Pathways to adolescent health: Sleep regulation and behavior
Pathways to adolescent health: Sleep regulation and behavior
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DOI：
10.1016/s1054-139x(02)00506-2
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发表时间：
2002-12-01
影响因子：
7.6
通讯作者：
Lewin, DS
中科院分区：
文献类型：
--
作者：
Dahl, RE;Lewin, DS
关注睡眠调节与青少年健康发展的关系有几个共同的原因：(A)睡眠似乎在大脑成熟期特别重要；(B)在整个青春期发育过程中，睡眠有实质性的生物和心理社会变化以及昼夜节律；(C)生理和心理社会领域之间的相互作用可能导致青春期睡眠模式和习惯的戏剧性变化；(D)越来越多的证据表明，许多青少年经常睡眠不足；(E)越来越多的证据表明，睡眠不足对行为、情绪和注意力的控制产生了最大的负面影响，这是发展社会和学术能力的关键调节接口，以及精神障碍；(F)睡眠不足最明显的直接健康后果是与药物滥用和车祸有关的高危行为；(G)存在大量证据表明睡眠和行为/情绪调节之间存在双向影响。尽管过去十年在这些领域取得了研究进展，但现有知识仍然存在重大差距，指导关于青春期睡眠的具体卫生政策决定和建议的受控研究很少。特别是，需要更好地了解睡眠不足对青少年的急性和慢性影响，确定青少年充足睡眠的指导方针，并更好地描述睡眠、行为和情绪调节之间的联系。最后，本文简要地考察了这一知识领域在一些高中青春期医学协会2002年的早期开始时间中的一个具体应用。
There are several converging reasons to focus on sleep regulation in relation to healthy adolescent development: (a) Sleep appears to be particularly important during periods of brain maturation; (b) there are substantial biological and psychosocial changes in sleep and circadian regulation exist across pubertal development; (c) interactions between physical and psychosocial domains can lead to dramatic alterations in sleep patterns and habits during adolescence; (d) increasing evidence that many adolescents frequently obtain insufficient sleep exists; (e) there is mounting evidence that sleep deprivation has its greatest negative effects on the control of behavior, emotion, and attention, a regulatory interface that is critical in the development of social and academic competence, and psychiatric disorders; (f) the most obvious direct health consequences of insufficient sleep are high-risk behaviors associated with substance abuse and automobile accidents; (g) substantial evidence for bidirectional effects between sleep and behavioral/emotional regulation exists. Although the past decade has seen research progress in these areas, there continue to be major gaps in existing knowledge and a paucity of well-controlled studies to guide specific health policy decisions and recommendations regarding sleep in adolescence. In particular, there is need for improved understanding of the acute and chronic effects of inadequate sleep in adolescents, guidelines for defining adequate sleep in adolescents, and a better delineation of the links among sleep, behavior, and affect regulation. Finally, this paper briefly examines one specific application of this knowledge area regarding early starting times among some high schools Society for Adolescent Medicine, 2002.