Sleep Habits, Sleep Problems, Sleep Hygiene, and Their Associations With Mental Health Problems Among Adolescents

Zhang, Jinwen; Xu, Zhiwei; Zhao, Kai; Chen, Ting; Ye, Xiuxia; Shen, Zhifei; Wu, Zengjiang; Zhang, Jun; Shen, Xiaoming; Li, Shenghui

doi:10.1177/1078390317715315

Cited by 30 publications

(23 citation statements)

References 47 publications

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“…In our study, we found that poor sleep quality had stronger association with adverse mental and behavioural outcomes than insufficient sleep duration. The findings are consistent with the results of other studies [30,[54][55][56]. Smaller effects of sleep duration can be explained by inter-individual variability in sleep needs and different individual vulnerability to sleep loss; thus, sleeping less than recommended time is not necessarily associated with adverse outcomes [4,6,16,30].…”

Section: Discussionsupporting

confidence: 91%

Difficulties in Getting to Sleep and their Association with Emotional and Behavioural Problems in Adolescents: Does the Sleeping Duration Influence this Association?

Kostičová

Husárová

Veselská

2020

IJERPH

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Sleep problems are common in adolescence with a negative impact on the mental health and functioning of adolescents. However, the roles of different sleep problems in relation to emotional and behavioural problems (EBPs), classified according to the 10th version of the International Classification of Diseases as emotional, conduct, hyperactivity and social functioning disorders, are not clear. The first aim of the study was to investigate the association between difficulties in getting to sleep and EBPs in adolescents. The second aim was to explore the role of sleep duration in this association. We used data from the Health Behaviour in School-aged Children (HBSC) study conducted in 2018 in Slovakia. Presented are results for specific age groups of 13-year-old (N = 1909) and 15-year-old (N = 1293) adolescents. Subjective measures of sleep variables were used. Binary logistic regression models adjusted for age and gender were used to assess associations between difficulties in getting to sleep, sleep duration and EBPs measured using the Strengths and Difficulties Questionnaire. Modification of the association between difficulties in getting to sleep and EBPs by sleep duration was also explored. We found that difficulties in getting to sleep at least once a week as well as insufficient sleep (less than 8 h) increased the probability of EBPs. Interactions of sleep duration with difficulties in getting to sleep on EBPs were found to be non-significant. The results suggest that caregivers and clinicians should screen and intervene for both sleep quality and quantity problems in adolescents as they might indicate and promote EBPs.

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Section: Discussionsupporting

confidence: 91%

Difficulties in Getting to Sleep and their Association with Emotional and Behavioural Problems in Adolescents: Does the Sleeping Duration Influence this Association?

Kostičová

Husárová

Veselská

2020

IJERPH

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“…Finally, some studies reviewed above combine sleep-related difficulties into one construct, thus not taking into account the differential relations of each sleep problem with unique measures of daytime functioning ( 16 , 63 , 64 ). Thus, whether or not DDs are related equally across internalizing and externalizing problems remains to be determined.…”

Section: Introductionmentioning

confidence: 99%

Disturbing Dreams and Psychosocial Maladjustment in Children: A Prospective Study of the Moderating Role of Early Negative Emotionality

et al. 2020

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Although frequent disturbing dreams, including bad dreams and nightmares, have been repeatedly associated with poor psychological well-being in adults, considerably less information exists on their psychosocial correlates in children. Recent empirical and theoretical contributions suggest that the association between disturbing dream frequency and psychosocial adaptation in children may differ as a function of children's negative emotionality. The current study assessed the moderating effect of very early negative emotionality (17 months of age) in the relation between disturbing dream frequency and psychosocial maladjustment (i.e., externalizing + internalizing behaviors) in a sample of 173 11-year-old children. Mixed-model analyses revealed that disturbing dream frequency was associated with some internalizing behaviors but that the association between disturbing dream frequency and most externalizing behaviors was moderated by early negative emotionality. The latter result indicates that the relation between disturbing dream frequency and externalizing behaviors was significant in 11-year-old children showing moderate negative emotionality early in life, but particularly strong in those children with high early negative emotionality. Whereas, a moderating effect of early negative emotionality was not found between disturbing dream frequency and internalizing behaviors, the findings highlight the more specific role of early emotional negativity as a developmental moderator for the link between disturbing dreams and externalizing behaviors in children. The results are discussed in light of recent models of disturbed dreaming production.

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“…[ 2 3 4 5 ] Therefore, sleep hygiene programs might help amend sleep quality and reduce the burden of sleep-related problems. [ 6 7 8 ] It is suggested that interventions for adjusting sleep hygiene behaviors may help in reducing the risk of sleep-related problems. [ 9 10 ]…”

Section: Introductionmentioning

confidence: 99%

“…These consequences include physical and mental health impairments, diminished productivity, accident proneness, increased medical utilization, and elevated risk of psychiatric disorders. [ 4 7 8 11 ]…”

Section: Introductionmentioning

confidence: 99%

Sleep hygiene, sleep-related problems, and their relations with quality of life in a primary-care population in southwest Saudi Arabia

Awadalla

Mahfouz

Shehata

et al. 2020

J Family Med Prim Care

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Background: Little is recognized about factors affecting poor sleep hygiene and relations of sleep problems with the quality of life among adults. Aims: To evaluate sleep hygiene, explore its associated factors, assess the prevalence of excessive daytime sleepiness (EDS) and insomnia, and their relations with sleep hygiene. Besides, correlate sleep problems with life quality. Methods: A representative sample of primary healthcare population was surveyed using questionnaires comprising sociodemographic characters, personal lifestyles, validated Arabic versions of Epworth sleepiness scales, Athens insomnia scale, short-form health survey questionnaire (SF-12), and developed Arabic sleep hygiene index (SHI). Results: A total of 401 adults participated in the study. The average SHI score was 17.25 ± 7.33. Poorer sleep hygiene was significantly detected in younger age, unmarried, unemployed, smokers, and energy drinks consumers ( P < 0.05). Positive significant correlations were correlated with cellphone and video-gaming duration. About 56.61% and 39.90% of participants suffered insomnia symptoms and EDS, respectively. Significant poorer SHI was detected among insomnia and EDS sufferers. Negative significant correlations were observed between scores of both components of SF-12 and EDS, insomnia, and SHI. Conclusion: Significant negative associations were detected between SHI, EDS, insomnia, and both components of life quality. The role of sleep hygiene education programs in the promotion of sleep and quality of life need to be considered.

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Sleep Habits, Sleep Problems, Sleep Hygiene, and Their Associations With Mental Health Problems Among Adolescents

Abstract: The clinical significance of the findings lies in the emphasis of comprehensive screening of sleep in the predicting, diagnosis, nursing, and intervention of adolescents' mental health problems.

Cited by 30 publications

References 47 publications

Difficulties in Getting to Sleep and their Association with Emotional and Behavioural Problems in Adolescents: Does the Sleeping Duration Influence this Association?

Difficulties in Getting to Sleep and their Association with Emotional and Behavioural Problems in Adolescents: Does the Sleeping Duration Influence this Association?

Disturbing Dreams and Psychosocial Maladjustment in Children: A Prospective Study of the Moderating Role of Early Negative Emotionality

Sleep hygiene, sleep-related problems, and their relations with quality of life in a primary-care population in southwest Saudi Arabia

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