Sleep Health最新文献_第7页

Associations between timing of secondhand smoke exposure and sleep disorders: National Chinese Children Study 二手烟暴露时间与睡眠障碍的关系：中国儿童研究。

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2025-12-01 DOI: 10.1016/j.sleh.2025.05.011

Yu-Ting Guo MSW , Chu Chu PhD , Qi-Zhen Wu PhD , Duo-Hong Chen PhD , Hui-Min Ma PhD , Yun-Ting Zhang MSW , Shuang-Jian Qin MSW , Li-Hao Guo MSW , Zhan-Yu Guo MSW , Zhao-Huan Gui PhD , Li-Zi Lin PhD , Ru-Qing Liu PhD , Li-Wen Hu PhD , Xiao-Wen Zeng PhD , Guang-Hui Dong PhD

Background

Previous studies have shown that current secondhand smoke exposure increases the risk of sleep disorders. However, evidence of different time windows of secondhand smoke exposure and childhood sleep disorders remains scarce. We aimed to evaluate the time-varying associations between secondhand smoke exposure and childhood sleep disorders in China.

Methods

We recruited 188,090 children aged 6 to 18 years from Liaoning, Guangdong, and Xinjiang, China between April 2012 and May 2018. Secondhand smoke exposure and sleep disorders were assessed via parent- or guardian-completed questionnaires, with sleep disorders evaluated through the Sleep Disturbance Scale for Children (SDSC). Generalized linear mixed models were used to evaluate the association between time-varying secondhand smoke exposure and sleep disorders, with false discovery rate correction for multiple comparisons.

Results

Prenatal, postnatal, or current exposure to secondhand smoke was associated with greater total t-sleep scores and a higher likelihood of sleep disorders after false discovery rate correction, especially among children exposed from the prenatal period through childhood. These children had higher total t-sleep scores (β = 4.48; 95% CI, 4.32, 4.65) and higher odds of sleep disorders (OR = 2.28; 95% CI, 2.12, 2.45). Additionally, each 5-unit increase in cigarette exposure was associated with a 0.97-point (β = 0.97; 95% CI: 0.91, 1.02) increase in total sleep t-score.

Conclusions

Secondhand smoke exposure at different time windows, especially exposure from prenatal to childhood, and higher family smoking frequency, was associated with an increased risk of sleep disorders in children. These findings highlight the need for a smoke-free home environment to support sleep healthy in children.

背景：先前的研究表明，目前的二手烟暴露增加了睡眠障碍的风险。然而，二手烟暴露与儿童睡眠障碍的不同时间窗的证据仍然很少。我们旨在评估中国二手烟暴露与儿童睡眠障碍之间的时变关联。方法：2012年4月至2018年5月，我们从中国辽宁、广东和新疆招募了188,090名6至18岁的儿童。通过父母或监护人填写的问卷评估二手烟暴露和睡眠障碍，通过儿童睡眠障碍量表（SDSC）评估睡眠障碍。使用广义线性混合模型来评估时变二手烟暴露与睡眠障碍之间的关系，并对多重比较进行错误发现率校正。结果：产前、产后或当前暴露于二手烟与更高的总t-sleep评分和错误发现率纠正后更高的睡眠障碍可能性相关，特别是在从产前到儿童期暴露于二手烟的儿童中。这些儿童的总t-睡眠得分较高(β = 4.48；95% CI, 4.32, 4.65)和更高的睡眠障碍几率(OR = 2.28；95% ci, 2.12, 2.45)。此外，每增加5个单位的香烟暴露与0.97点相关(β = 0.97；95% CI: 0.91, 1.02)总睡眠t评分增加。结论：不同时间窗的二手烟暴露，尤其是产前至儿童期的二手烟暴露，以及较高的家庭吸烟频率与儿童睡眠障碍风险增加有关。这些发现强调了营造无烟家庭环境以支持儿童健康睡眠的必要性。

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引用次数: 0

Insights into the lives of families of children with neurodisabilities who have sleep problems 对有睡眠问题的神经障碍儿童家庭生活的洞察。

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2025-12-01 DOI: 10.1016/j.sleh.2025.08.007

Grace Langdon BPsycSc (Hons) , Matilda O’Neil BPsycSc (Hons) , Emma Cooke PhD , Fiona Hudson BPsych, MAPS , Laetitia Coles PhD , Moya Vandeleur MB BCh, BAO, BA (Hons), MRCPI, FRACP, PhD , Karen Waters MBBS, FRACP, PhD, GCCM , Jasneek Chawla MBBS, BSc (Hons), FRACP, PhD

Objective

Sleep problems are prevalent in children with neurodisabilities and are associated with adverse health and behavioral outcomes. Published work in this area focuses on caregivers’ experiences on implementing interventions for sleep and uses quantitative research methods. Qualitative accounts reporting the lived perspectives of how these problems impact the children’s caregivers and families are at present limited.

