Relationship between stress and insomnia in plateau soldiers: mediating role of parent-child alienation and moderating role of expressive suppression

Qiaoning ZHOU; Zongpei DAI; Jieying TAN; Li HOU; Qin DAI

doi:10.16016/j.2097-0927.202312122

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Relationship between stress and insomnia in plateau soldiers: mediating role of parent-child alienation and moderating role of expressive suppression

Monographic Reports: Monographic study of military mental health training | 更新时间：2026-01-09

- Relationship between stress and insomnia in plateau soldiers: mediating role of parent-child alienation and moderating role of expressive suppression
- Journal of Army Medical University Vol. 46, Issue 14, Pages: 1633-1639(2024)
- 作者机构：
  
  1.400038 重庆，陆军军医大学(第三军医大学)医学心理系心理训练中心
  2.400038 重庆，陆军军医大学(第三军医大学)第一附属医院预防保健科
  3.400044 重庆，重庆大学公共管理学院
- 作者简介：
- 基金信息：
  
  the Applied Basic Project of Special Program of Military Nursing Innovation(2021HL003);the Special Project of Science and Technology Innovation Capacity Promotion of Army Medical University(2021XJS12)
- DOI：10.16016/j.2097-0927.202312122
  CLC： R338.63;R395.2;R821.2
- Received：25 December 2023，
  
  Revised：2024-01-21，
  
  Published：30 July 2024
- 稿件说明：
移动端阅览
Qiaoning ZHOU, Zongpei DAI, Jieying TAN, et al. Relationship between stress and insomnia in plateau soldiers: mediating role of parent-child alienation and moderating role of expressive suppression[J]. Journal of Army Medical University, 2024, 46(14): 1633-1639.
DOI：

Qiaoning ZHOU, Zongpei DAI, Jieying TAN, et al. Relationship between stress and insomnia in plateau soldiers: mediating role of parent-child alienation and moderating role of expressive suppression[J]. Journal of Army Medical University, 2024, 46(14): 1633-1639. DOI： 10.16016/j.2097-0927.202312122.

摘要

目的

考察在高原军人中压力对失眠的影响

并探究亲子疏离在其中的中介作用和情绪调节策略在其中的调节作用。

方法

本研究采用横断面研究设计方案。以自编一般资料调查问卷、高原军人压力源量表、亲子疏离量表、失眠严重程度指数量表、情绪调节量表对平均海拔4 200 m的2 065名高原军人进行问卷调查

通过SPSS 26.0软件对该人群压力、亲子疏离、失眠、情绪调节等进行描述性分析、相关分析、回归分析并建立结构方程模型。

结果

① 年龄大、文化程度较高(

0.01)以及有/曾有婚史(已婚、离异和丧偶)(

0.001)的高原军人的压力、亲子疏离和失眠得分均高于其他组。②压力、亲子疏离、失眠、认知重评和表达抑制呈显著两两正相关(

=0.08~0.61

0.001)。③压力和表达抑制对亲子疏离存在正向预测作用(

=0.14~0.43

0.001)

压力、亲子疏离和表达抑制对失眠存在正向预测作用(

=0.04~0.25

0.01)

认知重评对亲子疏离和失眠预测作用均不显著。④亲子疏离在压力与失眠之间起部分中介作用

占总效应的7.29%。⑤表达抑制调节压力对失眠的影响(

=-0.01

0.001)

与低表达抑制水平相比

高表达抑制水平可以缓解压力对失眠的不良影响。

结论

压力显著正向预测高原军人失眠

亲子疏离在其中起到中介作用

而高表达抑制水平能有效缓冲压力对失眠的影响。

Abstract

Objective

To investigate the influence of stress on insomnia among plateau soldiers

and explore the mediating role of parent-child alienation and the moderating role of emotion regulation strategies in this relationship.

Methods

A cross-sectional study design was adopted in this study.Our Self-designed General Information Questionnaire

Plateau Soldiers Stressor Scale

Insomnia Severity Index

Inventory of Alienation towards Parents

and Emotion Regulation Scale were employed to survey 2 065 plateau soldiers at an average altitude of 4 200 m.With aid of SPSS 26.0 statistics

descriptive analysis

correlation analysis and regression analysis were applied to analyze stress status

parent-child alienation

insomnia and emotion regulation in the participants

and then a structural equation model was established.

Results

① The scores of stress

parent-child alienation and insomnia were significantly higher in the participants who were older

well educated (

0.01) and were or had been in a marital relationship (married

divorced

or widowed)(

0.001) than those without above conditions.② Significant pairwise positive correlations were observed among stress

parent-child alienation

insomnia

cognitive reappraisal

d expressive suppression (

=0.08~0.61

0.001).③ Stress and expressive suppression could positively predict parent-child alienation (

=0.14~0.43

0.001)

and stress

parent-child alienation and expressive suppression could positively predict insomnia (

=0.04~0.25

0.01).Cognitive reappraisal could not significantly predict parent-child alienation or insomnia.④Parent-child alienation towards parents partially mediated the relationship between stress and insomnia

with a mediation effect accounting for 7.29% of the total effect.⑤ Expressive suppression moderated the impact of stress on insomnia (

=-0.01

0.001)

and the higher expressive suppression level mitigated the adverse effect of stress on insomnia when compared with the lower expressive suppression level.

Conclusion

For plateau soldiers

stress significantly predicts insomnia

with parent-child alienation playing a mediating role.Furthermore

a higher level of expressive suppression can effectively buffer the influence of stress on insomnia.

关键词

Keywords

references

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