Unfair Treatment Is Associated With Poor Sleep in African American and Caucasian Adults: Pittsburgh SleepSCORE Project
Unfair Treatment Is Associated With Poor Sleep in African American and Caucasian Adults: Pittsburgh SleepSCORE Project
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DOI：
10.1037/a0022976
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发表时间：
2011-05-01
影响因子：
4.2
通讯作者：
Matthews, Karen A.
中科院分区：
文献类型：
--
作者：
Beatty, Danielle L.;Hall, Martica H.;Matthews, Karen A.
目的：在非裔美国人和白人成年人中测试自我报告的不公平待遇与客观和自我报告的睡眠特征之间的关联。设计：对97名非裔美国人和113名白人中年人进行横断面研究。主要结局指标：参与者完成：（a）两晚的家庭多导睡眠图（PSG）睡眠研究，（B）9天9夜的睡眠日记和活动记录仪评估，以及（c）过去一个月的睡眠质量和过去2周的日间嗜睡的自我报告测量。结果如下：更大的不公平待遇与报告的自我报告的睡眠质量较差和白天嗜睡，睡眠时间较短，睡眠效率较低（通过体动仪和PSG测量），以及快速眼动（REM）睡眠的比例较小有关。种族/民族差异很小。探索性分析表明，夜间担忧部分介导了不公平待遇与睡眠质量，白天嗜睡，睡眠效率（活动记录）和REM睡眠比例的关系。结论：在非裔美国人和白人成年人中，对不公平待遇的感知与睡眠障碍有关。未来的研究需要确定解释不公平待遇和睡眠之间联系的途径。
Objective: To test the association between self-reported unfair treatment and objective and self-reported sleep characteristics in African American and Caucasian adults. Design: Cross-sectional study of 97 African American and 113 Caucasian middle-aged adults. Main Outcome Measures: Participants completed: (a) two-night in-home, polysomnography (PSG) sleep study, (b) sleep diaries and actigraph assessments across 9 days and nights, and (c) self-report measures of sleep quality in the past month, and daytime sleepiness in the past 2 weeks. Results: Greater unfair treatment was associated with reports of poorer self-reported sleep quality and greater daytime sleepiness, shorter sleep duration, and lower sleep efficiency as measured by actigraphy and PSG, and a smaller proportion of rapid eye movement (REM) sleep. Racial/ethnic differences were few. Exploratory analyses showed that nightly worry partially mediated the associations of unfair treatment with sleep quality, daytime sleepiness, sleep efficiency (actigraphy), and proportion of REM sleep. Conclusion: Perceptions of unfair treatment are associated with sleep disturbances in both African American and Caucasian adults. Future studies are needed to identify the pathways that account for the association between unfair treatment and sleep.