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Poor Sleep Quality, Eveningness, and Anxiety Are Associated With Internet/Smartphone Addiction in Korean Adolescents 韩国青少年的网络/智能手机成瘾与睡眠质量差、晚睡和焦虑有关
Pub Date : 2022-09-30 DOI: 10.33069/cim.2022.0019
Nuree Kang, Cheol-Soon Lee, B. Cha, So-Jin Lee, Dongyun Lee, Jiyeong Seo, Jae-Won Choi, Young-Ji Lee, Eunji Lim, B. Kim
Objective: Internet addiction and smartphone addiction are emerging mental health concerns in adolescents. To determine the factors related to these conditions, we investigated their associations with sleep quality, chronotype, sleep patterns, daylight exposure, depression, and anxiety.Methods: Self-rated questionnaires, including the Internet Addiction Proneness Scale-Short Form, Smartphone Addiction Scale–short version, Insomnia Severity Index, Morningness–Eveningness Questionnaire, Epworth Sleepiness Scale, sleep-related questionnaires, and Hospital Anxiety and Depression Scale, were administered in a study population of 1,610 Korean high school students. Multiple linear regression analyses were performed to evaluate the associations with internet addiction and smartphone addiction.Results: Multiple linear regression showed significant associations of internet addiction with poor sleep quality (β=0.094, p<0.001), eveningness (β=-0.071, p=0.006), less daylight exposure (β=-0.066, p=0.005), anxiety (β=0.252, p<0.001), and older age (β=0.295, p<0.001). Smartphone addiction was significantly associated with poor sleep quality (β=0.076, p=0.005), eveningness (β=-0.164, p<0.001), excessive daytime sleepiness (β=0.109, p<0.001), longer time in bed on weekdays (β=0.057, p=0.024), shorter weekend oversleep (β=-0.081, p=0.005), anxiety (β=0.192, p<0.001), and younger age (β=-0.145, p<0.001).Conclusion: Our findings suggest that poor sleep quality, eveningness, and anxiety can serve as predictors of both internet addiction and smartphone addiction in adolescents. Internet addiction seems to be negatively associated with daylight exposure, whereas smartphone addiction showed significant associations with sleep patterns. Additional studies regarding the causal relations between these factors are needed.
目的:网络成瘾和智能手机成瘾是青少年中新出现的心理健康问题。为了确定与这些疾病相关的因素,我们调查了它们与睡眠质量、睡眠类型、睡眠模式、日光照射、抑郁和焦虑的关系。方法:采用网络成瘾倾向简易量表、智能手机成瘾简易量表、失眠严重程度指数、早-晚性问卷、Epworth嗜睡量表、睡眠相关问卷、医院焦虑抑郁量表等自评问卷,对1610名韩国高中生进行调查。采用多元线性回归分析来评估网络成瘾和智能手机成瘾之间的关系。结果:多元线性回归显示,网络成瘾与睡眠质量差(β=0.094, p<0.001)、睡眠质量差(β=-0.071, p=0.006)、日光暴露少(β=-0.066, p=0.005)、焦虑(β=0.252, p<0.001)和年龄大(β=0.295, p<0.001)有显著相关。智能手机成瘾与睡眠质量差(β=0.076, p=0.005)、晚睡(β=-0.164, p<0.001)、白天过度嗜睡(β=0.109, p<0.001)、工作日卧床时间长(β=0.057, p=0.024)、周末过眠时间短(β=-0.081, p=0.005)、焦虑(β=0.192, p<0.001)和年龄小(β=-0.145, p<0.001)显著相关。结论:我们的研究结果表明,睡眠质量差、晚睡和焦虑可以作为青少年网络成瘾和智能手机成瘾的预测因素。网络成瘾似乎与日光暴露呈负相关,而智能手机成瘾则与睡眠模式有显著关联。需要对这些因素之间的因果关系进行进一步的研究。
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引用次数: 0
Clinical Characteristics of HIV-Infected Patients With Sleep Disturbance hiv感染患者伴睡眠障碍的临床特点
Pub Date : 2022-09-30 DOI: 10.33069/cim.2022.0020
Suonaa Lee, K. Park, W. J. Kim, Eun Lee
