Epidemiology of Disturbed Sleep Among Adolescents

青少年睡眠障碍的流行病学

• 批准号: 6885791
• 负责人: Robert Edmund Roberts
• 金额: $ 58.29万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-05-23 至 2007-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6885791
• 关键词: African American; Hispanic Americans; academic achievement; adolescence (12-20); anxiety disorders; attention deficit disorder; behavior disorders; behavioral /social science research tag; caucasian American; clinical research; culture; data collection methodology /evaluation; disease /disorder etiology; epidemiology; family structure /dynamics; human subject; interview; prejudice; psychological stressor; racial /ethnic difference; self concept; sleep disorders; social support network; socioeconomics; socioenvironment; substance abuse related disorder

DESCRIPTION (provided by applicant): The proposed research focuses on the epidemiology of disordered sleep among adolescents. There are two primary objectives. The first is descriptive, focusing on prevalence, incidence, natural history and phenomenology. The second is analytic, in which there are two foci. The first analytic focus is to examine the role of risk and protective factors in the etiology of disordered sleep. The second analytic focus is to examine the consequences of disordered sleep on subsequent functioning of adolescents. We also will examine the role of ethnicity as a risk or protective factor among adolescents. We are interested in whether there is a unique risk for sleep disorders associated with ethnic culture above and beyond the risk attributable to other factors, and if so, what it is about ethnic culture that enhances or reduces risk. The proposed study involves a three-wave, prospective design. In addition to disordered sleep, other mental health outcomes of interest are DSM-lV anxiety and affective disorders, disruptive, and substance abuse disorders. Data will be collected from a cohort of 2,250 European, Latino, and African American adolescents aged 15-21 years of age residing in the Houston urban area. These youths were surveyed initially as part of the Teen Health 2000 study when they were 11-17 years of age (n=4200) and again a year later, when they were 12-18 years of age (n=3,150). Data on sleep will be collected using three strategies. First, a Sleep-Wake Diary will elicit information on sleep-wake patterns for the previous 24 hours. Second, a DSM-lV diagnostic module will elicit data permitting diagnosis of DSM-lV sleep disorders. Third, we will collect data using the same sleep module used in the first two-waves. Questions focus on amount of sleep, perceived need for sleep, bedtime and wake times, use of hypnotics, perceived quality of sleep, and a list of 13 symptoms of problematic sleep experienced during the past four weeks and frequency of occurrence. We will estimate point prevalence, incidence, natural history, and comorbidity with psychiatric disorders: affective disorders (such as major depression, dysthymia and mania/hypomania), anxiety disorders (such as generalized anxiety, posttraumatic stress disorder and panic), and behavioral disorders (conduct, oppositional defiant and attention-deficit/hyperactivity disorder), alcohol abuse and other substance abuse. Ethnicity is assessed using a multifactorial strategy, including generational status, language use, salience of ethnicity, ethnic identity, and discrimination. Social placement factors include age, gender, ethnic status, and marital/parental status. Stressors include discrimination, acculturative stress, indicators of stress exposure (acute, chronic, and traumatic life events), poor health, financial strain, poor school performance, and stressful neighborhood context Personal and social resources include factors such as social support, relations with parents, socioeconomic status, coping, self-esteem and mastery. Data will be collected using laptop computers and audio-computer assisted self-interview (ACASI) technology.

描述（由申请人提供）：拟议的研究重点是 青少年睡眠障碍的流行病学。主要有两个 目标。第一个是描述性的，重点是患病率、发生率、 自然历史和现象学。第二种是解析式，其中有 两个焦点。第一个分析重点是检查风险和风险的作用 睡眠障碍病因学中的保护因素。第二次解析 重点是检查睡眠障碍对后续的影响 青少年的机能。我们还将研究种族作为一个群体的作用 青少年中的危险或保护因素。我们感兴趣的是是否有 是与上述种族文化相关的睡眠障碍的独特风险 超出其他因素造成的风险，如果是，是什么原因 增加或减少风险的民族文化。 拟议的研究涉及三波前瞻性设计。此外 睡眠障碍，其他令人感兴趣的心理健康结果是 DSM-IV 焦虑 以及情感障碍、破坏性障碍和药物滥用障碍。数据会 从 2,250 名欧洲人、拉丁美洲人和非裔美国人的队列中收集 居住在休斯顿市区的 15-21 岁青少年。这些 作为青少年健康 2000 年研究的一部分，青少年最初接受了调查，当时他们 年龄为 11-17 岁 (n=4200)，一年后再次为 12-18 岁 岁（n=3,150）。 将使用三种策略收集睡眠数据。首先，睡眠-觉醒 日记将引出有关过去 24 小时睡眠-觉醒模式的信息。 其次，DSM-IV 诊断模块将得出允许诊断的数据 DSM-IV 睡眠障碍。第三，我们将使用相同的睡眠模块收集数据 用于前两波。问题集中在睡眠量、感知需求 睡眠、就寝时间和起床时间、催眠药的使用、感知的质量 睡眠，以及在此期间经历的 13 种睡眠问题症状的列表 过去四个星期以及发生频率。我们将估计点流行率， 精神疾病的发病率、自然史和合并症： 情感障碍（如重度抑郁症、心境恶劣和躁狂/轻躁狂）， 焦虑症（如广泛性焦虑症、创伤后应激障碍 和恐慌）和行为障碍（行为、对立挑衅和 注意力缺陷/多动症）、酗酒和其他物质滥用 虐待。使用多因素策略评估种族，包括 世代地位、语言使用、种族显着性、民族认同，以及 歧视。社会安置因素包括年龄、性别、种族状况、 和婚姻/父母状况。压力源包括歧视、文化适应 压力、压力暴露指标（急性、慢性和创伤性生活） 事件）、健康状况不佳、经济紧张、学业成绩不佳和压力大 邻里环境 个人和社会资源包括以下因素： 社会支持、与父母的关系、社会经济地位、应对方式、 自尊和掌握。将使用笔记本电脑收集数据 音频计算机辅助自我访谈（ACASI）技术。