Kena Zhao1, Jinwen Zhang1, Zengqiang Wu2, Xiaoming Shen3, Shilu Tong4, Shenghui Li5. 1. School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China; MOE-Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. 2. Shanghai Academy of Educational Science, Shanghai, China. 3. MOE-Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. 4. School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China; Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China; School of Public Health, Anhui Medical University, Hefei, China; School of Public Health and Social Work, Queensland University of Technology, Brisbane, Australia. 5. School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China; MOE-Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. Electronic address: lsh9907@163.com.
Abstract
PURPOSE: Insomnia symptoms are common in adolescents. This study examined the associations of insomnia symptoms with school performance among adolescents in Shanghai, China. METHODS: A total of 4966 adolescents aged 11-20 years participated in a cross-sectional survey during November of 2009. The Adolescent Sleep Disturbance Questionnaire was used to examine insomnia symptoms, and the Teacher School Achievement Form was applied to evaluate adolescents' school performance. RESULTS: The results demonstrated that, after adjusting for possible confounders, all 3 dimensions of insomnia symptoms were associated with adolescents' school performance. Difficulty falling asleep problem was associated with poor attention and concentration (odds ratio [OR] = 1.30, 95% confidence interval [CI] 1.11-1.52, P = .001), academic frustration (OR = 1.24, 95% CI: 1.06-1.45, P = .007), and poor school relationships (OR = 1.26, 95% CI: 1.08-1.48, P = .003); maintaining sleep problem was associated with poor attention and concentration (OR = 1.25, 95% CI: 1.06-1.46, P = .007) and poor interest and motivation (OR = 1.22, 95% CI: 1.04-1.44, P = .017); and reinitiating sleep problem was related to poor interest and motivation (OR = 1.20, 95% CI: 1.00-1.45, P = .048). Coexisting insomnia symptoms were associated with poorer school performance, especially in maintaining attention and concentration. CONCLUSIONS: The findings of this study highlight the importance of sleep in the social and cognitive development of adolescents.
PURPOSE:Insomnia symptoms are common in adolescents. This study examined the associations of insomnia symptoms with school performance among adolescents in Shanghai, China. METHODS: A total of 4966 adolescents aged 11-20 years participated in a cross-sectional survey during November of 2009. The Adolescent Sleep Disturbance Questionnaire was used to examine insomnia symptoms, and the Teacher School Achievement Form was applied to evaluate adolescents' school performance. RESULTS: The results demonstrated that, after adjusting for possible confounders, all 3 dimensions of insomnia symptoms were associated with adolescents' school performance. Difficulty falling asleep problem was associated with poor attention and concentration (odds ratio [OR] = 1.30, 95% confidence interval [CI] 1.11-1.52, P = .001), academic frustration (OR = 1.24, 95% CI: 1.06-1.45, P = .007), and poor school relationships (OR = 1.26, 95% CI: 1.08-1.48, P = .003); maintaining sleep problem was associated with poor attention and concentration (OR = 1.25, 95% CI: 1.06-1.46, P = .007) and poor interest and motivation (OR = 1.22, 95% CI: 1.04-1.44, P = .017); and reinitiating sleep problem was related to poor interest and motivation (OR = 1.20, 95% CI: 1.00-1.45, P = .048). Coexisting insomnia symptoms were associated with poorer school performance, especially in maintaining attention and concentration. CONCLUSIONS: The findings of this study highlight the importance of sleep in the social and cognitive development of adolescents.
Authors: Juana Inés Gallego-Gómez; María Teresa Rodríguez González-Moro; José Miguel Rodríguez González-Moro; Tomás Vera-Catalán; Serafín Balanza; Agustín Javier Simonelli-Muñoz; José Miguel Rivera-Caravaca Journal: BMC Nurs Date: 2021-06-17
Authors: Gita Hedin; Annika Norell-Clarke; Peter Hagell; Hanne Tønnesen; Albert Westergren; Pernilla Garmy Journal: Int J Environ Res Public Health Date: 2020-09-03 Impact factor: 3.390