在美国成年人中,睡眠时间和睡眠困难与抑郁症状之间的相互作用,NHANES 2015-2018年
Shanshan Wang1, Matthew E Rossheim2, Rajesh R Nandy1
1Department of Population & Community Health, School of Public Health, University of North Texas Health Science Center, Fort Worth, TX, USA.
Journal of affective disorders
|February 1, 2024
概括
短时间或长时间的睡眠时间与睡眠困难相结合,在美国成年人中显著增加了抑郁症状. 共同解决睡眠健康方面的问题对于管理抑郁症至关重要.
科学领域:
- 流行病学 流行病学
- 睡眠医学 睡眠医学
- 精神病学是一个精神病学.
背景情况:
- 抑郁症状是一个重大的公共卫生问题.
- 睡眠障碍,包括持续时间和睡眠困难,经常与心理健康问题有关.
- 了解不同睡眠参数和抑郁症之间的相互作用对于有效的干预至关重要.
研究的目的:
- 调查睡眠时间 (短或长) 与睡眠困难之间的联系.
- 检查睡眠时间和睡眠困难对美国成年人抑郁症状的相互作用影响.
主要方法:
- 对2015-2018年国家健康和营养检查调查 (NHANES) 数据的分析 (N=10,044).
- 自我报告的睡眠时间 (短 ≤6h,正常>6至<9h,长 ≥9h) 和睡眠困难.
- 使用患者健康问卷-9 (PHQ-9) 评分 (≥10) 评估的抑郁症状.
- 进行了加法和乘法相互作用分析.
主要成果:
- 在短睡眠时间和睡眠困难之间发现了对抑郁症状的显著正增益相互作用 (RERI=4.42).
- 在长时间的睡眠时间和睡眠困难与抑郁症状之间也观察到显著的积极附加相互作用 (RERI=4.17).
- 在睡眠时间和睡眠困难之间没有检测到多重相互作用.
结论:
- 睡眠时间和睡眠困难协同相互作用,影响抑郁症状.
- 这些相互作用占睡眠和抑郁症之间的关联的很大一部分.
- 同时考虑多个睡眠健康维度对于理解和解决抑郁症状很重要.
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