Design

A qualitative study designed to understand the experiences of families of children with neurodisabilities and sleep problems.

Participants

In total, 300 caregivers of children with neurodisabilities and sleep problems were recruited from two subgroups: (i) participants whose child is attending one of three tertiary sleep clinics and (ii) participants, who responded to requests from collaborative community consumer organizations and social media promotion.

Methods

Caregivers completed an online survey that included questions about how they and their family members are affected by the sleep problems of their child with neurodisabilities. We conducted a reflexive thematic analysis of caregivers’ free-text survey responses.

Results

Five themes emerged: (1) Children with neurodisabilities face complex sleep issues, often worsened by coexisting problems like pain or seizures; (2) Sleep disruption profoundly affects the whole household, including siblings; (3) Caregivers experience severe fatigue, impacting their health, cognitive function, and work; (4) Caregivers constantly try various treatments and strategies; (5) Caregivers seek tailored information, evidence-based support, and respite options.

Conclusion

Overall, families struggle with debilitating fatigue, affecting all aspects of life. Caregivers urgently call for improved healthcare responses, prioritizing sleep problem identification and holistic, family-centered support.

目的：睡眠问题在神经残疾儿童中普遍存在，并与不良的健康和行为结果相关。在这一领域发表的工作侧重于护理人员在实施睡眠干预方面的经验，并使用定量研究方法。目前，报告这些问题如何影响儿童照顾者和家庭的生活观点的定性报告有限。设计：一项定性研究，旨在了解有神经障碍和睡眠问题儿童家庭的经历。参与者：共有300名患有神经障碍和睡眠问题儿童的护理人员从两个小组中招募：(i)其孩子正在三家三级睡眠诊所之一的参与者；（ii）响应合作社区消费者组织和社交媒体推广要求的参与者。方法：护理人员完成了一项在线调查，其中包括他们和他们的家庭成员如何受到他们患有神经障碍的孩子的睡眠问题的影响。我们对护理人员的自由文本调查回应进行了反身性主题分析。结果：出现了五个主题：(1)神经障碍儿童面临复杂的睡眠问题，通常因疼痛或癫痫等共存问题而恶化；(2)睡眠中断严重影响整个家庭，包括兄弟姐妹；(3)照顾者严重疲劳，影响健康、认知功能和工作；(4)护理人员不断尝试各种治疗和策略；(5)护理人员寻求量身定制的信息、循证支持和喘息选择。结论：总的来说，家庭与衰弱的疲劳作斗争，影响生活的各个方面。护理人员迫切要求改善医疗保健反应，优先考虑睡眠问题识别和整体，以家庭为中心的支持。

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引用次数: 0

A study of sleep in northern New England correctional facilities 一项对新英格兰北部监狱的睡眠研究。

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2025-12-01 DOI: 10.1016/j.sleh.2025.09.003

Adam J. Sorscher MD , William Crockatt MD , Danielle Glinka Johnston DO

Study objectives

This study explored inmates' sleep at two detention facilities in northern New England.

Methods

We randomly distributed a sleep/demographic questionnaire and the insomnia severity index (ISI) to 140 (35%) inmates at a Vermont (VT) state prison and a New Hampshire (NH) county jail. We also conducted brief semistructured interviews with 23 inmates to explore their sleep experience while incarcerated.

Results

Sixty-four/one hundred forty (46%) of the inmates completed both surveys. The average ISI score of the inmates was 15.4. 37/64 (58%) of respondents reported severe insomnia symptoms (ISI ≥ 15), In qualitative interviews, inmates most consistently cited physical conditions, especially uncomfortable bedding as the chief obstacle to good sleep.

Conclusions

Both the quantitative ISI survey and the qualitative interview data document high rates of insomnia complaints in a VT state prison and NH county jail. Inmates most frequently cited poor bedding as the chief obstacle to good sleep.

