Sleep Health最新文献

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A parent’s perspective: Lived experiences and a call for better awareness, resources, and equitable access to support 父母的观点：生活经历和对更好的意识、资源和公平获得支持的呼吁。

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2025-12-01 Epub Date: 2025-11-05 DOI: 10.1016/j.sleh.2025.11.002

Adrienne Mageors BA

引用次数: 0

Ethnic and racial discrimination and sleep health among Asian American college students 亚裔美国大学生的种族歧视与睡眠健康

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2025-12-01 Epub Date: 2025-09-19 DOI: 10.1016/j.sleh.2025.07.011

Jinjin Yan PhD , Natasha C. Johnson PhD , Zhenqiang Zhao PhD , Kyle Lorenzo PhD , Heining Cham PhD , Nidia Ruedas-Gracia PhD , Mona El Sheikh PhD , David H. Chae ScD , Tiffany Yip PhD

Objectives

Sleep health is increasingly recognized as a key factor influencing college students’ well-being. However, research remains limited on the ethnic and racial discrimination experiences (both indirect and direct discrimination) that shape sleep health in Asian American college students. This study investigated daily associations between discrimination and sleep among Asian American students.

Methods

Participants were 168 Asian American first-year college students (Mage = 18.38 years, SD = 0.41; 65.5% female) in the northeastern United States. Over a 14-day period, self-reported direct ethnic and racial discrimination, indirect discrimination (i.e., vicarious racism), and actigraphy-measured sleep outcomes were assessed.

Results

At the within-person level, on days when Asian American students reported higher-than-usual levels of ethnic and racial discrimination, they woke up earlier (b = −0.487, p = .050) and got out of bed earlier (b = −0.543, p = .006). However, at the between-person level, students with higher levels of direct discrimination woke up later (b = 1.571, p = .045) and got out of bed later (b = 1.769, p = .024). Students with higher levels of indirect discrimination had lower sleep efficiency (b = −16.809, p = .031), more WASO (b = 39.011, p = .021) and shorter sleep duration (b = −157.211, p = .024).

Conclusions

Both direct and indirect discrimination are critical social determinants of sleep health among Asian American college students. This study offers insights to guide culturally tailored institution-level policies that promote sleep health among Asian American college students during this crucial transicition.

目的：睡眠健康越来越被认为是影响大学生幸福感的关键因素。然而，对影响亚裔美国大学生睡眠健康的种族和种族歧视经历（间接和直接歧视）的研究仍然有限。本研究调查了亚裔美国学生的日常歧视与睡眠之间的关系。方法：研究对象为美国东北部168名亚裔美国大学一年级学生（年龄18.38岁，SD = 0.41；女性65.5%）。在14天的时间里，对自我报告的直接民族和种族歧视、间接歧视（即替代性种族主义）和活动记录仪测量的睡眠结果进行了评估。结果：在个人层面上，在亚裔美国学生报告的种族和种族歧视程度高于平时的日子里，他们起得更早（b = -0.487, p = 0.050），下得更早（b = -0.543, p = 0.006）。然而，在人际水平上，直接歧视水平较高的学生起得较晚（b = 1.571, p = 0.045），下床较晚（b = 1.769, p = 0.024）。间接歧视程度高的学生睡眠效率较低（b = -16.809, p = 0.031）， WASO较多（b = 39.011, p = 0.021），睡眠时间较短（b = -157.211, p = 0.024）。结论：直接和间接歧视都是影响亚裔美国大学生睡眠健康的关键社会因素。这项研究提供了一些见解，以指导在这一关键转变时期促进亚裔美国大学生睡眠健康的文化量身定制的机构层面政策。

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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 : 2025-12-01 DOI: 10.1016/S2352-7218(25)00232-3

引用次数: 0

Validation of a low-load monitoring system based on millimeter-wave radar and pulse oximetry vs. polysomnography for obstructive sleep apnea diagnosis 基于毫米波雷达和脉搏血氧仪的低负荷监测系统与多导睡眠图对阻塞性睡眠呼吸暂停诊断的验证。

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2025-12-01 Epub Date: 2025-10-10 DOI: 10.1016/j.sleh.2025.09.002

Lin Sun MD , Wei Wang BS , Yiming Wang MD , Wenbin Guo MD , Zhuqi Chen MD , Jinping Zeng BS , Juan Zhang BS , Gang Li PhD , Wenbin Lei MD , Huijun Yue MD

Objectives

To evaluate the clinical diagnostic efficiency of the low-load sleep monitor Tsingray Sleep Respiratory Monitoring System QSA600 (Tsingray QSA600) against type 1 polysomnography (PSG) for obstructive sleep apnea (OSA).

