1 Jinwen Zhang, MD, Shanghai Jiao Tong University, Shanghai, China.
2 Zhiwei Xu, MD, PhD, Queensland University of Technology, Brisbane, Australia.
J Am Psychiatr Nurses Assoc. 2018 May/Jun;24(3):223-234. doi: 10.1177/1078390317715315. Epub 2017 Jul 31.
Studies in adults suggested that sleep could be a significant contributor to mental health. However, little is known about their relationship in adolescents.
The present study aimed to examine the overall associations of full-spectrum sleep behaviors, including sleep habits, sleep problems, and sleep hygiene, with mental health problems among adolescents in Shanghai, China.
A stratified, cluster random sample of 4,823 adolescents aged 11 to 20 years participated in a cross-sectional survey. The Adolescent Sleep Disturbance Questionnaire and the modified Adolescent Sleep Hygiene Scale were used to examine sleep behaviors. The Strengths and Difficulties Questionnaire was used to evaluate mental health problems.
Five sleep variables were found to be associated with adolescents' mental health. The five factors covered three sleep domains: sleep habits (later bedtime during weekdays), sleep problems (maintaining sleep difficulties, disorders of arousal), and sleep hygiene (poor emotion at bedtime, unstable sleep schedule).
The clinical significance of the findings lies in the emphasis of comprehensive screening of sleep in the predicting, diagnosis, nursing, and intervention of adolescents' mental health problems.
成人研究表明，睡眠可能对心理健康有重要影响。然而，关于青少年睡眠与心理健康之间的关系知之甚少。
本研究旨在探讨上海市青少年全面的睡眠行为（包括睡眠习惯、睡眠问题和睡眠卫生）与心理健康问题之间的总体关联。
采用分层、聚类随机抽样方法，选取了 4823 名 11 至 20 岁的青少年进行横断面调查。使用青少年睡眠障碍问卷和改良青少年睡眠卫生量表来评估睡眠行为。使用长处和困难问卷评估心理健康问题。
发现五个睡眠变量与青少年的心理健康有关。这五个因素涵盖了三个睡眠领域：睡眠习惯（工作日晚睡）、睡眠问题（维持睡眠困难、觉醒障碍）和睡眠卫生（睡前情绪不佳、睡眠时间表不稳定）。
研究结果的临床意义在于强调在预测、诊断、护理和干预青少年心理健康问题时，全面筛查睡眠的重要性。
