Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, Centre for Studies of Psychological Applications, School of Psychology, South China Normal University, Guangzhou, China.
Faculty of Medicine, McGill University, Montreal, QC, Canada.
Front Public Health. 2023 Jan 4;10:1037963. doi: 10.3389/fpubh.2022.1037963. eCollection 2022.
AIM: Sleep disturbance was closely associated with an increased risk of psychotic-like experiences (PLEs). This study aims to explore the association between sleep disturbance and PLEs among urban adolescents with and without parental migration. METHODS: A total of 67, 532 urban Chinese adolescents were recruited in a large web-based survey during April 21st to May 12th, 2021. In our study, sleep disturbance, PLEs, family function, school climate, and a series of socio-demographic were assessed. And hierarchical logistic regression analyses were performed to examine influential factors associated with PLEs. RESULTS: Urban left-behind children (LBC) had a higher prevalence of sleep disturbance and PLEs than non-LBC. After controlling for confounders, parental migration was associated to PLEs with weak significance (OR = 1.19). Meanwhile, sleep disturbance was found to be a robust risk factor for PLEs (OR = 3.84 and 4.09), with or without the effect of parental migration. In addition, better family function and school climate has significant association with decreased risk of PLEs. CONCLUSION: Adolescents with sleep disturbance are more likely to report PLEs. Adolescents' PLEs preventive strategies could focus on reducing sleep disturbance related symptoms as well as improving family function and school climate.
目的:睡眠障碍与类精神病体验(PLE)的风险增加密切相关。本研究旨在探讨有和没有父母迁移的城市青少年中睡眠障碍与 PLE 之间的关系。
方法:本研究共纳入了 2021 年 4 月 21 日至 5 月 12 日期间通过大型网络调查招募的 67532 名城市中国青少年。在我们的研究中,评估了睡眠障碍、PLE、家庭功能、学校氛围以及一系列社会人口统计学因素。并进行了分层逻辑回归分析,以检验与 PLE 相关的影响因素。
结果:城市留守儿童(LBC)比非留守儿童更易出现睡眠障碍和 PLE。在控制了混杂因素后,父母迁移与 PLE 呈弱相关(OR=1.19)。同时,睡眠障碍是 PLE 的一个强有力的危险因素(OR=3.84 和 4.09),无论是否存在父母迁移的影响。此外,更好的家庭功能和学校氛围与 PLE 风险降低显著相关。
结论:有睡眠障碍的青少年更有可能报告 PLE。青少年 PLE 的预防策略可以集中于减少与睡眠障碍相关的症状,以及改善家庭功能和学校氛围。
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