The bidirectional association between sleep problems and anxiety symptoms in adolescents: a TRAILS report
The bidirectional association between sleep problems and anxiety symptoms in adolescents: a TRAILS report
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DOI：
10.1016/j.sleep.2019.10.018
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发表时间：
2020-03-01
期刊：
影响因子：
4.8
通讯作者：
Oldehinkel, Albertine J.
中科院分区：
文献类型：
--
作者：
Narmandakh, Altanzul;Roest, Annelieke M.;Oldehinkel, Albertine J.
背景：以往的研究表明，青少年睡眠问题与焦虑症状之间存在双向关联。这些研究使用的方法并没有将人与人之间的影响与人与人之间的影响分开，因此他们的结论可能不适用于睡眠和焦虑在人与人之间的相互影响。我们研究了青春期和青年期睡眠问题和焦虑之间的双向关联，同时区分了人与人之间的影响和人与人之间的影响。方法：数据来自荷兰跟踪青少年个人生活调查（TRAILS），这是一项前瞻性队列研究，包括跨越15年的六波数据。年轻青少年（N = 2230，基线时平均年龄11.1岁）每2-3年随访一次，直到青年成年（平均年龄25.6岁）。睡眠问题和焦虑症状通过青少年自我报告、成人自我报告和诺丁汉健康概况进行测量。使用随机截距交叉滞后面板模型调查睡眠和焦虑之间的时间关联。结果：在个体中，睡眠问题与老年痴呆显著相关（β = 0.60, p < 0.001）。在个人水平上，睡眠问题和焦虑症状在所有波之间存在显著的横断面关联（β = 0.12-0.34, p < 0.001）。此外，睡眠不佳预示着在第一和第二以及第三和第四次评估之间会出现更大的焦虑症状。负相关无统计学意义。结论：睡眠问题和焦虑之间的人际关系比人际关系弱得多。然而，我们的研究结果初步表明，睡眠不足，特别是在青春期早期和中期，可能先于焦虑症状，而缓解青少年的睡眠问题可能会预防焦虑。(C) 2019 Elsevier B.V.版权所有
Background: Previous studies have suggested a bidirectional association between sleep problems and anxiety symptoms in adolescents. These studies used methods that do not separate between-person effects from within-person effects, and therefore their conclusions may not pertain to within-person mutual influences of sleep and anxiety. We examined bidirectional associations between sleep problems and anxiety during adolescence and young adulthood while differentiating between person effects from within-person effects.Methods: Data came from the Dutch TRacking Adolescents' Individual Lives Survey (TRAILS), a prospective cohort study including six waves of data spanning 15 years. Young adolescents (N = 2230, mean age at baseline 11.1 years) were followed every 2-3 years until young adulthood (mean age 25.6 years). Sleep problems and anxiety symptoms were measured by the Youth Self-Report, Adult Self-Report and Nottingham Health Profile. Temporal associations between sleep and anxiety were investigated using the random intercept cross-lagged panel model.Results: Across individuals, sleep problems were significantly associated with (beta = 0.60, p < 0.001). At the within-person level, there were significant cross-sectional associations between sleep problems and anxiety symptoms at all waves (beta = 0.12-0.34, p < 0.001). In addition, poor sleep predicted greater anxiety symptoms between the first and second, and between the third and fourth assessment wave. The reverse association was not statistically significant.Conclusions: Within-person associations between sleep problems and anxiety are considerably weaker than between-person associations. Yet, our findings tentatively suggest that poor sleep, especially during early and mid-adolescence, may precede anxiety symptoms, and that anxiety might be prevented by alleviating sleep problems in young adolescents. (C) 2019 Elsevier B.V. All rights reserved.