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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 郭柏秀(Po-Hsiu Kuo) | |
dc.contributor.author | Wen-Hsuan Chiu | en |
dc.contributor.author | 邱玟瑄 | zh_TW |
dc.date.accessioned | 2021-06-15T12:39:31Z | - |
dc.date.available | 2021-08-26 | |
dc.date.copyright | 2016-08-26 | |
dc.date.issued | 2016 | |
dc.date.submitted | 2016-07-28 | |
dc.identifier.citation | [1] WHO: health topic about depression
http://www.who.int/topics/depression/en/ [2] Kessler, R. C., Berglund, P., Demler, O., Jin, R., Koretz, D., Merikangas, K. R., National Comorbidity Survey Replication. (2003). The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). JAMA, 289(23), 3095–3105. http://doi.org/10.1001/jama.289.23.3095 [3] Henderson, C., Roux, A. V. D., Jacobs, D. R., Kiefe, C. I., West, D., & Williams, D. R. (2005). Neighbourhood characteristics, individual level socioeconomic factors, and depressive symptoms in young adults: the CARDIA study. Journal of Epidemiology and Community Health, 59(4), 322–328. http://doi.org/10.1136/jech.2003.018846 [4] National Institute of Mental Health: Major Depression Among adults http://www.nimh.nih.gov/health/statistics/prevalence/major-depression-among-adults.shtml [5] Williams, P. G., Holmbeck, G. N., & Greenley, R. N. (2002). Adolescent health psychology. Journal of Consulting and Clinical Psychology, 70(3), 828–842. (4) [6] Substance Abuse and Mental Health Services Administration, Results from the 2013 National Survey on Drug Use and Health: Mental Health Findings, NSDUH Series H-49, HHS Publication No. (SMA) 14-4887. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2014. http://www.samhsa.gov/data/sites/default/files/NSDUHmhfr2013/NSDUHmhfr2013.pdf [7] Edman, J. L., Andrade, N. N., Glipa, J., Foster, J., Danko, G. P., Yates, A., … Waldron, J. A. (1998). Depressive symptoms among Filipino American adolescents. Cultural Diversity and Mental Health, 4(1), 45–54. [8] Peden, A. R., Reed, D. B., & Rayens, M. K. (2005). Depressive symptoms in adolescents living in rural America. The Journal of Rural Health: Official Journal of the American Rural Health Association and the National Rural Health Care Association, 21(4), 310–316. [9] Fleming, J. E., Offord, D. R., & Boyle, M. H. (1989). Prevalence of childhood and adolescent depression in the community. Ontario Child Health Study. The British Journal of Psychiatry: The Journal of Mental Science, 155, 647–654. [10] Jane Costello, E., Erkanli, A., & Angold, A. (2006). Is there an epidemic of child or adolescent depression? Journal of Child Psychology and Psychiatry, 47(12), 1263–1271. http://doi.org/10.1111/j.1469-7610.2006.01682.x [11] Takakura, M., & Sakihara, S. (2000). Gender differences in the association between psychosocial factors and depressive symptoms in Japanese junior high school students. Journal of Epidemiology / Japan Epidemiological Association, 10(6), 383–391. [12] Lefkowitz, M. M., & Tesiny, E. P. (1985). Depression in children: Prevalence and correlates. Journal of Consulting and Clinical Psychology, 53(5), 647–656. http://doi.org/10.1037/0022-006X.53.5.647 [13] Sokratous, S., Merkouris, A., Middleton, N., & Karanikola, M. (2014). The prevalence and socio-demographic correlates of depressive symptoms among Cypriot university students: a cross-sectional descriptive co-relational study. BMC Psychiatry, 14, 235. http://doi.org/10.1186/s12888-014-0235-6 [14] Lin, H.