Association between television viewing and sleep problems during adolescence and early adulthood
Association between television viewing and sleep problems during adolescence and early adulthood
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DOI：
10.1001/archpedi.158.6.562
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发表时间：
2004-06-01
影响因子：
--
通讯作者：
Brook, JS
中科院分区：
文献类型：
--
作者：
Johnson, JG;Cohen, P;Brook, JS
背景：虽然研究表明，大量看电视可能与睡眠问题有关，但这种关联的方向尚未确定。目的：调查有关青春期和成年早期看电视与睡眠问题之间关系的方向性假设。设计：社区中的儿童研究，一项前瞻性纵向调查。参与者和环境：以社区为基础的样本，对来自纽约州北部的 759 名母亲及其子女在青春期早期进行了访谈（平均年龄为 14 岁），青春期中期（平均年龄 16 岁）和后代成年早期（平均年龄 22 岁）。主要结果指标：使用无组织性贫困访谈和儿童诊断访谈时间表的适龄版本来测量青春期和成年早期的电视观看和睡眠问题。结果：在青春期每天看电视 3 小时或以上的青少年，到成年早期频繁出现睡眠问题的风险显着升高。在对后代年龄、性别、既往睡眠问题、后代精神疾病、后代忽视、父母教育水平、父母年收入和父母精神症状进行统计控制后，这种风险升高仍然显着。将每天看电视的时间从 1 小时或更长减少到 1 小时以下的青少年，随后出现睡眠问题的风险显着降低。当之前的电视观看受到控制时，青春期期间的睡眠问题与随后的电视观看并不独立相关。结论：青春期期间大量观看电视可能会导致成年早期出现睡眠问题。
Background: Although research has suggested that extensive television viewing may be associated with sleep problems, the direction of this association has not yet been determined.Objective: To investigate directional hypotheses regarding the association between television viewing and sleep problems during adolescence and early adulthood.Design: The Children in the Community Study, a prospective longitudinal investigation.Participants and Setting: A community-based sample of 759 mothers from upstate New York and their offspring were interviewed during the early adolescence (mean age, 14 years), middle adolescence (mean age, 16 years), and early adulthood of the offspring (mean age, 22 years).Main Outcome Measures: Television viewing and sleep problems during adolescence and early adulthood measured using the Disorganizing Poverty Interview and the age-appropriate versions of the Diagnostic Interview Schedule for Children.Results: Adolescents who watched 3 or more hours of television per day during adolescence were at a significantly elevated risk for frequent sleep problems by early adulthood. This elevation in risk remained significant after offspring age, sex, previous sleep problems, offspring psychiatric disorders, offspring neglect, parental educational level, parental annual income, and parental psychiatric symptoms were controlled statistically. Adolescents who reduced their television viewing from I hour or longer to less than 1 hour per day experienced a significant reduction in risk for subsequent sleep problems. Sleep problems during adolescence were not independently associated with subsequent television viewing when prior television viewing was controlled.Conclusion: Extensive television viewing during adolescence may contribute to the development of sleep problems by early adulthood.