The Effects of Asthma, Anxiety, and Depression on Sleep Outcomes Among Youth in Puerto Rico.

IF 1.6 3区心理学 Q3 PSYCHOLOGY, CLINICAL

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-07-04 DOI:10.1007/s10880-025-10089-x

Damaris Lopez Mercado, Maria Teresa Coutinho, Daphne Koinis-Mitchell, Rafael Ramirez Padilla, Pedro Garcia, Glorisa Canino, Edna Acosta-Perez, Alexander N Ortega

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Abstract

The objective of this study is to examine the associations among asthma, depression, and anxiety with sleep outcomes among youth in Puerto Rico and determine whether age moderates the associations. Data came from surveys of 333 youth aged 10-17 living in Puerto Rico. Predicted probabilities derived from logistic regression models were used to assess the associations of asthma, depression, and anxiety with sleep outcomes. Models included interactions between age group (10-13 vs 14-17) and asthma, depression, and anxiety when predicting sleep outcomes. The predicted probability of obtaining a sufficient amount of sleep was 15.9 percentage-points higher among those with asthma compared to those without asthma (p = 0.009), 21.9 percentage-points higher among older youth with asthma compared to older youth without asthma (p = 0.004), and 33.9 percentage-points lower among younger youth with depression compared to younger youth without depression (p = 0.019). There were no significant differences in the predicted probabilities of perceived sleep quality according to asthma, depression, or anxiety status. Findings suggest that age moderates the associations among asthma, depression, and sleep among youth in Puerto Rico. Younger youth with depression may be at increased risk for poor sleep outcomes.

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哮喘、焦虑和抑郁对波多黎各青少年睡眠结果的影响。

本研究的目的是研究波多黎各青少年哮喘、抑郁和焦虑与睡眠结果之间的关系，并确定年龄是否会调节这种关系。数据来自对居住在波多黎各的333名10-17岁青少年的调查。从逻辑回归模型得出的预测概率用于评估哮喘、抑郁和焦虑与睡眠结果的关联。在预测睡眠结果时，模型包括了年龄组（10-13 vs 14-17）与哮喘、抑郁和焦虑之间的相互作用。哮喘患者获得充足睡眠的预测概率比无哮喘患者高15.9个百分点（p = 0.009），患有哮喘的老年青年比没有哮喘的老年青年高21.9个百分点（p = 0.004），患有抑郁症的年轻青年比没有抑郁症的年轻青年低33.9个百分点（p = 0.019）。根据哮喘、抑郁或焦虑状态，感知睡眠质量的预测概率没有显著差异。研究结果表明，年龄调节了波多黎各青少年哮喘、抑郁症和睡眠之间的关联。患有抑郁症的年轻人睡眠质量差的风险可能会增加。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Psychology in Medical Settings PSYCHOLOGY, CLINICAL-

CiteScore

4.00

自引率

4.50%

发文量

期刊介绍： Journal of Clinical Psychology in Medical Settings is an international forum for the publication of peer-reviewed original papers related to all areas of the science and practice of psychologists in medical settings. Manuscripts are chosen that have a broad appeal across psychology as well as other health care disciplines, reflecting varying backgrounds, interests, and specializations. The journal publishes original research, treatment outcome trials, meta-analyses, literature reviews, conceptual papers, brief scientific reports, and scholarly case studies. Papers accepted address clinical matters in medical settings; integrated care; health disparities; education and training of the future psychology workforce; interdisciplinary collaboration, training, and professionalism; licensing, credentialing, and privileging in hospital practice; research and practice ethics; professional development of psychologists in academic health centers; professional practice matters in medical settings; and cultural, economic, political, regulatory, and systems factors in health care. In summary, the journal provides a forum for papers predicted to have significant theoretical or practical importance for the application of psychology in medical settings.