-C., Tang, T.-C., Yen, J.-Y., Ko, C.-H., Huang, C.-F., Liu, S.-C., & Yen, C.-F. (2008). Depression and its association with self-esteem, family, peer and school factors in a population of 9586 adolescents in southern Taiwan. Psychiatry and Clinical Neurosciences, 62(4), 412–420. http://doi.org/10.1111/j.1440-1819.2008.01820.x [15] Park, H. Y., Heo, J., Subramanian, S. V., Kawachi, I., & Oh, J. (2012). Socioeconomic inequalities in adolescent depression in South Korea: a multilevel analysis. PloS One, 7(10), e47025. http://doi.org/10.1371/journal.pone.0047025 [16] Gregory, A. M., & O’Connor, T. G. (2002). Sleep problems in childhood: a longitudinal study of developmental change and association with behavioral problems. Journal of the American Academy of Child and Adolescent Psychiatry, 41(8), 964–971. http://doi.org/10.1097/00004583-200208000-00015 [17] Pallesen, S., Hetland, J., Sivertsen, B., Samdal, O., Torsheim, T., & Nordhus, I. H. (2008). Time trends in sleep-onset difficulties among Norwegian adolescents: 1983—2005. Scandinavian Journal of Public Health, 36(8), 889–895. http://doi.org/10.1177/1403494808095953 [18] Kronholm, E., Puusniekka, R., Jokela, J., Villberg, J., Urrila, A. S., Paunio, T., Tynjälä, J. (2015). Trends in self-reported sleep problems, tiredness and related school performance among Finnish adolescents from 1984 to 2011. Journal of Sleep Research, 24(1), 3–10. http://doi.org/10.1111/jsr.12258 [19] Dollman, J., Ridley, K., Olds, T., & Lowe, E. (2007). Trends in the duration of school-day sleep among 10- to 15-year-old South Australians between 1985 and 2004. Acta Paediatrica (Oslo, Norway: 1992), 96(7), 1011–1014. http://doi.org/10.1111/j.1651-2227.2007.00278.x [20] Gau, S. F., & Soong, W. T. (1995). Sleep problems of junior high school students in Taipei. Sleep, 18(8), 667–673. [21] Collado Mateo, M. J., Díaz-Morales, J. F., Escribano Barreno, C., Delgado Prieto, P., & Randler, C. (2012). Morningness-eveningness and sleep habits among adolescents: age and gender differences. Psicothema, 24(3), 410–415. [22] Selvi, Y., Gulec, M., Agargun, M. Y., & Besiroglu, L. (2007). Mood changes after sleep deprivation in morningness-eveningness chronotypes in healthy individuals. Journal of Sleep Research, 16(3), 241–244. http://doi.org/10.1111/j.1365-2869.2007.00596.x [23] Roberts, R. E., & Duong, H. T. (2014). The prospective association between sleep deprivation and depression among adolescents. Sleep, 37(2), 239–244. http://doi.org/10.5665/sleep.3388 [24] Mak, K.-K., Lee, S.-L., Ho, S.-Y., Lo, W.-S., & Lam, T.-H. (2012). Sleep and academic performance in Hong Kong adolescents. The Journal of School Health, 82(11), 522–527. http://doi.org/10.1111/j.1746-1561.2012.00732.x [25] Yen, C.-F., King, B. H., & Tang, T.-C. (2010). The association between short and long nocturnal sleep durations and risky behaviours and the moderating factors in Taiwanese adolescents. Psychiatry Research, 179(1), 69–74. http://doi.org/10.1016/j.psychres.2009.02.016 [26] Yen, C.-F., Ko, C.-H., Yen, J.-Y., & Cheng, C.