Fernandez Dan Richard, Lee Rennie, Tran Nam, Jabran Dure Sameen, King Stephanie, McDaid Lisa
Institute for Social Science Research, University of Queensland, Indooroopilly QLD, Australia.
Tobacco, Alcohol and Other Drugs Unit, Australian Institute of Health and Welfare, Bruce, ACT, Australia.
Sleep Adv. 2024 May 2;5(1):zpae028. doi: 10.1093/sleepadvances/zpae028. eCollection 2024.
Evidence from studies among non-Indigenous populations has established the association of poor sleep to mental health issues and supported how improving sleep could reduce the risk of mental ill health. In contrast, for Indigenous people, who experience disproportionate rates of mental ill health, the association between sleep and mental health and the potential of sleep health in reducing the risk and severity of mental health issues have never been fully reviewed. Considering the literature gap, this review assesses the association between sleep and mental health in Indigenous people.
Following PRISMA guidelines, a study was submitted to the PROSPERO database for registration (293798) prior to commencing the review. Then academic databases were searched for relevant studies published up till 19 February 2023. Studies with quantitative data on sleep and mental health association in Indigenous people were included and a narrative review/synthesis was conducted.
Seven studies, using carer/self-reports (six cross-sectional, one longitudinal) among three Indigenous groups ( = 3066) met the inclusion criteria. In Indigenous Australian children, arousal problems were associated with aggression, and withdrawn behavior, while early bedtime was associated with a lower risk of behavioral problems. In Native American young people, insomnia symptoms were associated with depressive symptoms in adults, short sleep was associated with affective disorders. Clinical sleep issues, i.e. restless leg and apnea, were associated with depression. In Amerindian/Mestizo adults, restless leg syndrome was associated with depression and anxiety. Overall, findings report the prevalence of poor sleep and mental health issues among Indigenous communities across the globe. Six studies scored "moderate quality" and one study scored "high quality" in quality assessment.
While there is limited research available, our finding suggests an association between poor sleep and mental health issues in Indigenous people. Further investigation of the potential role of, and investing in, sleep health could help support mental health.
非原住民人群的研究证据已证实睡眠不佳与心理健康问题之间的关联，并支持改善睡眠如何能够降低精神疾病的风险。相比之下，对于心理健康问题发生率过高的原住民而言，睡眠与心理健康之间的关联以及睡眠健康在降低心理健康问题风险和严重程度方面的潜力从未得到全面审视。鉴于文献空白，本综述评估了原住民睡眠与心理健康之间的关联。
遵循PRISMA指南，在开始综述之前，一项研究已提交至PROSPERO数据库进行注册（293798）。然后检索学术数据库，查找截至2023年2月19日发表的相关研究。纳入有关原住民睡眠与心理健康关联的定量数据研究，并进行叙述性综述/综合分析。
七项研究采用了三个原住民群体（n = 3066）的照顾者/自我报告（六项横断面研究，一项纵向研究），符合纳入标准。在澳大利亚原住民儿童中，觉醒问题与攻击行为和退缩行为相关，而早睡与行为问题风险较低相关。在美洲原住民年轻人中，失眠症状与成年人的抑郁症状相关，短睡眠与情感障碍相关。临床睡眠问题，即不宁腿和呼吸暂停，与抑郁症相关。在美洲印第安人/梅斯蒂索成年人中，不宁腿综合征与抑郁症和焦虑症相关。总体而言，研究结果报告了全球原住民社区睡眠不佳和心理健康问题的患病率。六项研究在质量评估中得分为“中等质量”，一项研究得分为“高质量”。
虽然现有研究有限，但我们的研究结果表明原住民睡眠不佳与心理健康问题之间存在关联。进一步研究睡眠健康的潜在作用并对其进行投资有助于支持心理健康。
