School of Health Management, Southern Medical University, Guangzhou, China.
Health Promotion and Education Center of Guangdong Province, Guangzhou, China.
J Sleep Res. 2022 Dec;31(6):e13697. doi: 10.1111/jsr.13697. Epub 2022 Jul 25.
Adolescents' sleep problems and their association with mental health is an important public health concern. This study aimed to investigate sleep and mental health status and the association of sleep with mental health in Chinese high school students. Data came from a cross-sectional study in Guangdong province which included 42,077 high school students. Sleep quality and sleep duration were obtained through self-report. The Depression Anxiety and Stress Scale (DASS-21) was used to measure mental health. The association between sleep quality, sleep duration, and mental health was analysed using logistic regression. The prevalence of depression, anxiety, and stress symptoms were 35.27%, 42.32%, and 21.87% in high school students, respectively. And only 17.71% and 34.41% of the high school students had very good sleep quality and ≥8 h sleep duration, respectively. Poorer sleep quality and shorter sleep duration were risk factors for mental health problems in high school students. Compared to high school students with very good sleep quality and ≥8 h sleep duration, the high school students with poor or very poor sleep quality and <6 h sleep duration had the highest risk of depression symptoms (odds ratio [OR] 5.02, 95% confidence interval [CI] 4.40-5.72), anxiety symptoms (OR 6.02, 95% CI5.25-6.89), and stress symptoms (OR 6.12, 95% CI5.30-7.06). Considering the combined association of sleep quality and sleep duration on mental health, it is important not only to ensure that high school students have sufficient sleep duration, but also to improve their sleep quality.
青少年的睡眠问题及其与心理健康的关系是一个重要的公共卫生关注点。本研究旨在调查中国高中生的睡眠和心理健康状况，以及睡眠与心理健康的关系。数据来自广东省的一项横断面研究，共纳入 42077 名高中生。通过自我报告获得睡眠质量和睡眠时间。使用抑郁焦虑压力量表（DASS-21）来衡量心理健康。使用逻辑回归分析睡眠质量、睡眠时间与心理健康之间的关系。高中生中抑郁、焦虑和压力症状的患病率分别为 35.27%、42.32%和 21.87%。仅有 17.71%和 34.41%的高中生睡眠质量很好且睡眠时间≥8 小时。较差的睡眠质量和较短的睡眠时间是高中生心理健康问题的危险因素。与睡眠质量很好且睡眠时间≥8 小时的高中生相比，睡眠质量差或很差且睡眠时间<6 小时的高中生抑郁症状（比值比 [OR] 5.02，95%置信区间 [CI] 4.40-5.72）、焦虑症状（OR 6.02，95% CI 5.25-6.89）和压力症状（OR 6.12，95% CI 5.30-7.06）的风险最高。考虑到睡眠质量和睡眠时间对心理健康的联合影响，不仅要确保高中生有足够的睡眠时间，还要提高他们的睡眠质量。