-P. (2008). The multidimensional correlates associated with short nocturnal sleep duration and subjective insomnia among Taiwanese adolescents. Sleep, 31(11), 1515–1525. [27] Calhoun, S. L., Fernandez-Mendoza, J., Vgontzas, A. N., Liao, D., & Bixler, E. O. (2014). Prevalence of insomnia symptoms in a general population sample of young children and preadolescents: gender effects. Sleep Medicine, 15(1), 91–95. http://doi.org/10.1016/j.sleep.2013.08.787 [28] Yen, Y., Guo, L., Lu, C., Deng, J., He, Y., Huang, J., Gao, X. (2015). Bullying as a risk for poor sleep quality among high school students in China. PloS One, 10(3), e0121602. http://doi.org/10.1371/journal.pone.0121602 [29] Amaral, M. O. P., de Figueiredo Pereira, C. M., Silva Martins, D. I., de Serpa, C. do R. D. N., & Sakellarides, C. T. (2013). Prevalence and risk factors for insomnia among Portuguese adolescents. European Journal of Pediatrics, 172(10), 1305–1311. http://doi.org/10.1007/s00431-013-2037-0 [30] Kaneita, Y., Ohida, T., Osaki, Y., Tanihata, T., Minowa, M., Suzuki, K., Hayashi, K. (2007). Association between mental health status and sleep status among adolescents in Japan: a nationwide cross-sectional survey. The Journal of Clinical Psychiatry, 68(9), 1426–1435. [31] Gregory, A. M., & Sadeh, A. (2012). Sleep, emotional and behavioral difficulties in children and adolescents. Sleep Medicine Reviews, 16(2), 129–136. http://doi.org/10.1016/j.smrv.2011.03.007 [32] Lovato, N., & Gradisar, M. (2014). A meta-analysis and model of the relationship between sleep and depression in adolescents: recommendations for future research and clinical practice. Sleep Medicine Reviews, 18(6), 521–529. http://doi.org/10.1016/j.smrv.2014.03.006 [33] Roberts, R. E., Roberts, C. R., & Chen, I. G. (2002). Impact of insomnia on future functioning of adolescents. Journal of Psychosomatic Research, 53(1), 561–569. [34] Roane, B. M., & Taylor, D. J. (2008). Adolescent insomnia as a risk factor for early adult depression and substance abuse. Sleep, 31(10), 1351–1356. [35] Armstrong, J. M., Ruttle, P. L., Klein, M. H., Essex, M. J., & Benca, R. M. (2014). Associations of child insomnia, sleep movement, and their persistence with mental health symptoms in childhood and adolescence. Sleep, 37(5), 901–909. http://doi.org/10.5665/sleep.3656 [36] Patten, C. A., Choi, W. S., Gillin, J. C., & Pierce, J. P. (2000). Depressive symptoms and cigarette smoking predict development and persistence of sleep problems in US adolescents. Pediatrics, 106(2), E23. [37] Goldman-Mellor, S., Gregory, A. M., Caspi, A., Harrington, H., Parsons, M., Poulton, R., & Moffitt, T. E. (2014). Mental Health Antecedents of Early Midlife Insomnia: Evidence from a Four-Decade Longitudinal Study. Sleep, 37(11), 1767–1775. http://doi.org/10.5665/sleep.4168 [38] Johnson, E. O., Roth, T., & Breslau, N. (2006). The association of insomnia with anxiety disorders and depression: exploration of the direction of risk. Journal of Psychiatric Research, 40(8), 700–708. http://doi.org/10.1016/j.jpsychires.2006.07.008 [39] Kaneita, Y., Yokoyama, E., Harano, S., Tamaki, T., Suzuki, H., Munezawa, T., Ohida, T. (2009). Associations between sleep disturbance and mental health status: a longitudinal study of Japanese junior high school students. Sleep Medicine, 10(7), 780–786. http://doi.org/10.1016/j.sleep.2008.06.014 [40] Roberts, R. E., & Duong, H. T. (2013). Depression and insomnia among adolescents: a