Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia.
Behav Sleep Med. 2021 Nov-Dec;19(6):732-743. doi: 10.1080/15402002.2020.1860989. Epub 2021 Jan 15.
: Irregular sleep-wake patterns are associated with poor health outcomes. However, factors that lead individuals to adopt more regular sleep-wake patterns are not well understood. This study aimed to (i) examine the relationship between sleep regularity and attitudes toward sleep in undergraduates; (ii) test an intervention to improve sleep regularity based on personalized feedback; and (iii) investigate whether changes in attitudes toward sleep associate with improved sleep regularity.: Sleep-wake timing of 45 students (19.7 ± 1.8 years) was monitored daily over two weeks using an app-based diary. The least regular sleepers, calculated using the Sleep Regularity Index (SRI ≤ 81.4; N = 22), completed a four-week randomized control intervention (RCI) designed to improve sleep regularity. The Charlotte Attitudes Toward Sleep (CATS) scale was administered at baseline and post-RCI, with subscales measuring attitudes toward sleep as a time commitment (Time), and as a beneficial/enjoyable behavior (Benefits).: CATS Time was positively associated with SRI at baseline (r = 0.16, =.006) and during the four-week RCI (r = 0.29, =.01). CATS Benefits was not associated with SRI but was associated with sleep quality. There was no significant improvement in SRI during the intervention. The relationship between change in CATS Time and change in SRI (baseline vs. RCI) differed between intervention and control groups (r = 0.27, =.03).: Attitudes toward sleep as a time commitment are associated with sleep regularity and should be considered as a target in future interventions aiming to improve sleep regularity.
睡眠-觉醒模式不规律与健康状况不佳有关。然而,导致个体采用更规律的睡眠-觉醒模式的因素尚不清楚。本研究旨在:(i)研究睡眠规律性与大学生对睡眠的态度之间的关系;(ii)基于个性化反馈,测试改善睡眠规律性的干预措施;(iii)探讨对睡眠的态度的变化是否与改善睡眠规律性相关。
使用基于应用程序的日记,在两周内每天监测 45 名学生(19.7±1.8 岁)的睡眠-觉醒时间。使用睡眠规律性指数(SRI≤81.4;N=22)计算最不规律的睡眠者,并完成旨在改善睡眠规律性的四周随机对照干预(RCI)。在基线和 RCI 后进行夏洛特睡眠态度量表(CATS)测试,其亚量表分别测量睡眠作为时间承诺(Time)和有益/愉快行为(Benefits)的态度。
CATS Time 在基线时与 SRI 呈正相关(r=0.16,p=0.006),在四周 RCI 期间也呈正相关(r=0.29,p=0.01)。CATS Benefits 与 SRI 无关,但与睡眠质量有关。在干预期间,SRI 没有显著改善。CATS Time 的变化与 SRI 的变化(基线与 RCI)之间的关系在干预组和对照组之间存在差异(r=0.27,p=0.03)。
作为时间承诺的睡眠态度与睡眠规律性相关,应在未来旨在改善睡眠规律性的干预措施中作为目标。