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Association between mental health status and sleep status among adolescents in Japan: a nationwide cross-sectional survey.

机译:日本青少年心理健康状况与睡眠状况之间的关联:全国性横断面调查。

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OBJECTIVE: Previous epidemiological studies on relationships between mental health status and sleep status of adolescents have not been sufficiently representative. In the present study, using samples representative of Japanese adolescents nationwide, associations between mental health status and various sleep statuses were examined. METHOD: The survey was conducted in December 2004 and January 2005 among students enrolled in randomly selected junior and senior high schools throughout Japan, using self-administered questionnaires that addressed lifestyle, sleep status, mental health status, and personal data. Of 103,650 questionnaires collected, 99,668 were analyzed. Sleep status was assessed according to sleep duration, subjective sleep assessment, bedtime, and insomnia symptoms. The Japanese version of the 12-item General Health Questionnaire was employed for assessment of mental health status. RESULTS: Mental health status of subjects whose sleep duration was less than 7 hours, and those who slept 9hours or more, was poorer than that of subjects who slept for 7 hours or more but less than 9 hours. A U-shaped association was observed between mental health status and sleep duration. Furthermore, a linear association was observed between subjective sleep assessment and mental health status; the worse the subjective sleep assessment, the poorer the mental health status. Mental health status was also inversely proportional to the frequency of insomnia symptoms. CONCLUSION: The fact that sleep duration and subjective sleep assessment showed different patterns of association with mental health status indicates that these 2 sleep parameters have independent significance. Considering these associations, it is important to promote mental health care and sleep hygiene education for adolescents.
机译:目的:以前关于青少年心理健康状况与睡眠状况之间关系的流行病学研究尚未充分代表性。在本研究中,使用全国范围内代表日本青少年的样本,研究了心理健康状况与各种睡眠状况之间的关联。方法:该调查是在2004年12月和2005年1月对日本全国随机选择的初中和高中入学的学生进行的,调查采用的是针对生活方式,睡眠状况,心理健康状况和个人数据的自我管理问卷。在收集的103,650份问卷中,分析了99,668份。根据睡眠时间,主观睡眠评估,就寝时间和失眠症状评估睡眠状态。日语版的12个项目的一般健康问卷被用于评估心理健康状况。结果:睡眠时间少于7小时的受试者以及睡眠9小时以上的受试者的心理健康状况要比睡眠7小时以上但少于9小时的受试者的心理健康状况差。在心理健康状况和睡眠时间之间观察到一个U型联系。此外,观察到主观睡眠评估与心理健康状况之间存在线性关系。主观睡眠评估越差,心理健康状况越差。心理健康状况也与失眠症状的发生频率成反比。结论:睡眠时间和主观睡眠评估显示出与心理健康状况相关的不同模式这一事实表明,这两个睡眠参数具有独立的意义。考虑到这些关联,重要的是促进青少年的心理保健和睡眠卫生教育。

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