Methods

This diagnostic study consecutively recruited 200 participants who underwent simultaneous overnight monitoring with both PSG and Tsingray QSA600 at the sleep center. The performance of Tsingray QSA600 was assessed against PSG considering 3 aspects: overnight sleep respiratory parameters, event-level analysis (apnea-hypopnea and oxygen desaturation), and sleep staging. Accuracy, sensitivity, specificity, intra-class correlation coefficient, Cohen's κ, and Bland-Altman analysis were evaluated.

Results

The sensitivity and specificity for predicting the apnea-hypopnea index (AHI) in patients with mild, moderate, and severe OSA were 95.5%, 97.7%, and 96.5% and 77.6%, 86.8%, and 93.0%, respectively, with a mean absolute error of 3.573 events per hour. The intra-class correlation coefficient between the reference and predicted AHI was 0.965. The sensitivity and specificity were 83.4% and 94.3% for predicting individual apnea-hypopnea, and 71.4% and 92.0% for predicting oxygen desaturation events, respectively. The accuracy of predicting sleep stages (nonrapid eye movement, rapid eye movement, and wakefulness) was 80.3% (Cohen's κ: 0.614).

Conclusions

Tsingray QSA600 demonstrated significant practical application value owing to its good diagnostic efficacy, low-load, and accessible capability as a screening device for OSA and sleep tracking in patients with OSA. However, its limited accuracy in diagnosing mild OSA and interpreting sleep stages precludes replacing gold standard PSG.

Trial registration

Validation study of a new type of sleep monitoring device for diagnosis of sleep-disordered breathing. www.chictr.org.cn (Identifier: ChiCTR2400093764).

目的：评价低负荷睡眠监测仪tsinggray睡眠呼吸监测系统QSA600 （tsinggray QSA600）对1型多导睡眠图（PSG）对阻塞性睡眠呼吸暂停（OSA）的临床诊断价值。方法：本诊断性研究连续招募200名参与者，在睡眠中心同时进行PSG和tsinggray QSA600夜间监测。从3个方面对tsinggray QSA600的性能进行PSG评估：夜间睡眠呼吸参数，事件水平分析（呼吸暂停-低通气和氧去饱和）和睡眠分期。评估准确性、敏感性、特异性、类内相关系数、Cohen’s κ和Bland-Altman分析。结果：预测轻、中、重度OSA患者呼吸暂停低通气指数（AHI）的敏感性和特异性分别为95.5%、97.7%、96.5%、77.6%、86.8%和93.0%，平均绝对误差为3.573次/小时。参考AHI与预测AHI的类内相关系数为0.965。预测个体呼吸暂停低通气的敏感性和特异性分别为83.4%和94.3%，预测氧去饱和事件的敏感性和特异性分别为71.4%和92.0%。预测睡眠阶段（非快速眼动、快速眼动和清醒）的准确率为80.3% （Cohen’s κ: 0.614）。结论：青灰QSA600作为OSA患者的OSA筛查和睡眠跟踪设备，诊断效果好、负荷低、易于使用，具有重要的实际应用价值。然而，它在诊断轻度OSA和解释睡眠阶段方面的准确性有限，因此无法取代金标准PSG。试验注册：一种诊断睡眠呼吸障碍的新型睡眠监测装置的验证研究。www.chictr.org.cn（标识符：ChiCTR2400093764）。

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引用次数: 0

Sleep-disordered breathing subtypes and future diet quality in the Multi-Ethnic Study of Atherosclerosis 动脉粥样硬化多民族研究中的睡眠呼吸障碍亚型和未来饮食质量

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2025-12-01 Epub Date: 2025-10-01 DOI: 10.1016/j.sleh.2025.08.003

Kaitlin S. Potts PhD , Cecilia Castro-Diehl PhD , Tianyi Huang ScD , Alexis C. Wood PhD , Jerome I. Rotter PhD , Stephen S. Rich PhD , Tamar Sofer PhD , Susan Redline MD , Heming Wang PhD

Objectives

Sleep-disordered breathing (SDB) and diet quality impact cardiometabolic disease, but few studies have examined if SDB influences diet quality. This study estimated the association between SDB subtypes (with and without sleepiness) and future diet quality in the Multi-Ethnic Study of Atherosclerosis.

