enAble Institute, Curtin University, Bentley, WA, 6102, Australia.
School of Population Health, Curtin University, Bentley, WA, 6102, Australia.
J Behav Med. 2024 Apr;47(2):255-270. doi: 10.1007/s10865-023-00448-0. Epub 2023 Sep 13.
Sleep hygiene behaviours are recommendations given to both clinical and non-clinical populations with a focus on modifying behaviours to maximise sleep outcomes. However, methodological issues present in sleep hygiene research make it difficult to conclusively determine the impact of each behaviour. This study aimed to address these issues by adopting a two-week, repeated measures design which incorporated objective sleep measures and used linear mixed effect modelling to assess the daily association of a wide range of sleep hygiene behaviours on sleep in a non-clinical, university sample. Between-persons effects revealed that bedtime and frequency of daytime napping, alcohol use, and social media use were negatively related to sleep duration while waketime and frequency of too much water consumption were positively related to sleep duration. Within-person effects revealed that later than usual bedtime, earlier than usual waketime, no sunlight exposure, poor ventilation, having an unpleasant conversation before bed were negatively associated with sleep duration whereas using alcohol to deliberately help full asleep was positively related to sleep duration. In contrast, disproportionately more behaviours were not significantly related to either sleep outcome, only some of which could be explained by individual differences, which suggests that more research is needed to determine the conditions under which these behaviours affect sleep, if at all.
睡眠卫生行为是向临床和非临床人群提出的建议,重点是改变行为以最大限度地提高睡眠效果。然而,睡眠卫生研究中存在的方法学问题使得很难确定每种行为的影响。本研究旨在通过采用为期两周的重复测量设计来解决这些问题,该设计纳入了客观的睡眠测量,并使用线性混合效应模型来评估广泛的睡眠卫生行为对非临床大学生样本睡眠的日常关联。个体间效应表明,就寝时间和白天小睡频率、饮酒和社交媒体使用与睡眠时间呈负相关,而清醒时间和过度饮水频率与睡眠时间呈正相关。个体内效应表明,比平时晚的就寝时间、比平时早的醒来时间、没有阳光照射、通风不良、睡前不愉快的谈话与睡眠时间呈负相关,而用酒精故意帮助入睡则与睡眠时间呈正相关。相比之下,没有更多的行为与睡眠结果显著相关,只有其中一些可以用个体差异来解释,这表明需要进一步研究以确定这些行为在何种条件下会影响睡眠,如果有的话。