Department of Family Sciences, University of Kentucky, Lexington, Kentucky, USA.
Department of Psychology, Masaryk University, Brno, Czech Republic.
J Adolesc. 2022 Apr;94(3):448-461. doi: 10.1002/jad.12039. Epub 2022 Mar 14.
The current study tested the longitudinal bidirectional links between changes in sleep quality and two measures of internalizing problems, depressive and anxiety symptoms, and whether these links differed between males and females.
Longitudinal data were collected from 570 early adolescents (58.6% female; M = 12.43 years, SD = 0.66 at Time 1) who were assessed four times over the course of 1.5 years.
Cross-lagged panel models were hypothesized and tested the bidirectional links between sleep quality and both depressive and anxiety symptoms; multigroup tests were used to test for sex differences. Sleep quality and developmental changes in sleep quality were negatively associated with developmental changes in depressive symptoms as well as anxiety symptoms over time, and vice versa. These associations did not differ between male and female early adolescents.
Study findings provide evidence that the relationship between poor sleep quality and depressive symptoms as well as anxiety symptoms are likely bidirectional and consistently intertwined. Clinicians might consider both problems to better guide case conceptualization and treatment.
本研究检验了睡眠质量变化与两种内化问题衡量指标（抑郁和焦虑症状）之间的纵向双向关系，以及这些关系在男性和女性之间是否存在差异。
从 570 名早期青少年（58.6%为女性；T1 时的平均年龄为 12.43 岁，标准差为 0.66）中收集了纵向数据，这些青少年在 1.5 年内被评估了 4 次。
假设并测试了睡眠质量与抑郁和焦虑症状之间的双向关系的交叉滞后面板模型；使用多组检验测试了性别差异。睡眠质量和睡眠质量的发展变化与抑郁症状和焦虑症状随时间的发展变化呈负相关，反之亦然。这些关联在男性和女性早期青少年之间没有差异。
研究结果提供了证据表明，睡眠质量差与抑郁症状和焦虑症状之间的关系可能是双向的，并且一直交织在一起。临床医生可能会同时考虑这两个问题，以更好地指导病例概念化和治疗。
