Hestetun Ingebjørg, Svendsen Martin Veel, Oellingrath Inger Margaret
a Department of Child and Adolescent Psychiatry , Telemark Hospital , Skien , Norway.
b Department of Occupational and Environmental Medicine , Telemark Hospital , Skien , Norway.
Nord J Psychiatry. 2018 Nov;72(8):578-585. doi: 10.1080/08039488.2018.1499043. Epub 2018 Oct 9.
The present study investigated the associations between the aspects of sleep problems and mental health in Norwegian young adolescents.
Adolescents (12-13 years) were recruited from the primary schools in Telemark County, Norway. Sleep related problems were assessed by asking parents three questions related to their childrens' sleep quality, sleep sufficiency, and daytime sleepiness. Parents reported data on mental health by the extended version of the Strengths and Difficulties Questionnaire (SDQ), and information on the child's physical activity, screen time, eating pattern, gender, and background variables. Height and weight were objectively measured. Complete data were obtained for 690 adolescents.
Multiple logistic regressions were used. Bivariate analyses indicated important associations between the sleep aspects and mental health. When adjusting the sleep variables for each other, lifestyle factors and background variables, sleep quality problems were associated with any psychiatric problem (OR: 4.0, CI: 2.0-8.2), emotional problems (OR: 15.1, CI: 3.4-66.8), and hyperactivity-inattention problems (OR: 5.1, CI: 2.2-12.1). Daytime sleepiness problems were associated with any psychiatric problem (OR: 2.3, CI: 1.2-4.4), and hyperactivity-inattention problems (OR: 2.5, CI: 1.1-5.5). Bivariate associations between problems with sufficient sleep and mental health problems lost the significance when adjusted for other sleep variables.
The results indicate that different aspects of sleep problems may be important underlying factors for mental health problems in adolescents, independently of lifestyle factors, BMI-category, gender, and background variables. This highlights the importance of examining specific sleep problems when investigating associations between sleep and mental health.
本研究调查了挪威青少年睡眠问题各方面与心理健康之间的关联。
从挪威泰勒马克郡的小学招募青少年（12 - 13岁）。通过向家长询问三个与孩子睡眠质量、睡眠充足情况和日间嗜睡相关的问题来评估睡眠相关问题。家长通过优势与困难问卷（SDQ）扩展版报告心理健康数据，以及孩子的身体活动、屏幕使用时间、饮食模式、性别和背景变量信息。客观测量身高和体重。共获得690名青少年的完整数据。
采用多元逻辑回归分析。双变量分析表明睡眠各方面与心理健康之间存在重要关联。在对睡眠变量、生活方式因素和背景变量进行相互调整后，睡眠质量问题与任何精神问题（比值比：4.0，可信区间：2.0 - 8.2）、情绪问题（比值比：15.1，可信区间：3.4 - 66.8）以及多动 - 注意力不集中问题（比值比：5.1，可信区间：2.2 - 12.1）相关。日间嗜睡问题与任何精神问题（比值比：2.3，可信区间：1.2 - 4.4）以及多动 - 注意力不集中问题（比值比：2.5，可信区间：1.1 - 5.5）相关。在对其他睡眠变量进行调整后，充足睡眠问题与心理健康问题之间的双变量关联失去了显著性。
结果表明，睡眠问题的不同方面可能是青少年心理健康问题的重要潜在因素，独立于生活方式因素、体重指数类别、性别和背景变量。这凸显了在研究睡眠与心理健康之间的关联时检查特定睡眠问题的重要性。
