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Shorter and longer durations of sleep are associated with an increased twelve-month prevalence of psychiatric and substance use disorders: Findings from a nationally representative survey of US adults (NESARC-III).
Journal of Psychiatric Research ( IF 4.8 ) Pub Date : 2020-02-21 , DOI: 10.1016/j.jpsychires.2020.02.018
Pierre A Geoffroy 1 , Sarah Tebeka 2 , Carlos Blanco 3 , Caroline Dubertret 2 , Yann Le Strat 2
Affiliation  

The lack of comprehensive data on the association between psychiatric and substance use disorders and habitual sleep duration represents a major health information gap. This study examines the 12-month prevalence of mental disorders stratified by duration of sleep. Data were drawn from face-to-face interviews conducted in the National Epidemiologic Survey on Alcohol and Related Conditions III, a nationally representative survey of US adults (N = 36,309). There were 1893 (5.26%) participants who reported <5h of sleep/night; 2434(6.76%) 5 h/night; 7621(21.17%) 6 h/night; 9620(26.72%) 7 h/night; 11,186(31.07%) 8 h/night, and 3245(9.01%) ≥9 h/night. A U-shaped association was observed between sleep duration and all mental disorders. The prevalence of mental disorders was 55% for individuals with <5 h/night and 47.81% for ≥9 h/night, versus 28.24% for the 7 h/night (aOR = 1.90 and 1.39 respectively). The greatest odds ratios were for the <5 h/night group, with an increased risk above 3-fold for panic disorder (PD), post-traumatic stress disorder (PTSD), psychotic disorder, and suicide attempt; between 2 and 3 fold for major depressive disorder (MDD), bipolar disorder (BD), and generalized anxiety disorder (GAD); and between 1 and 2 fold for tobacco and drug use disorders, specific and social phobias. The ≥9 h/night group had an increased risk above 1 to 2-fold regarding tobacco and drug use disorders, MDD, BD, PD, social phobia, GAD, PTSD, psychotic disorder, and suicide attempt. U-shaped associations exist between sleep duration and mental disorders, calling for respect to recommendations for adequate sleep duration in routine clinical care as well as to actions for primary prevention in public health settings.

中文翻译:

睡眠时间越长越长,与精神病和药物滥用障碍的十二个月患病率上升有关:美国全国代表性的调查结果(NESARC-III)。

缺乏有关精神病和药物滥用障碍与习惯性睡眠时间之间联系的全面数据,这是一个主要的健康信息缺口。这项研究检查了按睡眠时间分层的精神障碍的12个月患病率。数据来自《全国酒精及相关疾病流行病学调查》 III中的面对面访谈,该调查是美国成年人的全国代表性调查(N = 36,309)。有1893(5.26%)位参与者的睡眠/夜间睡眠时间少于5小时;2434(6.76%)5小时/晚; 7621(21.17%)6小时/夜; 9620(26.72%)7小时/晚; 11,186(31.07%)8小时/晚和3245(9.01%)≥9小时/晚。睡眠时间与所有精神障碍之间呈U型联系。<5 h / night的人的精神障碍患病率为55%,≥9h / night的人的精神障碍患病率为47.81%,而同期为28。7小时/夜为24%(aOR分别为1.90和1.39)。最大的优势比是在<5小时/晚的组中,恐慌症(PD),创伤后应激障碍(PTSD),精神病和自杀未遂的风险增加到3倍以上;重度抑郁症(MDD),双相情感障碍(BD)和广泛性焦虑症(GAD)的2到3倍; 对于烟草和毒品使用失调,特定和社交恐惧症则为1至2倍。≥9 h / night的人群在吸烟和吸毒障碍,MDD,BD,PD,社交恐惧症,GAD,PTSD,精神病和自杀未遂方面的风险增加1至2倍。睡眠时间和精神障碍之间存在U型关联,
更新日期:2020-02-21
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