Clinical ward, Department of Psychiatry, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Ul. Pyskowicka 47, Katowice, Tarnowskie Góry, 42-600, Poland.
Institute of Psychology, Humanitas University, Sosnowiec, Poland.
BMC Pediatr. 2023 Oct 2;23(1):498. doi: 10.1186/s12887-023-04327-0.
Insomnia is the most common sleep disorder in the adolescent population. Resulting from a complex interplay of genetic, biological, social, and environmental factors, it affects disturbances in everyday functioning in many aspects of life. The aim of the study was to analyze the factors related to the occurrence of insomnia among high school students.
The study was conducted among 2364 high school students aged between 14 and 19 years old (the average age 17.92 ± 1.10), of which there were 2068 girls and 295 boys.
Athens Insomnia Scale (AIS) and authorial demographic data questionnaire involved questions about physical activity during the day, smoking, frequency of upper respiratory tract infections, problems with concentration and memory, school achievements, and the use of mobile devices at bedtime were used to assess examined parameters. The scale and questionnaires were shared on-line via social media.
Analyzing the results obtained in the study group, the average score of 8.42 ± 4.16 was obtained in the AIS, which allows the assessment of sleep disorders bordering on normal. After division into groups of girls and boys, 8.38 ± 4.56 points were obtained, respectively for girls and 8.43 ± 4.27pts. for boys - the difference was not statistically significant. Similarly, statistically significant differences were not found when dividing the groups into the one in which adolescents used the phone just before bedtime and the one that did not use it. The act of sleeping alone or with another person in the room also did not differentiate the groups statistically, as well as the place of residence. Statistically significant worse results in the AIS scale were obtained by people who declared worse physical activity during the day and smoking cigarettes, as well as those who reported more frequent problems with concentration and memory, had worse school performance and suffered from upper respiratory infections more often.
1). Sleep disorders may be related to factors such as smoking cigarettes or lack of physical activity, as well as difficulties in concentrating attention, memory disorders or worse academic performance and a tendency to contract upper respiratory tract infections. 2). Elimination of factors that may adversely affect the quality of sleep is particularly important in the group of adolescents, in whom the developing structures of the central nervous system may be particularly sensitive to deficiencies in this area. 3). Exploration of the interplay of study duration, screen time, and semester-specific stressors on sleep quality could yield further insights.
背景:失眠是青少年中最常见的睡眠障碍。它是由遗传、生物、社会和环境因素复杂相互作用引起的,会影响日常生活功能的许多方面。本研究旨在分析高中生失眠相关因素。
材料和方法:研究对象为年龄在 14 至 19 岁之间的 2364 名高中生(平均年龄 17.92±1.10 岁),其中包括 2068 名女生和 295 名男生。研究使用了雅典失眠量表(AIS)和作者的人口统计学数据问卷,其中包括白天的身体活动、吸烟、上呼吸道感染的频率、注意力和记忆力问题、学业成绩以及睡前使用移动设备等问题,用于评估检查参数。量表和问卷通过社交媒体在线共享。
结果:在研究组中分析得到的结果,AIS 的平均得分为 8.42±4.16,这可以评估接近正常的睡眠障碍。将女生和男生分组后,女生分别得到 8.38±4.56 分,男生得到 8.43±4.27 分,差异无统计学意义。同样,当将青少年睡前使用手机的组和不使用手机的组进行分组时,也没有发现统计学上的显著差异。独自或与他人在房间睡觉也没有在统计学上使组产生差异,居住地也没有。在 AIS 量表中,白天身体活动较差、吸烟以及注意力集中和记忆力问题较频繁、学业成绩较差和上呼吸道感染较频繁的人,其结果较差。
结论:1).睡眠障碍可能与吸烟或缺乏身体活动等因素有关,也可能与注意力集中困难、记忆障碍或较差的学业成绩以及上呼吸道感染的易感性有关。2).消除可能影响睡眠质量的因素在青少年群体中尤为重要,因为中枢神经系统的发育结构在这方面可能特别敏感。3).进一步探讨学习时间、屏幕时间和特定学期压力源对睡眠质量的相互作用可能会有更多的发现。