了解孤独与睡眠的关系及其对肯尼亚高逆境学校青少年心理健康的影响。

IF 3.2 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Annals of Global Health Pub Date : 2025-08-14 eCollection Date: 2025-01-01 DOI:10.5334/aogh.4810
Manasi Kumar, Shillah Mwaniga Mwavua, Sabrina Cheng, Alicia Chung, Leonard Njeru Njiru, Georgina Obonyo, Mohammad Dayow, Keng-Yen Huang
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引用次数: 0

摘要

背景:孤独正在成为儿童和青少年心理健康的一个关键风险因素。由于缺乏支持、繁忙的日常生活、持续的逆境和不良的社会网络而加剧,这是一个公共卫生问题。睡眠对健康发育和情绪调节至关重要,对调节冒险行为至关重要,并决定最佳学习和心理健康。然而,在肯尼亚等低收入和中等收入国家(LMICs),孤独与睡眠之间的联系及其对心理健康和教育成果的影响并不为人所熟知,这些国家的大部分人口都是年轻人。目的:(1)研究肯尼亚青少年孤独感与睡眠障碍之间的双向关系。(2)评估孤独感和睡眠障碍关系在焦虑、抑郁和愤怒等常见心理健康问题中的个体和共同贡献,同时控制不良童年经历(ace)。方法:对来自内罗毕学校的70名青少年(11-15岁)进行横断面研究。使用的测量方法:孤独(NIH工具箱),睡眠障碍(PROMIS),心理健康(PROMIS -愤怒,焦虑,抑郁),王牌(WHO王牌- IQ)。研究结果:我们发现孤独感和睡眠障碍之间存在很强的关联,即使在控制了ace(相关方差为32.0%-33.9%)之后也是如此。较高的ace也与孤独感增加和睡眠障碍有关。值得注意的是,在调整了ACE混杂因素后,睡眠障碍和孤独都与青少年精神障碍(焦虑、抑郁和愤怒)显著相关,睡眠障碍在焦虑、愤怒和抑郁结果上的解释差异(27.2%-30.4%)大于孤独(11.8%-27.4%)。孤独感和睡眠障碍总共与青少年心理健康问题的28.8%-30.4%相关。结论:我们的文章提供了新的证据,表明睡眠健康对生活在高ace和低mic环境中的青少年的心理健康至关重要。为改善青少年心理健康,应考虑提供减少孤独感和促进睡眠健康的干预策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Understanding the Relationship Between Loneliness and Sleep, and Their Influence on Mental Health of a High-Adversity-Exposed School Sample of Kenyan Adolescents.

Background: Loneliness is emerging as a key risk factor for child and adolescent mental health. Exacerbated by lack of support, busy routines, continuous adversities, and poor social networks, it is a public health concern. Sleep is essential for healthy development and emotional regulation, critical for modulating risk‑taking, and determines optimal learning and mental health. However, the connection between loneliness and sleep and their impact on mental health and educational outcomes is not well known in low‑ and middle‑income countries (LMICs) like Kenya, where a large portion of the population is young. Objectives: (1) Examine the bidirectional relationship between loneliness and impaired sleep in a Kenyan adolescent cohort. (2) assess the individual and joint contribution of loneliness and sleep impairment relationship in common mental health problems such as anxiety, depression, and anger, while controlling for adverse childhood experiences (ACEs). Methods: A cross‑sectional study with 70 adolescents (ages 11-15) from Nairobi schools. Measures used: Loneliness (NIH Toolbox), Sleep Impairment (PROMIS), Mental Health (PROMIS‑Anger, Anxiety, Depression), ACEs (WHO ACEs‑IQ). Findings: We found a strong association between loneliness and sleep impairment, even after controlling for ACEs (associated with 32.0%-33.9% of variance). Higher ACEs were also associated with increased loneliness and sleep impairment. Notably, after adjusting for the ACE confounder, both sleep impairment and loneliness were significantly associated with adolescent mental disturbances (anxiety, depression, and anger), with sleep impairment explaining greater variance (27.2%-30.4%) than loneliness (11.8%-27.4%) for the anxiety, anger, depression outcomes. Jointly, loneliness and sleep impairment were associated with 28.8%-30.4% of the variance in adolescents' mental health problems. Conclusion: Our article contributes new evidence that sleep health is critical to mental well‑being for adolescents living in high ACEs and LMIC contexts. Providing intervention strategies to reduce loneliness and promote sleep health should be considered to improve adolescent mental health.

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来源期刊
Annals of Global Health
Annals of Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
5.30
自引率
3.40%
发文量
95
审稿时长
11 weeks
期刊介绍: ANNALS OF GLOBAL HEALTH is a peer-reviewed, open access journal focused on global health. The journal’s mission is to advance and disseminate knowledge of global health. Its goals are improve the health and well-being of all people, advance health equity and promote wise stewardship of the earth’s environment. The journal is published by the Boston College Global Public Health Program. It was founded in 1934 by the Icahn School of Medicine at Mount Sinai as the Mount Sinai Journal of Medicine. It is a partner journal of the Consortium of Universities for Global Health.
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