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4
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青少年注意缺陷多动障碍、睡眠问题与心理健康症状的相关性。

Associations Between ADHD, Sleep Problems, and Mental Health Symptoms in Adolescents.

机构信息

Deakin University, Burwood, VIC, Australia.

NEAMI National, Preston, VIC, Australia.

出版信息

J Atten Disord. 2023 Apr;27(6):635-642. doi: 10.1177/10870547231155871. Epub 2023 Feb 17.

DOI:10.1177/10870547231155871
PMID:36799467
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10068403/
Abstract

OBJECTIVE

This study examined associations between objective and subjective sleep parameters, and mental health symptoms (internalizing symptoms, externalizing symptoms, and irritability) and whether these relationships differed for adolescents with and without ADHD.

METHOD

Participants were 373 adolescents aged 10 to 19 years ( = 13.21, = 2.37). Sleep was measured both via actigraphy and self- and parent-report scales. Mental health symptoms were measured via a range of validated measures.

RESULTS

Few relationships were detected when examining actigraphy variables. Subjective sleep parameters were associated with almost all mental health variables. Some relationships were moderated by ADHD status, generally consistent with stronger relationships between subjective sleep quality and mental health in the non-ADHD group.

CONCLUSION

Sleep problems, particularly subjective difficulties, are associated with a range of mental health outcomes, regardless of the presence of ADHD. Sleep problems may be a beneficial intervention target for adolescents experiencing mental health issues.

摘要

目的

本研究旨在探讨客观和主观睡眠参数与心理健康症状（内化症状、外化症状和易怒）之间的关系，并探讨这些关系在 ADHD 青少年和非 ADHD 青少年中是否存在差异。

方法

参与者为 373 名 10 至 19 岁的青少年（ = 13.21， = 2.37）。通过活动记录仪和自我报告以及父母报告量表来测量睡眠。通过一系列经过验证的测量工具来测量心理健康症状。

结果

当检查活动记录仪变量时，仅检测到一些关系。主观睡眠参数与几乎所有心理健康变量都相关。一些关系受到 ADHD 状态的调节，这与非 ADHD 组中主观睡眠质量与心理健康之间关系更强的情况基本一致。

结论

睡眠问题，特别是主观上的睡眠困难，与一系列心理健康结果有关，无论是否存在 ADHD。对于经历心理健康问题的青少年来说，睡眠问题可能是一个有益的干预目标。