prospective perspective. Journal of Affective Disorders, 148(1), 66–71. http://doi.org/10.1016/j.jad.2012.11.049 [41] Matamura, M., Tochigi, M., Usami, S., Yonehara, H., Fukushima, M., Nishida, A., Sasaki, T. (2014). Associations between sleep habits and mental health status and suicidality in a longitudinal survey of monozygotic twin adolescents. Journal of Sleep Research, 23(3), 290–294. http://doi.org/10.1111/jsr.12127 [42] Silva, G. E., Goodwin, J. L., Parthasarathy, S., Sherrill, D. L., Vana, K. D., Drescher, A. A., & Quan, S. F. (2011). Longitudinal association between short sleep, body weight, and emotional and learning problems in Hispanic and Caucasian children. Sleep, 34(9), 1197–1205. http://doi.org/10.5665/SLEEP.1238 [43] Slavish, D. C., & Graham-Engeland, J. E. (2015). Rumination mediates the relationships between depressed mood and both sleep quality and self-reported health in young adults. Journal of Behavioral Medicine, 38(2), 204–213. http://doi.org/10.1007/s10865-014-9595-0 [44] Reid, G. J., Huntley, E. D., & Lewin, D. S. (2009). Insomnias of childhood and adolescence. Child and Adolescent Psychiatric Clinics of North America, 18(4), 979–1000. http://doi.org/10.1016/j.chc.2009.06.002 [45] Owens, J. (2008). Classification and epidemiology of childhood sleep disorders. Primary Care, 35(3), 533–546, vii. http://doi.org/10.1016/j.pop.2008.06.003 [46] Molen, Y. F., Carvalho, L. B. C., Prado, L. B. F. do, & Prado, G. F. do. (2014). Insomnia: psychological and neurobiological aspects and non-pharmacological treatments. Arquivos De Neuro-Psiquiatria, 72(1), 63–71. http://doi.org/10.1590/0004-282X20130184 [47] Carbonell, D. M., Reinherz, H. Z., & Giaconia, R. M. (1998). Risk and Resilience in Late Adolescence. Child and Adolescent Social Work Journal, 15(4), 251–272. http://doi.org/10.1023/A:1025107827111 [48] Noteboom, A., Beekman, A. T. F., Vogelzangs, N., & Penninx, B. W. J. H. (2016). Personality and social support as predictors of first and recurrent episodes of depression. Journal of Affective Disorders, 190, 156–161. http://doi.org/10.1016/j.jad.2015.09.020 [49] Han, K. S., Kim, L., & Shim, I. (2012). Stress and Sleep Disorder. Experimental Neurobiology, 21(4), 141–150. http://doi.org/10.5607/en.2012.21.4.141 [50] Pigeon, W. R. (2010). Diagnosis, prevalence, pathways, consequences & treatment of insomnia. The Indian Journal of Medical Research, 131, 321–332. [51] Bixler, E. (2009). Sleep and society: an epidemiological perspective. Sleep Medicine, 10 Suppl 1, S3–6. http://doi.org/10.1016/j.sleep.2009.07.005 [52] Saveanu, R. V., & Nemeroff, C. B. (2012). Etiology of depression: genetic and environmental factors. The Psychiatric Clinics of North America, 35(1), 51–71. http://doi.org/10.1016/j.psc.2011.12.001 [53] Hammen, C. (2005). Stress and depression. Annual Review of Clinical Psychology, 1, 293–319. http://doi.org/10.1146/annurev.clinpsy.1.102803.143938 [54] Adam, E. K., Snell, E. K., & Pendry, P. (2007). Sleep timing and quantity in ecological and family context: a nationally representative time-diary study. Journal of Family Psychology: JFP: Journal of the Division of Family Psychology of the American Psychological Association (Division 43), 21(1), 4–19. http://doi.org/10.1037/0893-3200.21.1.4 [55] Owens, J., Maxim, R., McGuinn, M., Nobile, C., Msall, M., & Alario, A. (1999). Television-viewing