Objective: This study aims to examine clinical characteristics and to identify possible risk factors of sleep disturbances in people living with HIV (PLWH).Methods: All research data of patients who were first diagnosed with HIV/AIDS from January 1, 2012 to December 31, 2021 and complained of sleep disturbance at least once were retrospectively reviewed by the Severance Clinical Research Analysis Portal (SCRAP) service of Severance hospital. The presence of sleep disturbance was evaluated based on whether insomnia disorder diagnosis code was included or whether insomnia medication was prescribed. The patients were divided into either the group with sleep disturbance within 3 months (SDW3) and the group with after 3 months (SDA3). All data were reported using descriptive statistics.Results: Of the 674 patients diagnosed with HIV during the period, 56 patients experienced sleep disturbances at least once and approximately 50% of patients have experienced sleep disturbance in the first 3 months after HIV diagnosis. CD4+ cell count at the time of first onset of sleep disturbance was significantly lower (p=0.03) and HIV viral load at the time of first onset of sleep disturbance was significantly higher (p<0.001) in SDW3 group. SDW3 patients showed higher rates of opportunistic infections compared to SDA3 patients.Conclusion: The current study suggests that further investigation of the underlying pathophysiology of sleep disturbance and association with immunological changes for early diagnosis and treatment of sleep disturbance in PLWH.
目的:本研究旨在探讨HIV感染者(PLWH)睡眠障碍的临床特征和可能的危险因素。方法:对2012年1月1日至2021年12月31日首次诊断为HIV/AIDS且至少有一次睡眠障碍主诉的患者的研究资料,通过Severance医院临床研究分析门户(SCRAP)服务进行回顾性分析。根据是否包括失眠障碍诊断代码或是否开了失眠药物来评估睡眠障碍的存在。将患者分为3个月内睡眠障碍组(SDW3)和3个月后睡眠障碍组(SDA3)。所有数据均采用描述性统计进行报告。结果:在此期间诊断为HIV的674名患者中,56名患者至少经历过一次睡眠障碍,大约50%的患者在HIV诊断后的前3个月内经历过睡眠障碍。SDW3组患者首次出现睡眠障碍时CD4+细胞计数显著低于对照组(p=0.03),首次出现睡眠障碍时HIV病毒载量显著高于对照组(p<0.001)。与SDA3患者相比,SDW3患者的机会性感染率更高。结论:进一步研究睡眠障碍的潜在病理生理及其与免疫变化的关系,有助于早期诊断和治疗PLWH患者的睡眠障碍。
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引用次数: 0
Impact of COVID-19 on Obstructive Sleep Apnea COVID-19对阻塞性睡眠呼吸暂停的影响
Pub Date : 2022-09-30 DOI: 10.33069/cim.2022.0023
J. Park, K. Lee, S. Hong
The coronavirus disease 2019 (COVID-19) pandemic has caused major psychological distress, mental health problems, sleep disturbances, anxiety, and depression. Among them, obstructive sleep apnea (OSA) is known as a comorbidity of diabetes, cardiovascular disease, asthma, obesity, high blood pressure, and chronic obstructive pulmonary disease, and these are poor prognostic factors for COVID-19 morbidity. Therefore, it is important to properly diagnose and treat sleep apnea during the COVID-19 pandemic. Due to the pandemic of COVID-19, in-lab sleep studies such as polysomnography (PSG) tend to slightly decrease, and alternative methods such as home sleep apnea tests (HSAT) and telemedicine tend to emerge relatively. In the post-COVID-19 era, HSAT with a technically adequate device and telemedicine may become an important modality for the diagnosis and treatment of OSA. In addition, the protection of PSG technicians and the disinfection of equipment and the environment of in-lab sleep studies are emphasized. If COVID-19 is ruled out, the use of positive airway pressure devices for therapeutic purposes is not restricted, but efforts should be made to minimize the risk of aerosol generation. Infection and quality control in PSG are important and inevitable issues, and regulation within each institution will be required during and after the COVID-19 pandemic.
