, the prediction effect of perceived stress on poor sleep quality of male students is more significant.
[1] SIEGEL J M.Clues to the functions of mammalian sleep [J].Nat,2005,437(7063):1264-1271.
[2] CAPPUCCIO F P,D’ELIA L,STRAZZULLO P,et al.Sleep duration and all-cause mortality:a systematic review and meta-analysis of prospective studies [J].Sleep,2010,33(5):585-592.
[3] BECKER S P,JARRETT M A,LUEBBE A M,et al.Sleep in a large,multi-university sample of college students:sleep problem prevalence,sex differences,and mental health correlates [J].Sleep Health,2018,4(2):174-181.
[4] DINIS J,BRAGAN?A M.Quality of sleep and depression in college students:a systematic review [J].Sleep Sci,2018,11(4):290-301.
[5] VARGAS P A,FLORES M,ROBLES E.Sleep quality and body mass index in college students:the role of sleep disturbances [J].J Am Coll Health,2014,62(8):534-541.
[6] WANG F,BIRO E.Determinants of sleep quality in college students:a literature review [J].Explore,2021,17(2):170-177.
[7] YOU Z,MEI W,YE N,et al.Mediating effects of rumination and bedtime procrastination on the relationship between internet addiction and poor sleep quality [J].J Behav Addict,2020,9(4):1002-1010.
[8] LANG C,KALAK N,BRAND S,et al.The relationship between physical activity and sleep from mid adolescence to early adulthood a systematic review of methodological approaches and meta-analysis [J].Sleep Med Rev,2016,28:32-45.
[9] VANKIM N A,NELSON T F.Vigorous physical activity,mental health,perceived stress,and socializing among college students [J].Am J Health Promot,2013,28(1):7-15.
[10] 李新宇，魏新益，陈海德，等.大学生压力感知与睡眠质量的关系：一个两阶段被调节的中介模型[J].中国临床心理学杂志，2019,27(2):351-355.
[11] 庞亚玲，麻超，雷亮，等.大学生压力知觉对睡眠质量的影响：有调节的中介模型[J].中国特殊教育，2021(5):81-89.
[12] ZHAI X,WU N,KORIYAMA S,et al.Mediating effect of perceived stress on the association between physical activity and sleep quality among Chinese college students [J].Int J Environ Res,2021,18(1):289.
[13] ECCLES J S,JACOBS J E,HAROLD R D.Gender role stereotypes,expectancy effects,and parents’ socialization of gender differences [J].J Soc Issues,1990,46(2):183-201.
[14] HANDA R J,CHUNG W C J.Gender and stress[M]//In Stress physiology,biochemistry,and pathology.Cambridge:Academic Press,2019:165-176.
[15] SUH S,CHO N,ZHANG J.Sex differences in insomnia:from epidemiology and etiology to intervention [J].Curr Psychiatry Rep,2018,(9):69-81.
[16] 李俊，张惠红.中、美大学生身体形象与身体活动量及其关系的对比研究[J].中国体育科技，2015,51(3):114-120.
[17] 方必基，刘彩霞，尧健昌，等.近二十年我国大学生睡眠质量研究结果的元分析[J].现代预防医学，2020,47(19):3553-3556.
[18] CRAIG C L,MARSHALL A L,SJOSTROM M,et al.International physical activity questionnaire:12-country reliability and validity [J].Med Sci Sports Exercise,2003,35(8):1381-1395.
[19] LEE P H,MACFARLANE D J,LAM T H,et al.Validity of the international physical activity questionnaire short form (IPAQ-SF):a systematic review [J].Int J Behav Nutr Phys Act,2011,8(1):115-125.
[20] 樊萌语，吕筠，何平平.国际体力活动问卷中体力活动水平的计算方法[J].中华流行病学杂志，2014,35(8):961-964.
