Semenza Daniel C, Meldrum Ryan C, Testa Alexander, Jackson Dylan B
Department of Sociology, Anthropology, and Criminal Justice, Rutgers University, Camden, NJ, USA.
Department of Criminology and Criminal Justice, Florida International University, Miami, FL, USA.
Child Adolesc Ment Health. 2022 May;27(2):103-110. doi: 10.1111/camh.12457. Epub 2021 Mar 24.
This study examines the relationship between sleep duration, depression, and engagement in a novel cyber behavior, digital self-harm, among adolescents.
Logistic regression analyses were conducted using cross-sectional data from the 2019 Florida Youth Substance Abuse Survey (N = 9,819; 48% male; avg. grade level = 9th grade [SD = 1.9]) to analyze the association between sleep duration and digital self-harm. A Karlson-Holm-Breen (KHB) analysis was used to assess whether depressive symptoms attenuate this association.
Bivariate results indicated that longer sleep duration was associated with lower incidence of digital self-harm. Multivariate results showed that sleep duration was inversely associated with engaging in digital self-harm, net of all covariates. Depressive symptoms attenuated the influence of sleep duration on digital self-harm by 50.72%.
Both insufficient sleep and depressive symptoms were associated with engagement in digital self-harm among adolescents. Prospective research is needed, however, to confirm this pathway. Practitioners and clinicians should consider discussing digital self-harm with adolescents and parents, especially if adolescents are experiencing poor sleep and depressive symptoms.
本研究探讨青少年的睡眠时间、抑郁与一种新型网络行为——数字自我伤害之间的关系。
使用2019年佛罗里达青少年药物滥用调查的横断面数据（N = 9819；48%为男性；平均年级为9年级[标准差 = 1.9]）进行逻辑回归分析，以分析睡眠时间与数字自我伤害之间的关联。采用卡尔森 - 霍尔姆 - 布林（KHB）分析来评估抑郁症状是否会减弱这种关联。
双变量结果表明，较长的睡眠时间与较低的数字自我伤害发生率相关。多变量结果显示，在控制所有协变量后，睡眠时间与参与数字自我伤害呈负相关。抑郁症状使睡眠时间对数字自我伤害的影响减弱了50.72%。
睡眠不足和抑郁症状均与青少年参与数字自我伤害有关。然而，需要进行前瞻性研究来证实这一途径。从业者和临床医生应考虑与青少年及其父母讨论数字自我伤害问题，特别是当青少年出现睡眠不佳和抑郁症状时。