habits and sleep disturbance in school children. Pediatrics, 104(3), e27. [56] Paavonen, E. J., Pennonen, M., Roine, M., Valkonen, S., & Lahikainen, A. R. (2006). TV exposure associated with sleep disturbances in 5- to 6-year-old children. Journal of Sleep Research, 15(2), 154–161. http://doi.org/10.1111/j.1365-2869.2006.00525.x [57] Falbe, J., Davison, K. K., Franckle, R. L., Ganter, C., Gortmaker, S. L., Smith, L., Taveras, E. M. (2015). Sleep duration, restfulness, and screens in the sleep environment. Pediatrics, 135(2), e367–375. http://doi.org/10.1542/peds.2014-2306 [58] Bartel, K. A., Gradisar, M., & Williamson, P. (2015). Protective and risk factors for adolescent sleep: a meta-analytic review. Sleep Medicine Reviews, 21, 72–85. http://doi.org/10.1016/j.smrv.2014.08.002 [59] de Wit, L., van Straten, A., Lamers, F., Cuijpers, P., & Penninx, B. (2011). Are sedentary television watching and computer use behaviors associated with anxiety and depressive disorders? Psychiatry Research, 186(2-3), 239–243. http://doi.org/10.1016/j.psychres.2010.07.003 [60] Maras, D., Flament, M. F., Murray, M., Buchholz, A., Henderson, K. A., Obeid, N., & Goldfield, G. S. (2015). Screen time is associated with depression and anxiety in Canadian youth. Preventive Medicine, 73, 133–138. http://doi.org/10.1016/j.ypmed.2015.01.029 [61] Hume, C., Timperio, A., Veitch, J., Salmon, J., Crawford, D., & Ball, K. (2011). Physical activity, sedentary behavior, and depressive symptoms among adolescents. Journal of Physical Activity & Health, 8(2), 152–156. [62] Radloff, L. S. (1991). The use of the Center for Epidemiologic Studies Depression Scale in adolescents and young adults. Journal of Youth and Adolescence, 20(2), 149–166. [63] Yang, H.-J., Soong, W.-T., Kuo, P.-H., Chang, H.-L., & Chen, W. J. (2004). Using the CES-D in a two-phase survey for depressive disorders among nonreferred adolescents in Taipei: a stratum-specific likelihood ratio analysis. Journal of Affective Disorders, 82(3), 419–430. [64] Chung-Ping Cheng, C.-F. Y. (2011). Factor structure of the Center for Epidemiologic Studies Depression Scale in Taiwanese adolescents. Comprehensive Psychiatry, 53(3), 299–307. [65] Garrison, C. Z. P. D., Addy, C. L. P. D., Jackson, K. L. A. B., McKEOWN, R. E. P. D., & Waller, J. L. B. S. (1991). The CES-D as a Screen for Depression and Other Psychiatric Disorders in Adolescents. Journal of the American Academy of Child, 30(4), 636–641. [66] de la Vega, R., Tomé-Pires, C., Solé, E., Racine, M., Castarlenas, E., Jensen, M. P., & Miró, J. (2015). The Pittsburgh Sleep Quality Index: Validity and factor structure in young people. Psychological Assessment, 27(4), e22-27. http://doi.org/10.1037/pas0000128 [67] Tsai, P.-S., Wang, S.-Y., Wang, M.-Y., Su, C.-T., Yang, T.-T., Huang, C.-J., & Fang, S.-C. (2005). Psychometric evaluation of the Chinese version of the Pittsburgh Sleep Quality Index (CPSQI) in primary insomnia and control subjects. