What Keeps Night Owls Well During the Week? Sleep Onset Consistency as a Moderator Between Morningness-Eveningness and Adolescent Development.

IF 2.2 3区 医学 Q3 CLINICAL NEUROLOGY Behavioral Sleep Medicine Pub Date : 2024-10-06 DOI:10.1080/15402002.2024.2412331
Brian T Gillis, Mina Shimizu, Emily F Brigham, Ben Hinnant, Mona El-Sheikh
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Abstract

Objectives: A preference for eveningness - one's perception of being most alert later in the day - is associated with negative developmental outcomes in adolescence. Sleep onset consistency is protective against such outcomes. Toward a more nuanced understanding of relations between sleep-wake processes and adolescent development, we examined weeknight sleep onset consistency as a moderator of relations between eveningness and multiple indicators of development.

Method: A sample of 272 high-school students (Mage = 17 years, SD = 9.12 months; n = 133 identified as female; 41% non-Hispanic Black/African-American, 59% non-Hispanic White/European-American) participated in a week of at-home sleep actigraphy assessment in 2017-2018. Adolescents reported their morningness - eveningness, internalizing symptoms (depression, anxiety), positive affect (optimism and subjective happiness), and physical health, and mothers reported on youths' behavior problems. Relations were examined between morningness - eveningness and each indicator of development; sleep onset consistency was examined as a moderator of these associations.

Results: On average, adolescents with a preference for eveningness had higher levels of externalizing behaviors and internalizing symptoms and lower levels of positive affect and physical health compared to peers with a preference for morningness (Bs = -0.27*-0.12***). Each association was moderated by weeknight sleep onset consistency. Across all indicators of development, evening-preferring youth with more consistent weeknight sleep onset had 0.49-0.72 SD better outcomes on average than evening-preferring youth with less consistent weeknight sleep onset.

Conclusions: Falling asleep at roughly the same time each night can protect adolescent night owls from behavior problems and internalizing symptoms and can promote their positive affect and physical health.

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是什么让 "夜猫子 "在一周内保持健康?睡眠起始时间一致性是早睡早起与青少年发育之间的调节因素
目标晚睡偏好--即一个人认为一天中晚些时候最有活力--与青少年时期的负面发展结果有关。而睡眠开始时间的一致性则可防止此类结果的发生。为了更细致地了解睡眠-觉醒过程与青少年发育之间的关系,我们研究了作为 "傍晚性 "与多个发育指标之间关系调节因素的周夜睡眠开始一致性:2017-2018年,272名高中生(年龄=17岁,SD=9.12个月;n=133人被认定为女性;41%为非西班牙裔黑人/非裔美国人,59%为非西班牙裔白人/欧裔美国人)参加了为期一周的家庭睡眠动图评估。青少年报告了他们的晨昏、内化症状(抑郁、焦虑)、积极情绪(乐观和主观幸福感)和身体健康情况,母亲报告了青少年的行为问题。我们研究了早睡晚起与各项发展指标之间的关系,并将睡眠开始时间的一致性作为这些关系的调节因素进行了研究:平均而言,偏好晚睡的青少年与偏好早睡的青少年相比,外化行为和内化症状水平更高,积极情感和身体健康水平更低(Bs = -0.27*-0.12***)。每种关联都会受到周夜睡眠开始一致性的调节。在所有发展指标中,喜欢晚上入睡的青少年与喜欢晚上入睡的青少年相比,晚上入睡时间更一致的青少年的平均结果要好 0.49-0.72 SD:结论:每晚在大致相同的时间入睡可以保护夜猫子青少年免受行为问题和内化症状的困扰,并能促进他们的积极情绪和身体健康。
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来源期刊
Behavioral Sleep Medicine
Behavioral Sleep Medicine CLINICAL NEUROLOGY-PSYCHIATRY
CiteScore
7.20
自引率
3.20%
发文量
49
审稿时长
>12 weeks
期刊介绍: Behavioral Sleep Medicine addresses behavioral dimensions of normal and abnormal sleep mechanisms and the prevention, assessment, and treatment of sleep disorders and associated behavioral and emotional problems. Standards for interventions acceptable to this journal are guided by established principles of behavior change. Intending to serve as the intellectual home for the application of behavioral/cognitive science to the study of normal and disordered sleep, the journal paints a broad stroke across the behavioral sleep medicine landscape. Its content includes scholarly investigation of such areas as normal sleep experience, insomnia, the relation of daytime functioning to sleep, parasomnias, circadian rhythm disorders, treatment adherence, pediatrics, and geriatrics. Multidisciplinary approaches are particularly welcome. The journal’ domain encompasses human basic, applied, and clinical outcome research. Behavioral Sleep Medicine also embraces methodological diversity, spanning innovative case studies, quasi-experimentation, randomized trials, epidemiology, and critical reviews.
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