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Poor sleep quality and nightmares are associated with non-suicidal self-injury in adolescents.
Eur Child Adolesc Psychiatry. 2017 Mar; 26(3):271-279.EC

Abstract

Non-suicidal self-injury (NSSI) is prevalent and is associated with increased risk of suicidal behavior in adolescents. This study examined which sleep variables are associated with NSSI, independently from demographics and mental health problems in Chinese adolescents. Participants consisted of 2090 students sampled from three high schools in Shandong, China and had a mean age of 15.49 years. Participants completed a sleep and health questionnaire to report their demographic and family information, sleep duration and sleep problems, impulsiveness, hopelessness, internalizing and externalizing problems, and NSSI. A series of regression analyses were conducted to examine the associations between sleep variables and NSSI. Of the sample, 12.6 % reported having ever engaged in NSSI and 8.8 % engaged during the last year. Univariate logistic analyses demonstrated that multiple sleep variables including short sleep duration, insomnia symptoms, poor sleep quality, sleep insufficiency, unrefreshed sleep, sleep dissatisfaction, daytime sleepiness, fatigue, snoring, and nightmares were associated with increased risk of NSSI. After adjusting for demographic and mental health variables, NSSI was significantly associated with sleeping <6 h per night, poor sleep quality, sleep dissatisfaction, daytime sleepiness, and frequent nightmares. Stepwise logistic regression model demonstrated that poor sleep quality (OR = 2.18, 95 % CI = 1.37-3.47) and frequent nightmares (OR = 2.88, 95 % CI = 1.45-5.70) were significantly independently associated with NSSI. In conclusion, while multiple sleep variables are associated with NSSI, poor sleep quality and frequent nightmares are independent risk factors of NSSI. These findings may have important implications for further research of sleep self-harm mechanisms and early detection and prevention of NSSI in adolescents.

Authors+Show Affiliations

Department of Epidemiology, Shandong University School of Public Health and Shandong University Center for Suicide Prevention Research, Shandong University, No. 44, Wenhuaxi Rd, Lixia Dist, Jinan, 250012, China. xliu69@uthsc.edu. The University of Tennessee Health Science Center, Memphis, TN, 38163, USA. xliu69@uthsc.edu.Department of Epidemiology, Shandong University School of Public Health and Shandong University Center for Suicide Prevention Research, Shandong University, No. 44, Wenhuaxi Rd, Lixia Dist, Jinan, 250012, China.Center for Disease Control and Prevention of Lijin County, Lijin, 257400, China.School of Psychology, South China Normal University, Shipai, Guangzhou, 510631, China.Department of Epidemiology, Shandong University School of Public Health and Shandong University Center for Suicide Prevention Research, Shandong University, No. 44, Wenhuaxi Rd, Lixia Dist, Jinan, 250012, China. jiacunxian@sdu.edu.cn.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27383464

Citation

Liu, Xianchen, et al. "Poor Sleep Quality and Nightmares Are Associated With Non-suicidal Self-injury in Adolescents." European Child & Adolescent Psychiatry, vol. 26, no. 3, 2017, pp. 271-279.
Liu X, Chen H, Bo QG, et al. Poor sleep quality and nightmares are associated with non-suicidal self-injury in adolescents. Eur Child Adolesc Psychiatry. 2017;26(3):271-279.
Liu, X., Chen, H., Bo, Q. G., Fan, F., & Jia, C. X. (2017). Poor sleep quality and nightmares are associated with non-suicidal self-injury in adolescents. European Child & Adolescent Psychiatry, 26(3), 271-279. https://doi.org/10.1007/s00787-016-0885-7
Liu X, et al. Poor Sleep Quality and Nightmares Are Associated With Non-suicidal Self-injury in Adolescents. Eur Child Adolesc Psychiatry. 2017;26(3):271-279. PubMed PMID: 27383464.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Poor sleep quality and nightmares are associated with non-suicidal self-injury in adolescents. AU - Liu,Xianchen, AU - Chen,Hua, AU - Bo,Qi-Gui, AU - Fan,Fang, AU - Jia,Cun-Xian, Y1 - 2016/07/06/ PY - 2016/02/26/received PY - 2016/06/27/accepted PY - 2016/7/8/pubmed PY - 2017/3/31/medline PY - 2016/7/8/entrez KW - Adolescents KW - Nightmares KW - Self-injury KW - Sleep SP - 271 EP - 279 JF - European child & adolescent psychiatry JO - Eur Child Adolesc Psychiatry VL - 26 IS - 3 N2 - Non-suicidal self-injury (NSSI) is prevalent and is associated with increased risk of suicidal behavior in adolescents. This study examined which sleep variables are associated with NSSI, independently from demographics and mental health problems in Chinese adolescents. Participants consisted of 2090 students sampled from three high schools in Shandong, China and had a mean age of 15.49 years. Participants completed a sleep and health questionnaire to report their demographic and family information, sleep duration and sleep problems, impulsiveness, hopelessness, internalizing and externalizing problems, and NSSI. A series of regression analyses were conducted to examine the associations between sleep variables and NSSI. Of the sample, 12.6 % reported having ever engaged in NSSI and 8.8 % engaged during the last year. Univariate logistic analyses demonstrated that multiple sleep variables including short sleep duration, insomnia symptoms, poor sleep quality, sleep insufficiency, unrefreshed sleep, sleep dissatisfaction, daytime sleepiness, fatigue, snoring, and nightmares were associated with increased risk of NSSI. After adjusting for demographic and mental health variables, NSSI was significantly associated with sleeping <6 h per night, poor sleep quality, sleep dissatisfaction, daytime sleepiness, and frequent nightmares. Stepwise logistic regression model demonstrated that poor sleep quality (OR = 2.18, 95 % CI = 1.37-3.47) and frequent nightmares (OR = 2.88, 95 % CI = 1.45-5.70) were significantly independently associated with NSSI. In conclusion, while multiple sleep variables are associated with NSSI, poor sleep quality and frequent nightmares are independent risk factors of NSSI. These findings may have important implications for further research of sleep self-harm mechanisms and early detection and prevention of NSSI in adolescents. SN - 1435-165X UR - https://www.unboundmedicine.com/medline/citation/27383464/Poor_sleep_quality_and_nightmares_are_associated_with_non_suicidal_self_injury_in_adolescents_ L2 - https://dx.doi.org/10.1007/s00787-016-0885-7 DB - PRIME DP - Unbound Medicine ER -