| 曹智玥,杨先梅,彭旭梅,周女诗,杨从温,刘程程,姚静.老年人心理健康素养与焦虑症状的关系：失眠的作用路径[J].四川精神卫生杂志,2026,(2):158-164.Cao Zhiyue,Yang Xianmei,Peng Xumei,Zhou Nvshi,Yang Congwen,Liu Chengcheng,Yao Jing,Relationship between mental health literacy and anxiety symptoms in the elderly： the pathways of insomnia[J].SICHUAN MENTAL HEALTH,2026,(2):158-164 |
| 老年人心理健康素养与焦虑症状的关系：失眠的作用路径 |
| Relationship between mental health literacy and anxiety symptoms in the elderly： the pathways of insomnia |
| 投稿时间：2025-02-15 |
| DOI：10.11886/scjsws20250215002 |
| 中文关键词: 心理健康素养 焦虑 失眠 老年人 |
| 英文关键词:Mental health literacy Anxiety Insomnia The elderly |
| 基金项目:四川省医学科研课题计划（项目名称：慢性病对老年人焦虑的影响：有调节的中介模型；项目编号：S23049） |
| 作者 | 单位 | 邮编 | | 曹智玥 | 1川北医学院临床医学院,四川 南充 637000
2四川省精神卫生中心·绵阳市第三人民医院,四川 绵阳 621000 | 621000 | | 杨先梅 | 2四川省精神卫生中心·绵阳市第三人民医院,四川 绵阳 621000 | 621000 | | 彭旭梅 | 1川北医学院临床医学院,四川 南充 637000
2四川省精神卫生中心·绵阳市第三人民医院,四川 绵阳 621000 | 621000 | | 周女诗 | 1川北医学院临床医学院,四川 南充 637000
2四川省精神卫生中心·绵阳市第三人民医院,四川 绵阳 621000 | 621000 | | 杨从温 | 1川北医学院临床医学院,四川 南充 637000
2四川省精神卫生中心·绵阳市第三人民医院,四川 绵阳 621000 | 621000 | | 刘程程 | 1川北医学院临床医学院,四川 南充 637000
2四川省精神卫生中心·绵阳市第三人民医院,四川 绵阳 621000 | 621000 | | 姚静* | 2四川省精神卫生中心·绵阳市第三人民医院,四川 绵阳 621000 | 621000 |
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| 中文摘要: |
| 背景 焦虑症状已成为影响老年群体身心健康的公共卫生问题。心理健康素养是老年人焦虑症状的预测因素，目前关于两者之间作用路径的研究有限。探索老年人心理健康素养与焦虑症状的关系及作用机制，对提高老年人心理健康水平具有重要意义。目的 探讨心理健康素养对老年人焦虑症状的影响，分析失眠在其中的作用路径，为老年人焦虑症状预防和干预策略的制订提供参考。方法 于2021年8月—2022年12月，采用多阶段分层抽样法，选取四川省某市年龄≥60岁的老年人为研究对象（n=10 650）。采用自编人口学问卷、失眠严重程度指数量表（ISI）、广泛性焦虑障碍量表（GAD-7）以及国民心理健康素养问卷（NMHLQ）进行调查。采用Spearman相关分析检验各量表评分的相关性。采用SPSS 27.0插件Process 4.1中的模型4检验失眠在老年人心理健康素养及其各维度与焦虑症状之间的作用路径。结果 共9 609名（90.23%）老年人完成有效问卷调查。检出1 680名（17.48%）老年人存在焦虑症状。老年人NMHLQ总评分及知识、意识和技能维度评分与GAD-7评分、ISI评分均呈负相关（rs=-0.506~-0.054，P均<0.01），ISI评分与GAD-7评分呈正相关（rs=0.666，P<0.01）。失眠是老年人心理健康素养与焦虑症状之间的作用路径，间接效应值为-0.210（95% CI：-0.227~-0.193），效应量为54.97%；失眠是心理健康素养知识与老年人焦虑症状之间的作用路径，间接效应值为-0.161（95% CI：-0.178~-0.144），效应量为52.61%；失眠是心理健康素养意识与老年人焦虑症状之间的作用路径，间接效应值为-0.323（95% CI：-0.342~-0.302），效应量为76.36%；失眠是心理健康素养技能与老年人焦虑症状之间的作用路径，间接效应值为-0.172（95% CI：-0.187~-0.159），效应量为53.75%。结论 老年人心理健康素养及知识、意识和技能维度不仅可直接影响焦虑症状，也可通过失眠的作用路径间接影响焦虑症状。 |
| 英文摘要: |
| Background Anxiety symptoms have become a public health issue affecting the physical and mental health of the elderly population. Mental health literacy is a predictor of anxiety symptoms in the elderly. Currently， there are limited studies on the pathogenic mechanism between the two. Exploring the relationship and mechanism between mental health literacy and anxiety symptoms among the elderly is of great significance for improving the mental health level of the elderly.Objective To investigate the impact of mental health literacy on anxiety symptoms in the elderly， and to analyze the role of insomnia in this process， in order to provide references for the formulation of prevention and intervention strategies for anxiety symptoms in the elderly.Methods From August 2021 to December 2022， a total of 10 650 older adults aged 60 years old and above were selected from a city in Sichuan Province using a multistage stratified sampling method. Participants completed the self-compiled demographic questionnaire， the Insomnia Severity Index （ISI）， the Generalized Anxiety Disorder Scale-7 item （GAD-7）， and the National Mental Health Literacy Questionnaire （NMHLQ）. Spearman correlation analysis was adopted to examine the correlation between the scores of the scales. Model 4 in SPSS 27.0 plugin Process 4.1 was employed to test the pathway of insomnia between mental health literacy （and its various dimensions） and anxiety symptoms.Results Among the participants， 9 609 cases （90.23%） completed the valid questionnaire survey， and 1 680 cases （17.48%） were found to have anxiety symptoms. The total score of the NMHLQ for the elderly， as well as the scores of the knowledge， awareness， and skills dimensions， were negatively correlated with the GAD-7 score and the ISI score （rs=-0.506–-0.054， P<0.01）， and the ISI score was positively correlated with the GAD-7 score （rs=0.666， P<0.01）. Insomnia served as the mediating pathway between the mental health literacy and anxiety symptoms， with an indirect effect value of -0.210 （95% CI： -0.227–-0.193）， accounting for 54.97% of the total effect. Insomnia was the mediating pathway between the mental health literacy knowledge and anxiety symptoms of the elderly， with an indirect effect value of -0.161 （95% CI： -0.178–-0.144）， accounting for 52.61% of the total effect. Insomnia played a mediating role in the relationship between the awareness of mental health literacy and anxiety symptoms， with an indirect effect value of -0.323 （95% CI： -0.342–-0.302）， accounting for 76.36% of the total effect. Insomnia was the mediating pathway between the mental health literacy skills and anxiety symptoms of the elderly， with an indirect effect value of -0.172 （95% CI： -0.187–-0.159）， accounting for 53.75% of the total effect.Conclusion The dimensions of mental health literacy， knowledge， awareness and skills of the elderly not only directly affect anxiety symptoms， but also indirectly influence anxiety symptoms through the pathway of insomnia.［Funded by Medical Research Project Plan of Sichuan Province （number， S23049）］ |
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