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青春期早期至中期睡眠、身体活动与心理健康之间的纵向关系:一项发展级联调查。

Longitudinal relationships across sleep, physical activity, and mental wellbeing in early-to-mid-adolescence: a developmental cascades investigation.

作者信息

Marquez Jose, Panayiotou Margarita, Farzinnia Reihaneh, Cheng Qiqi, Humphrey Neil

机构信息

Manchester Institute of Education, University of Manchester, Manchester, M13 9PL, UK.

出版信息

Qual Life Res. 2025 May;34(5):1233-1250. doi: 10.1007/s11136-025-03894-2. Epub 2025 Jan 28.

Abstract

PURPOSE

Sleep (SL), physical activity (PA), and wellbeing (WB) are three factors linked to positive development in adolescence. Despite theoretical support and some empirical evidence of developmental associations between these factors, few studies have rigorously investigated reciprocal associations over time separating between-person and within-person effects, and none have investigated all three in concert. Thus, it remains unclear how the interplay between SL, PA and WB unfolds across time within individuals. This study examines this question in the crucial early-to-mid-adolescence developmental transition.

METHOD

Separating between- and within-person effects, a random-intercept cross-lagged panel model was fitted to a dataset of N = 27,949 adolescents (age 12/13 at first timepoint) from Greater Manchester, England, using a three-by-three design (three annual timepoints: T1, T2, T3; three variables: SL, PA, WB).

RESULTS

Analyses revealed gender-specific developmental cascade pathways. Specifically, we found positive reciprocal associations between SL and WB for girls (at T1→T2), whereas for boys, SL positively predicted WB (at both T1→T2 and T2→Τ3) but WB did not predict SL. We also found that WB predicted PA for boys (at T2→T3) but this finding was sensitive to model specification and yielded a smaller effect than other cross-lagged pathways.

CONCLUSION

Our results highlight the importance of sleep as a driver of adolescent wellbeing, and the role of gender in developmental cascade processes. Study strengths, limitations, and implications are discussed.

摘要

目的

睡眠(SL)、身体活动(PA)和幸福感(WB)是与青少年积极发展相关的三个因素。尽管有理论支持以及这些因素之间发展关联的一些实证证据,但很少有研究严格调查随着时间推移将个体间效应和个体内效应区分开的相互关联,并且没有研究同时考察这三个因素。因此,尚不清楚SL、PA和WB之间的相互作用在个体内部如何随时间展开。本研究在关键的青春期早期到中期发展过渡阶段探讨了这个问题。

方法

采用随机截距交叉滞后面板模型,将个体间效应和个体内效应区分开,对来自英国大曼彻斯特地区的N = 27949名青少年(首次测量时年龄为12/13岁)的数据集进行拟合,采用三乘三设计(三个年度时间点:T1、T2、T3;三个变量:SL、PA、WB)。

结果

分析揭示了特定性别的发展级联路径。具体而言,我们发现女孩的SL和WB之间存在正向相互关联(在T1→T2时),而对于男孩,SL正向预测WB(在T1→T2和T2→T3时),但WB不能预测SL。我们还发现WB预测男孩的PA(在T2→T3时),但这一发现对模型设定敏感,且效应比其他交叉滞后路径小。

结论

我们的结果强调了睡眠作为青少年幸福感驱动因素的重要性,以及性别在发展级联过程中的作用。讨论了研究的优势、局限性和意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9787/12064606/1cce6f98ddde/11136_2025_3894_Fig1_HTML.jpg

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