社会和昼夜节律失调和自杀:一个系统的审查和元分析
Rachel F L Walsh1, Mackenzie A Maddox1, Logan T Smith1
1Department of Psychology and Neuroscience, Temple University, USA.
Neuroscience and biobehavioral reviews
|January 25, 2024
概括
晚间的年代型和不规则的社会节奏与自杀思想和行为 (STB) 有关. 客观的昼夜节律障碍,如白天活动减少,也与STB相关,突出进一步研究的需要.
科学领域:
- 精神病学是一个精神病学.
- 时间生物学 时间生物学
- 睡眠医学 睡眠医学
背景情况:
- 自杀的想法和行为 (STB) 是重大的公共卫生问题.
- 了解昼夜节律和STB中的社交时间的作用对于开发有效的干预措施至关重要.
研究的目的:
- 量化合成关于STB的社会和昼夜节律相关的经验文献.
- 评估晚间时代型和社会节律不规则性STB的预测价值.
主要方法:
- 52项研究的系统综述和定量综合.
- 对各种社会和昼夜节律指标的聚合效应大小的元分析.
- 包括纵向研究来检查预测关系.
主要成果:
- 晚间时型和STB的效果大小小到中等,随着出版偏差校正而减少.
- 社会节律不规则显示了与STB相关的中等效果大小.
- 某些客观的昼夜节律指标 (例如,白天活动,睡眠-清醒障碍诊断,动图振幅) 与STB (中等到大效果大小) 有关.
结论:
- 晚间的年代型和社会节奏的破坏与性传播疾病有关.
- 客观的昼夜节律障碍,特别是与活动模式相关的,显示出与STB的重大联系.
- 需要使用客观昼夜标记器进行进一步的纵向研究,以澄清内源昼夜功能的STB中的作用.
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