Regularity and Timing of Sleep Patterns and Behavioral Health Among Adolescents.
Regularity and Timing of Sleep Patterns and Behavioral Health Among Adolescents.
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DOI：
10.1097/dbp.0000000000001013
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发表时间：
2022-05-01
影响因子：
2.4
通讯作者：
Engelhard, Matthew M.
中科院分区：
文献类型：
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作者：
Lunsford-Avery, Jessica R.;(Will) Wang, Ke;Kollins, Scott H.;Chung, Richard J.;Keller, Casey;Engelhard, Matthew M.
睡眠对于支持青少年的行为健康和功能至关重要;然而，在许多医疗保健机构中，睡眠障碍仍然没有得到充分的认识和治疗。一个障碍是睡眠的复杂性，这使得提供者很难确定哪些方面-除了睡眠时间-可能是最重要的评估和治疗，以支持青少年健康。目前的研究检查了两个睡眠指数（规律性，时间）与青少年行为健康和功能之间的关联，以及缩短/碎片化睡眠的影响。从社区招募的89名青少年（平均年龄=14.04，45%为女性）完成了7天/夜的体动记录，并与父母/监护人一起沿着，报告了行为健康（内化和外化症状）和心理社会功能。逐步线性回归分析了睡眠时间和规律性与行为/功能结果之间的关联，考虑了缩短/碎片化的睡眠。延迟睡眠时间与更大的自我报告的内在化（F（6，82）= 11.57，p= 0.001）和外在化（F（6，82）= 11.12，p= 0.001）症状相关。不规律的睡眠与自我和父母报告的外部症状有关（自我：F（7，81）= 6.55，p=.01;父母：F（7，80）= 6.20，p=.01）和较低的心理社会功能（自身：F（7，81）= 6.03，p= 0.02;父母：F（7，78）= 3.99，p<0.05）。睡眠规律和时间可能对于了解青少年行为健康不良和功能缺陷的风险以及预防和干预目标至关重要。未来的工作应该集中在开发和评估方便，低成本，有效的方法来解决延迟和/或不规则的青少年睡眠模式在现实世界的医疗保健环境。
Sleep is vital to supporting adolescent behavioral health and functioning; however, sleep disturbances remain under-recognized and undertreated in many health care settings. One barrier is the complexity of sleep, which makes it difficult for providers to determine which aspects—beyond sleep duration—may be most important to assess and treat to support adolescent health. The current study examined associations between two sleep indices (regularity, timing) and adolescent behavioral health and functioning over and above the impact of shortened/fragmented sleep. Eighty-nine adolescents recruited from the community (mean age=14.04, 45% females) completed seven days/nights of actigraphy, and along with a parent/guardian, reported on behavioral health (internalizing and externalizing symptoms) and psychosocial functioning. Stepwise linear regressions examined associations between sleep timing and regularity and behavioral/functional outcomes after accounting for shortened/fragmented sleep. Delayed sleep timing was associated with greater self-reported internalizing (F(6,82)= 11.57, p=.001) and externalizing (F(6,82)= 11.12, p=.001) symptoms after accounting for shortened/fragmented sleep. Irregular sleep was associated with greater self- and parent-reported externalizing symptoms (self: F(7,81)= 6.55, p=.01; parent: F(7,80)= 6.20, p=.01) and lower psychosocial functioning (self: F(7,81)= 6.03, p=.02; parent: F(7,78)= 3.99, p<.05) after accounting for both shortened/fragmented sleep and delayed sleep timing. Sleep regularity and timing may be critical for understanding risk for poor behavioral health and functional deficits among adolescents and as prevention and intervention targets. Future work should focus on developing and evaluating convenient, low-cost, and effective methods for addressing delayed and/or irregular adolescent sleep patterns in real-world health care settings.