Rajab Ahmad Mamoun, Rajab Tawfik Mamoun, Basha Amjad Chamsi, Al-Khani Abdullah Murhaf, Ali Mohamed Abdelghafour, Enabi Saed, Zaghloul Mohamed Saddik, Almazrou Abdulrahman, Saquib Juliann, Saquib Nazmus
College of Medicine, Sulaiman Al Rajhi University, Al Bukairyah, 51941, Saudi Arabia.
Sleep Disord. 2021 Sep 10;2021:5513817. doi: 10.1155/2021/5513817. eCollection 2021.
Among adolescents, mental health issues (i.e., stress and depressive symptoms) negatively affect sleep. We assessed whether the association between mental health and sleep varied between genders among Saudi adolescents. A total of 2206 school students (grades 7-12) from 40 randomly selected schools in four cities of Al-Qassim province in Saudi Arabia participated in this cross-sectional study. The survey assessed demography, lifestyle, sleep (12-item Medical Outcomes Study Sleep Scale), depression (Depression, Anxiety, Stress Scale (DASS-21)) and stress (10-item Perceived Stress Scale). Adjusted associations with sleep were tested with linear and logistic regressions. Of the sample, 55% were girls, and their average sleep score was lower than that of the boys (58.7 vs. 63.4, < 0.001). Girls had worse mental health than boys; the proportion of girls with both severe stress and severe depressive symptoms was three times higher than that of the boys (12% vs. 4%, < 0.001). For both boys and girls, those with severe depressive symptoms only or both severe depressive symptoms and severe stress had significantly lower sleep scores than those who had neither of the two conditions (reference group). On the other hand, among those who had severe stress only, the sleep score was significantly lower for the girls ( = 0.002) than for the boys ( = 0.19). Overall, girls had a significantly lower sleep score and worse mental health than boys. The association between mental health and sleep significantly differed between the sexes. Severe stress was negatively associated with sleep in girls but not in boys.
在青少年中，心理健康问题（即压力和抑郁症状）会对睡眠产生负面影响。我们评估了沙特青少年中，心理健康与睡眠之间的关联是否因性别而异。来自沙特阿拉伯卡西姆省四个城市40所随机抽取学校的2206名在校学生（7至12年级）参与了这项横断面研究。该调查评估了人口统计学、生活方式、睡眠（12项医学结局研究睡眠量表）、抑郁（抑郁、焦虑、压力量表（DASS - 21））和压力（10项感知压力量表）。通过线性和逻辑回归测试与睡眠的调整关联。在样本中，55%为女孩，她们的平均睡眠得分低于男孩（58.7对63.4，<0.001）。女孩的心理健康状况比男孩更差；同时患有严重压力和严重抑郁症状的女孩比例比男孩高三倍（12%对4%，<0.001）。对于男孩和女孩来说，仅患有严重抑郁症状或同时患有严重抑郁症状和严重压力的人，其睡眠得分显著低于既无这两种情况的人（参照组）。另一方面，在仅患有严重压力的人群中，女孩的睡眠得分（=0.002）显著低于男孩（=0.19）。总体而言，女孩的睡眠得分显著低于男孩，心理健康状况也更差。心理健康与睡眠之间的关联在性别上存在显著差异。严重压力与女孩的睡眠呈负相关，但与男孩无关。