Methods

Probable SDB was characterized by self-reported physician-diagnosed sleep apnea (PDSA) or habitual snoring and subtyped by presence or absence of sleepiness. A food frequency questionnaire measured diet 1.6 years before, and 7.8 years after SDB assessment. Diet quality was measured with the Alternate Healthy Eating Index-2010 (AHEI). Mean differences in AHEI at follow-up by SDB subtypes were estimated with multivariable linear regression adjusting for baseline AHEI, demographic, and lifestyle factors.

Results

Among 3294 participants (mean age 62 years, 51% women), 29.5% had SDB. When grouped by sleepiness, 20.6% had SDB without, and 8.9% had SDB with, sleepiness. Adjusting for baseline diet and potential confounders, those with SDB had lower follow-up AHEI scores compared with unaffected individuals (mean AHEI difference [95% CI]: −1.02 [−1.69, −0.35]). Upon stratifying by sleepiness, both groups had lower AHEI scores at follow-up compared with unaffected individuals, and the difference was greater for those with sleepiness (mean score difference [95% CI]: −0.8 [−1.56, −0.04], without sleepiness; −1.52 [−2.59, −0.45], with sleepiness). The difference between those with and without sleepiness was not statistically significant.

Conclusions

In a multi-ethnic cohort, SDB was associated with lower diet quality after 7.8 years and this association was larger among participants with SDB with sleepiness.

目的：睡眠呼吸障碍（SDB）和饮食质量对心脏代谢疾病有影响，但SDB是否影响饮食质量的研究较少。本研究在多民族动脉粥样硬化研究中估计了SDB亚型（伴和不伴嗜睡）与未来饮食质量之间的关系。方法：SDB可能以自我报告的医生诊断的睡眠呼吸暂停（PDSA）或习惯性打鼾为特征，并以有无嗜睡为分型。食物频率问卷测量了SDB评估前1.6年和评估后7.8年的饮食情况。饮食质量采用替代健康饮食指数-2010 （AHEI）进行测量。通过调整基线AHEI、人口统计学和生活方式因素的多变量线性回归，估计按SDB亚型随访时AHEI的平均差异。结果：在3294名参与者中（平均年龄62岁，51%为女性），29.5%患有SDB。当按困倦程度分组时，20.6%的人没有困倦，8.9%的人有困倦。调整基线饮食和潜在混杂因素后，SDB患者的随访AHEI评分低于未受影响的个体（平均AHEI差异[95% CI]: -1.02[-1.69, -0.35]）。在按困倦程度分层后，两组随访时的AHEI得分均低于未受影响的个体，困倦组的差异更大（平均评分差[95% CI]: -0.8[-1.56, -0.04]，无困倦组；-1.52[-2.59,-0.45]，有困倦组）。有困倦和没有困倦的人之间的差异没有统计学意义。结论：在一个多种族队列中，SDB与7.8年后较低的饮食质量相关，并且这种关联在SDB伴嗜睡的参与者中更大。

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引用次数: 0

Sleep in a Bygone Era 睡在一个过去的时代

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2025-12-01 DOI: 10.1016/j.sleh.2025.10.012

Meir H. Kryger MD, FRCPC

引用次数: 0

Promoting the science of sleep health: New guidelines and features 促进睡眠健康的科学：新的指导方针和特点

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2025-12-01 Epub Date: 2025-10-25 DOI: 10.1016/j.sleh.2025.10.004

Susan Redline MD, MPH

引用次数: 0

Bridging the sleep gap: Barriers and strategies for meeting the national sleep guideline among Black women 弥合睡眠差距：黑人妇女达到国家睡眠指南的障碍和策略。

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2025-12-01 Epub Date: 2025-10-15 DOI: 10.1016/j.sleh.2025.09.004

Daniel J. Schober PhD, MPH , Cole Forbes MPH , Stacy Ignoffo MSW , Elizabeth B. Lynch PhD

Objectives

Over a third of US adults report short sleep duration (SSD), which is associated with an increased risk for chronic conditions. Black Americans are twice as likely as White Americans to report SSD and this is most pronounced among Black women. The purpose of this study is to determine the barriers and the strategies to meeting the national sleep guideline among Black women who experience SSD.

Methods

We conducted in-depth interviews with Black women, 35 and older, who reported getting less than 7 hours of sleep in a typical evening. Interviews were conducted until reaching a point of theoretical saturation (N = 24 total). Our codes of barriers and strategies to sleep was conceptualized across the social ecology (intrapersonal, interpersonal, institutional, and community levels). We conducted member checking with a subsample of participants (N = 3).

