Sleep patterns and insomnia among adolescents: a population-based study

Sleep patterns and insomnia among adolescents: a population-based study
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DOI:
10.1111/jsr.12055
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发表时间:
2013-10-01
影响因子:
4.4
通讯作者:
Sivertsen, Borge
Sivertsen, Borge
中科院分区:
医学3区
文献类型:
--
作者:
Hysing, Mari;Pallesen, Stale;Sivertsen, Borge

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本研究的目的是在一项以16- 19岁青少年为基础的人群研究中检查睡眠模式和失眠率。睡眠模式和失眠的性别差异,以及根据DSM-IV,DSM-V和失眠定量标准(Behav. Res. Ther.,41,2003,427),进行了探索。我们使用了2012年在挪威Hordaland县进行的一项大型人群研究。样本包括10 220名16- 18岁的青少年(54%为女孩)。自我报告的睡眠测量包括就寝时间、起床时间、在床上的时间、睡眠持续时间、睡眠效率、睡眠开始潜伏期、睡眠开始后醒来、难以启动和维持睡眠的速率和频率以及疲劳和嗜睡的速率和频率。青少年报告工作日睡眠时间短(平均6:25小时),导致睡眠不足约2小时。大多数青少年(65%)报告睡眠开始潜伏期超过30分钟。女孩比男孩报告更长的睡眠潜伏期和更高的失眠率,而男孩报告更晚的就寝时间和更大的工作日周末差异的几个睡眠参数。失眠症患病率范围从总患病率23.8%(DSM-IV标准)、18.5%(DSM-V标准)和13.6%(失眠症定量标准)不等。我们的结论是,睡眠时间短,长的睡眠开始潜伏期和失眠是普遍的青少年。这是一个值得关注的公共卫生问题,在这个年龄组。
The aim of the current study was to examine sleep patterns and rates of insomnia in a population-based study of adolescents aged 16-19years. Gender differences in sleep patterns and insomnia, as well as a comparison of insomnia rates according to DSM-IV, DSM-V and quantitative criteria for insomnia (Behav. Res. Ther., 41, 2003, 427), were explored. We used a large population-based study in Hordaland county in Norway, conducted in 2012. The sample included 10 220 adolescents aged 16-18years (54% girls). Self-reported sleep measurements included bedtime, rise time, time in bed, sleep duration, sleep efficiency, sleep onset latency, wake after sleep onset, rate and frequency and duration of difficulties initiating and maintaining sleep and rate and frequency of tiredness and sleepiness. The adolescents reported short sleep duration on weekdays (mean 6:25hours), resulting in a sleep deficiency of about 2h. A majority of the adolescents (65%) reported sleep onset latency exceeding 30min. Girls reported longer sleep onset latency and a higher rate of insomnia than boys, while boys reported later bedtimes and a larger weekday-weekend discrepancy on several sleep parameters. Insomnia prevalence rates ranged from a total prevalence of 23.8 (DSM-IV criteria), 18.5 (DSM-V criteria) and 13.6% (quantitative criteria for insomnia). We conclude that short sleep duration, long sleep onset latency and insomnia were prevalent in adolescents. This warrants attention as a public health concern in this age group.