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 14(8), 1943–1952. [68] Francis, L. J. (1996). The development of an abbreviated form of the revised Junior Eysenck Personality Questionnaire (JEPQR-A) among 13–15 year olds. Personality and Individual Differences, 21(6), 835–844. http://doi.org/10.1016/S0191-8869(96)00159-6 [69] Wang, Z., Chen, J., Boyd, J. E., Zhang, H., Jia, X., Qiu, J., & Xiao, Z. (2011). Psychometric properties of the Chinese version of the Perceived Stress Scale in policewomen. PloS One, 6(12), e28610. http://doi.org/10.1371/journal.pone.0028610 [70] Sobel, M. E. (1982). Asymptotic intervals for indirect effects in structural equations models. In S. Leinhart (Ed.), Sociological methodology , 290-312. San Francisco: Jossey-Bass. [71] Lazaratou, H., Dikeos, D. G., Anagnostopoulos, D. C., & Soldatos, C. R. (2010). Depressive symptomatology in high school students: the role of age, gender and academic pressure. Community Mental Health Journal, 46(3), 289–295. http://doi.org/10.1007/s10597-010-9296-2 [72] Lin, J.-D., Tung, H.-J., Hsieh, Y.-H., & Lin, F.-G. (2011). Interactive effects of delayed bedtime and family-associated factors on depression in elementary school children. Research in Developmental Disabilities, 32(6), 2036–2044. http://doi.org/10.1016/j.ridd.2011.08.011 [73] Guo, L., Deng, J., He, Y., Deng, X., Huang, J., Huang, G., Lu, C. (2014). Prevalence and correlates of sleep disturbance and depressive symptoms among Chinese adolescents: a cross-sectional survey study. BMJ Open, 4(7), e005517. http://doi.org/10.1136/bmjopen-2014-005517 [74] Alvaro, P. K., Roberts, R. M., & Harris, J. K. (2014). The independent relationships between insomnia, depression, subtypes of anxiety, and chronotype during adolescence. Sleep Medicine, 15(8), 934–941. http://doi.org/10.1016/j.sleep.2014.03.019 [75] Oka, Y., Suzuki, S., & Inoue, Y. (2008). Bedtime activities, sleep environment, and sleep/wake patterns of Japanese elementary school children. Behavioral Sleep Medicine, 6(4), 220–233. http://doi.org/10.1080/15402000802371338 [76] Mak, K.-K., Lai, C.-M., Watanabe, H., Kim, D.-I., Bahar, N., Ramos, M., Cheng, C. (2014). Epidemiology of internet behaviors and addiction among adolescents in six Asian countries. Cyberpsychology, Behavior and Social Networking, 17(11), 720–728. http://doi.org/10.1089/cyber.2014.0139 [77] Eggermont, S., & Van den Bulck, J. (2006). Nodding off or switching off? The use of popular media as a sleep aid in secondary-school children. Journal of Paediatrics and Child Health, 42(7-8), 428–433. http://doi.org/10.1111/j.1440-1754.2006.00892.x [78] BaHammam, A., Bin Saeed, A., Al-Faris, E., & Shaikh, S. (2006). Sleep duration and its correlates in a sample of Saudi elementary school children. Singapore Medical Journal, 47(10), 875–881. [79] Cain, N., & Gradisar, M. (2010). Electronic media use and sleep in school-aged children and adolescents: A review. Sleep Medicine, 11(8), 735–742. http://doi.org/10.1016/j.sleep.2010.02.006 [80] Lange, K., Cohrs, S., Skarupke, C., Görke, M., Szagun, B., & Schlack, R. (2015). Electronic media use and insomnia complaints in German adolescents: gender differences in use patterns and sleep problems. Journal of Neural Transmission (Vienna, Austria: 1996). http://doi.org/10.1007/s00702-015-1482-5 [81] Ko C, Yen J, Chen C, Yeh Y, & Yen C. (2009). Predictive values of psychiatric symptoms for internet addiction in adolescents: A 2-year prospective study. Archives of Pediatrics & Adolescent Medicine, 163(10), 937–943. http://doi.org/10.1001/archpediatrics.2009.159 [82] Goodman, E., & Huang, B. (2002). Socioeconomic