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注意控制解释了临床转诊青少年中焦虑敏感性与睡眠效率之间的关联。

Attentional Control Accounts for the Association Between Anxiety Sensitivity and Sleep Efficiency in Clinic-Referred Youth.

作者信息

Patriarca Guadalupe C, Rey Yasmin, Yeguez Carlos E, Buitron Victor, McMakin Dana L, Pettit Jeremy W

机构信息

Department of Psychology, Center for Children and Families, Florida International University, AHC 1 Room 140, 11200 SW 8th Street, Miami, FL, 33199, USA.

Department of Psychology, Florida State University, Tallahassee, FL, USA.

出版信息

Child Psychiatry Hum Dev. 2023 Dec 1. doi: 10.1007/s10578-023-01631-9.

DOI:10.1007/s10578-023-01631-9
PMID:38036742
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11143078/
Abstract

Youth with anxiety disorders report difficulty falling asleep and returning to sleep after sleep onset (i.e., poor sleep efficiency). Anxiety sensitivity, the excessive attention to physical symptoms of anxiety and their threatening interpretations, has been linked to poor sleep efficiency. We tested a conceptual model wherein attentional control, attentional focusing and attentional shifting would account for the relationship between anxiety sensitivity and poor sleep efficiency. 255 youths (6-17 years old, 78% Hispanic/Latino) who presented to a university-based research clinic completed measures on anxiety sensitivity, sleep, and attentional control. Poorer sleep efficiency was significantly correlated with higher anxiety sensitivity and lower attentional control, attentional focusing, and attentional shifting. Higher anxiety sensitivity was significantly correlated with lower attentional control and attentional focusing. Attentional control and attentional focusing, not attentional shifting, accounted for the relationship between anxiety sensitivity and poor sleep efficiency. These findings identify attentional control and attentional focusing as variables that may explain the association between anxiety sensitivity and sleep efficiency in youth.

摘要

患有焦虑症的青少年报告称,他们难以入睡,且入睡后难以再次入睡(即睡眠效率低下)。焦虑敏感性,即对焦虑的身体症状及其威胁性解读过度关注,与睡眠效率低下有关。我们测试了一个概念模型,其中注意力控制、注意力聚焦和注意力转移可以解释焦虑敏感性与睡眠效率低下之间的关系。在一家大学研究诊所就诊的255名青少年(6至17岁,78%为西班牙裔/拉丁裔)完成了关于焦虑敏感性、睡眠和注意力控制的测量。较差的睡眠效率与较高的焦虑敏感性以及较低的注意力控制、注意力聚焦和注意力转移显著相关。较高的焦虑敏感性与较低的注意力控制和注意力聚焦显著相关。是注意力控制和注意力聚焦,而非注意力转移,解释了焦虑敏感性与睡眠效率低下之间的关系。这些发现确定了注意力控制和注意力聚焦是可能解释青少年焦虑敏感性与睡眠效率之间关联的变量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afb2/11143078/d08bef632969/nihms-1970571-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afb2/11143078/d08bef632969/nihms-1970571-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afb2/11143078/d08bef632969/nihms-1970571-f0001.jpg

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Pediatric sleep health: It matters, and so does how we define it.
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