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| Analysis of influencing factors of susceptibility to stress insomnia in freshmen of medical school |
| WANG Cuicui1 SUN Huiqin1 CHEN Guihai2 WU Yan3 ZHANG Ping4 |
1.Nursing School, Anhui Medical University, Anhui Province, Hefei 230032, China;
2.Department of Sleep Disorders, Chaohu Hospital of Anhui Medical University, Anhui Province, Hefei 238000, China;
3.Department of Endocrinology, the First Affiliated Hospital of University of Science and Technology of China (Anhui Provincial Hospital), Anhui Province, Hefei 230002, China;
4.Department of Geriatric Medicine, the First Affiliated Hospital of University of Science and Technology of China (Anhui Provincial Hospital), Anhui Province, Hefei 230002, China
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Abstract Objective To explore the influencing factors of susceptibility to stress insomnia in freshmen of medical school. Methods In September 2021, the cluster sampling method was used to conduct a questionnaire survey among 663 freshmen from the Medical College of Hefei Vocational and Technical College, Anhui Province. According to the Chinese version of Ford insomnia response to stress test Chinese version (FIRST-C), the susceptibility to stress insomnia was assessed and the students were divided into high risk group (313 cases) and low risk group (350 cases). The general information questionnaire, insomnia severity index (ISI) scale, 7-item generalized anxiety disorder (GAD-7) scale, patient health questionnaire (PHQ-9) and Connor-Davidson resilience scale (CD-RISC) were compared between the two groups, and the influencing factors of susceptibility to stress insomnia among freshmen in the medical school were analyzed. Results There were significant differences in relationship and childhood abuse of parents between the two groups (P＜ 0.05). The scores of ISI, GAD-7, and PHQ-9 in high risk group were higher than those in low risk group, and the total scores of CD-RISC and all factors were lower than those in low risk group, and the differences were statistically significant (P＜ 0.05). The severity of insomnia in high-risk group was higher than that in low-risk group, and the detection rate of anxiety and depression was higher than that in low-risk group, and the differences were statistically significant (P＜0.05). Logistic regression results showed that GAD-7 and PHQ-9 scores were risk factors for the susceptibility of freshmen to stress insomnia (OR＞1, P＜0.05), and total score of CD-RISC were protective factors for the susceptibility of freshmen to stress insomnia (OR＜1, P＞ 0.05). Conclusion Anxiety, depression and mental resilience are the factors affecting the susceptibility of new medical students to stress insomnia.
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