2019冠状病毒病(COVID-19)大流行造成了严重的心理困扰、精神健康问题、睡眠障碍、焦虑和抑郁。其中,阻塞性睡眠呼吸暂停(OSA)被认为是糖尿病、心血管疾病、哮喘、肥胖、高血压和慢性阻塞性肺疾病的合并症,这些都是COVID-19发病率的不良预后因素。因此,在COVID-19大流行期间正确诊断和治疗睡眠呼吸暂停非常重要。受新冠肺炎疫情影响,多导睡眠图(PSG)等实验室睡眠研究略有减少,而家庭睡眠呼吸暂停测试(HSAT)和远程医疗等替代方法则相对出现。在后covid -19时代,配备技术上足够的设备和远程医疗的HSAT可能成为OSA诊断和治疗的重要方式。此外,还强调了PSG技术人员的保护以及实验室睡眠研究设备和环境的消毒。如果排除COVID-19,则不限制为治疗目的使用气道正压装置,但应努力将气溶胶产生的风险降至最低。PSG的感染和质量控制是重要且不可避免的问题,在COVID-19大流行期间和之后,每个机构都需要进行监管。
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引用次数: 0
No Association Between NPAS2 rs6425296 Polymorphism and Seasonality, Diurnal Preference in Koreans 韩国人NPAS2 rs6425296多态性与季节性、日偏好无关
Pub Date : 2022-09-30 DOI: 10.33069/cim.2022.0022
Joo Hyung Ryu, J. Yeom, Jae Eun Seo, C. Cho, Heon-Jeong Lee
Objective: Seasonal variations in mood and behavior and diurnal preference are associated with several genes that regulate circadian rhythms. In this study, we investigated the association of the NPAS2 rs6725296 polymorphism with seasonality and diurnal preference.Methods: A total of 510 healthy subjects were genotyped for the NPAS2 rs6725296 polymorphism and completed self-report questionnaires on seasonality and diurnal preferences. Seasonality was evaluated using the seasonal pattern assessment questionnaire, and diurnal preference was evaluated using the Composite Scale of Morningness (CSM). We assessed the association of genotype and allele carrier status with the total and subscale scores of global seasonality scores (GSS) for seasonality and the total and subscale scores of CSM for diurnal preference.Results: No significant associations were found between the NPAS2 rs6725296 genotype and the allele carrier status and the GSS and CSM scores.Conclusion: The results of this study suggest that the NPAS2 rs6725296 polymorphism may not contribute to seasonality and diurnal preference in healthy Koreans. More studies with a larger number of subjects, inclusion of different ethnic groups, and complementation with objective measurements of seasonality and diurnal preference are necessary to evaluate the influence of genetics on seasonality and diurnal preference.
