a Department of Preventive Medicine, Keck School of Medicine, University of Southern California , Los Angeles , California , USA.
b Department of Psychology, University of Southern California , Los Angeles , California , USA.
Behav Med. 2019 Jul-Sep;45(3):240-248. doi: 10.1080/08964289.2018.1514362. Epub 2018 Oct 25.
The mechanism by which sleep problems adversely impacts adolescent health is poorly understood. Distress tolerance-a multifactorial trait indicative of one's ability to withstand negative emotions and persist toward long-term goals-is implicated in numerous emotional psychopathologies and an important target for research and practice. We hypothesized that the adverse psychobiological effects of sleep problems could disrupt the development of distress tolerance during adolescence. This longitudinal study examined whether sleep problems predicted changes in four facets of distress tolerance during adolescence: (1) absorption-feeling attention is captured by negative emotions, (2) appraisal-experiencing distress as unacceptable, (3) regulation-engaging in behaviors to terminate distress, and (4) tolerance-low perceived ability to tolerate distress. High school students ( baseline age = 15.5 years, = 2,309, 56.1% female), completed self-report measures of sleep problems and distress tolerance at baseline and 1-year follow-up. In linear regression models adjusting for baseline distress tolerance, sleep problems predicted poorer distress tolerance at 1-year follow-up for each distress tolerance facet (s = -0.10 to -0.24, s ≤ 0.02). After additionally controlling for sociodemographics and emotional psychopathology, sleep problems were associated with poorer distress tolerance for absorption ( = -0.13, =.004) and appraisal ( = -0.09, =.049) facets, but not regulation or tolerance (s ≥ 0.35) facets. Interventions targeting healthy sleep habits warrant consideration for improving adolescent development of certain facets of distress tolerance, and in turn various positive health outcomes improved by distress tolerance.
睡眠问题对青少年健康产生不利影响的机制尚未完全明了。痛苦耐受力是一种多因素特质，表明一个人承受负面情绪并坚持长期目标的能力，与许多情绪心理病理学有关，也是研究和实践的重要目标。我们假设睡眠问题的不良心理生物学效应可能会破坏青少年痛苦耐受力的发展。这项纵向研究考察了睡眠问题是否预示着青少年时期痛苦耐受力的四个方面的变化：（1）吸收-感觉注意力被负面情绪所吸引，（2）评价-体验到无法接受的痛苦，（3）调节-采取行为终止痛苦，以及（4）耐受-感觉自己无法忍受痛苦。高中生（基线年龄=15.5 岁，n=2309，56.1%女性）在基线和 1 年随访时完成了睡眠问题和痛苦耐受力的自我报告测量。在调整基线痛苦耐受力的线性回归模型中，睡眠问题预测了在 1 年随访时每个痛苦耐受力方面的较差耐受力（s=-0.10 至-0.24，s≤0.02）。在进一步控制社会人口统计学和情绪心理病理学后，睡眠问题与吸收（s=-0.13，p=0.004）和评价（s=-0.09，p=0.049）方面的较差痛苦耐受力相关，但与调节或耐受（s≥0.35）方面无关。针对健康睡眠习惯的干预措施值得考虑，以改善青少年在某些痛苦耐受力方面的发展，进而改善各种由痛苦耐受力改善的健康结果。