研究目的：本研究探讨了新英格兰北部两所拘留所囚犯的睡眠情况。方法：我们随机向140名（35%）佛蒙特州（VT）州立监狱和新罕布什尔州（NH）县监狱的囚犯发放睡眠/人口统计问卷和失眠严重程度指数（ISI）。我们还对23名囚犯进行了简短的半结构化访谈，以探索他们在监禁期间的睡眠体验。结果：64 / 140（46%）的囚犯完成了这两项调查。囚犯的ISI平均得分为15.4分。37/64（58%）的受访者报告了严重的失眠症状（ISI≥15）。在定性访谈中，囚犯最一致地提到身体状况，特别是不舒服的被褥是良好睡眠的主要障碍。结论：定量ISI调查和定性访谈数据均表明，VT州监狱和NH县监狱的失眠症主诉率较高。囚犯们最常提到的是糟糕的床上用品，这是他们睡不好觉的主要障碍。

引用次数: 0

Impact of psychosocial determinants on sleep quality decreased during the COVID-19 lockdown: Evidence from an urban panel study 在COVID-19封锁期间，社会心理决定因素对睡眠质量的影响有所下降：来自城市小组研究的证据。

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2025-12-01 DOI: 10.1016/j.sleh.2025.06.009

Carolina Abulafia PhD , María A. Paternó Manavella BA , Solange Rodríguez Espínola PhD , Mauro Brangold MD , Guido Simonelli MD , Agustín Salvia PhD , Daniel E. Vigo MD, PhD

Objectives

To explore the relationship between socioeconomic and health-related changes during the COVID-19 lockdown and sleep quality.

Methods

A panel study was conducted with 667 participants from the Argentine Social Debt Survey in 2019 (pre lockdown), 2020 (during lockdown), and 2021 (post lockdown). Generalized linear mixed-effects models were performed to explore the following predictors of self-reported sleep quality over time: age, educational level, living in poverty, employment status, place of residence, psychological distress, and health status.

Results

Reporting poor health and residing in Buenos Aires were associated with poor sleep quality, independent of the lockdown. Advanced age emerged as a significant predictor of poor sleep quality after the lockdown. Differences in sleep quality associated with living in poverty and psychological distress disappeared during lockdown and resumed post lockdown.

Conclusions

This work highlights the importance of the dynamic interplay between socioeconomic and health-related factors when assessing sleep quality. In this urban Argentine panel study, the COVID-19 lockdown appeared to mitigate poverty-related disparities in sleep quality, underscoring the need to refocus attention on these vulnerable subpopulations in the post-lockdown period, when such disparities re-emerged.

目的：探讨COVID-19封锁期间社会经济和健康相关变化与睡眠质量之间的关系。方法：对2019年（封锁前）、2020年（封锁期间）和2021年（封锁后）阿根廷社会债务调查的667名参与者进行了一项小组研究。采用广义线性混合效应模型探讨以下自我报告睡眠质量随时间变化的预测因素：年龄、教育水平、生活贫困、就业状况、居住地、心理困扰和健康状况。结果：报告健康状况不佳和居住在布宜诺斯艾利斯与睡眠质量差有关，与封锁无关。老年成为封锁后睡眠质量差的重要预测因素。与贫困生活和心理困扰相关的睡眠质量差异在封锁期间消失，在封锁后恢复。结论：这项工作强调了在评估睡眠质量时社会经济和健康相关因素之间动态相互作用的重要性。在这项阿根廷城市小组研究中，COVID-19封锁似乎缓解了与贫困有关的睡眠质量差异，强调有必要在封锁后重新关注这些弱势亚群体，因为这种差异再次出现。

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引用次数: 0

Deep learning-based automated diagnosis of obstructive sleep apnea and sleep stage classification in children using millimeter-wave radar and pulse oximeter 基于深度学习的毫米波雷达和脉搏血氧仪对儿童阻塞性睡眠呼吸暂停的自动诊断和睡眠阶段分类。

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2025-12-01 DOI: 10.1016/j.sleh.2025.06.006

Wei Wang BA , Ruobing Song MD , Yunxiao Wu MD , Li Zheng MB , Wenyu Zhang PhD , Zhaoxi Chen PhD , Gang Li PhD , Zhifei Xu MD

Study objectives

Due to the high cost, complexity, and workload of polysomnography, a radar-based sleep monitoring device, QSA600, has been developed as a more simplified alternative for children. This study evaluates its agreement with polysomnography for obstructive sleep apnea diagnosis and sleep staging.

Methods

This diagnostic accuracy study included 281 children (1-18 years) who underwent simultaneous polysomnography and QSA600 monitoring at Beijing Children's Hospital from September-November 2023. QSA600 recordings were automatically analyzed using a deep learning model, while polysomnography data were manually scored.

