青少年早期睡眠习惯与行为问题的关系：一项描述性研究。
Association between sleep habits and behavioral problems in early adolescence: a descriptive study.
机构信息
Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, 606-8507, Japan.
Osaka Seikei University, Osaka, 533-0007, Japan.
出版信息
BMC Psychol. 2022 Nov 5;10(1):254. doi: 10.1186/s40359-022-00958-7.
BACKGROUND
Sleep habits are related to children's behavior, emotions, and cognitive functioning. A strong relationship exists between sleep habits and behavioral problems. However, precisely which sleep habits are associated with behavioral problems remains unclear. Therefore, the purpose of this study is to clarify the relationship between sleep habits and behavioral problems in early adolescence.
METHODS
This study used data from a larger longitudinal research, specifically, data from the year 2021. First-year junior high school students (12-14 years) in Japan were surveyed; their parents (N = 1288) completed a parent-report questionnaire. The main survey items were subject attributes, the Pittsburgh Sleep Quality Index (PSQI), and the Strength and Difficulties Questionnaire (SDQ).
RESULTS
Of the 652 valid responses received, 604 individuals who met the eligibility criteria (no developmental disability in the child and completion of all survey items) were included in the analysis. To examine the relationship between sleep habits and behavioral problems, logistic regression analysis using the inverse weighted method with propensity score was conducted with sleep habits (sleep quality, time to fall asleep, sleep duration, sleep efficiency, sleep difficulty, use of sleeping pills, difficulty waking during the day, and sleep disturbances) as explanatory variables and behavioral problems (overall difficulty in SDQ) as objective variables. The propensity score was calculated by employing the logistic regression using the inverse weighted method based on propensity scores. Propensity scores were calculated based on gender, family structure, household income, and parental educational background. The results showed that behavioral problems tended to be significantly higher in the group at risk for sleep quality, sleep difficulties, daytime arousal difficulties, and sleep disturbances than in the group with no risk.
CONCLUSION
The results suggest that deterioration in sleep quality, sleep difficulties, daytime arousal difficulties, and sleep disturbances may increase the risk of behavioral problems in adolescents.
背景
睡眠习惯与儿童的行为、情绪和认知功能有关。睡眠习惯与行为问题之间存在很强的关系。然而，哪些睡眠习惯与行为问题有关尚不清楚。因此，本研究旨在阐明青少年早期睡眠习惯与行为问题之间的关系。
方法
本研究使用了一项更大的纵向研究的数据，具体来说，是 2021 年的数据。日本的初中一年级学生（12-14 岁）接受了调查；他们的父母（N=1288）填写了一份家长报告问卷。主要调查项目包括被试特征、匹兹堡睡眠质量指数（PSQI）和长处与困难问卷（SDQ）。
结果
在收到的 652 份有效回复中，有 604 名符合条件的个体（儿童无发育障碍且完成所有调查项目）被纳入分析。为了检验睡眠习惯与行为问题之间的关系，使用逆加权法和倾向评分进行了逻辑回归分析，将睡眠习惯（睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠困难、使用安眠药、白天醒来困难和睡眠障碍）作为解释变量，行为问题（SDQ 的整体困难）作为目标变量。采用基于倾向评分的逆加权法的逻辑回归计算倾向评分。倾向评分基于性别、家庭结构、家庭收入和父母教育背景计算。结果表明，在睡眠质量、睡眠困难、白天觉醒困难和睡眠障碍风险组中，行为问题的发生率显著高于无风险组。
结论
结果表明，睡眠质量下降、睡眠困难、白天觉醒困难和睡眠障碍可能会增加青少年行为问题的风险。
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