Tanaka Yuki, Otsuka Yuichiro, Nakajima Suguru, Itani Osamu, Miyoshi Tomomi, Kaneita Yoshitaka
Division of Public Health, Department of Social Medicine, Nihon University School of Medicine, Tokyo 173-8610, Japan.
Department of Psychiatry, Nihon University School of Medicine, Tokyo 173-8610, Japan.
Clocks Sleep. 2025 Jun 26;7(3):34. doi: 10.3390/clockssleep7030034.
Worsening adolescent mental health is a significant social issue. Although dreams may reflect one's mental state, few studies have focused on adolescents. Therefore, this study investigated the relationship between dream content and mental health, specifically anxiety disorder and depressive symptoms, among Japanese adolescents. This cross-sectional study obtained data on gender, grade, age, lifestyle habits, weekday sleep duration, anxiety disorder symptoms, depressive symptoms, and dreams from Japanese high school students. The data were analyzed via multiple logistic regression analyses. The prevalence of anxiety and depressive symptoms increased with the frequency of "rumination at bedtime", "memory of dreams", "emotional carryover", and "awakening by frightening", "unpleasant", "film-like", "fantastical", and "recurring" dreams. However, this was not the case for "pleasant dreams". Furthermore, "rumination at bedtime" (anxiety disorder symptoms: adjusted odds ratio: 10.60; 95% confidence interval: 5.92-18.97; depressive symptoms: 8.79, 5.58-13.87) and "unpleasant dreams" (anxiety disorder symptoms: 5.25, 2.86-9.64; depressive symptoms: 10.13, 5.57-18.44) exhibited particularly high odds ratios. "Rumination at bedtime" and "unpleasant dreams" may serve as early indicators of declining mental health. School- and parent-led interventions aimed at improving mental well-being may help prevent the progression or exacerbation of anxiety and depressive symptoms among adolescents.
青少年心理健康状况恶化是一个重大的社会问题。尽管梦境可能反映一个人的心理状态，但很少有研究关注青少年。因此，本研究调查了日本青少年梦境内容与心理健康之间的关系，特别是焦虑症和抑郁症状。这项横断面研究收集了日本高中生的性别、年级、年龄、生活习惯、平日睡眠时间、焦虑症症状、抑郁症状和梦境等数据。通过多元逻辑回归分析对数据进行了分析。焦虑和抑郁症状的患病率随着“睡前反复思考”“梦境记忆”“情绪延续”以及“因恐惧、不愉快、电影般、奇幻和反复出现的梦境而醒来”的频率增加而上升。然而，“愉快的梦境”并非如此。此外，“睡前反复思考”（焦虑症症状：调整后的优势比：10.60；95%置信区间：5.92 - 18.97；抑郁症状：8.79，5.58 - 13.87）和“不愉快的梦境”（焦虑症症状：5.25，2.86 - 9.64；抑郁症状：10.13，5.57 - 18.44）的优势比尤其高。“睡前反复思考”和“不愉快的梦境”可能是心理健康下降的早期指标。学校和家长主导的旨在改善心理健康的干预措施可能有助于预防青少年焦虑和抑郁症状的进展或加重。
