Association Between Sleep Quality and Anxiety in Korean Adolescents
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Objectives: Anxiety disorder is among the most prevalent mental illnesses among adolescents. Early detection and proper treatment are important for preventing sequelae such as suicide and substance use disorder. Studies have suggested that sleep duration is associated with anxiety disorder in adolescents. In the present study, we investigated the association between sleep quality and anxiety in a nationally representative sample of Korean adolescents. Methods: This cross-sectional study was conducted using data from the 2020 Korea Youth Risk Behavior Web-based Survey. The Generalized Anxiety Disorder-7 questionnaire was used to evaluate anxiety. The chi-square test was used to investigate and compare the general characteristics of the study population, and multiple logistic regression analysis was used to analyze the relationship between sleep quality and anxiety. Results: In both sexes, anxiety was highly prevalent in participants with poor sleep quality (adjusted odds ratio [aOR], 1.56; 95% confidence interval [CI], 1.43 to 1.71 in boys; aOR, 1.30; 95% CI, 1.19 to 1.42 in girls). Regardless of sleep duration, participants with poor sleep quality showed a high aOR for anxiety. Conclusions: This study identified a consistent relationship between sleep quality and anxiety in Korean adolescents regardless of sleep duration.
Abstract
Objectives: Anxiety disorder is among the most prevalent mental illnesses among adolescents. Early detection and proper treatment are important for preventing sequelae such as suicide and substance use disorder. Studies have suggested that sleep duration is associated with anxiety disorder in adolescents. In the present study, we investigated the association between sleep quality and anxiety in a nationally representative sample of Korean adolescents. Methods: This cross-sectional study was conducted using data from the 2020 Korea Youth Risk Behavior Web-based Survey. The Generalized Anxiety Disorder-7 questionnaire was used to evaluate anxiety. The chi-square test was used to investigate and compare the general characteristics of the study population, and multiple logistic regression analysis was used to analyze the relationship between sleep quality and anxiety. Results: In both sexes, anxiety was highly prevalent in participants with poor sleep quality (adjusted odds ratio [aOR], 1.56; 95% confidence interval [CI], 1.43 to 1.71 in boys; aOR, 1.30; 95% CI, 1.19 to 1.42 in girls). Regardless of sleep duration, participants with poor sleep quality showed a high aOR for anxiety. Conclusions: This study identified a consistent relationship between sleep quality and anxiety in Korean adolescents regardless of sleep duration.
참고문헌 (36)
- Merikangas KR, "Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication--Adolescent Supplement (NCS-A)", J Am Acad Child Adolesc Psychiatry, 49(10), pp.980~989 (2010)
- Costello EJ, "The developmental epidemiology of anxiety disorders: phenomenology, prevalence, and comorbidity", Child Adolesc Psychiatr Clin N Am, 14(4), pp.631~648 (2005)
- Park S, "Prevalence, correlates, and comorbidities of DSM-IV psychiatric disorders in children in Seoul, Korea", Asia Pac J Public Health, 27(2), pp.NP1942~NP1951 (2015)
- Lawrence D, "Key findings from the second Australian child and adolescent survey of mental health and wellbeing", Aust N Z J Psychiatry, 50(9), pp.876~886 (2016)
- Jung Yoon-Sun, "Measuring the Burden of Disease in Korea, 2008-2018", 예방의학회지, 54(5), pp.293~300 (2021), 대한예방의학회[DOI]
- Kendall PC, "Child anxiety treatment: outcomes in adolescence and impact on substance use and depression at 7.4-year follow-up", J Consult Clin Psychol, 72(2), pp.276~287 (2004)
- Kendall PC, "Clinical characteristics of anxiety disordered youth", J Anxiety Disord, 24(3), pp.360~365 (2010)
- Bosquet M, "The development and maintenance of anxiety symptoms from infancy through adolescence in a longitudinal sample", Dev Psychopathol, 18(2), pp.517~550 (2006)
- Global Burden of Disease Pediatrics Collaboration, "Global and national burden of diseases and injuries among children and adolescents between 1990 and 2013 : findings from the Global Burden of Disease 2013 study", JAMA Pediatr, 170(3), pp.267~287 (2016)