Results

Participants generated 35 barrier codes and 23 strategy codes. Barriers such as stress spanned several ecological levels while other barriers, such as family responsibility, occurred on a single level (interpersonal). Strategies (actual and potential) emerged on the intrapersonal and interpersonal levels. Intrapersonal level strategies (N = 20) involved increasing the frequency of sleep-inducing behaviors while interpersonal level strategies (N = 3) involved managing relationships and better communication with family in the household.

Conclusions

Sleep interventionists should consider the interpersonal and intrapersonal sleep strategies that Black women are using when planning and adapting the sleep hygiene aspect of sleep interventions. Sleep interventions must also address stress and consider factors such as relationships and family responsibility when adapting and implementing sleep interventions.

目的：超过三分之一的美国成年人报告睡眠时间短（SSD），这与慢性疾病的风险增加有关。美国黑人报告SSD的可能性是白人的两倍，这在黑人女性中最为明显。本研究的目的是确定经历过睡眠不足的黑人妇女达到国家睡眠指南的障碍和策略。方法：我们对35岁及以上的黑人女性进行了深入访谈，这些女性报告说她们每晚睡眠时间少于7小时。访谈进行到达到理论饱和点（N = 24）。我们的睡眠障碍和策略代码是在社会生态中概念化的（个人、人际、机构和社区层面）。我们对参与者的子样本（N = 3）进行了成员检验。结果：参与者生成35个障碍码和23个策略码。压力等障碍跨越了几个生态层面，而其他障碍，如家庭责任，只发生在一个层面（人际关系）。策略（实际的和潜在的）出现在个人和人际层面。个人层面策略（N = 20）涉及增加诱发睡眠行为的频率，而人际层面策略（N = 3）涉及管理关系和更好地与家庭中的家人沟通。结论：睡眠干预学家在计划和适应睡眠干预的睡眠卫生方面时，应该考虑黑人女性正在使用的人际和个人睡眠策略。在适应和实施睡眠干预措施时，还必须解决压力问题，并考虑关系和家庭责任等因素。

{"title":"Bridging the sleep gap: Barriers and strategies for meeting the national sleep guideline among Black women","authors":"Daniel J. Schober PhD, MPH , Cole Forbes MPH , Stacy Ignoffo MSW , Elizabeth B. Lynch PhD","doi":"10.1016/j.sleh.2025.09.004","DOIUrl":"10.1016/j.sleh.2025.09.004","url":null,"abstract":"<div><h3>Objectives</h3><div>Over a third of US adults report short sleep duration (SSD), which is associated with an increased risk for chronic conditions. Black Americans are twice as likely as White Americans to report SSD and this is most pronounced among Black women. The purpose of this study is to determine the barriers and the strategies to meeting the national sleep guideline among Black women who experience SSD.</div></div><div><h3>Methods</h3><div>We conducted in-depth interviews with Black women, 35 and older, who reported getting less than 7 hours of sleep in a typical evening. Interviews were conducted until reaching a point of theoretical saturation (N = 24 total). Our codes of barriers and strategies to sleep was conceptualized across the social ecology (intrapersonal, interpersonal, institutional, and community levels). We conducted member checking with a subsample of participants (N = 3).</div></div><div><h3>Results</h3><div>Participants generated 35 barrier codes and 23 strategy codes. Barriers such as stress spanned several ecological levels while other barriers, such as family responsibility, occurred on a single level (interpersonal). Strategies (actual and potential) emerged on the intrapersonal and interpersonal levels. Intrapersonal level strategies (N = 20) involved increasing the frequency of sleep-inducing behaviors while interpersonal level strategies (N = 3) involved managing relationships and better communication with family in the household.</div></div><div><h3>Conclusions</h3><div>Sleep interventionists should consider the interpersonal and intrapersonal sleep strategies that Black women are using when planning and adapting the sleep hygiene aspect of sleep interventions. Sleep interventions must also address stress and consider factors such as relationships and family responsibility when adapting and implementing sleep interventions.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 6","pages":"Pages 816-822"},"PeriodicalIF":3.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309465","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

Association of sleep patterns with the trajectory of multimorbidity: A large community-based longitudinal study 睡眠模式与多病轨迹的关联：一项大型社区纵向研究。

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2025-12-01 Epub Date: 2025-08-28 DOI: 10.1016/j.sleh.2025.07.005

Xuerui Li PhD , Yuyang Miao MD , Wenzhe Yang PhD , Abigail Dove PhD , Weili Xu PhD , Qiang Zhang PhD

Objective

This study aimed to investigate whether sleep patterns are associated with the accumulation of multiple chronic diseases and multimorbidity-free survival, and to explore the role of C-reactive protein in these associations.

