Psychological distress and trajectories of sleep duration among Australian adolescents: a prospective cohort study

Autor: Vikas Arya, Andrew Page, Sithum Munasinghe, Elizabeth Conroy, Louise Freebairn, Sandro Sperandei, Sandra Marjanovic
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: BMJ Open, Vol 14, Iss 10 (2024)
Druh dokumentu: article
ISSN: 2044-6055
DOI: 10.1136/bmjopen-2023-080665
Popis: Objectives This study investigated the association between indicators of psychological distress and well-being and trajectories of sleep duration among a cohort of Australian adolescents.Design A prospective cohort of adolescents was followed over 27 weeks (8 November 2019–14 May 2020). Data on sleep duration and psychological distress were collected via smartphones, based on ecological momentary assessments.Setting Sydney population catchment, Australia.Participants Young people aged 13–19 years were recruited via social media (Instagram or Facebook).Primary outcome measure Self-reported sleep duration in the past 24 hours. Sleep duration was dichotomised into ‘less than 8 hours’ and ‘at least 8 hours’, to represent those participants not meeting the recommended minimum amount of daily sleep.Results Participants with high psychological distress had higher odds of sleeping less than 8 hours (OR 1.51 (95% CI 1.17 to 1.96)), compared with those with low psychological distress. Social media use (OR 1.34 (95% CI 1.01 to 1.79)) and longer periods spent on homework (OR 1.37, (95% CI 1.07 to 1.75)) were also associated with a sleep duration of less than 8 hours. Also, decreasing sleep trajectories were associated with increased psychological distress (β=0.069, (95% CI −0.010 to 0.149)) and increased homework hours (β=0.078 (95% CI 0.036 to 0.120)).Conclusion Findings highlight the adverse impact of psychological distress and high levels of social media use on sleep duration among adolescents. Longitudinal studies with longer follow-up periods are warranted to further explore the temporal associations between sleep duration and different health outcomes among varying populations.
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