Roberts Robert E, Duong Hao T
Division of Health Promotion and Behavioral Sciences, UTHealth, School of Public Health, University of Texas Health Science Center, Houston, TX.
Centers for Disease Control, Hanoi, Vietnam.
Sleep. 2014 Feb 1;37(2):239-44. doi: 10.5665/sleep.3388.
To examine the prospective, reciprocal association between sleep deprivation and depression among adolescents.
A community-based two-wave cohort study.
A metropolitan area with a population of over 4 million.
4,175 youths 11-17 at baseline, and 3,134 of these followed up a year later.
Depression is measured using both symptoms of depression and DSM-IV major depression. Sleep deprivation is defined as ≤ 6 h of sleep per night.
Sleep deprivation at baseline predicted both measures of depression at follow-up, controlling for depression at baseline. Examining the reciprocal association, major depression at baseline, but not symptoms predicted sleep deprivation at follow-up.
These results are the first to document reciprocal effects for major depression and sleep deprivation among adolescents using prospective data. The data suggest reduced quantity of sleep increases risk for major depression, which in turn increases risk for decreased sleep.
探讨青少年睡眠剥夺与抑郁之间的前瞻性、相互关系。
基于社区的两波队列研究。
一个人口超过400万的大都市地区。
基线时4175名11 - 17岁的青少年，其中3134名在一年后进行了随访。
使用抑郁症状和《精神疾病诊断与统计手册》第四版（DSM-IV）中的重度抑郁来测量抑郁。睡眠剥夺定义为每晚睡眠≤6小时。
在控制基线抑郁的情况下，基线时的睡眠剥夺可预测随访时的两种抑郁测量指标。在研究相互关系时，基线时的重度抑郁而非症状可预测随访时的睡眠剥夺。
这些结果首次使用前瞻性数据记录了青少年重度抑郁与睡眠剥夺之间的相互影响。数据表明，睡眠时间减少会增加患重度抑郁的风险，而这反过来又会增加睡眠减少的风险。