目的:情绪、行为和昼夜偏好的季节性变化与调节昼夜节律的几个基因有关。在这项研究中,我们研究了NPAS2 rs6725296多态性与季节和昼夜偏好的关系。方法:对510名健康受试者进行NPAS2 rs6725296多态性基因分型,并完成季节性和日常偏好的自我报告问卷。采用季节模式评价问卷进行季节性评价,采用晨间性综合量表(CSM)进行日偏好评价。我们评估了基因型和等位基因携带者状态与全球季节性评分(GSS)的季节性总分和亚量表得分以及CSM的昼夜偏好总分和亚量表得分之间的关系。结果:NPAS2 rs6725296基因型与等位基因携带者状态、GSS和CSM评分无显著相关性。结论:本研究结果表明,NPAS2 rs6725296多态性可能与健康韩国人的季节性和昼夜偏好无关。为了评估遗传对季节性和昼夜偏好的影响,有必要进行更多的研究,包括更多的受试者,包括不同的种族群体,并与季节性和昼夜偏好的客观测量相补充。
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引用次数: 0
Withanolide-A Accelerates Re-entrainment of Circadian Locomotor Activity Rhythm and Preserves Spatial Memory in Mice Following Acute Phase Inversion of Light-Dark Cycles 异戊内酯- a加速小鼠昼夜运动活动节律的重携并保持小鼠在急性光-暗周期反转后的空间记忆
Pub Date : 2022-09-30 DOI: 10.33069/cim.2022.0018
Trisha Tiwari, P. Basu, M. Singaravel
Objective: Circadian rhythms are present almost in all living organisms and synchronized with the zeitgebers (time givers), especially lightdark (LD) cycles. The jetlag and rotating shift work schedules lead to desynchronization of the circadian clock with zeitgebers which may cause various health problems. Studies have shown that withanolide-A (WA) is a potent nootropic and neuroprotective agent found in Withania somnifera. Thus, the objective was to study the effect of WA on the circadian locomotor activity rhythm following the phase inversion of 12:12 h LD cycle in mice and its impact on the spatial memory in mice.Methods: Adult male mice were housed in the chronocubicle and recorded circadian locomotor activity rhythm by using ClockLab setup. The experimental mice were administered with WA (10 μmol/kg/day) for 13 consecutive days at about ZT15 and then evoked an acute phase inversion of 12:12 h light-dark cycle. Further, the Barnes maze test was performed to check the effect of WA on spatial memory following the phase inversion.Results: The results showed that WA-treated group took significantly fewer transient cycles (4.66+0.66) for re-entrainment than the control (9.5+0.43) and vehicle-treated (8.33+1.28) mice following the phase inversion. Similarly, WA-treated mice traveled less distance to reach the target zone in the Barnes maze compared to vehicle and control groups.Conclusion: These results suggest that the WA may act as chronobiotic and neuroprotective agent since it decreased the transient cycles for re-entrainment and retaining spatial memory following the phase inversion.
目的:昼夜节律几乎存在于所有生物体中,并与授时因子(时间给予者)同步,特别是光暗(LD)周期。时差和轮班工作安排导致生物钟与授时基因不同步,这可能会导致各种健康问题。研究表明,Withania somnifera中的withanolide-A (WA)是一种有效的益智剂和神经保护剂。因此,我们的目的是研究WA对小鼠12:12 h LD周期相位反转后的昼夜运动活动节律的影响及其对小鼠空间记忆的影响。方法:将成年雄性小鼠置于定时隔间内,利用ClockLab装置记录小鼠的昼夜运动活动节律。实验小鼠在ZT15左右连续13天给予WA (10 μmol/kg/天),引起急性期反转,为12:12 h的明暗循环。通过Barnes迷宫实验验证了脑电对空间记忆的影响。结果:与对照组(9.5+0.43)和载药组(8.33+1.28)相比,wa处理组(4.66+0.66)的再夹带周期明显缩短。同样,在巴恩斯迷宫中,与车辆组和对照组相比,wa治疗的小鼠到达目标区域的距离更短。结论:脑白质具有时间生成剂和神经保护剂的作用,可减少脑相转后空间记忆的恢复和空间记忆的短暂周期。
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引用次数: 1
Unraveling the Significance of Circadian Rhythms for Health 揭示昼夜节律对健康的重要性
Pub Date : 2022-09-30 DOI: 10.33069/cim.2022.0025
Heon-Jeong Lee
