青少年睡眠作为一个跨诊断因素:在Actigraphy衍生的夜间睡眠指标和青少年精神病理学之间的关联
Eric M Phillips1, Emily L Goldberg1, Rebecca L Brock1
1University of Nebraska-Lincoln, Lincoln, Nebraska.
JAACAP open
|September 9, 2025
概括
青少年的睡眠变化,而不仅仅是持续时间,与心理病理学的一般因素有关. 改善睡眠的一致性可能有助于减少年轻人的各种心理健康问题.
科学领域:
- 精神病学是一个精神病学.
- 睡眠医学 睡眠医学
- 发展心理学 发展心理学
背景情况:
- 青春期是精神疾病发病的关键时期.
- 睡眠障碍在青少年中很常见,可能在精神病理学中起作用.
- 跨诊断因素,跨越不同的心理健康状况,越来越多地被认为是干预的重要目标.
研究的目的:
- 为了检查行为摄影衍生睡眠指标与青少年心理病理学之间的关联.
- 为了确定睡眠指标是否可以作为精神病问题的跨诊断因素.
- 研究个体内睡眠变化,平均睡眠时间,睡觉时间和清醒时间在青少年心理健康中的作用.
主要方法:
- 招募了238名青少年 (14-18岁) 的样本,对社会经济风险进行过量抽样.
- 心理病理学的双因素模型被用来评估失调和心理病理的一般因素 (GF-DP) 和特定的内部化/外部化因素.
- 多层结构方程建模分析了14个晚上的睡眠变化和与精神病理的关联.
主要成果:
- 在GF-DP和睡眠持续时间的个体内变化之间发现了显著的积极关联 (β = 0.18).
- 睡眠时间变化和精神病理之间的这种关联在人口统计学特征中是一致的.
- 心理病理与特定的内化/外化问题或其他睡眠指标 (如平均持续时间,睡觉时间或清醒时间) 之间没有发现显著的关联.
结论:
- 睡眠时间的个体内变化是青少年精神病理学的关键跨诊断因素.
- 针对睡眠变化的目标可能会导致针对广泛的精神疾病的更有效的干预措施.
- 未来需要使用多样化的样本和纵向设计进行研究来证实这些发现.
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