Results

The obstructive apnea-hypopnea index (OAHI) obtained from QSA600 and polysomnography demonstrates a high level of agreement with an intraclass correlation coefficient of 0.945 (95% CI: 0.93-0.96). Bland-Altman analysis indicated that the mean difference of obstructive apnea-hypopnea index between QSA600 and polysomnography was −0.10 events/h (95% CI: −11.15 to 10.96). The deep learning model evaluated through cross-validation showed good sensitivity (81.8%, 84.3%, and 89.7%) and specificity (90.5%, 95.3%, and 97.1%) values for diagnosing children with OAHI >1, OAHI >5, and OAHI >10. The area under the receiver operating characteristic curve was 0.923, 0.955, and 0.988, respectively. For sleep stage classification, the model achieved Kappa coefficients of 0.854, 0.781, and 0.734, with corresponding overall accuracies of 95.0%, 84.8%, and 79.7% for Wake-Sleep classification, Wake-REM-Light-Deep classification, and Wake-REM-N1-N2-N3 classification, respectively.

Conclusions

QSA600 has demonstrated high agreement with polysomnography in diagnosing obstructive sleep apnea and performing sleep staging in children. The device is portable, low-burden, and suitable for follow-up and long-term pediatric sleep assessment.

研究目的：由于多导睡眠描记术的高成本、复杂性和工作量，一种基于雷达的睡眠监测设备QSA600被开发出来，作为一种更简化的儿童睡眠监测设备。本研究评估其与多导睡眠图在阻塞性睡眠呼吸暂停诊断和睡眠分期方面的一致性。方法：本诊断准确性研究纳入281名1-18岁儿童，于2023年9 - 11月在北京儿童医院同时进行多导睡眠描记仪和QSA600监测。QSA600记录使用深度学习模型自动分析，而多导睡眠图数据则手动评分。结果：通过QSA600和多导睡眠图获得的阻塞性呼吸暂停低通气指数（OAHI）显示出高度的一致性，类内相关系数为0.945 （95% CI: 0.93-0.96）。Bland-Altman分析显示，QSA600与多导睡眠图之间阻塞性呼吸暂停低通气指数的平均差异为-0.10事件/小时（95% CI: -11.15 ~ 10.96）。通过交叉验证评估的深度学习模型在诊断OAHI >1、OAHI >5和OAHI >10患儿方面显示出良好的敏感性（81.8%、84.3%和89.7%）和特异性（90.5%、95.3%和97.1%）。受试者工作特征曲线下面积分别为0.923、0.955、0.988。对于睡眠阶段分类，该模型Kappa系数分别为0.854、0.781和0.734，Wake-Sleep分类、Wake-REM-Light-Deep分类和Wake-REM-N1-N2-N3分类的总体准确率分别为95.0%、84.8%和79.7%。结论：QSA600在诊断儿童阻塞性睡眠呼吸暂停和进行睡眠分期方面与多导睡眠图高度一致。该设备便携、低负担，适合儿童随访和长期睡眠评估。

{"title":"Deep learning-based automated diagnosis of obstructive sleep apnea and sleep stage classification in children using millimeter-wave radar and pulse oximeter","authors":"Wei Wang BA , Ruobing Song MD , Yunxiao Wu MD , Li Zheng MB , Wenyu Zhang PhD , Zhaoxi Chen PhD , Gang Li PhD , Zhifei Xu MD","doi":"10.1016/j.sleh.2025.06.006","DOIUrl":"10.1016/j.sleh.2025.06.006","url":null,"abstract":"<div><h3>Study objectives</h3><div>Due to the high cost, complexity, and workload of polysomnography, a radar-based sleep monitoring device, QSA600, has been developed as a more simplified alternative for children. This study evaluates its agreement with polysomnography for obstructive sleep apnea diagnosis and sleep staging.</div></div><div><h3>Methods</h3><div>This diagnostic accuracy study included 281 children (1-18 years) who underwent simultaneous polysomnography and QSA600 monitoring at Beijing Children's Hospital from September-November 2023. QSA600 recordings were automatically analyzed using a deep learning model, while polysomnography data were manually scored.</div></div><div><h3>Results</h3><div>The obstructive apnea-hypopnea index (OAHI) obtained from QSA600 and polysomnography demonstrates a high level of agreement with an intraclass correlation coefficient of 0.945 (95% CI: 0.93-0.96). Bland-Altman analysis indicated that the mean difference of obstructive apnea-hypopnea index between QSA600 and polysomnography was −0.10 events/h (95% CI: −11.15 to 10.96). The deep learning model evaluated through cross-validation showed good sensitivity (81.8%, 84.3%, and 89.7%) and specificity (90.5%, 95.3%, and 97.1%) values for diagnosing children with OAHI >1, OAHI >5, and OAHI >10. The area under the receiver operating characteristic curve was 0.923, 0.955, and 0.988, respectively. For sleep stage classification, the model achieved Kappa coefficients of 0.854, 0.781, and 0.734, with corresponding overall accuracies of 95.0%, 84.8%, and 79.7% for Wake-Sleep classification, Wake-REM-Light-Deep classification, and Wake-REM-N1-N2-N3 classification, respectively.</div></div><div><h3>Conclusions</h3><div>QSA600 has demonstrated high agreement with polysomnography in diagnosing obstructive sleep apnea and performing sleep staging in children. The device is portable, low-burden, and suitable for follow-up and long-term pediatric sleep assessment.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 6","pages":"Pages 859-867"},"PeriodicalIF":3.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