Modern humans are experiencing more disturbances in biological rhythms than in human history. The biological rhythm of modern humans is assumed to be quite different from that of our ancestors in the past. This phenomenon is due to the disturbances in the biological rhythm caused by artificial light and the lifestyle patterns adopted by us. Therefore, it is crucial to investigate the influence of circadian rhythm disturbances on human health. Recently, several interesting papers have shown that circadian rhythms are important for human health; a recently published paper particularly requires attention [1]. Eating and sleeping are two essential behaviors that humans engage in, on a daily basis [2]. Caloric restriction is known as one of the ways to live a long life. Several studies and experiments have shown that eating less increases the lifespan of animals by reducing the rate of aging. Reducing calorie intake reduces weight, in addition to lowering blood pressure and inflammation levels, and also regulates blood sugar in a better manner [3]. Furthermore, another study added that along with the amount of food eaten, the timing at which it is eaten is also important for extending the life span. Acosta-Rodríguez et al. [1] reported that a four-year experiment on hundreds of mice showed that eating only during active hours of the day contributes to an increase in life expectancy. The researchers examined these mice by dividing them into six groups and used an automatic feeder to control the amount of food and meal times. One group allowed them to eat as much as they wanted, while the other five groups were given 30%–40% Unraveling the Significance of Circadian Rhythms for Health
现代人类正在经历比人类历史上更多的生物节律紊乱。现代人的生物节律被认为与我们过去的祖先有很大的不同。这种现象是由于人造光和我们所采用的生活方式对生物节律的干扰造成的。因此,研究昼夜节律紊乱对人体健康的影响至关重要。最近,几篇有趣的论文表明,昼夜节律对人类健康很重要;最近发表的一篇论文尤其值得关注[1]。吃饭和睡觉是人类日常生活中必不可少的两种行为[2]。热量限制被认为是长寿的方法之一。几项研究和实验表明,少吃可以通过降低衰老速度来延长动物的寿命。减少热量摄入可以减轻体重,降低血压和炎症水平,还可以更好地调节血糖[3]。此外,另一项研究补充说,除了吃多少食物外,吃东西的时间对延长寿命也很重要。Acosta-Rodríguez等人[1]报道,一项对数百只老鼠进行的为期四年的实验表明,只在一天中活跃的时间进食有助于延长预期寿命。研究人员将这些老鼠分为六组,并使用自动喂食器来控制食物的数量和用餐时间。一组允许他们想吃多少就吃多少,而其他五组则得到30%-40%的奖励
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引用次数: 0
Is Insomnia a Brain Disorder Arising From Aberrant Brain Structure, Brain Function, or Both? 失眠是大脑结构异常、大脑功能异常还是两者兼而有之?
Pub Date : 2022-06-30 DOI: 10.33069/cim.2022.0014
Yu Jin Lee
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引用次数: 0
Frailty and Insomnia in Older Adults 老年人的虚弱和失眠
Pub Date : 2022-06-30 DOI: 10.33069/cim.2022.0013
W. J. Kim, K. Park, Eun Lee
Frailty is a geriatric syndrome with increased risk for poor health outcomes, including falls, cognitive impairment, hospitalization, and mortality. In previous studies, associations between frailty and sleep-related factors or sleep disorders have been investigated. We examined the relationship between frailty and insomnia, which are both common condition in older adults. Hormonal changes with aging and/or lifestyle changes all affect sleep physiology, which are vulnerable to the risk of insomnia. As the severity of frailty decreases the quality of sleep, and the long/short sleep duration is related to the risk of frailty, it can be assumed that frailty and sleep are reciprocally related. The association between frailty and insomnia has been variously proven in epidemiological studies conducted around the world. A close evaluation of insomnia and frailty in older adults provides a basis for improving the health of people in the aged society. There are few related studies in Korea, and in the future, not only basic epidemiological studies but also studies explaining the psychoneuroendocrinological mechanism of the relationship between insomnia and frailty should be performed together.
