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【medical-news】短睡眠者自杀意念增加
Association Between Short Sleep and Suicidal Ideation and Suicide Attempt Among Adults in the General Population
Renee D. Goodwin, PhD, MPH1; Andrej Marusic, MD, PhD2
Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY;The Institute of Public Health of the Republic of Slovenia, Ljubljana, Slovenia
Objective:
To determine the association between sleep, mental disorders, and suicidal ideation (SI) and suicide attempt (SA) among adults in the community.
Design:
Cross-sectional.
Setting:
National Comorbidity Survey (n = 8098).
Participants:
A representative sample of adults in the United States.
Measurements and Results:
Multiple logistic regression analyses were used to determine the association between usual number of hours of sleep during a 24-h period and SI and SA (past 12 months and lifetime). Analyses were adjusted for differences in demographic characteristics and comorbid mental disorders. Additional analyses examined the relationship between hours of sleep and the odds of SA among adults with SI, compared with SI without SA. Short sleep was associated with significantly increased odds of SI (OR 2.5, 95% CI: 1.6-3.9) and SA (OR 3.0, 95% CI: 1.4-6.4), and with SA among those with SI (past 12 months). These associations persisted after adjusting for differences in demographic characteristics and mental disorders, though the links between short sleep and SA among those with SI were no longer statistically significant after adjusting for panic, mood, and substance use disorders.
Conclusions:
Short sleep appears to be associated with increased likelihood of SI and SA, independent of the effects of comorbid mental disorders, among adults in the community. Among adults with SI, short sleep is associated with increased odds of SA, and this association seems largely related to the presence of panic attacks, mood, and substance use disorders. Future studies should investigate the nature of these relationships, and whether and how mental health problems may play a role. 本人已认领该文编译，48小时后若未提交译文，请其他战友自由认领。 http://www.journalsleep.org/ViewAbstract.aspx?citationid=3624
Association Between Short Sleep and Suicidal Ideation and Suicide Attempt Among Adults in the General Population
普通人群中成人睡眠缩短与自杀意念和自杀未遂之间的关系
Renee D. Goodwin, PhD, MPH1; Andrej Marusic, MD, PhD2
Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY;The Institute of Public Health of the Republic of Slovenia, Ljubljana, Slovenia
Objective:
目的
To determine the association between sleep, mental disorders, and suicidal ideation (SI) and suicide attempt (SA) among adults in the community.
确定社区成人中睡眠、精神障碍、自杀意念(SI)和自杀未遂(SA)之间的关系
Design:
设计
Cross-sectional.
有代表性的
Setting:
设置
National Comorbidity Survey (n = 8098).
美国国家共病率调查
Participants:
参与者
A representative sample of adults in the United States.
美国成人有代表性的样本
Measurements and Results:
测试和结果
Multiple logistic regression analyses were used to determine the association between usual number of hours of sleep during a 24-h period and SI and SA (past 12 months and lifetime). Analyses were adjusted for differences in demographic characteristics and comorbid mental disorders. Additional analyses examined the relationship between hours of sleep and the odds of SA among adults with SI, compared with SI without SA. Short sleep was associated with significantly increased odds of SI (OR 2.5, 95% CI: 1.6-3.9) and SA (OR 3.0, 95% CI: 1.4-6.4), and with SA among those with SI (past 12 months). These associations persisted after adjusting for differences in demographic characteristics and mental disorders, though the links between short sleep and SA among those with SI were no longer statistically significant after adjusting for panic, mood, and substance use disorders.
应用多元逻辑回归分析方法确定24小时的一个周期内常规睡眠的小时数与SI和SA(过去12个月和一生)之间的关系。根据人口统计特征的不同和共患精神障碍调整分析方法。额外的分析检查睡眠时数和有SI的成人SA的可能性之间的关系，与SI但是无SA的成人进行比较。短睡眠者SI(或 2.5, 95% CI: 1.6-3.9)和SA(或 3.0, 95% CI: 1.4-6.4)，以及SI中SA(过去12个月)可能性呈显著增长。在调整了人口统计特征和精神障碍后这些相关性仍然存在，然而在调整了恐慌、心情、和物质使用障碍后，短睡眠与SI中的SA之间的关系在统计上不再那么显著。
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作者:admin@医学,生命科学 2011-05-02 17:14
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