High-intensity circuit training improves sleep parameters more than cycling-based high-intensity interval training in sedentary young women: A randomized controlled trial 在久坐的年轻女性中，高强度循环训练比基于自行车的高强度间歇训练更能改善睡眠参数：一项随机对照试验。

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2025-12-01 DOI: 10.1016/j.sleh.2025.05.012

Borui Zhang MSocSc , Chen Zheng PhD , Jing Liu MEd , Huiqi Song PhD , Yuan Fang PhD , Ming Hu MPhEd , Andy Choi-Yeung Tse PhD , Sing-Kai Lo PhD , Fenghua Sun PhD

Objectives

This randomized controlled trial evaluated the effects of high-intensity circuit training vs. cycling-based high-intensity interval training on actigraphic sleep parameters, subjective sleep quality, and psychological health in sedentary young women.

Methods

Forty-two sedentary women were randomly assigned to high-intensity circuit training (n = 14), high-intensity interval training (n = 14), or control (CON; n = 14). Intervention groups completed three supervised exercise sessions per week for 8 weeks; the CON group maintained usual activities. Actigraphic sleep metrics and the Pittsburgh Sleep Quality Index were assessed pre- and post-intervention. Mood, perceived stress, and quality of life were measured via validated questionnaires.

Results

Both high-intensity circuit training and high-intensity interval training improved sleep efficiency, latency, and wake after sleep onset compared with CON (all p < .05). No significant differences emerged between exercise modalities for actigraphic measures. However, high-intensity circuit training yielded greater improvements in Pittsburgh Sleep Quality Index sleep quality (mean ± SD: 1.6 ± 0.9 to 1.1 ± 0.6) than high-intensity interval training (0.9 ± 0.5 to 1.1 ± 0.5; p = .024) and greater enhancement in social relationship quality of life (66.1 ± 14.8 to 74.4 ± 10.6 vs. 70.8 ± 14.5 to 69.0 ± 10.0; p = .037). Only high-intensity circuit training produced significant postintervention increases in self-esteem and reductions in perceived stress.

Conclusions

Both high-intensity circuit training and high-intensity interval training improved objective sleep parameters compared with no exercise, but high-intensity circuit training was superior for enhancing subjective sleep quality, social relationships in sedentary young women.

目的：本随机对照试验评估了高强度循环训练与基于自行车的高强度间歇训练对久坐年轻女性活动睡眠参数、主观睡眠质量和心理健康的影响。方法：42名久坐不动的女性被随机分配到高强度循环训练组（n = 14）、高强度间歇训练组（n = 14）和对照组(CON；N = 14)。干预组每周完成三次有监督的锻炼，持续8周；CON组维持常规活动。在干预前和干预后分别评估活动睡眠测量和匹兹堡睡眠质量指数。情绪、感知压力和生活质量通过有效的问卷进行测量。结果：与对照组相比，高强度循环训练和高强度间歇训练均能改善睡眠效率、潜伏期和睡眠后醒觉率（均p < 0.05）。活动测量的运动方式之间没有显着差异。然而，高强度循环训练在匹兹堡睡眠质量指数睡眠质量（平均±SD: 1.6±0.9至1.1±0.6）方面的改善要大于高强度间歇训练(0.9±0.5至1.1±0.5；P = 0.024)和社会关系生活质量的更大提高(66.1±14.8至74.4±10.6比70.8±14.5至69.0±10.0；P = .037)。只有高强度的神经回路训练在干预后产生了显著的自尊增加和感知压力的减少。结论：与不运动相比，高强度循环训练和高强度间歇训练均能改善客观睡眠参数，但高强度循环训练在改善久坐年轻女性主观睡眠质量和社会关系方面更胜一筹。

