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探究毅力与日间过度嗜睡之间的联系:一项针对人群样本的研究。

Exploring the link between grit and excessive daytime sleepiness: a study in a population sample.

作者信息

Kim Jae Rim, Oh Dana, Yoon Jee-Eun, Park Hyo Jin, Paik Sang Min, Han Sun-Ku, Lee Woo-Jin, Kim Daeyoung, Yang Kwang Ik, Chu Min Kyung, Yun Chang-Ho

机构信息

Department of Neurology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of Korea.

Department of Neurology, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.

出版信息

Sleep Breath. 2025 Jul 11;29(4):239. doi: 10.1007/s11325-025-03414-z.

Abstract

PURPOSE

Excessive daytime sleepiness (EDS) is a common condition with implications for individual health and public safety. While factors such as snoring and depression are known contributors to EDS, the role of grit in EDS remains unexplored. This study aimed to investigate the association between and EDS in a representative sample of Korean adults, with a specific focus on the two components of grit: perseverance of effort (PE) and consistency of interest (CI).

METHODS

A nationwide cross-sectional survey was conducted through door-to-door interviews using structured questionnaires between September and December 2018 in Korea. EDS was assessed using the Epworth Sleepiness Scale, while grit was measured using the Short Grit Scale, comprising PE and CI subscales. Multivariable logistic regression analyses were performed to explore the association between grit and EDS, adjusting for covariates.

RESULTS

A total of 2,356 participants (49.3% male; aged 19-92 years) were enrolled in the study. The prevalence of EDS was 15.2%. Participants with EDS had significantly lower overall grit scores, driven by lower CI subscale scores. After adjusting for confounders, higher grit scores were significantly associated with EDS (OR 0.35, 95% CIs 0.26-0.45, p < 0.001). This association persisted in subgroup analyses, including those with depression and habitual snoring. In contrast, no significant association was observed between the PE subscales and EDS.

CONCLUSION

Our findings suggest that intrinsic motivation, as reflected by the CI subscale of grit, is inversely associated with EDS. Therefore, exploring interventions that include nurturing grit could be a potential approach to addressing EDS.

摘要

目的

日间过度嗜睡(EDS)是一种常见病症,对个人健康和公共安全都有影响。虽然打鼾和抑郁等因素是已知的导致EDS的因素,但毅力在EDS中的作用仍未得到探索。本研究旨在调查韩国成年人代表性样本中毅力与EDS之间的关联,特别关注毅力的两个组成部分:努力坚持(PE)和兴趣一致性(CI)。

方法

2018年9月至12月在韩国通过使用结构化问卷进行挨家挨户访谈开展了一项全国性横断面调查。使用爱泼沃斯嗜睡量表评估EDS,而使用简短毅力量表测量毅力,该量表包括PE和CI分量表。进行多变量逻辑回归分析以探索毅力与EDS之间的关联,并对协变量进行调整。

结果

共有2356名参与者(49.3%为男性;年龄在19 - 92岁之间)纳入研究。EDS的患病率为15.2%。EDS参与者的总体毅力得分显著较低,这是由较低的CI分量表得分驱动的。在对混杂因素进行调整后,较高的毅力得分与EDS显著相关(比值比0.35,95%置信区间0.26 - 0.45,p < 0.001)。这种关联在亚组分析中持续存在,包括那些患有抑郁症和习惯性打鼾的亚组。相比之下,未观察到PE分量表与EDS之间存在显著关联。

结论

我们的研究结果表明,毅力的CI分量表所反映的内在动机与EDS呈负相关。因此,探索包括培养毅力的干预措施可能是解决EDS的一种潜在方法。

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