Zschoche Maria, Schlarb Angelika Anita
Faculty of Psychology and Sports Science, University of Bielefeld, Bielefeld, Germany.
Adolesc Health Med Ther. 2015 Mar 2;6:29-36. doi: 10.2147/AHMT.S76511. eCollection 2015.
Sleep disturbances are a common problem during adolescence. Often there is a relationship with the mental health of the affected person. The existing literature concerning the link between sleep disturbances and aggressive behavior and sleep disturbances and suicidality during adolescence shows no clear results. The present study tested a mediation model to prove the relation between sleep problems, aggressive behavior, and suicidality during adolescence. To take the link between suicidality and depression into account, the amount of depressive symptoms was included into the mediation model.
A sample of 93 adolescents aged 14-18 years (30% male) was studied. A survey was conducted to interview the adolescents about their mental health, sleep-related behaviors, aggressive behavior, and suicidality.
Sleep problems and suicidality measures were significantly related to each other. Furthermore, aggressive behavior and suicidality showed a significant relationship. The expected link between sleep problems and aggressive behavior was not significant. For the mediation model, no significant influence of aggressive behavior on the relationship between the amount of sleep problems and suicidality was found. However, the impact of depressive symptoms on the relationship between sleep problems and suicidality was significant.
Sleep problems and overall suicidality in adolescents are significantly connected, even after adjusting for several possible influencing factors. Aggressive behavior could not be confirmed as a mediator for the association between sleep problems and suicidality in adolescents. Further studies to examine the link between insomnia symptoms, aggressive behavior, and suicidality in adolescents are necessary.
睡眠障碍是青少年时期的常见问题。通常与受影响者的心理健康存在关联。现有关于青少年睡眠障碍与攻击行为以及睡眠障碍与自杀倾向之间联系的文献并未得出明确结果。本研究测试了一个中介模型，以证明青少年时期睡眠问题、攻击行为和自杀倾向之间的关系。为了考虑自杀倾向与抑郁之间的联系，将抑郁症状的数量纳入中介模型。
对93名年龄在14 - 18岁的青少年（30%为男性）进行了研究。开展了一项调查，就青少年的心理健康、与睡眠相关的行为、攻击行为和自杀倾向进行访谈。
睡眠问题和自杀倾向测量结果之间存在显著关联。此外，攻击行为和自杀倾向也呈现出显著关系。睡眠问题与攻击行为之间的预期联系并不显著。对于中介模型，未发现攻击行为对睡眠问题数量与自杀倾向之间的关系有显著影响。然而，抑郁症状对睡眠问题与自杀倾向之间关系的影响是显著的。
即使在调整了几个可能的影响因素之后，青少年的睡眠问题与总体自杀倾向仍存在显著关联。攻击行为不能被确认为青少年睡眠问题与自杀倾向之间关联的中介因素。有必要进一步开展研究，以考察青少年失眠症状、攻击行为和自杀倾向之间的联系。
