Short sleep, insomnia symptoms, and evening chronotype are correlated with poorer mood and quality of life in adolescent transgender males.
Short sleep, insomnia symptoms, and evening chronotype are correlated with poorer mood and quality of life in adolescent transgender males.
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DOI：
10.1016/j.sleh.2021.03.008
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发表时间：
2021-08
期刊：
影响因子：
4.1
通讯作者：
Simon SL
中科院分区：
文献类型：
--
作者：
Bowen AE;Staggs S;Kaar J;Nokoff N;Simon SL
睡眠不佳在青少年中很常见，并与情绪受损和健康相关的生活质量（HRQOL）有关。跨性别者的情绪问题的风险增加，假设是由于少数民族的压力;然而，没有研究调查睡眠和情绪之间的关联在这一人群中。我们的目的是检查睡眠，情绪，和HRQOL在跨性别的青少年男性。13-16岁的跨性别男性从美国性别多样性诊所招募。参与者完成了为期一周的家庭活动监测。量表评估失眠症状、时间型、情绪和HRQOL。Pearson相关睡眠，情绪和HRQOL进行了检查。共有10名参与者在学年期间完成了学习措施。参与者每晚的睡眠时间少于推荐的8-10小时，一半的参与者认可失眠症状。失眠症状越严重，焦虑（p=0.04）和抑郁（p=0.04）症状越严重，心理社会HRQOL越差（p=0.03）。较早的工作日和周末睡觉和起床时间以及较早的工作日睡眠中点与较好的健康HRQOL相关。睡眠和情绪或HRQOL变量之间没有其他显着的相关性。焦虑和抑郁症状与自我报告的失眠症状相关，而HRQOL与失眠症状和客观睡眠时间相关。临床医生应该评估这一人群的睡眠和情绪症状，未来的研究应该评估改善睡眠和性别肯定护理对跨性别青少年情绪和HRQOL的影响。
Poor sleep is common among adolescents and associated with impaired mood and health-related quality of life (HRQOL). Transgender individuals are at increased risk of mood problems hypothesized to be due to minority stress; however, no research has investigated associations between sleep and mood in this population. We aimed to examine sleep, mood, and HRQOL in transgender adolescent males. Transgender males age 13-16 were recruited from a U.S. gender diversity clinic. Participants completed one week of home actigraphy monitoring. Questionnaires assessed insomnia symptoms, chronotype, mood, and HRQOL. Pearson correlations between sleep, mood, and HRQOL were examined. A total of 10 participants completed study measures during the school year. Participants obtained less than the recommended 8-10 hours of sleep per night, and half of participants endorsed insomnia symptoms. Greater insomnia symptoms were correlated with higher anxiety (p=0.04) and depression (p=0.04) symptoms, and poorer Psychosocial HRQOL (p=0.03). Earlier weekday and weekend bed and wake times and earlier weekday sleep midpoint were associated with better Wellbeing HRQOL. No other significant correlations between sleep and mood or HRQOL variables were found. Anxiety and depression symptoms were associated with self-reported insomnia symptoms, while HRQOL was associated with both insomnia symptoms and objective sleep timing in this sample of adolescent transgender males. Clinicians should assess both sleep and mood symptoms in this population and future research should evaluate the impact of improved sleep and gender-affirming care on mood and HRQOL for transgender adolescents.
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影响因子：
3.7
作者：
Auer MK;Liedl A;Fuss J;Nieder T;Briken P;Stalla GK;Hildebrandt T;Biedermann SV;Sievers C
通讯作者：
Sievers C
DOI：
10.1111/jcpp.12125
发表时间：
2014
期刊：
Journal of child psychology and psychiatry, and allied disciplines
影响因子：
--
作者：
Baum KT;Desai A;Field J;Miller LE;Rausch J;Beebe DW
通讯作者：
Beebe DW
DOI：
10.1073/pnas.1010666108
发表时间：
2011-09-13
影响因子：
11.1
作者：
Duffy, Jeanne F.;Cain, Sean W.;Czeisler, Charles A.
通讯作者：
Czeisler, Charles A.
影响因子：
4.8
作者：
Bastien, Celyne H.;Vallieres, Annie;Morin, Charles M.
通讯作者：
Morin, Charles M.
影响因子：
8
作者：
Hansen, M;Janssen, I;Dubocovich, ML
通讯作者：
Dubocovich, ML