Sleep problems and substance use in adolescence
Sleep problems and substance use in adolescence
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DOI：
10.1016/s0376-8716(00)00222-2
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发表时间：
2001-09-01
影响因子：
4.2
通讯作者：
Breslau, N
中科院分区：
文献类型：
--
作者：
Johnson, EO;Breslau, N
对成年人的纵向研究发现，失眠可以显著预测药物滥用的发生。这项研究估计了青少年在精神问题的背景下睡眠问题和物质使用之间的关联。数据来自1994-1996年美国全国家庭药物滥用调查，其中包括13，831名青少年。吸烟、饮酒和任何非法药物的使用都与青少年经常出现睡眠问题的报告相关，调整了年龄、性别、种族和家庭收入（比值比范围为1.5至3.8）。调整内化（如抑郁和焦虑）和外化（如偏差和侵略）问题减少了睡眠问题和使用这些物质之间的关联，这表明部分关联可归因于精神问题。与精神问题无关的关联部分仅限于睡眠问题与使用非法药物之间的关联。这些结果表明，睡眠问题和药物使用/滥用之间的关系必须在精神问题的背景下看待。纵向研究，采用更具体的措施，睡眠问题的指示。这样的研究可以提供有关睡眠问题与青少年的直接健康和福祉之间的关系以及他们进入成年的轨迹的信息。(C)2001爱思唯尔科学爱尔兰有限公司保留所有权利。
Longitudinal studies of adults have reported finding insomnia to significantly predict onset of substance abuse. This study estimated the association between sleep problems and substance use among adolescents in the context of psychiatric problems. Data come from the US National Household Survey on Drug Abuse 1994-1996 that included 13,831 adolescents. Use of cigarettes, alcohol and any illicit drug were each associated with adolescents' reports of having frequent sleep problems, adjusting for age, sex, race and family income (odds ratios ranging from 1.5 to 3.8). Adjusting for internalizing (e.g. depression and anxiety) and externalizing (e.g. deviance and aggression) problems reduced the associations between sleep problems and use of these substances, suggesting that part of the association is attributable to psychiatric problems. The part of the association not attributable to psychiatric problems was limited to the associations between sleep problems and use of illicit drugs. These results suggest that the relationship between sleep problems and drug use/abuse must be viewed in the context of psychiatric problems. Longitudinal research that employs more specific measures of sleep problems is indicated. Such research may provide information on the relationship of sleep problems to the immediate health and well being of adolescents, as well as their trajectories into adulthood. (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.