status, depressive symptoms, and adolescent substance use. Archives of Pediatrics & Adolescent Medicine, 156(5), 448–453. [83] Boudebesse, C., Geoffroy, P. A., Bellivier, F., Henry, C., Folkard, S., Leboyer, M., & Etain, B. (2014). Correlations between objective and subjective sleep and circadian markers in remitted patients with bipolar disorder. Chronobiology International, 31(5), 698–704. http://doi.org/10.3109/07420528.2014.895742 [84] Lauderdale, D. S., Knutson, K. L., Yan, L. L., Liu, K., & Rathouz, P. J. (2008). Sleep duration: how well do self-reports reflect objective measures? The CARDIA Sleep Study. Epidemiology (Cambridge, Mass.), 19(6), 838–845. http://doi.org/10.1097/EDE.0b013e318187a7b0 [85] Maglione, J. E., Ancoli-Israel, S., Peters, K. W., Paudel, M. L., Yaffe, K., Ensrud, K. E., & Stone, K. L. (2014). Subjective and Objective Sleep Disturbance and Longitudinal Risk of Depression in a Cohort of Older Women. Sleep, 37(7), 1179–1187. http://doi.org/10.5665/sleep.3834 | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/50408 | - |
dc.description.abstract | 憂鬱在青少年是一個常見的心理健康問題 (11.0%-26.6%),並且與物質使用、人際關係、生理活動及睡眠有關,而青少年的睡眠問題在近年來有逐年增加的趨勢,並且可能造成憂鬱情緒的產生,不少研究已報告失眠及睡眠長度與憂鬱之間顯著的相關,但在這些研究中發現失眠及睡眠長度可預測憂鬱的發生,卻沒有反向的結果,其可能的原因為過去的研究沒有考慮到其他與睡眠問題及憂鬱有關的干擾及中介因子,例如:神經質人格特質、壓力以及3C產品使用,另外,也缺乏調查青少年憂鬱及其他睡眠面向關係的研究,因此本研究利用一年的前瞻性追蹤研究調查國中小學童不同面向之睡眠問題與憂鬱之雙向關係,並測量其他潛在之干擾因子(如:神經質人格特質以及自覺壓力)及中介因子(如:3C產品之使用)對睡眠及憂鬱關係之影響。
在本研究中總共收集1,628位四到七年級的台灣國中小學童,主要利用憂鬱量表(the Center for Epidemiologic studies Depressive Scale, CES-D)及匹茲堡睡眠品質量表分別測量兩時點學童的憂鬱及睡眠狀況,壓力則使用自覺壓力量表進行測量,此外,也使用艾氏少年人格量表測量學童神經質程度,並且也收集3C產品使用習慣之資訊。羅吉斯回歸用於測量在校正過區域、性別、年級以及其他潛在干擾因子的影響後睡眠與憂鬱的關係。 本研究在基點有相當比例的學生具有憂鬱 (17%)及睡眠不佳的狀況 (30%),且追蹤一年後的憂鬱 (17%)及睡眠不佳 (29%)比例也與基點相似,每一個睡眠問題的面向與新發之憂鬱皆有顯著關係 (OR=2.05-3.52),然而此關係卻容易受到自覺壓力及神經質人格特質的影響,但若是學童有持續一年的睡眠問題時,持續性睡眠問題可增加憂鬱之風險 (OR=3.10-7.34),不受自覺壓力及神經質的影響。相反地,雖然研究也發現憂鬱會造成睡眠問題,不過此關係也同樣地在校正過壓力及神經質人格特質的影響後變為不顯著,即使學童有持續的憂鬱狀況,持續性憂鬱只對睡眠不佳、睡眠品質及白天功能失調有顯著影響 (OR=4.09和6.22),另外,研究中也發現3C產品的使用 (如:每天平均使用3C產品的時間及因為使用3C產品而熬夜及減少睡眠長度)會調節憂鬱與睡眠的關係。 總結研究的結果,會發現不同面向的睡眠問題與憂鬱有相互的關係,不過壓力及神經質為在探討睡眠及憂鬱的關係時兩個重要的干擾因子,青少年3C產品的使用則為在調查睡眠問題與憂鬱關係時一個重要的中介因子。 | zh_TW |
dc.description.abstract | Depression is a prevalent (11.0% to 26.6%) mental health problem in youth, which has several correlated factors, such as substance use, interpersonal relationship, physical activity, and sleep. Sleep problems in adolescents show increasing trend in recent years, and may contribute to the development of depressive mood in youth. Many previous studies examine the associations between depression and insomnia and sleep duration. They found that both insomnia and sleep duration predict depression, but not the reverse direction. Lack of association from depression to sleep problems may be due to a few reasons, such as not considering potential confounders or mediators. For instance, neuroticism, stress and 3C usage might be important factors related to depression and sleep problems. Furthermore, no studies examined the relationship between depression and other sleep dimensions in youth. Therefore, we conducted a prospective cohort study to investigate bi-directional relationships between different sleep dimensions and depression in youth. Possible confounders (neuroticism personality and stress) and mediator (3C usage) are also examined.
