Long and short sleep duration and psychotic symptoms in adolescents: Findings from a cross-sectional survey of 15 786 Japanese students
Long and short sleep duration and psychotic symptoms in adolescents: Findings from a cross-sectional survey of 15 786 Japanese students
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青少年睡眠时间的长短与精神病症状：对 15 786 名日本学生进行的横断面调查的结果
DOI：
10.1016/j.psychres.2020.113440
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发表时间：
2020
影响因子：
11.3
通讯作者：
Nishida A
中科院分区：
文献类型：
--
作者：
Morishima R;Yamasaki S;Ando S;Shimodera S;Ojio Y;Okazaki Y;Kasai K;Sasaki T;Nishida A
青春期的睡眠问题会影响当前和随后的心理健康，并与精神病症状的经历有关。最近的研究表明，睡眠时间短会增加一般青少年群体出现精神病症状的风险。然而，长睡眠时间是否与青春期精神病症状风险增加相关仍不清楚。本研究旨在探讨长睡眠时间、短睡眠时间与青春期出现精神病症状的风险之间的关系。收集了日本 15,786 名初中生和高中生（分别为 12 至 15 岁和 15 至 18 岁）的横断面调查数据，并在控制包括抑郁症状在内的协变量后使用逻辑回归分析进行分析。睡眠时间长与男性青少年精神病症状的风险增加 1.6 至 2.8 倍相关，但与女性青少年无关。除 15 至 18 岁的女性青少年外，睡眠时间短还与出现精神病症状的风险增加 1.6 至 2.9 倍有关。本研究表明，无论是否并发抑郁症状，都应评估睡眠时间长和短的青少年出现精神病症状的风险。
Sleep problems during adolescence affect current and subsequent mental health and are associated with experiences of psychotic symptoms. Recent studies have suggested that short sleep duration increases the risk of experiencing psychotic symptoms in the general adolescent population; however, whether long sleep duration is associated with an increased risk of psychotic symptoms in adolescence remains unclear. The present study aimed to examine the relationships between long sleep duration, short sleep duration, and the risk of experiencing psychotic symptoms in adolescence. Cross-sectional survey data from 15,786 junior and senior high school students (12- to 15-year-olds and 15- to 18-year-olds, respectively) in Japan were collected and analyzed using logistic regression analysis after controlling for covariates, including depressive symptoms. Long sleep duration was associated with a 1.6- to 2.8-fold increased risk of psychotic symptoms in male but not in female adolescents. Short sleep duration was also related with a 1.6- to 2.9-fold increased risk of experiencing psychotic symptoms, except for 15- to 18-year-old female adolescents. The present study suggested that adolescents with long and short sleep duration should be assessed for their risk of experiencing psychotic symptoms regardless of concurrent depressive symptoms.