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대학생들의 수면의 질과 우울증상과의 관계 : 긍정심리의 조절효과

The Relationship between Sleep Quality and Depressive Symptoms among University Students : Moderating Effect of the Positive Psychology

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주제분류정신과학

초록

Objectives:The aim of study was to estimate the prevalence of poor sleep quality and depressive symptoms as well as to examine the moderating effect of positive psychology on the relationship between poor sleep quality and depressive symptoms among Korean university students. Methods:A total of 2,338(1,071 male and 1,267 female) university students at seven universities of four cities in Korea were randomly selected to participate in a survey. Data were collected by self-report questionnaires, including Pittsburgh Sleep Quality Index(PSQI), Beck Depression Inventory(BDI), Satisfaction with Life Scale(SWLS), Positive Psychotherapy Inventory(PPTI), and sociodemographic characteristics. Results:The prevalence was 44.8% for poor sleep quality and 14.4% for depressive symptoms among Korean university students. By moderated regression analysis, the results showed that poor sleep quality(β=0.453, p<0.001) aggravated depressive symptoms of university students, and life satisfaction(β=-0.087, p<0.001) and happiness(β= -0.145, p<0.001) respectively buffered the negative effect of the poor sleep quality on depressive symptoms. Conclusion:This study showed very high prevalence of poor sleep quality and depressive symptoms among Korean university students. Overall, these findings demonstrates that positive psychology can be effective in the enhancement of subjective and psychological well-being and may help to reduce depressive symptom levels. In the context of public health, positive psychology can be used as preventive, easily accessible and non-stigmatizing tools.

Abstract

Objectives:The aim of study was to estimate the prevalence of poor sleep quality and depressive symptoms as well as to examine the moderating effect of positive psychology on the relationship between poor sleep quality and depressive symptoms among Korean university students. Methods:A total of 2,338(1,071 male and 1,267 female) university students at seven universities of four cities in Korea were randomly selected to participate in a survey. Data were collected by self-report questionnaires, including Pittsburgh Sleep Quality Index(PSQI), Beck Depression Inventory(BDI), Satisfaction with Life Scale(SWLS), Positive Psychotherapy Inventory(PPTI), and sociodemographic characteristics. Results:The prevalence was 44.8% for poor sleep quality and 14.4% for depressive symptoms among Korean university students. By moderated regression analysis, the results showed that poor sleep quality(β=0.453, p<0.001) aggravated depressive symptoms of university students, and life satisfaction(β=-0.087, p<0.001) and happiness(β= -0.145, p<0.001) respectively buffered the negative effect of the poor sleep quality on depressive symptoms. Conclusion:This study showed very high prevalence of poor sleep quality and depressive symptoms among Korean university students. Overall, these findings demonstrates that positive psychology can be effective in the enhancement of subjective and psychological well-being and may help to reduce depressive symptom levels. In the context of public health, positive psychology can be used as preventive, easily accessible and non-stigmatizing tools.

참고문헌 (67)

