Prevalence and correlates of sleep disturbance and depressive symptoms among Chinese adolescents: a cross-sectional survey study.

Prevalence and correlates of sleep disturbance and depressive symptoms among Chinese adolescents: a cross-sectional survey study.
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DOI:
10.1136/bmjopen-2014-005517
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发表时间:
2014-07-29
期刊:
影响因子:
2.9
通讯作者:
Lu C
Lu C
中科院分区:
医学3区
文献类型:
--
作者:
Guo L;Deng J;He Y;Deng X;Huang J;Huang G;Gao X;Lu C

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目的调查中国青少年睡眠障碍和抑郁症状的患病率及其相关因素,探讨两者之间的关系。横截面调查。从广东省的学校中抽取了3186名7-12年级的学生。采用分层整群随机抽样的策略选择学校。采用自填式问卷。匹兹堡睡眠质量指数(PSQI)用于评估睡眠障碍的发生,抑郁症流行病学量表(CES-D)用于确定个体是否有抑郁症状。平均PSQI总分为8.7(±2.4)分,39.6%的样本存在睡眠障碍。学生CES-D平均15.2(±9.4)分,6.4%的学生有抑郁症状。此外,女孩和年龄较大的青少年更容易患睡眠障碍,有抑郁症状的学生患睡眠障碍的可能性是2.47倍(95%CI 1.61至3.79)。与睡眠障碍和抑郁症状相关的因素有与老师关系差、孤独感、自杀意念和离家出走。睡眠障碍被确定为更普遍的中国青少年抑郁症状。睡眠障碍与抑郁症状相互关联,学校因素、家庭因素和心理社会适应与两者综合相关。
To investigate the prevalence and the correlates of sleep disturbance and depressive symptoms among Chinese adolescents and to examine the association between the two problems. Cross-sectional survey. A total of 3186 school students in grades 7–12 were sampled from the schools in Guangdong. A stratified-cluster random-sampling strategy was used to select the schools. A self-administered questionnaire was used. The Pittsburgh Sleep Quality index (PSQI) was used to assess the occurrence of sleep disturbance, and the Center for Epidemiology Scale for Depression (CES-D) was used to identify whether individuals had depressive symptoms. The mean PSQI global score was 8.7 (±2.4) points, and 39.6% of the total sample had sleep disturbance. The mean CES-D score of students was 15.2 (±9.4) points, and 6.4% of the students had depressive symptoms. Additionally, girls and older adolescents were more likely to suffer from sleep disturbance, and the students who had depressive symptoms were 2.47 (95% CI 1.61 to 3.79) times more likely to suffer from sleep disturbance. Factors that were correlated with sleep disturbance and depressive symptoms were having a poor relationship with teachers, feeling lonely, suicide ideation and having run away from home. Sleep disturbance was determined to be more prevalent among Chinese adolescents with depressive symptoms. Sleep disturbance and depressive symptoms were associated with each other, while school factors, family factors and psychosocial adjustment were comprehensively correlated with both.
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