Sleep: An Important Factor in Stress-Health Models

Sleep: An Important Factor in Stress-Health Models
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DOI:
10.1002/smi.1304
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发表时间:
2010-08-01
期刊:
影响因子:
4.1
通讯作者:
Benham, Grant
Benham, Grant
中科院分区:
医学3区
文献类型:
--
作者:
Benham, Grant

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越来越多的文献支持心理压力会对身体健康产生负面影响的观点。在开展压力/健康调查计划的同时,研究人员正在证明睡眠不佳对健康的有害影响。目前的研究同时研究了压力和睡眠与健康的关系。 218 名受试者完成了一份匿名调查包,其中包括压力、睡眠和健康指标。心理压力(通过生活事件和自我感知的压力来评估)、白天嗜睡和睡眠质量差,但与睡眠量无关,都与健康呈负相关。整合两种压力测量的回归模型是统计上显着的健康预测因子。将睡眠指标添加到压力-健康模型中,在健康评分的方差中所占的比例在统计学上显着更高,而压力+睡眠模型则在健康评分的方差中占 39-56%,具体取决于所使用的健康指标。这些结果表明,压力和健康的研究可能会受益于纳入睡眠措施,并且从实践的角度来看,睡眠不佳可能不仅仅是心理压力的后遗症,而是应该作为治疗计划的一部分积极解决的一个因素。版权所有 (C) 2010 约翰·威利父子有限公司
A growing body of literature supports the notion that psychological stress negatively impacts physical health. In parallel to this programme of stress/health investigations, researchers are demonstrating the deleterious health effects of poor sleep. The current study simultaneously examines the association of both stress and sleep with health. Two hundred and eighteen subjects completed an anonymous survey packet that included stress, sleep and health measures. Psychological stress (as assessed by both life-events and by self-perceived stress), daytime sleepiness and poor sleep quality, but not sleep quantity, were all negatively associated with health. A regression model that integrated both stress measures was a statistically significant predictor of health. Adding the sleep measures to the stress-health model accounted for a statistically significantly greater proportion of the variance in health scores, with the stress + sleep model accounting for 39-56 per cent of the variance in health scores depending on the health measure used. These results suggest that studies of stress and health may benefit from the inclusion of sleep measures and that, from a practical standpoint, poor sleep might be best understood not simply as a sequela of psychological stress but rather as a factor that should be actively addressed as part of the treatment programme. Copyright (C) 2010 John Wiley & Sons, Ltd.