The independent relationships between insomnia, depression, subtypes of anxiety, and chronotype during adolescence
The independent relationships between insomnia, depression, subtypes of anxiety, and chronotype during adolescence
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DOI：
10.1016/j.sleep.2014.03.019
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发表时间：
2014-08-01
期刊：
影响因子：
4.8
通讯作者：
Harris, Jodie K.
中科院分区：
文献类型：
--
作者：
Alvaro, Pasquale K.;Roberts, Rachel M.;Harris, Jodie K.
目的：研究抑郁和焦虑亚型对失眠的独立影响，反之亦然，以及睡眠时间类型对失眠、抑郁和焦虑亚型的独立影响。平均14.97 +/- 1.34）参与了这项横断面研究。验证自我报告问卷被用来评估失眠，抑郁，焦虑亚型，和chronotype.Results：混杂变量控制后，失眠预测抑郁症和惊恐障碍（PD），而失眠预测抑郁症和广泛性焦虑障碍（GAD）。强迫症（OCD）、分离焦虑（SAD）和社交恐怖（SP）与失眠无显著相关。在抑郁和PD预测失眠的模型中，夜晚预测模型，反之亦然。Eveningness还预测了模型中，失眠症预测强迫症，SAD，和SP。结论：失眠症独立预测抑郁症和抑郁症和GAD预测，但不是由其他形式的焦虑。独立预测PD的失眠不太可能具有临床意义。时间型可以独立预测失眠和抑郁症，因此是失眠和抑郁症的危险因素，但不是焦虑亚型。理论和临床意义进行了讨论。皇冠版权所有（C）2014由爱思唯尔B. V.出版保留所有权利。
Objectives: To investigate the independent effects of depression and subtypes of anxiety on insomnia, and vice versa, and the independent effect of chronotype on insomnia, depression, and subtypes of anxiety.Methods: In all, 318 South Australian high school students from grades 7-11 (age range, 12-18 years;. mean, 14.97 +/- 1.34) participated in this cross-sectional study. Validated self-report questionnaires were used to assess insomnia, depression, subtypes of anxiety, and chronotype.Results: After confounder variables were controlled, insomnia predicted depression and panic disorder (PD), whereas insomnia was predicted by depression and generalized anxiety disorder (GAD). Obsessive-compulsive disorder (OCD), separation anxiety (SAD), and social phobia (SP) were not significantly related to insomnia. Eveningness predicted the models in which depression and PD predicted insomnia and vice versa. Eveningness also predicted the models in which insomnia was predicted by OCD, SAD, and SP.Conclusions: Insomnia independently predicts depression and is predicted by depression and GAD, but not by other forms of anxiety. The independent prediction of insomnia on PD is unlikely to be clinically significant. Chronotype independently predicts and hence is a risk factor for insomnia and depression, but not subtypes of anxiety. Theoretical and clinical implications are discussed. Crown Copyright (C) 2014 Published by Elsevier B.V. All rights reserved.