Flinders University, Adelaide, South Australia, Australia.
Central Queensland University, Rockhampton, Queensland, Australia.
Sleep Med Rev. 2020 Aug;52:101311. doi: 10.1016/j.smrv.2020.101311. Epub 2020 Mar 13.
Insufficient sleep has been argued to result in deleterious changes to mood in adolescents and offers promise as a modifiable risk factor. A systematic review of the literature regarding sleep duration and mood in adolescents was conducted using the academic databases PsycINFO, PubMed, Medline, Scopus, and EMBASE to identify relevant literature. Seventy-four studies, including 361,505 adolescents were sourced out of the 1534 references identified, 73 of which were appropriate for meta-analysis. Pooled results indicated that less sleep was associated with a 55% increase in the likelihood of mood deficits. Positive mood showed the largest relationship with sleep duration, followed by anger, depression, negative affect and anxiety. Effect sizes also varied according to study design, how sleep was operationalised, and geographical region, but not according to the inclusion of covariates. Sleep duration has a significant negative impact on a range of mood states in healthy adolescents. These effects were witnessed across all geographical regions, highlighting that sleep is a universal and modifiable risk factor for preventing mood deficits in this at-risk population.
睡眠不足被认为会对青少年的情绪产生有害影响，并且有希望成为可改变的风险因素。本研究使用 PsycINFO、PubMed、Medline、Scopus 和 EMBASE 等学术数据库，对有关青少年睡眠时长和情绪的文献进行了系统综述，以确定相关文献。在确定的 1534 篇参考文献中，共检索到 74 项研究，包括 361,505 名青少年，其中 73 项研究适合进行荟萃分析。汇总结果表明，睡眠不足与情绪缺陷的可能性增加 55%相关。积极情绪与睡眠时长的关系最大，其次是愤怒、抑郁、消极情绪和焦虑。研究设计、睡眠的操作方式以及地理位置等因素会影响效应大小，但纳入协变量不会影响效应大小。睡眠时长对健康青少年的一系列情绪状态有显著的负面影响。这些影响在所有地理区域都有体现，这突出表明睡眠是预防这一高风险人群情绪缺陷的普遍且可改变的风险因素。
