The Association between Psychological Distress and Self-Reported Sleep Duration in a Population-Based Sample of Women and Men.
The Association between Psychological Distress and Self-Reported Sleep Duration in a Population-Based Sample of Women and Men.
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DOI：
10.1155/2015/172064
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Giles WH
中科院分区：
文献类型：
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作者：
Cunningham TJ;Wheaton AG;Giles WH
心理健康和睡眠有着错综复杂的联系。本研究发现，在年龄≥18岁的成年人中，短睡眠时间（≤6小时）和长睡眠时间（≥9小时）与心理困扰存在关联。2013年来自科罗拉多州、明尼苏达州、内华达州、田纳西州和华盛顿州的行为风险因素监测系统数据（n = 36,859）包括Kessler 6 （K6）量表，该量表已被心理测量学验证用于测量严重心理困扰（SPD）；评估了三个规格。总体而言，4.0%的成年人报告SPD， 33.9%报告睡眠不足，7.8%报告睡眠时间过长。调整后，SPD成人报告短睡眠时间和长睡眠时间的概率分别高出1.58倍（95% CI: 1.45, 1.72）和1.39倍（95% CI: 1.08, 1.79）。使用顺序测量显示，短睡眠时间的患病率与剂量反应相关，分别为1.00、1.16、1.38、1.67和2.11。K6量表每增加一分，报告短睡眠时间和长睡眠时间的概率分别增加1.08倍（95% CI: 1.07, 1.10）和1.02倍（95% CI: 1.00, 1.03）。有些结果因性别而有统计学差异。任何心理困扰，不仅仅是SPD，都与短睡眠时间的可能性相关，而与长睡眠时间无关。这些发现突出了干预措施的必要性。
Mental health and sleep are intricately linked. This study characterized associations of psychological distress with short (≤6 hours) and long (≥9 hours) sleep duration among adults aged ≥18 years. 2013 Behavioral Risk Factor Surveillance System data (n = 36,859) from Colorado, Minnesota, Nevada, Tennessee, and Washington included the Kessler 6 (K6) scale, which has been psychometrically validated for measuring severe psychological distress (SPD); three specifications were evaluated. Overall, 4.0% of adults reported SPD, 33.9% reported short sleep, and 7.8% reported long sleep. After adjustment, adults with SPD had 1.58 (95% CI: 1.45, 1.72) and 1.39 (95% CI: 1.08, 1.79) times higher probability of reporting short and long sleep duration, respectively. Using an ordinal measure showed a dose-response association with prevalence ratios of 1.00, 1.16, 1.38, 1.67, and 2.11 for short sleep duration. Each additional point added to the K6 scale was associated with 1.08 (95% CI: 1.07, 1.10) and 1.02 (95% CI: 1.00, 1.03) times higher probability of reporting short and long sleep duration, respectively. Some results were statistically different by gender. Any psychological distress, not only SPD, was associated with a higher probability of short sleep duration but not long sleep duration. These findings highlight the need for interventions.