본문 바로가기
KERD
논문KCI 등재

Sleep and Mental Health Among Adolescents During the COVID-19 Pandemic

2

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류정신과학

초록

Objective This study aimed to investigate the association of sleep with mental health among Korean adolescents during the coronavirus disease (COVID-19) pandemic.Methods Using data from the 16th Korea Youth Risk Behavior Web-Based Survey (2020) of 46,475 adolescents, we examined sleep duration and satisfaction and examined mental health for depressive symptoms, anxiety, and suicidal ideation. The data were analyzed using complex sample descriptive statistics and a multiple logistic regression model.Results In 2020, the average sleep duration was 6.3 hours, and the sleep satisfaction rate was 30.8%. Depressive symptom and suicidal ideation rates were 24.2 and 10.3, respectively. These values are slightly better than those previously reported, before COVID-19. However, poor sleep was still associated with mental health. The likelihood of mental health problems was higher among those who slept for six hours or less than for those who slept for eight hours or more (p<0.05). Additionally, the results showed that the lower the sleep satisfaction, the higher the likelihood of mental health problems (p<0.05).Conclusion Even after the COVID-19 outbreak, poor sleep associated with mental health problems remained as high as before the outbreak of COVID-19.

Abstract

Objective This study aimed to investigate the association of sleep with mental health among Korean adolescents during the coronavirus disease (COVID-19) pandemic.Methods Using data from the 16th Korea Youth Risk Behavior Web-Based Survey (2020) of 46,475 adolescents, we examined sleep duration and satisfaction and examined mental health for depressive symptoms, anxiety, and suicidal ideation. The data were analyzed using complex sample descriptive statistics and a multiple logistic regression model.Results In 2020, the average sleep duration was 6.3 hours, and the sleep satisfaction rate was 30.8%. Depressive symptom and suicidal ideation rates were 24.2 and 10.3, respectively. These values are slightly better than those previously reported, before COVID-19. However, poor sleep was still associated with mental health. The likelihood of mental health problems was higher among those who slept for six hours or less than for those who slept for eight hours or more (p<0.05). Additionally, the results showed that the lower the sleep satisfaction, the higher the likelihood of mental health problems (p<0.05).Conclusion Even after the COVID-19 outbreak, poor sleep associated with mental health problems remained as high as before the outbreak of COVID-19.

참고문헌 (54)

