Persistence and change in symptoms of insomnia among adolescents
Persistence and change in symptoms of insomnia among adolescents
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DOI：
10.1093/sleep/31.2.177
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发表时间：
2008-02-01
期刊：
影响因子：
5.6
通讯作者：
Chan, Wenyaw
中科院分区：
文献类型：
--
作者：
Roberts, Robert E.;Roberts, Catherine Ramsay;Chan, Wenyaw
目的：了解青少年失眠症状的发生率、慢性化和缓解率，探讨影响青少年失眠发生率和慢性化的因素。方法：采用诊断性访谈和问卷调查的方法，对基线调查的4175名11~17岁青少年进行调查，并对其中3134名青少年进行1年后的随访。受试者是从超过470万人口的大都市地区的大量管理保健人口中抽样的。结果：1个或1个以上症状的1年发生率为13.9%，1个或1个以上症状伴日间乏力或嗜睡的发生率为5.5%，失眠干酪症的1年发生率为5.3%。有一种或一种以上症状的慢化率为45.8%，日间乏力或嗜睡的慢化率为34.7%，失眠干酪症的慢化率为22.8%。年龄、性别或家庭收入对失眠发生率或慢性失眠症的预测没有影响。躯体和心理功能障碍与未来睡眠结果的风险之间存在较弱的相关性，而心理功能障碍的预测能力更强。结论：这些结果进一步证明了青少年失眠的公共卫生负担。失眠的患病率与其他主要精神障碍，如情绪、焦虑、破坏性和物质使用障碍相当。一年以上的发病率也很高。失眠是一种慢性疾病，进一步增加了负担。
Objective: To estimate the incidence, chronicity, and remission of symptoms of insomnia and to examine factors associated with the incidence and chronicity of insomnia among adolescents.Methods: Data were collected using diagnostic interviews and questionnaires from 4175 youths aged 11 to 17 years at baseline, and 3134 of these youths followed-up a year later. Subjects were sampled from large managed care populations in a metropolitan area of over 4.7 million. Insomnia was assessed by youth-reported DSM-IV symptom criteria.Results: One year incidence was 13.9% for 1 or more symptoms, 5.5% for 1 or more symptoms plus daytime fatigue or sleepiness, and 5.3% for insomnia caseness. Rates of chronicity were 45.8% for 1 or more symptoms, 34.7% with daytime fatigue or sleepiness, and 22.8% for insomnia caseness. There were no effects of age, sex, or family income in predicting incidence or chronicity of insomnia. There was a weak association of both somatic and psychological dysfunction with risk of future sleep outcomes, with stronger prediction for psychological dysfunction.Conclusions: These results document further the public health burden of insomnia among adolescents. Prevalence of insomnia is comparable to that of other major psychiatric disorders such as mood, anxiety, disruptive, and substance use disorders. Incidence over one year also is high. Insomnia represents a chronic condition, further enhancing burden.