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引用次数: 0

Breaking the cycle of burnout: Integrating sleep health in workplace mental wellness for low-resource settings 打破倦怠的循环：将睡眠健康纳入低资源环境下的工作场所心理健康。

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2025-12-01 DOI: 10.1016/j.sleh.2025.07.004

Jose Eric M. Lacsa EdD

引用次数: 0

A between- and within-group approach to examine sleep, discrimination, and mental health among sexual-minority youth 研究性少数青少年睡眠、歧视和心理健康的组内和组间方法。

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2025-12-01 DOI: 10.1016/j.sleh.2025.08.002

Brian T. Gillis PhD , Stephen A. Erath PhD, Ben Hinnant PhD, Mona El-Sheikh PhD

Objectives

To advance our understanding of sleep among sexual-minority (SM) youth using actigraphy and to assess sleep as a buffer against minority stress (i.e., discrimination) for SM youth.

Methods

Participants included 211 SM and 2768 non-SM youth from the Adolescent Brain Cognitive Development Study (M age = 11.96 years, SD = 7.80 months). Youth reported SM status and minority stress (past 12-month discrimination), sleep was derived from actigraphy, and parents reported on youth mental health (internalizing symptoms and externalizing behaviors). A multivariate analysis of covariance was used to compare the sleep of SM and non-SM youth; interaction models were used to test sleep as a moderator of relations between SM-based discrimination and mental health.

Results

In models adjusted for sociodemographic characteristics and internalizing symptoms, SM youth had shorter sleep duration (F = 13.90, p < .001), higher sleep efficiency (F = 4.46, p = .04), less wake after sleep onset (F = 10.43, p = .001), later sleep timing (F = 17.67, p < .001), and more irregularity in duration (F = 18.91, p < .001) and timing (F = 12.00, p < .001) compared with non-SM peers. Across parameters, sleep quality moderated relations between discrimination and externalizing behaviors: for SM youth with better sleep, there was no relationship between discrimination and externalizing (aggressive/rule-breaking) behaviors, suggestive of a protective role for sleep quality.

Conclusions

Sleep should be promoted among sexual-minority youth. For adolescent externalizing behaviors, sleep quality could play a key role in buffering against the stress of sexual-minority discrimination.

目的：利用活动记录仪加深我们对性少数群体（SM）青少年睡眠的了解，并评估睡眠对SM青少年少数群体压力（即歧视）的缓冲作用。方法：研究对象为来自青少年大脑认知发展研究的211名SM青年和2768名非SM青年（M年龄= 11.96岁，SD = 7.80个月）。青少年报告SM状态和少数民族压力（过去12个月的歧视），睡眠来源于活动记录仪，父母报告青少年心理健康（内化症状和外化行为）。采用多变量协方差分析比较SM青年与非SM青年的睡眠情况；交互作用模型用于测试睡眠作为sm歧视与心理健康之间关系的调节因子。结果：在调整了社会人口学特征和内化症状的模型中，与非SM同龄人相比，SM青年的睡眠时间更短（F = 13.90, p < 0.001），睡眠效率更高（F = 4.46, p = 0.04），睡眠开始后醒得更少（F = 10.43, p = 0.001），睡眠时间更晚（F = 17.67, p < 0.001），持续时间（F = 18.91, p < 0.001）和时间（F = 12.00, p < 0.001）更不规律。在各参数中，睡眠质量调节了歧视与外化行为之间的关系：对于睡眠质量较好的SM青年，歧视与外化（攻击/违规）行为之间没有关系，提示睡眠质量具有保护作用。结论：应促进性少数青少年的睡眠。对于青少年的外化行为，睡眠质量可能在缓冲性少数歧视的压力方面发挥关键作用。

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引用次数: 0

NSF Sleep Health Times NSF睡眠健康时代

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2025-09-17 DOI: 10.1016/S2352-7218(25)00194-9

引用次数: 0

Cover 2: Editorial Board 封面2：编辑部

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2025-09-17 DOI: 10.1016/S2352-7218(25)00180-9

引用次数: 0