Association of emotional and behavioral problems with sleep disturbance among Chinese adolescents: The moderation effect of academic performance.
J Affect Disord
; 330: 94-100, 2023 06 01.
Article
em En
| MEDLINE
| ID: mdl-36868389
ABSTRACT
BACKGROUND:
This study aimed to explore the association of emotional and behavioral problems with sleep disturbance among Chinese adolescents, and to test whether these associations vary with adolescents' academic performance.METHODS:
Data were from the 2021 School-based Chinese Adolescents Health Survey using a multistage, stratified-cluster, and random-sampling method to collect information from 22,684 middle school students in Guangdong Province, China.RESULTS:
Emotional problems (aOR = 1.34, 95 % CI = 1.32-1.36), conduct problems (aOR = 1.19, 95 % CI = 1.16-1.21), hyperactivity (aOR = 1.35, 95 % CI = 1.33-1.37), and peer problems (aOR = 1.06, 95 % CI = 1.04-1.09) were significantly associated with the increased risk of sleep disturbance among middle school students in Guangdong Province. The prevalence of sleep disturbance among adolescents was 29.4 %. There were significant interactions of emotional problems/conduct problems/peer problems/prosocial behavior with academic performance on sleep disturbance. Further stratification analyses by academic performance showed that adolescents with self-reported good academic performance had a higher risk of sleep disturbance than those students with self-reported average or poor academic performance.LIMITATIONS:
This study only included school students and used the cross-sectional design to preclude causality determination.CONCLUSIONS:
Our findings suggest that emotional and behavioral problems elevate the risk of sleep disturbance in adolescents. Adolescent academic performance plays a modulating role in these above-mentioned significant associations for sleep disturbance.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Transtornos do Sono-Vigília
/
Comportamento Problema
/
Desempenho Acadêmico
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article