  1. Madeleine GD, "Continuum lifelong learning in neurology sleep disorders", pp.31~73 (2007)
  2. 채규영, "수면의 생리", Clinical and Experimental Pediatrics, 50(8), pp.711~717 (2007), 대한소아청소년과학회
  3. Buysse DJ, "The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research", Psychiatry Res, 28, pp.193~213 (1989)
  4. 조용원, "Epidemiology of Insomnia in Korean Adults: Prevalence and Associated Factors", Journal of Clinical Neurology, 5(1), pp.20~23 (2009), 대한신경과학회
  5. 장홍경, "의학전문대학원 학생들의 삶의 질과 일주기 리듬 및 수면의 질과의 연관성", 수면정신생리, 22(2), pp.64~69 (2015), 대한수면의학회
  6. 강진규, "Association between Sleep Quality and Psychologic Factors among University Students in Korea", Journal of Oral Medicine and Pain, 33(3), pp.257~267 (2008), 대한안면통증∙구강내과학회
  7. Cheng SH, "A study on the sleep quality of incoming university students", Psychiatry Res, 197, pp.270~274 (2012)
  8. Lund HG, "Sleep patterns and predictors of disturbed sleep in a large population of college students", J Adolesc Health, 46, pp.124~132 (2010)
  9. Buchanan JL, "Prevention of depression in the college student population: a review of the literature", Arch Psychiatr Nurs, 26, pp.21~42 (2012)
  10. Ibrahim AK, "A systematic review of studies of depression prevalence in university students", J Psychiatr Res, 47, pp.391~400 (2013)
  11. 김보미, "의과대학 학생들의 우울감 빈도와 관련 요인", Korean Journal of Medical Education, 26(1), pp.53~58 (2014), 한국의학교육학회[DOI]
  12. 박광희, "대학생 우울에 관한 예측모형 구축", Journal of Korean Academy of Nursing, 38(6), pp.779~788 (2008), 한국간호과학회
  13. Centers for Disease Control and Prevention, "Current depression among adults-United State, 2006 and 2008", Morb Mortal Wkly Rep, 59, pp.1229~1235 (2010)
  14. The survey of mental disorders in Korea, "Hong JP", Ministry of Health and Welfare, ~ (2016)
  15. Henriksson MM, "Mental disorders and comorbidity in suicide", Am J Psychiatry, 150, pp.935~940 (1993)
  16. Morin CM, "The natural history of insomnia: a population-based 3-year longitudinal study", Arch Intern Med, 169, pp.447~453 (2009)
  17. LeBlanc M, "Psychological and health-related quality of life factors associated with insomnia in a population-based sample", J Psychosom Res, 63, pp.157~166 (2007)
  18. Seligman MEP, "Handbook of positive psychology", pp.3~12 (2002), Oxford Univertiy Press
  19. Seligman MEP, "Positive psychotherapy", Am Psychol, 61, pp.774~788 (2006)
  20. 류석환, "의과대학 학생의 수면과 삶의 질", 생물치료정신의학, 15(1), pp.29~36 (2009), 대한생물치료정신의학회
  21. Hahn HM, "A standardization study of Beck depression inventory in Korea", J Korean Neuropsychiatr Assoc, 25, pp.487~502 (1986)
  22. Shin MS, "The cut-off scores for the Korean version of Beck depression inventory", Korean J Clin Psychol, 12, pp.71~81 (1993)
  23. 이은경, "신경증과 외향성이 주관적 안녕감에 미치는 영향 : 우울과 긍정적 정서의 중요성", 석사, 심리학, pp.2005
  24. 윤성민, "한국판 긍정심리치료척도의 타당화 연구", 한국심리학회지: 상담 및 심리치료, 22(3), pp.707~732 (2010), 한국상담심리학회
  25. Shin SY, "Sleep patterns and academic performance in medical students", Sleep Med Psychophysiol, 15, pp.87~93 (2008)
  26. 강지숙, "일 대학 간호학과 학생의 수면의 질과 우울의 상관관계", 한국콘텐츠학회 논문지, 14(11), pp.810~819 (2014), 한국콘텐츠학회[DOI]
  27. Hannah G, "Sleep patterns and predictors of disturbed sleep in a large population of college students", J Adolesc Health, 46, pp.124~132 (2010)
  28. Lemma S, "Sleep quality and its psychological correlates among university students in Ethiopia: a cross-sectional study", BMC Psychiatry, 12, pp.237~243 (2012)
  29. Soldatos CR, "How do individuals seep around the world? Results from a single-day survey in ten countries", Sleep Med, 6, pp.5~13 (2005)
  30. Bixler E, "Sleep and society: an epidemiological perspective", Sleep Med, 10, pp.S3~S6 (2009)
  31. Choi K, "Internet overuse and exessive daytime sleepiness in adolescents", Psychiatry Clin Neurosci, 63, pp.455~462 (2009)
  32. Woinar M, "Sleep problems and suicidality in the National Comorbidity Survey Replication", J Psychiatr Res, 43, pp.526~531 (2009)
  33. Lapierre S, "Daily hassles, physical illness, and sleep problem in older adults with wishes to die", Int Psychogeriatr, 24, pp.243~252 (2012)
  34. Pigeon WR, "Meta-analysis of sleep disturbance and suicidal thought and behaviors", J Clin Psychiatry, 73, pp.1160~1167 (2012)
  35. Gelaye B, "Association of suicidal ideation with poor sleep quality among Ethiopian adults", Sleep Breath, 20, pp.1319~1326 (2016)
  36. 김신형, "일 도시 대학생들의 자살사고와 불안 및 수면의 질 사이의 연관성", 수면정신생리, 24(1), pp.55~61 (2017), 대한수면의학회[DOI]