We enrolled 1,628 students of grade 4-7 in Taiwan. Depression and sleep problems were assessed at baseline and one-year follow-up by the Center for Epidemiologic Studies Depression Scale, and Pittsburgh Sleep Quality Index, respectively. Stress was measured using perceive stress scale. We also used Junior Eysenck Personality Questionnaire to assess neuroticism. Information on 3C usage was collected. Multiple logistic regression models were used for association testing between depression and sleep problems after adjusted for region, gender, grade and potential confounders. We found a substantial proportion of students reported to have depression (17.2% & 17.0%) and poor sleeper (29.9% & 27.7%) at baseline and follow-up. Every sleep problem dimension at baseline was significantly associated with new onset of depression at follow-up (OR=2.05-3.52), but the relationships disappeared after adjusted for neuroticism and stress. On the other hand, persistent sleep problems significantly increased the risk of depression at follow-up (OR=3.10-7.34) even after confounders adjustment. The reverse associations from depression to sleep problems were also found initially (OR=1.67-3.92). Similarly, these associations became non-significant after adjusted for neuroticism and stress. Persistent depression predicted poor sleeper, poor sleep quality and daytime dysfunction at follow-up (OR=4.09 and 6.22) after confounders adjustment. Moreover, 3C product usage (e.g. hours of using 3C product per day and 3C delayed sleep) mediated the relationship between depression and sleep problems. In conclusion, sleep problems and depression have reciprocal effects, while neuroticism and stress are confounders for exploring the association between depression and sleep problems. 3C product usage among youth is an important factor to consider while investigate the relationship between depression and sleep problems. | en |
dc.description.provenance | Made available in DSpace on 2021-06-15T12:39:31Z (GMT). No. of bitstreams: 1 ntu-105-R03849008-1.pdf: 1107242 bytes, checksum: fd50d28627806f431ffd69bdd20d2d83 (MD5) Previous issue date: 2016 | en |
dc.description.tableofcontents | 誌謝 i
中文摘要 iii ABSTRACT v CONTENTS vii LIST OF FIGURES x LIST OF TABLES xi LIST OF SUPPLEMENT xiii Chapter 1 Introduction 1 1.1 Depression in adult and youth 1 1.2 Sleep problems in youth 3 1.3 Cross-sectional relationship between sleep problems and depression in youth 4 1.4 Possible mechanism between sleep problems and depression 5 1.5 Longitudinal association between insomnia, sleep duration and depression in youth 6 1.6 Potential confounders or mediator between depression and sleep problems 8 1.7 Aims of this study 10 Chapter 2 Material and Method 13 2.1 Participants 13 2.2 Measurements 16 2.3 Statistical analysis 19 Chapter 3 Results 22 3.1 Demographic characteristics among students at baseline and one-year follow-up 22 3.2 Characteristics of sleep problems and depression, stratified analysis by region, gender and school level 23 3.3 Sleep problems among students with different depression levels 24 3.4 Sleep problems in different depression groups assessed at baseline and one year follow-up 25 3.5 Depression in different sleep problems groups assessed at baseline and one year follow-up 26 3.6 Effects of sleep problems on depression 27 3.7 Effects of depression on sleep problems 28 3.8 Relationship between 3C product usage, depression and sleep problems 29 3.9 Mediating effect of 3C product usage between depression and sleep problems 30 Chapter 4 Discussion 53 4.1 Comparison of depression prevalence in youth with previous studies 53 4.2 Comparisons of prevalence of 7 sleep problems in youth with previous studies 54 4.3 Relationships between depression and sleep problems 55 4.4 Longitudinal findings for direction from baseline or persistent depression to sleep problems 57 4.5 Findings about 3C product usage in youth in this study 59 4.6 Additional analysis 61 4.7 Strengths and limitations 62 REFERENCE 64 SUPPLEMENT 77 | |
dc.language.iso | en | |
dc.title | 探索青少年睡眠問題和憂鬱之間的潛在雙向關係 | zh_TW |
dc.title | Explore Potential Bi-directional Relationships between Sleep Problems and Depression in Youth | en |
dc.type | Thesis | |
dc.date.schoolyear | 104-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 蕭朱杏(Chu-Hsing Hsiao),張書森(Shu-Sen Chang),楊建銘(Chien-Ming Yang) | |
dc.subject.keyword | 憂鬱,睡眠,神經質,壓力,3C產品, | zh_TW |
dc.subject.keyword | depression,sleep,neuroticism,stress,3C products usage, | en |
dc.relation.page | 87 | |
dc.identifier.doi | 10.6342/NTU201601280 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2016-07-28 | |
dc.contributor.author-college | 公共衛生學院 | zh_TW |
dc.contributor.author-dept | 流行病學與預防醫學研究所 | zh_TW |
顯示於系所單位: | 流行病學與預防醫學研究所 |
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