虚弱是一种老年综合征,其健康状况不佳的风险增加,包括跌倒、认知障碍、住院和死亡。在之前的研究中,已经调查了虚弱和睡眠相关因素或睡眠障碍之间的关系。我们研究了虚弱和失眠之间的关系,这两种情况在老年人中都很常见。随着年龄的增长和/或生活方式的改变,荷尔蒙的变化都会影响睡眠生理,这很容易导致失眠的风险。由于虚弱的严重程度会降低睡眠质量,并且睡眠时间的长短与虚弱的风险有关,因此可以认为虚弱和睡眠是相互相关的。在世界各地进行的流行病学研究中,虚弱和失眠之间的联系得到了各种各样的证明。密切评价老年人的失眠和虚弱,为提高老年人的健康水平提供了依据。国内相关研究较少,今后除了开展基础流行病学研究外,还应开展解释失眠与虚弱关系的精神神经内分泌机制的研究。
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引用次数: 1
Eveningness and Impulsivity in Euthymic Mood States Adversely Affect the Quality of Life of Major Depression and Bipolar Disorder Patients 平和心境状态中的平和性和冲动性对重度抑郁症和双相情感障碍患者的生活质量有不利影响
Pub Date : 2022-06-30 DOI: 10.33069/cim.2022.0016
Sojeong Kim, Yeaseul Yoon, Heon-Jeong Lee
Objective: Chronotype and impulsivity are important features to be examined in mood disorder patients; these characteristics precede mood disorder onset and persist between mood episodes. Moreover, quality of life is an important outcome in psychiatric patients. This study investigated the interaction between these features and its effect on mood disorder patient’s quality of life.Methods: Early-onset major depressive disorder (MDD), bipolar disorder I (BD I), and bipolar disorder II (BD II) patients were recruited. Excluding 18 patients who were missing data on main variables and 5 patients who were classified as severely ill, a total of 472 euthymic patients (MDD=167, BD I=133, BD II= 172) were assessed on their chronotype, trait impulsivity, and quality of life using self-reports.Results: Both impulsivity and eveningness were negatively associated with quality of life. Regression results showed that there was a significant interaction effect between eveningness and impulsivity on quality of life. This indicates that the higher the level of impulsivity in mood disorder patients, the negative effect of eveningness on quality of life increased.Conclusion: The current study suggests that examination of impulsive personality in relation to chronotype may be important in further understanding the effects of these features on mood disorder patients’ lives.
目的:时间型和冲动性是情绪障碍患者的重要特征;这些特征先于情绪障碍发作,并在情绪发作之间持续存在。此外,生活质量是精神病患者的一个重要结果。本研究探讨这些特征之间的相互作用及其对心境障碍患者生活质量的影响。方法:招募早发性重度抑郁症(MDD)、双相情感障碍I型(BD I)和双相情感障碍II型(BD II)患者。排除18例主要变量数据缺失患者和5例重度疾病患者,采用自我报告对472例正常心境患者(MDD=167, BD I=133, BD II= 172)的时型、特质冲动性和生活质量进行评估。结果:冲动性和晚上性与生活质量呈负相关。回归结果显示,夜性与冲动性对生活品质有显著交互作用。这表明情绪障碍患者的冲动性越高,夜性对生活质量的负面影响越大。结论:目前的研究表明,检查冲动性人格与时间型的关系可能对进一步了解这些特征对情绪障碍患者生活的影响具有重要意义。
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引用次数: 0
Seasonal Factors of Adaptation of Water-Mineral Chronoperiodical System in Healthy Individuals and Patients With Syndrome of Vegetative Dystonia 健康个体和营养性肌张力障碍综合征患者水-矿物质周期系统适应的季节因素
Pub Date : 2022-06-15 DOI: 10.33069/cim.2022.0011
H. Hayrapetyan, L. Babayan, H. Danoyan, H. A. Vardanyan, Z. Petrosyan, Jon Karapetyan, Jon Karapetyan, A. K. Gulyan, P. K. Sarafyan, Ani R. Tavaracyan, A. B. Danoyan
The impact of variation in the geomagnetic field and a weather factors on the human body remains the subject of studies across the world, yet there is no consensus. Temporal organization and dynamics of bio-fluctuations evolved in the process of evolution under the influence of enviSeasonal Factors of Adaptation of Water-Mineral Chronoperiodical System in Healthy Individuals and Patients With Syndrome of Vegetative Dystonia
地磁场变化和天气因素对人体的影响一直是世界各国研究的主题,但尚未达成共识。健康个体和植物性肌张力障碍综合征患者水-矿物质周期系统的适应因素的影响下,生物波动的时间组织和动力学在进化过程中演变
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引用次数: 0
期刊
Chronobiology in Medicine
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