{"title":"睡眠不规律与精神健康状况较差有关：对八项研究的汇总分析。","authors":"","doi":"10.1016/j.sleh.2024.03.004","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><p>Greater sleep disturbances on average are a risk factor for impaired mental health. Recent research has shown that more intraindividual variability (i.e., inconsistency) in sleep (hereafter called “sleep intraindividual variability”) may also be uniquely related to mental health, even above the influence of mean sleep patterns averaged across days. The current study examined associations between sleep intraindividual variability and symptoms of anxiety, depression, and insomnia across different facets of sleep intraindividual variability (sleep duration, efficiency, and timing) and sleep measurement types (sleep diary and actigraphy).</p></div><div><h3>Methods</h3><p>We pooled eight datasets (<em>N</em><span> = 3053 participants) that assessed repeated measures of sleep diary- and/or actigraphy-determined sleep across multiple days, as well as one-time measures of mental health or sleep disorder symptoms (i.e., anxiety, depression, and insomnia). Multilevel regression analyses were conducted to examine associations between sleep intraindividual variability and mental health or sleep disorder symptoms.</span></p></div><div><h3>Results</h3><p><span>Greater diary- and actigraphy-determined sleep duration intraindividual variability was associated with more depression symptoms (diary: </span><em>b</em> <!-->=<!--> <!-->0.02, <em>p</em><span> < .001; actigraphy: </span><em>b</em> <!-->=<!--> <!-->0.03, <em>p</em> = .006) and more insomnia symptoms (diary: <em>b</em> <!-->=<!--> <!-->0.02, <em>p</em><span> < .001; actigraphy: </span><em>b</em> <!-->=<!--> <!-->0.02, <em>p</em> < .001). Greater diary-determined sleep efficiency intraindividual variability was associated with fewer anxiety symptoms (<em>b</em> <!-->=<!--> <!-->−<!--> <!-->0.23, <em>p</em> = .019) and fewer insomnia symptoms (<em>b</em> <!-->=<!--> <!-->−<!--> <!-->0.15, <em>p</em> < .001). Greater diary- and actigraphy-determined sleep midpoint intraindividual variability was associated with more insomnia symptoms (diary: <em>b</em> <!-->=<!--> <!-->0.41, <em>p</em> = .044; actigraphy: <em>b</em> <!-->=<!--> <!-->0.66, <em>p</em> = .021).</p></div><div><h3>Conclusions</h3><p>More inconsistent sleep duration and sleep timing may be a correlate of poorer mental health. Future experimental work should examine whether stabilizing sleep patterns can improve mental health outcomes.</p></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"10 4","pages":"Pages 493-499"},"PeriodicalIF":3.4000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Irregular sleep is linked to poorer mental health: A pooled analysis of eight studies\",\"authors\":\"\",\"doi\":\"10.1016/j.sleh.2024.03.004\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objectives</h3><p>Greater sleep disturbances on average are a risk factor for impaired mental health. Recent research has shown that more intraindividual variability (i.e., inconsistency) in sleep (hereafter called “sleep intraindividual variability”) may also be uniquely related to mental health, even above the influence of mean sleep patterns averaged across days. The current study examined associations between sleep intraindividual variability and symptoms of anxiety, depression, and insomnia across different facets of sleep intraindividual variability (sleep duration, efficiency, and timing) and sleep measurement types (sleep diary and actigraphy).</p></div><div><h3>Methods</h3><p>We pooled eight datasets (<em>N</em><span> = 3053 participants) that assessed repeated measures of sleep diary- and/or actigraphy-determined sleep across multiple days, as well as one-time measures of mental health or sleep disorder symptoms (i.e., anxiety, depression, and insomnia). Multilevel regression analyses were conducted to examine associations between sleep intraindividual variability and mental health or sleep disorder symptoms.</span></p></div><div><h3>Results</h3><p><span>Greater diary- and actigraphy-determined sleep duration intraindividual variability was associated with more depression symptoms (diary: </span><em>b</em> <!-->=<!--> <!-->0.02, <em>p</em><span> < .001; actigraphy: </span><em>b</em> <!-->=<!--> <!-->0.03, <em>p</em> = .006) and more insomnia symptoms (diary: <em>b</em> <!-->=<!