Fidler Andrea L, Van Dyk Tori R, Simmons Danielle M, Decker Kristina, Byars Kelly C
Division of Behavioral Medicine & Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Sleep Center, Division of Pulmonary and Sleep Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Behav Sleep Med. 2025 May 19:1-11. doi: 10.1080/15402002.2025.2506446.
Clinical participants included BSM patients aged 11-18 years ( = 354) with insomnia. Adolescents completed the Adolescent Sleep Hygiene Scale (ASHS) and the Pediatric Insomnia Severity Index. Caregivers completed the Sleep Disorders Inventory for Students. Independent samples t-tests compared sleep hygiene between our clinical sample and the community-based ASHS validation sample (572 American adolescents). We report which sleep hygiene subscales fell below thresholds indicating clinically significant problems. Multiple linear regressions determined whether demographics and sleep hygiene subscales predicted sleep problems.
Adolescents referred to our BSM clinic had better overall sleep hygiene than the community-based validation sample, < .001. They had inadequate sleep hygiene practices related to sleep stability, behavioral arousal, and cognitive/emotional arousal. Demographics and sleep hygiene factors significantly predicted both adolescent-reported insomnia severity and caregiver-reported sleep disturbance, ps < 0.001.
Poor sleep hygiene may result from maladaptive coping and can compound existing sleep problems. It is important to have consistent definitions of sleep hygiene that limit overlap with other key intervention targets.
1）将我们临床样本的睡眠卫生状况与基于社区的验证样本及既定临床阈值进行比较；2）阐明转介至行为睡眠医学（BSM）治疗的青少年的睡眠卫生与睡眠问题之间的关系。
临床参与者包括354名年龄在11至18岁之间患有失眠症的BSM患者。青少年完成了青少年睡眠卫生量表（ASHS）和儿童失眠严重程度指数。照顾者完成了学生睡眠障碍量表。独立样本t检验比较了我们的临床样本与基于社区的ASHS验证样本（572名美国青少年）之间的睡眠卫生状况。我们报告了哪些睡眠卫生子量表低于表明存在临床显著问题的阈值。多元线性回归确定人口统计学因素和睡眠卫生子量表是否能预测睡眠问题。
转介至我们BSM诊所的青少年总体睡眠卫生状况优于基于社区的验证样本，P<0.001。他们在与睡眠稳定性、行为唤醒和认知/情绪唤醒相关的睡眠卫生习惯方面存在不足。人口统计学因素和睡眠卫生因素显著预测了青少年报告的失眠严重程度和照顾者报告的睡眠障碍，P值均<0.001。
不良的睡眠卫生可能源于适应不良的应对方式，并会使现有的睡眠问题更加严重。对睡眠卫生有一致的定义很重要，这可以限制与其他关键干预目标的重叠。
