Institute of Population Health Sciences, National Health Research Institutes, Zhunan Town, Miaoli County, Taiwan.
Department of Psychiatry, En Chu Kong Hospital, New Taipei, Taiwan.
Aggress Behav. 2018 Jan;44(1):69-82. doi: 10.1002/ab.21725. Epub 2017 Aug 31.
Adolescence is a developmental period with high vulnerability to sleep problems. However, research identifying distinct patterns and underlying determinants of sleep problems is scarce. This study investigated discrete subgroups of, changes in, and stability of sleep problems. We also examined whether peer victimization influenced sleep problem subgroups and transitions in patterns of sleep problems from late adolescence to young adulthood. Sex differences in the effects of peer victimization were also explored. In total, 1,455 male and 1,399 female adolescents from northern Taiwan participated in this longitudinal study. Latent transition analysis was used to examine changes in patterns of sleep problems and the effects of peer victimization on these changes. We identified three subgroups of sleep problems in males and two in females, and found that there was a certain level of instability in patterns of sleep problems during the study period. For both sexes, those with greater increases in peer victimization over time were more likely to change from being a good sleeper to a poor sleeper. The effects of peer victimization on baseline status of sleep problems, however, was only significant for males, with those exposed to higher levels of peer victimization more likely to be poor sleepers at baseline. Our findings reveal an important role of peer victimization in predicting transitions in patterns of sleep problems. Intervention programs aimed at decreasing peer victimization may help reduce the development and escalation of sleep problems among adolescents, especially in males.
青春期是一个对睡眠问题高度脆弱的发展时期。然而，研究识别睡眠问题的不同模式和潜在决定因素的研究很少。本研究调查了睡眠问题的离散亚组、变化和稳定性。我们还研究了同伴侵害是否会影响睡眠问题亚组以及从青春期晚期到成年早期的睡眠问题模式的转变。还探讨了同伴侵害对性别的影响。台湾北部共有 1455 名男性和 1399 名女性青少年参与了这项纵向研究。潜在转变分析用于检查睡眠问题模式的变化以及同伴侵害对这些变化的影响。我们在男性中确定了三个睡眠问题亚组，在女性中确定了两个睡眠问题亚组，并发现研究期间睡眠问题模式存在一定程度的不稳定性。对于男性和女性来说，随着时间的推移，同伴侵害程度增加的人更有可能从睡眠良好者转变为睡眠不良者。然而，同伴侵害对睡眠问题基线状况的影响仅对男性显著，暴露于更高水平同伴侵害的人更有可能在基线时成为睡眠不良者。我们的研究结果表明，同伴侵害在预测睡眠问题模式的转变方面起着重要作用。旨在减少同伴侵害的干预计划可能有助于减少青少年，尤其是男性中睡眠问题的发展和升级。
