青少年的睡眠问题和自伤行为。
Sleep problems and self-harm in adolescence.
机构信息
Mari Hysing, PhD, PsyD, The Regional Centre for Child and Youth Mental Health and Child Welfare, Uni Research Health, Bergen, Norway; Børge Sivertsen, PhD, PsyD, The Regional Centre for Child and Youth Mental Health and Child Welfare, Uni Research Health, Bergen, Norway, Division of Mental Health, Norwegian Institute of Public Health, Bergen, and Department of Psychiatry, HelseFonna HF, Haugesund, Norway; Kjell Morten Stormark, PhD, PsyD, The Regional Centre for Child and Youth Mental Health and Child Welfare, Uni Research Health, Bergen, and Department of Clinical Psychology, University of Bergen, Norway; Rory C. O'Connor, PhD, CPsychol, FAcSS, Suicidal Behaviour Research Laboratory, Institute of Health & Wellbeing, University of Glasgow, UK
Mari Hysing, PhD, PsyD, The Regional Centre for Child and Youth Mental Health and Child Welfare, Uni Research Health, Bergen, Norway; Børge Sivertsen, PhD, PsyD, The Regional Centre for Child and Youth Mental Health and Child Welfare, Uni Research Health, Bergen, Norway, Division of Mental Health, Norwegian Institute of Public Health, Bergen, and Department of Psychiatry, HelseFonna HF, Haugesund, Norway; Kjell Morten Stormark, PhD, PsyD, The Regional Centre for Child and Youth Mental Health and Child Welfare, Uni Research Health, Bergen, and Department of Clinical Psychology, University of Bergen, Norway; Rory C. O'Connor, PhD, CPsychol, FAcSS, Suicidal Behaviour Research Laboratory, Institute of Health & Wellbeing, University of Glasgow, UK.
出版信息
Br J Psychiatry. 2015 Oct;207(4):306-12. doi: 10.1192/bjp.bp.114.146514. Epub 2015 Jul 23.
BACKGROUND
Although self-harm and sleep problems are major public health problems in adolescence, detailed epidemiological assessment is essential to understand the nature of this relationship.
AIMS
To conduct a detailed assessment of the relationship between sleep and self-harm in adolescence.
METHOD
A large population-based study in Norway surveyed 10 220 adolescents aged 16-19 years on mental health, including a comprehensive assessment of sleep and self-harm.
RESULTS
Adolescents with sleep problems were significantly more likely to report self-harm than those without sleep problems. Insomnia, short sleep duration, long sleep onset latency, wake after sleep on set as well as large differences between weekdays versus weekends, yielded higher odds of self-harm consistent with a dose-response relationship. Depressive symptoms accounted for some, but not all, of this association.
CONCLUSIONS
The findings highlight a strong relationship between sleep problems and self-harm. Interventions to reduce adolescent self-harm ought to incorporate sleep problems as a treatment target.
背景
尽管自残和睡眠问题是青少年的主要公共卫生问题，但详细的流行病学评估对于了解这种关系的性质至关重要。
目的
对青少年睡眠与自伤之间的关系进行详细评估。
方法
挪威进行了一项基于人群的大型研究，对 10220 名 16-19 岁的青少年进行了心理健康调查，包括对睡眠和自伤的全面评估。
结果
有睡眠问题的青少年报告自伤的可能性明显高于没有睡眠问题的青少年。失眠、睡眠时间短、入睡潜伏期长、睡眠后醒来以及工作日与周末之间的差异较大，均与自伤的几率增加有关，呈剂量反应关系。抑郁症状解释了这种关联的一部分，但不是全部。
结论
研究结果强调了睡眠问题与自伤之间的密切关系。减少青少年自伤的干预措施应该将睡眠问题作为治疗目标。
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