Stressful life events, insomnia and suicidality in a large sample of Chinese adolescents

Liu, Bao-Peng; Wang, Xinting; Liu, Zhenzhen; Wang, Ze-Ying; Liu, Xianchen; Jia, Cun-Xian

doi:10.1016/j.jad.2019.02.047

Cited by 53 publications

(26 citation statements)

References 51 publications

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“…The authors also found that the 3 groups of steel workers who had experienced more life events in the past 12 months were associated with a greater risk of insomnia. A study of stressful life events, insomnia, and suicide risks in Chinese adolescents has reached the same hypothesis that stressful life events are related to insomnia [31]. The same results have also been reported in studies that focused on U.S. Army soldiers prior to deployment [32], and on a community of older people in 4 cities in the Hebei Province,…”

Section: Acknowledgmentssupporting

confidence: 62%

Job category differences in the prevalence and associated factors of insomnia in steel workers in China

Cui

et al. 2020

Int J Occup Med Environ Health

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This study aimed to investigate the prevalence of insomnia and risk factors among different job categories of steel workers in China, in order to improve their quality of occupational life. Material and Methods: A cross-sectional face-to-face survey was conducted which involved 5834 steel workers from a large enterprise located in northern China, including front-line, maintenance and inspection, and other auxiliary workers. The Athens Insomnia Scale and the Job Content Questionnaire were used to assess the status of insomnia and job stress/social support, respectively. Multivariable logistic regression was used to identify factors influencing insomnia. Results: The overall prevalence of insomnia was determined at 42.0% (95% confidence interval: 40.7%-43.2%). For front-line, maintenance and inspection, and other auxiliary workers, the prevalence was 42.3%, 39.8%, and 47.9% (p = 0.001), respectively. The participants with high stress and low support, and those who had experienced ≥2 major life events in the past 12 months, compared to those with low stress and high support, and those without major events, displayed an increased risk of insomnia among all 3 job categories (the adjusted odds ratio ranged 1.56-2.38 and 1.30-1.75, respectively). The educational level, shift work, alcohol consumption, and present illness were identified as influencing factors of insomnia for 1 or 2 job categories. Conclusions: The prevalence of insomnia was the highest in the group of other auxiliary steel workers among the 3 job categories of steel workers under consideration. While the influencing factors of insomnia differed among the groups, job stress and major life events were common risk factors of insomnia among the 3 categories of steel workers.

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Section: Acknowledgmentssupporting

confidence: 62%

Job category differences in the prevalence and associated factors of insomnia in steel workers in China

Cui

et al. 2020

Int J Occup Med Environ Health

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“…In all, there were 24 negative events included in the study. Since self-harm in adolescents has been associated with the combination of multiple negative life events, [26][27][28] an additional variable, 'total negative life events' was created by taking the sum of all individual negative life events endorsed by each participant to obtain an index of the total negative life events experienced during the past year. This was further placed into three categories: ≤5 negative events (coded 0), 6-10 negative events (coded 1) and >10 negative events (coded 2); for ease of interpretation of the results.…”

Section: Statistical Tools and Analysis Proceduresmentioning

confidence: 99%

Self-harm among in-school and street-connected adolescents in Ghana: a cross-sectional survey in the Greater Accra region

et al. 2021

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ObjectivesTo identify the prevalence, methods, associations and reported reasons for self-harm among in-school and street-connected adolescents in Ghana.DesignA cross-sectional survey. We applied multi-level regression models and model-based cluster analysis to the data.SettingThree contexts in the Greater Accra region were used: second cycle schools, facilities of charity organisations and street census enumeration areas (sleeping places of street-connected adolescents, street corners, quiet spots of restaurants, markets, train and bus stations, and lorry and car parks).ParticipantsA regionally representative sample of 2107 (1723 in-school and 384 street-connected) adolescents aged 13–21 years.Outcome measuresParticipants responded to a structured self-report anonymous questionnaire describing their experience of self-harm and eliciting demographic information and social and personal adversities.ResultsThe lifetime prevalence of self-harm was 20.2% (95% CI 19.0% to 22.0%), 12-month prevalence was 16.6% (95% CI 15.0% to 18.0%) and 1-month prevalence was 3.1% (95% CI 2.0% to 4.0%). Self-injury alone accounted for 54.5% episodes and self-poisoning alone for 16.2% episodes, with more than one method used in 26% of episodes. Self-cutting (38.7%) was the most common form of self-injury, whereas alcohol (39.2%) and medications (27.7%) were the most commonly reported means of self-poisoning. The factors associated with self-harm were interpersonal: conflict with parents (adjusted OR (aOR)=1.87, 95% CI 1.24 to 2.81), physical abuse victimisation (aOR=1.69, 95% CI 1.16 to 2.47), difficulty in making and keeping friends (aOR=1.24, 95% CI 0.85 to 1.80), sexual abuse victimisation (aOR=1.21, 95% CI 0.78 to 1.87) and conflict between parents (aOR=1.07, 95% CI 0.73 to 1.56).ConclusionsSelf-harm is a significant public health problem among in-school and street-connected adolescents in the Greater Accra region of Ghana. Its origins are very largely in social and familial adversity, and therefore prevention and treatment measures need to be focused in these areas.

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“…They were also more likely to have had a psychiatric history compared to their non-RLS counterparts (depression in 21.2% of the cases and anxiety in 3.4%). SLE is known to influence human behavior in multiple ways, often increasing the risk of suicide and depression [34][35][36]. In a study involving 169,373 participants, idiopathic RLS was found to be linked to an elevated risk of suicide and self-harm [37].…”

Section: Discussionmentioning

confidence: 99%

Restless Legs Syndrome During Pregnancy and 12 Weeks Postpartum and Its Links to Cardiovascular Diseases, Stressful Life Events, and Psychiatric History

Goecke

Schnakenberg

Frensch

et al. 2020

JCM

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Restless legs syndrome (RLS) is highly prevalent among pregnant women. In the present study, a neurological–obstetrical sample of 561 postpartum women was retrospectively screened for RLS symptoms during pregnancy and in the first 12 weeks postpartum. The first screening took place within 1 to 6 days of delivery (T0) and the second 12 weeks after childbirth (T1). The pregnancy-related RLS prevalence rate was found to be 21% (n = 119), with the women suffering from RLS being more often affected by psychiatric history and having been more exposed to stressful life events. They were also found to have experienced baby blues more frequently shortly after childbirth. However, RLS in pregnancy did not appear to have any effect on the development of postpartum depression. Additionally, a positive trend was observed toward an association between pregnancy-related RLS and gestational diabetes and hypertension. Of the 119 women, 23 (19.3%) remained affected by RLS 12 weeks postpartum. Body mass index (BMI), weight gain, parity, childbearing history, or chronic stress exposure in pregnancy as measured by hair cortisol were not found to be linked to RLS. In summary, a comprehensive understanding of the interaction of clinical, environmental, and anamnestic factors can help shed valuable light on this pregnancy-related condition.

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Stressful life events, insomnia and suicidality in a large sample of Chinese adolescents

Cited by 53 publications

References 51 publications

Job category differences in the prevalence and associated factors of insomnia in steel workers in China

Job category differences in the prevalence and associated factors of insomnia in steel workers in China

Self-harm among in-school and street-connected adolescents in Ghana: a cross-sectional survey in the Greater Accra region

Restless Legs Syndrome During Pregnancy and 12 Weeks Postpartum and Its Links to Cardiovascular Diseases, Stressful Life Events, and Psychiatric History

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