Sakhelashvili Irine, Eliozishvili Marine, Lortkipanidze Nani, Oniani Nikoloz, Cervena Katerina, Darchia Nato
Research Center, T.Oniani Laboratory of Sleep-Wakefulness Cycle Studies, Ilia State University, Tbilisi, Georgia.
Sleep Laboratory, Department of Mental Health and Psychiatry, University Hospital of Geneva, Chene-Bourg, Switzerland.
J Child Health Care. 2016 Sep;20(3):384-93. doi: 10.1177/1367493515598649. Epub 2015 Aug 26.
Sleep problems in children and adolescents are a significant public health concern and may be linked to a variety of psychoemotional difficulties. This study aimed to evaluate sleep quality and associated factors in conflict-affected Georgian adolescents after 9 months of forced displacement. Thirty-three internally displaced adolescents (mean age 11.4 years) and 33 adolescents (mean age 10.8 years) from the general population completed the Epworth Sleepiness Scale and the Children's Depression Inventory (CDI). Parents completed the Children's Sleep-Wake Scale and provided information on their socioeconomic status (SES) and the adolescents' sleep behavior, academic performance, and peer social relationships. The groups differed significantly in sleep quality, peer relationships, SES, and CDI scores. In the internally displaced group, the only significant predictor of sleep quality was SES, which increased the predictive capacity of the model (demographic and psychosocial variables) by 20% in the hierarchical analyses. The most significant predictor in the non-internally displaced group was CDI. This research indicates that displacement may affect sleep quality and psychosocial functioning. The importance of family SES as a contributing factor to displaced adolescents' poor sleep quality is highlighted. An integrated approach designed to improve the psychosocial environment of internally displaced adolescents is needed for their protection.
儿童和青少年的睡眠问题是一个重大的公共卫生问题，可能与多种心理情绪困扰有关。本研究旨在评估受冲突影响的格鲁吉亚青少年在被迫流离失所9个月后的睡眠质量及相关因素。33名国内流离失所青少年（平均年龄11.4岁）和33名普通青少年（平均年龄10.8岁）完成了爱泼沃斯思睡量表和儿童抑郁量表（CDI）。家长们完成了儿童睡眠-觉醒量表，并提供了有关其社会经济地位（SES）以及青少年睡眠行为、学业成绩和同伴社交关系的信息。两组在睡眠质量、同伴关系、SES和CDI得分方面存在显著差异。在国内流离失所组中，睡眠质量的唯一显著预测因素是SES，在分层分析中，这使模型（人口统计学和心理社会变量）的预测能力提高了20%。在非国内流离失所组中，最显著的预测因素是CDI。这项研究表明，流离失所可能会影响睡眠质量和心理社会功能。强调了家庭SES作为导致流离失所青少年睡眠质量差的一个因素的重要性。需要一种旨在改善国内流离失所青少年心理社会环境的综合方法来保护他们。
