What makes people want to make changes to their sleep? Assessment of perceived risks of insufficient sleep as a predictor of intent to improve sleep.

What makes people want to make changes to their sleep? Assessment of perceived risks of insufficient sleep as a predictor of intent to improve sleep.
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是什么让人们想要改变自己的睡眠状况?对睡眠不足的感知风险评估可作为改善睡眠意愿的预测指标。

DOI:
10.1016/j.sleh.2020.07.003
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发表时间:
2021-03
期刊:
影响因子:
4.1
通讯作者:
Grandner, Michael A.
Grandner, Michael A.
中科院分区:
医学2区
文献类型:
--
作者:
Khader, Waliuddin S.;Fernandez, Fabian-Xose;Seixas, Azizi;Knowlden, Adam;Ellis, Jason;Williams, Natasha;Hale, Lauren;Branas, Charles;Perlis, Michael;Jean-Louis, Girardin;Killgore, William D. S.;Alfonso-Miller, Pamela;Grandner, Michael A.

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本研究的目的是确定哪些关于睡眠对健康影响的潜在信念可能会促使睡眠行为的改变。一项在2012-2014年间进行的横断面研究。数据来自于在宾夕法尼亚州费城及其周边地区进行的睡眠与健康活动、饮食、环境和社交(Shades)研究。参与者包括N=1007名22-60岁的社区成年人。受访者表示,他们可以改善行为以促进睡眠,并相应地准备改变。他们还被问及睡眠习惯和态度问卷(SpaQ)中的条目,询问他们在多大程度上同意“睡眠不足”是否会影响各种健康因素。在调整后的分析中,改变的阶段与同意睡眠不足会导致嗜睡(OR=1.17,p=0.035)、体重增加(OR=1.2,p<0.0005)、心脏病(OR=1.21,p=0.001)、胆固醇(OR=1.13,p=0.047)、高血压(OR=1.16,p=0.014)、喜怒无常(OR=1.42,p<0.0005)、精力减退(OR=1.3,p=0.002)、旷工(OR=1.13,p=0.007)、成绩下降(OR=1.2,p=0.003)、注意力/记忆力问题(OR=1.23,p=0.004)、糖尿病(OR=1.14,p=0.042)、感到疲倦(OR=1.39,p=0.0005)。当睡眠时间被添加到模型中时,除了胆固醇之外,所有人的睡眠时间都保持着显著的相关性。当考虑到失眠时,只有体重、喜怒无常、表现、糖尿病和疲倦才有显著的相关性。认为睡眠不足会导致情绪低落、职业问题和健康问题等后果的程度,可能会影响一个人是否正在考虑/试图改变与睡眠相关的行为。在信息材料中针对这些关于睡眠健康与喜怒无常和体重增加之间关系的关键信息,可能会加强针对成年人的教育/推广努力。
The objective of the present study is to identify which underlying beliefs about the impact of sleep on health may motivate change in sleep behavior. A cross-sectional study conducted between 2012–2014. Data were from the Sleep and Healthy Activity, Diet, Environment, and Socialization (SHADES) study conducted in Philadelphia, PA, and its surrounding regions. Participants consisted of N=1007 community-dwelling adults age 22–60. Respondents indicated behaviors they could improve on to facilitate sleep and their corresponding readiness to change. They were also asked items from the Sleep Practices and Attitudes Questionnaire (SPAQ) regarding the degree to which they agree with whether “not getting enough sleep” can impact a variety of health factors. In adjusted analyses, stage of change was associated with degree of agreement that insufficient sleep can cause sleepiness (OR=1.17,p=0.035), weight gain (OR=1.20,p<0.0005), heart disease (OR=1.21,p=0.001), cholesterol (OR=1.13,p=0.047), hypertension (OR=1.16,p=0.014), moodiness (OR=1.42,p<0.0005), decreased energy (OR=1.30,p=0.002), absenteeism (OR=1.13,p=0.007), decreased performance (OR=1.20,p=0.003), concentration/memory problems (OR=1.23,p=0.004), diabetes (OR=1.14,p=0.042), and feeling tired (OR=1.39,p<0.0005). When sleep duration was added to the model, significant associations remained for all except cholesterol. When accounting for insomnia, significant associations were maintained for only weight, moodiness, performance, diabetes, and tiredness. Degree of belief that insufficient sleep can cause outcomes such as moodiness, occupational problems, and health problems may impact whether an individual is contemplating/attempting to change their sleep-related behaviors. Targeting these key messages about the associations between sleep health with moodiness and weight gain in informational material may enhance education/outreach efforts aimed at adults.
DOI: 10.2147/nss.s134864
发表时间: 2017
影响因子: 3.4
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Medic G;Wille M;Hemels ME
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DOI: 10.1016/s1389-9457(00)00065-4
发表时间: 2001-07-01
期刊: SLEEP MEDICINE
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发表时间: 2014-03-04
影响因子: 3.1
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DOI: 10.1037/0022-006x.59.2.295
发表时间: 1991-04-01
影响因子: 5.9
作者:
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通讯作者: ROSSI, JS