[21] BUYSSE D J,REYNOLDS C F,MONK T H,et al.The Pittsburgh sleep quality index:a new instrument for psychiatric practice and research [J].Psychiatry Res,1989,28(2):193-213.
[22] BACKHAUS J,JUNGHANNS K,BROOCKS A,et al.Test-retest reliability and validity of the Pittsburgh sleep quality index in primary insomnia [J].J Psychosom Res,2002,53(3):737-740.
[23] 刘贤臣，唐茂芹.匹兹堡睡眠质量指数的信度和效度研究[J].中华精神科杂志，1996,29(2):103-107.
[24] COHEN S,KAMARCK T,MERMELSTEIN R,et al.A global measure of perceived stress [J].J Health Soc Behav,1983,24(4):385-396.
[25] 李亚杰，李咸志，李剑波，等.中文版压力知觉量表在代表性社区成人群体中的应用[J].中国心理卫生杂志，2021,35(1):67-72.
[26] 汤丹丹，温忠麟.共同方法偏差检验：问题与建议[J].心理科学，2020,43(1):215-223.
[27] KREDLOW M A,CAPOZZOLI M C,HEARON B A,et al.The effects of physical activity on sleep:a meta-analytic review [J].J Behav Med,2015,38(3):427-449.
[28] DRIVER H S,TAYLOR S R.Exercise and sleep [J].Sleep Med Rev,2000,4(4):387-402.
[29] OLIVEIRA L,SILVA A,SANTOS A M,et al.Exercise or physical activity:which is more strongly associated with the perception of sleep quality by adolescents [J].Revista Paulista Pediatr,2018,36(3):322-328.
[30] 黄赞，周玉兰，贺佳贝，等.24h活动行为与大学生体质健康关系的成分分析[J].中国学校卫生，2023,44(10):1550-1554,1559.
[31] PARK S.Associations of physical activity with sleep satisfaction,perceived stress,and problematic internet use in Korean adolescents [J].BMC Public Health,2014,14(1):1143-1149.
[32] WUNSCH K,KASTEN N,FUCHS R.The effect of physical activity on sleep quality,well-being,and affect in academic stress periods [J].Nat Sci Sleep,2017,9(9):117-126.
[33] DENG J,ZHANG L,CAO G,et al.Effects of adolescent academic stress on sleep quality:mediating effect of negative affect and moderating role of peer relationships [J].Curr Psychol,2023,42(6):4381-4390.
[34] 严由伟，刘明艳，唐向东，等.压力反应、压力应对与睡眠质量关系述评[J].心理科学进展，2010,18(11):1734-1746.
[35] ESCH T,STEFANO G B.Endogenous reward mechanisms and their importance in stress reduction,exercise and the brain [J].Arch Med Sci,2010,6(3):447-455.
[36] JACKSON E M.Stress relief:the role of exercise in stress management [J].ACSM Health Fitness J,2013,17(3):14-19.
[37] ROSPENDA K M,FUJISHIRO K,SHANNON C A,et al.Workplace harassment,stress,and drinking behavior over time:Gender differences in a national sample [J].Addict Behav,2008,33(7):964-967.
[38] DONNER N C,LOWRY C A.Sex differences in anxiety and emotional behavior [J].Pflugers Arch,2013,465(5):601e626.
[39] 秦娜娜，桑文凤，张全英，等.应对方式在中青年冠心病患者知觉压力与睡眠质量间的中介效应[J].中华护理教育，2021,18(12):1079-1083.
基本信息:
DOI：10.19813/j.cnki.weishengyanjiu.2025.05.014
中图分类号:R195
引用信息:
[1]韦意,周玉兰,刘艳洁,等.2022年六省大学生身体活动与睡眠质量的关系——压力知觉的中介与性别的调节作用[J].卫生研究,2025,54(05):798-804.DOI:10.19813/j.cnki.weishengyanjiu.2025.05.014.
基金信息:
浙江省社会科学界联合会研究课题(No.2023N014)
2025-09-17
2025-09-17