- Hale WW 3rd, "Developmental trajectories of adolescent anxiety disorder symptoms : a 5-year prospective community study", J Am Acad Child Adolesc Psychiatry, 47(5), pp.556~564 (2008)
- Spence SH, "Assessing anxiety disorders in children and adolescents", Child Adolesc Ment Health, 23(3), pp.266~282 (2018)
- Achenbach TM, "Manual for the child behavior checklist", 4-18 and 1991 profile, 1991, pp.1~238
- Shaffer D, "NIMH Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV): description, differences from previous versions, and reliability of some common diagnoses", J Am Acad Child Adolesc Psychiatry, 39(1), pp.28~38 (2000)
- Kaufman J, "Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version(K-SADS-PL) : initial reliability and validity data", J Am Acad Child Adolesc Psychiatry, 36(7), pp.980~988 (1997)
- Roberts RE, "Is there an association between short sleep duration and adolescent anxiety disorders?", Sleep Med, 30, pp.82~87 (2017)
- Kim Y, "Data resource profile : the Korea Youth Risk Behavior Web-based Survey(KYRBS)", Int J Epidemiol, 45(4), pp.1076~1076e (2016)
- Sample design for 2020 National Health Beahvior Survey, "Lee KJ", Korea Disease Control and Prevention Agency, ~ (2020)
- Spitzer RL, "A brief measure for assessing generalized anxiety disorder : the GAD-7", Arch Intern Med, 166(10), pp.1092~1097 (2006)
- Plummer F, "Screening for anxiety disorders with the GAD-7 and GAD-2 : a systematic review and diagnostic metaanalysis", Gen Hosp Psychiatry, 39, pp.24~31 (2016)
- Löwe B, "Validation and standardization of the Generalized Anxiety Disorder Screener(GAD-7)in the general population", Med Care, 46(3), pp.266~274 (2008)
- Seo JG, "Validation of the Generalized Anxiety Disorder-7(GAD-7)and GAD-2 in patients with migraine", J Headache Pain, 16, pp.97~ (2015)
- The survey on smartphone overdependence, "Ministry of Science and ICT", Ministry of Science and ICT, ~ (2020)
- 김지온, "청소년의 스마트폰 과의존 특성 관련 요인 및 건강 행태 : 2020년 청소년건강행태온라인조사를 중심으로", 보건의료산업학회지, 15(2), pp.91~105 (2021), 보건의료산업학회
- 김승훈, "Association Between Cohabitation Status and Sleep Quality in Families of Persons With Dementia in Korea: A Cross-sectional Study", 예방의학회지, 54(5), pp.317~329 (2021), 대한예방의학회[DOI]
- Sarchiapone M, "Hours of sleep in adolescents and its association with anxiety, emotional concerns, and suicidal ideation", Sleep Med, 15(2), pp.248~254 (2014)
- Shanahan L, "Sleep problems predict and are predicted by generalized anxiety", depression and oppositional defiant disorder, 2014, pp.53(5), 550~558
- Narmandakh A, "The bidirectional association between sleep problems and anxiety symptoms in adolescents : a TRAILS report", Sleep Med, 67, pp.39~46 (2020)
- Gregory AM, "Prospective longitudinal associations between persistent sleep problems in childhood and anxiety and depression disorders in adulthood", J Abnorm Child Psychol, 33(2), pp.157~163 (2005)
- Jackson ML, "Sleep difficulties and the development of depression and anxiety : a longitudinal study of young Australian women", Arch Womens Ment Health, 17(3), pp.189~198 (2014)
- Lewinsohn PM, "Gender differences in anxiety disorders and anxiety symptoms in adolescents", J Abnorm Psychol, 107(1), pp.109~117 (1998)
- Orgilés M, "Anxiety disorder symptoms in children and adolescents : differences by age and gender in a community sample", Rev Psiquiatr Salud Ment, 5(2), pp.115~120 (2012)
- Blake MJ, "Mechanisms underlying the association between insomnia, anxiety, and depression in adolescence: implications for behavioral sleep interventions", Clin Psychol Rev, 63, pp.25~40 (2018)
- Fernandez-Mendoza J, "Insomnia is associated with cortical hyperarousal as early as adolescence", Sleep, 39(5), pp.1029~1036 (2016)
- Zhang J, "A community-based study on the association between insomnia and hypothalamic-pituitary-adrenal axis : sex and pubertal influences", J Clin Endocrinol Metab, 99(6), pp.2277~2287 (2014)
- Goldstein AN, "The role of sleep in emotional brain function", Annu Rev Clin Psychol, 10, pp.679~708 (2014)
- Jeongmook Kang, "Effects of Comorbid Sleep Disorders on Cardiovascular Complications of Hypertension Among Patients With Newly-diagnosed Hypertension: An Analysis of the Korean National Health Insurance Service-National Sample Cohort", 예방의학회지, 53(1), pp.37~44 (2020), 대한예방의학회