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Sleep in a large, multi-university sample of college students: sleep problem prevalence, sex differences, and mental health correlates

机译:在大型的多元大学生样本中睡眠:睡眠问题的患病率,性别差异和心理健康相关

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Objectives: To (1) describe sleep problems in a large, multi-university sample of college students; (2) evaluate sex differences; and (3) examine the unique associations of mental health symptoms (i.e., anxiety, depression, attention-deficit/hyperactivity disorder inattention [ADHD-IN], ADHD hyperactivity-impulsivity [ADHD-HI]) in relation to sleep problems.Methods: 7,626 students (70% female; 81% White) ages 18-29 years (M=19.14, SD=1.42) from six universities completed measures assessing mental health symptoms and the Pittsburgh Sleep Quality Index (PSQJ).Results: A substantial minority of students endorsed sleep problems across specific sleep components. Specifically, 27% described their sleep quality as poor, 36% reported obtaining less than 7 hours of sleep per night, and 43% reported that it takes >30 minutes to fall asleep at least once per week. 62% of participants met cut-off criteria for poor sleep, though rates differed between females (64%) and males (57%). In structural regression models, both anxiety and depression symptoms were uniquely associated with disruptions in most PSQI sleep component domains. However, anxiety (but not depression) symptoms were uniquely associated with more sleep disturbances and sleep medication use, whereas depression (but not anxiety) symptoms were uniquely associated with increased daytime dysfunction. ADHD-IN symptoms were uniquely associated with poorer sleep quality and increased daytime dysfunction, whereas ADHD-HI symptoms were uniquely associated with more sleep disturbances and less daytime dysfunction. Lastly, ADHD-IN, anxiety, and depression symptoms were each independently associated with poor sleep status. Conclusions: This study documents a high prevalence of poor sleep among college students, some sex differences, and distinct patterns of mental health symptoms in relation to sleep problems.
机译:目标:(1)描述大型多大学学生样本中的睡眠问题; (2)评估性别差异; (3)检查与睡眠问题有关的心理健康症状(即焦虑,抑郁,注意力缺陷/多动障碍)的独特关联[ADHD-IN],ADHD多动症 - 动力冲动[ADHD-HI])与睡眠问题有关。来自六所大学的7,626名学生(70%的女性; 81%白人)18-29岁(M = 19.14,SD = 1.42)完成了评估心理健康症状的措施,匹兹堡睡眠质量指数(PSQJ)。学生在特定的睡眠组件中认可睡眠问题。具体而言,有27%的人将其睡眠质量描述为较差,36%的人报告每晚的睡眠少于7个小时,而43%的人报告说,每周至少入睡一次> 30分钟。尽管女性(64%)和男性(57%),有62%的参与者符合睡眠不良的截止标准。在结构回归模型中,焦虑症和抑郁症状都与大多数PSQI睡眠组件结构域中的干扰唯一相关。但是,焦虑(但不是抑郁症)症状与更多的睡眠障碍和使用睡眠药物的使用是独特的,而抑郁症(但不是焦虑)症状与日常功能障碍的唯一相关。 ADHD症状与睡眠质量较差和日常功能障碍的症状独特相关,而ADHD-HI症状与更多的睡眠障碍和日常功能障碍较小。最后,ADHD,焦虑和抑郁症状各自与睡眠状况差有关。结论:这项研究记录了大学生睡眠不良的高流行,一些性别差异以及与睡眠问题有关的精神健康症状模式的不同模式。

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