Sleep Duration and Insomnia in Adolescents Seeking Treatment for Anxiety in Primary Health Care

Frontiers in Psychology

Ronald M. Rapee¹  Gro Janne Wergeland²  Bente S. M. Haugland³  Mari Hysing⁴  Jon Fauskanger Bjaastad⁵  Valborg Baste⁶  Asle Hoffart⁷  Åshild T. Haaland⁸ 

[1] Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, NSW, Australia;Department of Child and Adolescent Psychiatry, Division of Psychiatry, Haukeland University Hospital, Bergen, Norway;Department of Clinical Medicine, Faculty of Medicine, University of Bergen, Bergen, Norway;Department of Clinical Psychology, Faculty of Psychology, University of Bergen, Bergen, Norway;Regional Centre for Child and Youth Mental Health and Child Welfare, Norwegian Research Centre, Bergen, Norway;Department of Psychosocial Science, Faculty of Psychology, University of Bergen, Bergen, Norway;Division of Psychiatry, Stavanger University Hospital, Stavanger, Norway;Regional Centre for Child and Youth Mental Health and Child Welfare, Norwegian Research Centre, Bergen, Norway;Research Institute, Modum Bad Psychiatric Hospital, Vikersund, Norway;Department of Psychology, University of Oslo, Oslo, Norway;Sorlandet Hospital HF, Kristiansand, Norway;

关键词: adolescents;    anxiety symptoms;    depressive symptoms;    primary health care;    insomnia;    sleep onset latency;    sleep duration;   

DOI  :  10.3389/fpsyg.2021.638879

来源: Frontiers

【 摘 要 】

There is limited knowledge about sleep in adolescents with elevated levels of anxiety treated within primary health care settings, potentially resulting in sleep problems not being sufficiently addressed by primary health care workers. In the current study self-reported anxiety, insomnia, sleep onset latency, sleep duration, and depressive symptoms were assessed in 313 adolescents (12–16 years; mean age 14.0, SD = 0.84, 84.0% girls) referred to treatment for anxiety within primary health care. Results showed that 38.1% of the adolescents met criteria for insomnia, 34.8% reported short sleep duration (<7 h), and 83.1% reported long sleep onset latency (≥30 min). Total anxiety symptoms were related to all sleep variables after controlling for age and sex. Furthermore, all anxiety symptom sub-types were associated with insomnia and sleep onset latency, whereas most anxiety subtypes were associated with sleep duration. Adolescents’ depressive symptoms accounted for most of the anxiety-sleep associations, emphasizing the importance of depressive symptoms for sleep. However, anxiety was associated with insomnia and sleep onset latency also among youth with low levels of depressive symptoms. The findings suggests that primary health care workers should assess sleep duration, sleep onset latency, and insomnia in help-seeking adolescents with anxiety.

【 授权许可】

CC BY