背景:睡眠不足会增加非酒精性脂肪性肝病(NAFLD)的风险并加速疾病进展。弄清楚哪些因素影响NAFLD患者的睡眠质量至关重要。本研究旨在探讨焦虑症状在反思性对睡眠质量的影响中的作用,以及韧性在反思性与焦虑症状和睡眠质量的关系中的调节作用。
方法:在横断面研究中,285名NAFLD患者完成了匹兹堡睡眠质量指数的中文版,反思反应量表,广义焦虑症7项量表,以及测量睡眠质量的14项弹性量表,沉思(包括沉思和反射),焦虑症状,和韧性,分别。SPSSv4.0过程的PROCESS宏被应用于执行适度的中介分析。
结果:焦虑症状在考虑沉思,睡眠质量差的反射和反思。研究发现,韧性对沉思的正相关有显著的调节作用,焦虑症状的反思和反思,随着韧性的增强,这些指标逐渐降低。沉思之间的直接联系,反射和沉思以及不良的睡眠质量并未受到弹性的显着调节。因此,在NAFLD患者中,我们支持一个涉及焦虑症状和心理弹性的调节调解模型,用于解释沉思对睡眠质量差的影响.
结论:沉思(包括沉思和反思)可能与不良睡眠质量呈正相关,焦虑症状在NAFLD患者之间的关系中起着重要作用。弹性显示出调节作用,可以减弱反思性和焦虑症状之间的正相关。旨在缓解沉思的干预措施,减少焦虑症状,增强心理弹性能改善NAFLD患者的睡眠质量。
Poor sleep raises the risk of non-alcoholic fatty liver disease (NAFLD) and hastens disease progression. It is critical to figure out what factors impact the sleep quality of NAFLD patients. The present study aimed to investigate the role of anxiety symptoms in accounting for the impact of rumination on sleep quality and the moderating role of resilience on the associations of rumination with anxiety symptoms and sleep quality.
In the cross-sectional study, 285 NAFLD patients completed the Chinese version of the Pittsburgh Sleep Quality Index, the Ruminative Responses Scale, the Generalized Anxiety Disorder 7-item scale, and the 14-item Resilience Scale to measure sleep quality, rumination (including brooding and reflection), anxiety symptoms, and resilience, respectively. The PROCESS macro for SPSS v4.0 procedure was applied to perform moderated mediation analysis.
The roles of anxiety symptoms in accounting for the positive associations of brooding, reflection and rumination with poor sleep quality were revealed. It was found that there was a significant moderating role of resilience on the positive associations of brooding, reflection and rumination with anxiety symptoms, which were gradually reduced as resilience increased. The direct associations between brooding, reflection and rumination and poor sleep quality were not significantly moderated by resilience. Thus, a moderated mediation model involving anxiety symptoms and resilience for explaining the impact of rumination on poor sleep quality was supported among patients with NAFLD.
Rumination (including brooding and reflection) could be positively related to poor sleep quality, and anxiety symptoms had a significant role in accounting for the relationship among patients with NAFLD. Resilience showed a moderating role that could attenuate the positive association between rumination and anxiety symptoms. Interventions aimed at alleviating rumination, reducing anxiety symptoms, and enhancing resilience could improve the sleep quality of NAFLD patients.