Reidy Brooke L, Raposa Elizabeth B, Brennan Patricia A, Hammen Constance L, Najman Jake M, Johnson Katrina C
Department of Psychology, Emory University, 36 Eagle Row, Atlanta, GA 30322.
Department of Psychology, University of Massachusetts Boston, 100 Morrissey Boulevard, Boston, MA 02125.
Sleep Health. 2016 Mar;2(1):69-74. doi: 10.1016/j.sleh.2015.11.005. Epub 2016 Feb 3.
The current study investigated prospective associations between youth sleep problems across childhood and adolescence, as well as the relationship between chronic youth sleep problems and young adult health. Exploratory analyses investigated this sleep-health relationship in the context of several established risk factors, including youth depression and environmental stress.
This project is an extension of the Mater-University Study of Pregnancy, a longitudinal study that followed more than 7000 children across early development.
Brisbane, Australia.
Seven hundred ten mother-child dyads assessed from birth to age 20.
We used maternal report measures to assess the persistence of youth sleep problems. We used structural equation modeling to explore the relationship between chronic maternal-reported youth sleep problems and subjective reports of young adult health quality and to assess whether associations remained when other potential health risks were included in the model.
Path analyses revealed that sleep problems in early childhood predicted sleep problems in middle adolescence, which predicted sleep problems at age 20. Structural equation models showed that chronic youth sleep problems predicted youth health quality at age 20 (β = .263, P < .001) over and above the effects of early adversity, chronic childhood illness, maternal depression, lifetime youth depression, and chronic youth stress.
Chronic sleep problems can emerge in childhood and may contribute to negative health outcomes in young adulthood. Chronic youth sleep problems remain a significant predictor of poor health when tested against other known health risk factors, suggesting that sleep may be an important health intervention target.
本研究调查了儿童期和青少年期青少年睡眠问题之间的前瞻性关联，以及青少年慢性睡眠问题与青年健康之间的关系。探索性分析在包括青少年抑郁和环境压力等几个既定风险因素的背景下研究了这种睡眠与健康的关系。
本项目是孕期母婴大学研究的扩展，这是一项纵向研究，跟踪了7000多名儿童的早期发育情况。
澳大利亚布里斯班。
710对母婴从出生到20岁接受评估。
我们使用母亲报告的测量方法来评估青少年睡眠问题的持续性。我们使用结构方程模型来探索母亲报告的青少年慢性睡眠问题与青年健康质量主观报告之间的关系，并评估当模型中纳入其他潜在健康风险时这种关联是否仍然存在。
路径分析显示，幼儿期的睡眠问题可预测青少年中期的睡眠问题，而青少年中期的睡眠问题又可预测20岁时的睡眠问题。结构方程模型表明，青少年慢性睡眠问题在早期逆境、儿童慢性疾病、母亲抑郁、终生青少年抑郁和青少年慢性压力的影响之外，还可预测20岁时的青少年健康质量（β = 0.263，P < 0.001）。
慢性睡眠问题可能在儿童期出现，并可能导致青年期出现负面健康结果。与其他已知健康风险因素相比，青少年慢性睡眠问题仍然是健康状况不佳的重要预测因素，这表明睡眠可能是一个重要的健康干预目标。
