• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文OA文献 >Social class and gender patterning of insomnia symptoms and psychiatric distress: a 20-year prospective cohort study.
【2h】

Social class and gender patterning of insomnia symptoms and psychiatric distress: a 20-year prospective cohort study.

机译：失眠症状和精神困扰的社会阶层和性别模式：一项为期20年的前瞻性队列研究。

代理获取
本网站仅为用户提供外文OA文献查询和代理获取服务，本网站没有原文。下单后我们将采用程序或人工为您竭诚获取高质量的原文，但由于OA文献来源多样且变更频繁，仍可能出现获取不到、文献不完整或与标题不符等情况，如果获取不到我们将提供退款服务。请知悉。
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: Psychiatric distress and insomnia symptoms exhibit similar patterning by gender and socioeconomic position. Prospective evidence indicates a bi-directional relationship between psychiatric distress and insomnia symptoms so similarities in social patterning may not be coincidental. Treatment for insomnia can also improve distress outcomes. We investigate the extent to which the prospective patterning of distress over 20 years is associated with insomnia symptoms over that period. METHODS: 999 respondents to the Twenty-07 Study had been followed for 20 years from approximately ages 36-57 (73.2% of the living baseline sample). Psychiatric distress was measured using the GHQ-12 at baseline and at 20-year follow-up. Gender and social class were ascertained at baseline. Insomnia symptoms were self-reported approximately every five years. Latent class analysis was used to classify patterns of insomnia symptoms over the 20 years. Structural Equation Models were used to assess how much of the social patterning of distress was associated with insomnia symptoms. Missing data was addressed with a combination of multiple-imputation and weighting. RESULTS: Patterns of insomnia symptoms over 20 years were classified as either healthy, episodic, developing or chronic. Respondents from a manual social class were more likely to experience episodic, developing or chronic patterns than those from non-manual occupations but this was mostly explained by baseline psychiatric distress. People in manual occupations experiencing psychiatric distress however were particularly likely to experience chronic patterns of insomnia symptoms. Women were more likely to experience a developing pattern than men, independent of baseline distress. Psychiatric distress was more persistent over the 20 years for those in manual social classes and this effect disappeared when adjusting for insomnia symptoms. Irrespective of baseline symptoms, women, and especially those in a manual social class, were more likely than men to experience distress at age 57. This overall association for gender, but not the interaction with social class, was explained after adjusting for insomnia symptoms. Sensitivity analyses supported these findings. CONCLUSIONS: Gender and socioeconomic inequalities in psychiatric distress are strongly associated with inequalities in insomnia symptoms. Treatment of insomnia or measures to promote healthier sleeping may therefore help alleviate inequalities in psychiatric distress.
机译：背景：精神疾病和失眠症状在性别和社会经济地位方面表现出相似的模式。前瞻性证据表明精神病困扰与失眠症状之间存在双向关系，因此社交模式的相似之处可能并非巧合。失眠的治疗也可以改善痛苦的结果。我们调查了在过去20年中，前瞻性困扰的模式与失眠症状相关的程度。方法：从20到36岁至57岁（占生活基线样本的73.2％）对999名受访者进行了20年-07期间的研究，随访了20年。使用GHQ-12在基线和20年随访中测量精神病困扰。在基线时确定了性别和社会阶层。大约每五年会自我报告失眠症状。使用潜在类别分析对20年来的失眠症状进行分类。结构方程模型用于评估困扰的社会模式与失眠症状的相关程度。丢失数据是通过多次输入和加权相结合来解决的。结果：20年来失眠症状的类型分为健康，发作，发展或慢性。与非体力劳动者相比，体力劳动者的经历者更容易经历发作，发展或慢性模式，但这主要是由基线精神病困扰所致。然而，从事精神疾病的体力劳动者特别容易出现失眠症状的慢性模式。与基线困扰无关，女性比男性更有可能经历发展模式。对于那些参加手工社交班的人来说，精神病困扰在20年中更加持久，并且在调整了失眠症状后这种效果消失了。不论基线症状如何，女性（尤其是处于手动社交班级的女性）在57岁时比男性更有可能遭受困扰。在调整了失眠症状之后，可以解释这种总体上的性别关联，而不是与社交阶层的互动。敏感性分析支持了这些发现。结论：精神疾病的性别和社会经济不平等与失眠症状的不平等密切相关。因此，治疗失眠或采取促进健康睡眠的措施可能有助于缓解精神疾病的不平等现象。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
代理获取

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号