大学生娱乐屏幕时间与失眠症状的关联及成瘾行为的中介效应研究

Associations between recreational screen time and insomnia symptoms among college students: the mediating roles of addictive behaviors

  • 摘要: 目的:探讨大学生娱乐屏幕时间与失眠症状之间的关联,并检验网络游戏成瘾和社交网络成瘾在其中的中介作用。 方法:2025年10—11月在上海市采用多阶段抽样方法,对6所高校的2 853例本科一年级学生开展问卷调查。通过自报方式评估娱乐屏幕时间,采用互联网游戏障碍量表和社交网络成瘾倾向量表分别评估网络游戏成瘾和社交网络成瘾水平,采用失眠严重度指数评估失眠症状。构建多变量logistic回归模型,分析娱乐屏幕时间、成瘾性使用行为与失眠症状的关联。进一步采用结构方程模型检验网络游戏成瘾和社交网络成瘾在娱乐屏幕时间与失眠症状之间的中介效应。结果:共529例大学生报告存在失眠症状。娱乐屏幕时间(<6 h/d:OR=0.715,95%CI:0.560~0.902;6~8 h/d:OR=0.592,95%CI:0.463~0.755)、网络游戏成瘾(OR=1.197,95%CI:1.148~1.249)和社交网络成瘾(OR=1.126,95%CI:1.106~1.146)均与失眠症状存在关联(均 P<0.001);当三者同时纳入模型后,娱乐屏幕时间部分分组与失眠症状的关联无统计学意义(<6 h/d:OR=1.110,95%CI:0.865~1.424,P=0.411)。结构方程模型结果显示,娱乐屏幕时间通过网络游戏成瘾(β=0.020,95% CI:0.010~0.030,P<0.001)和社交网络成瘾(β=0.061,95% CI:0.040~0.083,P<0.001)与失眠症状间接关联,总间接效应的标准化β为0.081(95%CI:0.056~0.108,P<0.001),直接效应无统计学意义(P=0.928)。结论:在大学生群体中,娱乐屏幕时间与失眠症状之间的关联主要通过成瘾性使用行为实现,网络游戏成瘾和社交网络成瘾在其中发挥关键中介作用。

     

    Abstract: Objective: To examine the associations between recreational screen time and insomnia symptoms among college students, and to explore the mediating roles of internet gaming addiction and social network addiction. Methods: From October to November 2025, a multistage sampling method was used to conduct a questionnaire survey among 2,853 first-year undergraduate students from six universities in Shanghai. Recreational screen time was assessed using self-reported daily duration of screen-based entertainment activities. Internet gaming addiction and social network addiction were measured using the internet gaming disorder scale and the social network addiction tendency scale, respectively. Insomnia symptoms were evaluated using the insomnia severity index. Multivariable logistic regression models were applied to analyze the associations between recreational screen time, addictive behaviors, and insomnia symptoms. The results of the structural equation model was further conducted to test the mediating roles of internet gaming addiction and social network addiction. Results: A total of 529 students reported insomnia symptoms. Recreational screen time (<6 h/d: OR=0.715, 95% CI: 0.560-0.902; 6-8 h/d: OR=0.592, 95% CI: 0.463-0.755), internet gaming addiction (OR=1.197, 95% CI: 1.148-1.249), and social network addiction (OR=1.126, 95% CI: 1.106-1.146) were all associated with insomnia symptoms (all P<0.001). After simultaneously including recreational screen time, internet gaming addiction, and social network addiction in the model, the association between some subgroups of recreational screen time and insomnia symptoms was not statistically significant (<6 h/d: OR=1.110, 95% CI: 0.865-1.424, P=0.411). The results of the structural equation model indicated that recreational screen time was indirectly associated with insomnia symptoms through internet gaming addiction (β=0.020, 95% CI: 0.010-0.030, P<0.001) and social network addiction (β=0.061, 95% CI: 0.040-0.083, P<0.001). The standardized total indirect effect β was 0.081 (95% CI: 0.056-0.108, P<0.001), whereas the direct effect of recreational screen time on insomnia symptoms was not statistically significant (P=0.928). Conclusion: The associations between recreational screen time and insomnia symptoms among college students are mainly mediated by addictive behaviors, with internet gaming addiction and social network addiction playing a key mediating role in this relationship.

     

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