Methods

The study included 247,751 chronic disease--free participants from the UK Biobank (mean age: 55.20 ± 8.09, 54.69% females) who were followed for up to 16 years to detect incident chronic diseases. A total of 59 chronic diseases were ascertained through information on medical records. Multimorbidity was defined as the presence of two or more chronic diseases. Sleep patterns were assessed based on duration, chronotype, insomnia, snoring, and daytime sleepiness and categorized as healthy, intermediate, or poor. Plasma C-reactive protein concentration was measured through blood samples. Data were analyzed using the linear mixed-effects models, Cox regression, Laplace regression, and mediation analysis.

Results

During the follow-up (median: 10.34 years), 108,764 (43.90%) participants developed multimorbidity. Having a poor compared with healthy sleep pattern was related to significantly faster accumulation of chronic diseases (β_mix = 0.081, 95% confidence interval [CI]: 0.075, 0.086). Among people with a poor sleep pattern, the hazard ratio (95% CI) of multimorbidity was 1.347 (1.304, 1.392). Further, having poor sleep pattern shortened the median multimorbidity-free survival time by 1.747 (95% CI: −1.949, −1.546) years. In mediation analysis, C-reactive protein mediated 5.24% of sleep-multimorbidity association.

Conclusions

Poor sleep pattern is associated with accelerated accumulation of chronic disease, increased risk of developing multimorbidity, and shortened multimorbidity-free survival time. C-reactive protein partially mediates the sleep-multimorbidity association. Our findings underscore the connection between sleep and the development of chronic disease.

目的：本研究旨在探讨睡眠模式是否与多种慢性疾病的积累和无多病生存相关，并探讨c反应蛋白在这些关联中的作用。方法：该研究纳入了来自UK Biobank的247,751名无慢性疾病的参与者（平均年龄：55.20±8.09，女性54.69%），随访长达16年，以检测慢性疾病的发生。通过病历资料共确定了59种慢性病。多病被定义为存在两种或两种以上的慢性疾病。根据持续时间、睡眠类型、失眠、打鼾和白天嗜睡来评估睡眠模式，并将其分为健康、中等和较差。通过血液样本测定血浆c反应蛋白浓度。数据分析采用线性混合效应模型、Cox回归、拉普拉斯回归和中介分析。结果：在随访期间（中位数：10.34年），108,764名（43.90%）参与者出现多重疾病。与健康的睡眠模式相比，睡眠模式差与慢性疾病积累明显加快相关（β混合值= 0.081,95%可信区间[CI]: 0.075, 0.086）。在睡眠模式较差的人群中，多重发病的风险比（95% CI）为1.347（1.304,1.392）。此外，睡眠模式差使无多病生存时间中位数缩短1.747年（95% CI: -1.949, -1.546）。在中介分析中，c反应蛋白介导了5.24%的睡眠多病关联。结论：不良的睡眠模式与慢性疾病的加速积累、发展为多种疾病的风险增加以及缩短无多种疾病的生存时间有关。c反应蛋白部分介导睡眠-多病关联。我们的发现强调了睡眠和慢性疾病发展之间的联系。

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引用次数: 0

Harsh parenting in adolescence and symptoms of depression in emerging adulthood: The moderating role of sleep 青春期严厉的父母教育和成年初期的抑郁症状：睡眠的调节作用。

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health

Pub Date : 2025-12-01 Epub Date: 2025-09-17 DOI: 10.1016/j.sleh.2025.07.010

Ryan J. Kelly PhD , Morgan J. Thompson PhD , Mona El-Sheikh PhD

Objectives

Harsh parenting occurs often in adolescence and confers risk for depression symptoms. However, individual differences exist and explication of variables that exacerbate or attenuate risk is needed. Sleep problems impair coping abilities and may magnify the effects of harsh parenting. Using a 5-wave design spanning 9 years, we investigated adolescents’ sleep as a moderator of relations between harsh parenting in adolescence and depression symptoms in emerging adulthood.