  1. Cucinotta D, "WHO declares COVID-19 a pandemic", Acta Bio Medica, 91, pp.157~160 (2020)
  2. Albrecht JN, "Association between homeschooling and adolescent sleep duration and health during COVID-19 pandemic high school closures", JAMA Netw Open, 5, pp.e2142100~ (2022)
  3. "The impact of school closures on adolescent health-related outcomes during the COVID-19 pandemic: a natural experiment in South Korea" (2021)[URL]
  4. Samji H, "Review:mental health impacts of the COVID-19 pandemic on children and youth - a systematic review", Child Adolesc Ment Health, 27, pp.173~189 (2022)
  5. Becker SP, "Editorial perspective: perils and promise for child and adolescent sleep and associated psychopathology during the COVID-19 pandemic", J Child Psychol Psychiatry, 61, pp.757~759 (2020)
  6. Becker SP, "Prospective examination of adolescent sleep patterns and behaviors before and during COVID-19", Sleep, 44, pp.zsab054~ (2021)
  7. Kim Y, "Data resource profile:the Korea youth risk behavior web-based survey (KYRBS)", Int J Epidemiol, 45, pp.1076~1076e (2016)
  8. Lee J, "Mediating effect of sleep satisfaction on the relationship between stress and self-rated health among Korean adolescents: a nationwide cross-sectional study", Child Youth Serv Rev, 109, pp.104717~ (2020)
  9. Chattu VK, "The global problem of insufficient sleep and its serious public health implications", Healthcare (Basel), 7, pp.1~ (2018)
  10. Zhang J, "Sleep patterns and mental health correlates in US adolescents", J Pediatr, 182, pp.137~143 (2017)
  11. Baglioni C, "Sleep and emotions:a focus on insomnia", Sleep Med Rev, 14, pp.227~238 (2010)
  12. Pensuksan WC, "Relationship between poor sleep quality and psychological problems among undergraduate students in the southern Thailand", Walailak J Sci Technol, 13, pp.235~242 (2016)
  13. Imran N, "Mental health considerations for children & adolescents in COVID-19 Pandemic", Pak J Med Sci, 36(COVID19-S4), pp.S67~S72 (2020)
  14. Hoekstra PJ, "Suicidality in children and adolescents: lessons to be learned from the COVID-19 crisis", Eur Child Adolesc Psychiatry, 29, pp.737~738 (2020)
  15. Marelli S, "Impact of COVID-19 lockdown on sleep quality in university students and administration staff", J Neurol, 268, pp.8~15 (2021)
  16. Klasen H, "What works where? A systematic review of child and adolescent mental health interventions for low and middle income countries", Soc Psychiatry Psychiatr Epidemiol, 48, pp.595~611 (2013)
  17. Solmi M, "Age at onset of mental disorders worldwide: large-scale meta-analysis of 192 epidemiological studies", Mol Psychiatry, 27, pp.281~295 (2022)
  18. "Adolescent mental health"[URL]
  19. Zhang X, "Prevalence of and risk factors for depressive and anxiety symptoms in a large sample of Chinese adolescents in the post-COVID-19 era", Child Adolesc Psychiatry Ment Health, 15, pp.80~ (2021)
  20. "Online survey of youth health behavior"[URL]
  21. "Child and adolescent humanrights survey" (2020)[URL]
  22. Angst J, "The generalized anxiety spectrum: prevalence, onset, course and outcome", Eur Arch Psychiatry Clin Neurosci, 259, pp.37~45 (2009)
  23. Bhatia MS, "Anxiety disorders in children and adolescents:need for early detection", J Postgrad Med, 64, pp.75~76 (2018)
  24. "Health at a glance"[URL]
  25. "Annual report on the causes of death statistics" (2018)[URL]
  26. "Annual report on the causes of death statistics" (2019)[URL]
  27. Brådvik L, "Suicide risk and mental disorders", Int J Environ Res Public Health, 15, pp.2028~ (2018)
  28. Tarokh L, "Sleep in adolescence: physiology, cognition and mental health", Neurosci Biobehav Rev, 70, pp.182~188 (2016)
  29. Thapar A, "Depression in adolescence", Lancet, 379, pp.1056~1067 (2012)
  30. Uddin R, "Suicidal ideation, suicide planning, and suicide attempts among adolescents in 59 lowincome and middle-income countries: a population-based study", Lancet Child Adolesc Health, 3, pp.223~233 (2019)
  31. Kaneita Y, "Association between mental health status and sleep status among adolescents in Japan: a nationwide cross-sectional survey", J Clin Psychiatry, 68, pp.1426~1435 (2007)
  32. Turon H, "Agreement between a single-item measure of anxiety and depression and the hospital anxiety and depression scale: a cross-sectional study", PLoS One, 14, pp.e0210111~ (2019)
  33. Lee SH, "Validation of the Korean version of the generalized anxiety disorder 7 self-rating scale", Asia Pac Psychiatry, 14, pp.e12421~ (2020)
  34. Development of mental health index for national health survey, "Jung YC", Korea Centers for Disease Control and Prevention, ~ (2020)
  35. Streiner DL, "Starting at the beginning: an introduction to coefficient alpha and internal consistency", J Pers Assess, 80, pp.99~103 (2003)
  36. Spitzer RL, "A brief measure for assessing generalized anxiety disorder: the GAD-7", Arch Intern Med, 166, pp.1092~1097 (2006)
  37. Chen MC, "Reduced sleep quality in healthy girls at risk for depression", J Sleep Res, 21, pp.68~72 (2012)
  38. Dinges DF, "Cumulative sleepiness, mood disturbance, and psychomotor vigilance performance decrements during a week of sleep restricted to 4-5 hours per night", Sleep, 20, pp.267~277 (1997)
  39. Alvaro PK, "A systematic review assessing bidirectionality between sleep disturbances, anxiety, and depression", Sleep, 36, pp.1059~1068 (2013)
  40. Guo C, "Prevalence and correlates of positive mental health in Chinese adolescents", BMC Public Health, 18, pp.263~ (2018)
  41. Ojio Y, "Sleep duration associated with the lowest risk of depression", anxiety in adolescents, 2016, pp.39, 1555~1562
  42. Liu BP, "Depressive symptoms are associated with short and long sleep duration: a longitudinal study of Chinese adolescents", J Affect Disord, 263, pp.267~273 (2020)
  43. Dusek JB, "The development of the self-concept during the adolescent years", Monogr Soc Res Child Dev, 46, pp.1~67 (1981)
  44. Leadbeater BJ, "A multivariate model of gender differences in adolescents’ internalizing and externalizing problems", Dev Psychol, 35, pp.1268~1282 (1999)
  45. "16th (2020) Korea youth risk behavior web-based survey" (2021)[URL]
  46. Park S, "Major stressors among Korean adolescents according to gender, educational level, residential area, and socioeconomic status", Int J Environ Res Public Health, 15, pp.2080~ (2018)
  47. "Don’t you go to school? ‘Corona Blues’ only teenagers escaped"[URL]
  48. Park MH, "Moderating effects of depressive symptoms on the relationship between problematic use of the internet and sleep problems in Korean adolescents", BMC Psychiatry, 18, pp.280~ (2018)
  49. Chung JE, "Smartphone addiction risk and daytime sleepiness in Korean adolescents", J Paediatr Child Health, 54, pp.800~806 (2018)
  50. Yang CK, "Age-related changes in sleep", wake patterns among Korean teenagers, 2005, pp.115(1 Suppl), 250~256
  51. Xiang M, "Impact of COVID-19 pandemic on children and adolescents’ lifestyle behavior larger than expected", Prog Cardiovasc Dis, 63, pp.531~532 (2020)
  52. Stepanski EJ, "Use of sleep hygiene in the treatment of insomnia", Sleep Med Rev, 7, pp.215~225 (2003)
  53. O’Donnell S, "Sleep-hygiene education improves sleep indices in elite female athletes", Int J Exerc Sci, 10, pp.522~530 (2017)
  54. Chung KF, "Sleep hygiene education as a treatment of insomnia: a systematic review and meta-analysis", Fam Pract, 35, pp.365~375 (2018)

관련 논문AI추천

이 간행물의 다른 논문 (12건)