Dobani Fatima, Schillinger Emma S, Vrabec Alison, Kidwell Katherine M, Park Aesoon
Syracuse University Department of Psychology, 352 Marley Educational Building, Syracuse, NY 13244.
Curr Addict Rep. 2025 Dec;12(1). doi: 10.1007/s40429-025-00628-9. Epub 2025 Feb 24.
This paper aimed to estimate pooled bi-directional associations between multidimensional sleep health and substance use among youth and investigate whether these associations differed as a function of race/ethnicity.
Empirical observational studies providing quantitative data on the association of sleep health (duration [sleep obtained per 24 hours], satisfaction [subjective assessment of sleep], alertness [ability to maintain attentive wakefulness], and timing [placement of sleep]) and substance use (i.e., alcohol and cannabis), and racial/ethnic demographic information among U.S. youth (10-25) were identified through a systematic literature search. Random effects meta-analyses were conducted using 95 effect sizes extracted from 38 studies.
We found evidence for a bi-directional relationship between total sleep duration and substance use. Sleep satisfaction predicted substance use, but findings were inconclusive whether substance use predicted sleep satisfaction. Sleep alertness predicted alcohol (but not cannabis) use, whereas sleep timing predicted cannabis (but not alcohol) use. Nuanced racial/ethnic differences were also found in these sleep-substance use relationships, which differed across sleep domains and types of substance.
本文旨在评估青少年多维睡眠健康与物质使用之间的汇总双向关联，并调查这些关联是否因种族/族裔而异。
通过系统的文献检索，确定了一些实证观察性研究，这些研究提供了关于美国青少年（10 - 25岁）睡眠健康（持续时间[每24小时获得的睡眠时间]、满意度[对睡眠的主观评估]、警觉性[保持注意力清醒的能力]和时间安排[睡眠时间]）与物质使用（即酒精和大麻）以及种族/族裔人口统计学信息的定量数据。使用从38项研究中提取的95个效应量进行随机效应荟萃分析。
我们发现了总睡眠时间与物质使用之间双向关系的证据。睡眠满意度可预测物质使用，但关于物质使用是否能预测睡眠满意度的研究结果尚无定论。睡眠警觉性可预测酒精（而非大麻）使用，而睡眠时间可预测大麻（而非酒精）使用。在这些睡眠与物质使用的关系中还发现了细微的种族/族裔差异，这些差异在不同的睡眠领域和物质类型中有所不同。