  37. 윤호경, "수면과 자살", 수면정신생리, 23(1), pp.5~9 (2016), 대한수면의학회[DOI]
  38. 박진형, "제주지역 대학생의 우울 증상 유병률과 관련 요인", Mood and Emotion, 11(3), pp.144~149 (2013), 대한우울조울병학회
  39. 이금호, "의과대학생의 정신건강과 스트레스 대처방식", Korean Journal of Medical Education, 24(1), pp.55~63 (2012), 한국의학교육학회
  40. Tomoda A, "One-year prevalence and incidence of depression among first-year university students in Japan: a preliminary study", Psychiatry Clin Neurosci, 54, pp.583~588 (2000)
  41. Wong JG, "Web-based survey of depression, anxiety and stress in first-year tertiary education students in Hong Kong", Aust N Z J Psychiatry, 40, pp.777~782 (2006)
  42. Chen L, "Depression among Chinese university students: prevalence and socio-demographic correlates", PLOS ONE, 8, pp.1~6 (2013)
  43. Eisenberg D, "Prevalence and correlates of depression, anxiety, and suicidality among university students", Am J Orthopsychiatry, 77, pp.534~542 (2007)
  44. Andrews B, "The relation of depression and anxiety to life-stress and achievement in students", Br J Psychol, 95, pp.509~521 (2004)
  45. Kessler RC, "Epidemiology of DSM-III-R major depression and minor depression among adolescents and young adults in the National Comorbidity Survey", Depress Anxiety, 7, pp.3~14 (1998)
  46. Lustberg L, "Depression and insomnia:questions of cause and effect", Sleep Med, 4, pp.253~262 (2000)
  47. Ford DE, "Epidemiologic study of sleep disturbances and psychiatric disorders", JAMA, 262, pp.1479~1484 (1989)
  48. Regestein QR, "Delayed sleep phase syndrome:a review of its clinical aspects", Am J Psychiatry, 152, pp.602~608 (1995)
  49. Breslau N, "Sleep disturbance and psychiatric disorders: a longitudinal epidemiological study of young adults", Biol Psychiatry, 39, pp.411~418 (1996)
  50. Ham BJ, "Personality characteristics of chronic insomniacs", J Korean Neuropsychiatr Assoc, 37, pp.234~242 (1998)
  51. Perlis ML, "Selfreported sleep disturbance as a prodromal symptom in recurrent depression", J Affect Disord, 42, pp.209~212 (1997)
  52. Ohayon MM, "Place of chronic insomnia in the course of depressive and anxiety disorders", J Psychiatr Res, 37, pp.9~15 (2003)
  53. Johnson EO, "The association of insomnia with anxiety disorder and depression: exploration of direction of risk", J Psychiatr Res, 40, pp.700~708 (2006)
  54. Ross CA, "Depletion of brain 5-HT following intraventricular 5,7-dihydroxytryptamine fails to disrupt sleep in the rat", Brain Res, 114, pp.517~523 (1976)
  55. 채정호, "긍정심리학과 행복학의 함입을 통한 정신의학의 새로운 패러다임", 스트레스 硏究, 15(3), pp.177~186 (2007), 대한스트레스학회
  56. 안희영, "우울증 및 불안장애 환자에서 특성불안 차이에 따른 긍정심리요인의 특징", 대한불안의학회지, 9(1), pp.61~67 (2013), 대한불안의학회
  57. Rene TP, "Positive psychology intervention in people aged 50-79 years: longterm effects of placebo-controlled online interventions on well-being and depression", Aging Ment Health, 18, pp.997~1005 (2014)
  58. Rene TP, "Toward a better understanding of what makes positive psychology interventions work: predicting happiness and depression from the person x intervention fit in a follow-up after 3.5 years", Appl Psychol Health Well Being, 7, pp.108~128 (2015)
  59. Helen MJC, "A self-help, positive goal-focused intervention to increase well-being in people with depression", Clin Psychol Psychotherapy, 19, pp.305~315 (2012)
  60. 이진주, "수용적 긍정심리치료가 우울한 대학생의 우울 증상 및 행복에 미치는 효과: 경험 회피와 정서비율의 매개효과", Korean Journal of Clinical Psychology, 34(2), pp.477~503 (2015), 한국임상심리학회[DOI]
  61. 방규만, "주요 정신장애자들에서 수면의 질과 건강관련 삶의 질", 생물치료정신의학, 11(2), pp.138~149 (2005), 대한생물치료정신의학회
  62. Sigurd W. Hystad, "Sleep and Fatigue Among Seafarers: The Role of Environmental Stressors, Duration at Sea and Psychological Capital", Safety and Health at Work, 7(4), pp.363~371 (2016), 한국산업안전보건공단 산업안전보건연구원[DOI]
  63. 김명수, "한국 성인의 행복한 삶의 구성요인 탐색 및 척도개발", 한국심리학회지: 건강, 8(2), pp.415~442 (2003), 한국건강심리학회
  64. Ko YG, "Mental fitness positive psychology program", pp.167~ (2014), Hakjisa
  65. Wood AM, "Positive clinical psychology: a new vision and strategy for integrated research and practice", Clin Psychol Rev, 30, pp.819~829 (2010)
  66. 김진영, "정신장애와 자살행동 간 관계에서 행복도의 조절효과", 한국심리학회지: 건강, 16(4), pp.827~835 (2011), 한국건강심리학회[DOI]
  67. Sin NL, "The protective role of positive well-being in cardiovascular disease: review of current evidence, mechanisms, and clinical implications", Curr Cardiol Rep, 18, pp.106~122 (2016)

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