Methods

Families participated over 5 waves (child’s M age at each wave was 16, 17, 18, 23, and 25 years; 245 families participated at age 16 [52% female; 67% White/European American, 33% Black/African American]; 132 families participated at all 5 waves). Mothers and fathers reported on the frequency of their own harsh parenting (verbal and physical) at ages 16-18. Actigraphy measured adolescents’ sleep duration (minutes) and quality (sleep maintenance efficiency, long wake episodes) at ages 16-18. Depression symptoms were assessed with self-reports at all waves.

Results

After controlling for autoregressive effects, structural equation models revealed that shorter sleep duration (β = −0.16, p = <.03), reduced sleep maintenance efficiency (β = −0.30, p = <.001), and more long wake episodes (β = 0.24, p = .004) in adolescence exacerbated relations between harsh fathering in adolescence and depression symptoms in emerging adulthood. Harsh mothering did not confer risk, regardless of adolescents’ sleep.

Conclusions

Interactions between harsh parenting and sleep problems in adolescence may predict depression symptoms in emerging adulthood. The results highlight the importance of considering sleep in attempts to improve mental health in those exposed to harsh parenting.

目的：严厉的父母教育经常发生在青少年时期，并且会增加抑郁症状的风险。然而，个体差异存在，需要解释加剧或减弱风险的变量。睡眠问题会损害孩子的应对能力，并可能放大严厉父母的影响。采用跨越9年的5波设计，我们调查了青少年睡眠在青春期严厉父母教育与成年早期抑郁症状之间的调节作用。方法：分5波参与家庭（每波儿童的M年龄分别为16岁、17岁、18岁、23岁和25岁）；16岁参与家庭245个（52%为女性，67%为白人/欧洲裔美国人，33%为黑人/非洲裔美国人）；5波共参与家庭132个。母亲和父亲报告了他们在16-18岁时严厉管教（口头和身体）的频率。活动记录仪测量了16-18岁青少年的睡眠时间（分钟）和质量（睡眠维持效率，长时间清醒）。抑郁症状通过自我报告在所有阶段进行评估。结果：在控制了自回归效应后，结构方程模型显示较短的睡眠时间（β = -0.16, p =）。结论：严厉的父母教养和青春期睡眠问题之间的相互作用可能预测成年早期的抑郁症状。研究结果强调了考虑睡眠对于那些受到严厉教育的孩子改善心理健康的重要性。

{"title":"Harsh parenting in adolescence and symptoms of depression in emerging adulthood: The moderating role of sleep","authors":"Ryan J. Kelly PhD , Morgan J. Thompson PhD , Mona El-Sheikh PhD","doi":"10.1016/j.sleh.2025.07.010","DOIUrl":"10.1016/j.sleh.2025.07.010","url":null,"abstract":"<div><h3>Objectives</h3><div>Harsh parenting occurs often in adolescence and confers risk for depression symptoms. However, individual differences exist and explication of variables that exacerbate or attenuate risk is needed. Sleep problems impair coping abilities and may magnify the effects of harsh parenting. Using a 5-wave design spanning 9 years, we investigated adolescents’ sleep as a moderator of relations between harsh parenting in adolescence and depression symptoms in emerging adulthood.</div></div><div><h3>Methods</h3><div>Families participated over 5 waves (child’s <em>M</em> age at each wave was 16, 17, 18, 23, and 25 years; 245 families participated at age 16 [52% female; 67% White/European American, 33% Black/African American]; 132 families participated at all 5 waves). Mothers and fathers reported on the frequency of their own harsh parenting (verbal and physical) at ages 16-18. Actigraphy measured adolescents’ sleep duration (minutes) and quality (sleep maintenance efficiency, long wake episodes) at ages 16-18. Depression symptoms were assessed with self-reports at all waves.</div></div><div><h3>Results</h3><div>After controlling for autoregressive effects, structural equation models revealed that shorter sleep duration (β = −0.16, <em>p</em> = <.03), reduced sleep maintenance efficiency (β = −0.30, <em>p</em> = <.001), and more long wake episodes (β = 0.24, <em>p</em> = .004) in adolescence exacerbated relations between harsh fathering in adolescence and depression symptoms in emerging adulthood. Harsh mothering did not confer risk, regardless of adolescents’ sleep.</div></div><div><h3>Conclusions</h3><div>Interactions between harsh parenting and sleep problems in adolescence may predict depression symptoms in emerging adulthood. The results highlight the importance of considering sleep in attempts to improve mental health in those exposed to harsh parenting.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 6","pages":"Pages 781-790"},"PeriodicalIF":3.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087761","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}

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