--> <!-->0.02, <em>p</em><span> < .001; actigraphy: </span><em>b</em> <!-->=<!--> <!-->0.02, <em>p</em> < .001). Greater diary-determined sleep efficiency intraindividual variability was associated with fewer anxiety symptoms (<em>b</em> <!-->=<!--> <!-->−<!--> <!-->0.23, <em>p</em> = .019) and fewer insomnia symptoms (<em>b</em> <!-->=<!--> <!-->−<!--> <!-->0.15, <em>p</em> < .001). Greater diary- and actigraphy-determined sleep midpoint intraindividual variability was associated with more insomnia symptoms (diary: <em>b</em> <!-->=<!--> <!-->0.41, <em>p</em> = .044; actigraphy: <em>b</em> <!-->=<!--> <!-->0.66, <em>p</em> = .021).</p></div><div><h3>Conclusions</h3><p>More inconsistent sleep duration and sleep timing may be a correlate of poorer mental health. Future experimental work should examine whether stabilizing sleep patterns can improve mental health outcomes.</p></div>\",\"PeriodicalId\":48545,\"journal\":{\"name\":\"Sleep Health\",\"volume\":\"10 4\",\"pages\":\"Pages 493-499\"},\"PeriodicalIF\":3.4000,\"publicationDate\":\"2024-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Sleep Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2352721824000603\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sleep Health","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2352721824000603","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
Irregular sleep is linked to poorer mental health: A pooled analysis of eight studies
Objectives
Greater sleep disturbances on average are a risk factor for impaired mental health. Recent research has shown that more intraindividual variability (i.e., inconsistency) in sleep (hereafter called “sleep intraindividual variability”) may also be uniquely related to mental health, even above the influence of mean sleep patterns averaged across days. The current study examined associations between sleep intraindividual variability and symptoms of anxiety, depression, and insomnia across different facets of sleep intraindividual variability (sleep duration, efficiency, and timing) and sleep measurement types (sleep diary and actigraphy).
Methods
We pooled eight datasets (N = 3053 participants) that assessed repeated measures of sleep diary- and/or actigraphy-determined sleep across multiple days, as well as one-time measures of mental health or sleep disorder symptoms (i.e., anxiety, depression, and insomnia). Multilevel regression analyses were conducted to examine associations between sleep intraindividual variability and mental health or sleep disorder symptoms.
Results
Greater diary- and actigraphy-determined sleep duration intraindividual variability was associated with more depression symptoms (diary: b = 0.02, p < .001; actigraphy: b = 0.03, p = .006) and more insomnia symptoms (diary: b = 0.02, p < .001; actigraphy: b = 0.02, p < .001). Greater diary-determined sleep efficiency intraindividual variability was associated with fewer anxiety symptoms (b = − 0.23, p = .019) and fewer insomnia symptoms (b = − 0.15, p < .001). Greater diary- and actigraphy-determined sleep midpoint intraindividual variability was associated with more insomnia symptoms (diary: b = 0.41, p = .044; actigraphy: b = 0.66, p = .021).
Conclusions
More inconsistent sleep duration and sleep timing may be a correlate of poorer mental health. Future experimental work should examine whether stabilizing sleep patterns can improve mental health outcomes.
期刊介绍：
Sleep Health Journal of the National Sleep Foundation is a multidisciplinary journal that explores sleep''s role in population health and elucidates the social science perspective on sleep and health. Aligned with the National Sleep Foundation''s global authoritative, evidence-based voice for sleep health, the journal serves as the foremost publication for manuscripts that advance the sleep health of all members of society.The scope of the journal extends across diverse sleep-related fields, including anthropology, education, health services research, human development, international health, law, mental health, nursing, nutrition, psychology, public health, public policy, fatigue management, transportation, social work, and sociology. The journal welcomes original research articles, review articles, brief reports, special articles, letters to the editor, editorials, and commentaries.
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