Psychiatric comorbidity predicts sleep disturbances among adolescent earthquake survivors : a 10-year cohort study
(2021) In Sleep Medicine 78. p.94-100- Abstract
Objective: To examine the prevalence of sleep disturbances 10 years after Wenchuan earthquake, and to explore whether comorbid post-traumatic stress disorder (PTSD) and depressive symptoms could predict sleep disturbances and whether such effects were modified by gender. Methods: Participants were 1357 adolescents in the Wenchuan Earthquake Adolescent Health Cohort Study (WEAHC). 799 of the participants completed the followed-up survey 10 years after the earthquake. At 12-month post-earthquake (T12m), a battery of standardized measures were used to assess individual earthquake exposure, sleep disturbances (insomnia symptoms and poor sleep quality), PTSD, and depressive symptoms. At 10 years post-earthquake (T10y),... (More)
Objective: To examine the prevalence of sleep disturbances 10 years after Wenchuan earthquake, and to explore whether comorbid post-traumatic stress disorder (PTSD) and depressive symptoms could predict sleep disturbances and whether such effects were modified by gender. Methods: Participants were 1357 adolescents in the Wenchuan Earthquake Adolescent Health Cohort Study (WEAHC). 799 of the participants completed the followed-up survey 10 years after the earthquake. At 12-month post-earthquake (T12m), a battery of standardized measures were used to assess individual earthquake exposure, sleep disturbances (insomnia symptoms and poor sleep quality), PTSD, and depressive symptoms. At 10 years post-earthquake (T10y), those survivors reported their sleep disturbances via an online survey. Data were analyzed using binary logistic regression. Results: The prevalence of insomnia (14.3%) and of poor sleep quality (19.8%) at T10y decreased when compared with it at T12m. After controlling for covariates, it is revealed that depression-only and comorbidity groups at T12m predicted sleep disturbances at T10y among the whole sample and males. As for females, who have depression-only and comorbidity were more likely to develop insomnia symptoms but not poor sleep quality. Conclusions: Sleep disturbances remained highly prevalent among survivors even 10 years after the earthquake. Depression-only and comorbidity groups were related to higher risks of sleep disturbances, especially for males. Assessments and interventions targeting both depressive symptoms and comorbid PTSD to reduce sleep disturbances after a deadly disaster are warranted.
(Less)
- author
- Chen, Xiao Yan ; Shi, Xuliang ; Li, Yuanyuan ; Zhou, Ya ; Chen, Huilin ; Wang, Tong and Fan, Fang
- publishing date
- 2021
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Depressive symptoms, Earthquake, Gender, Longitudinal cohort, PTSD, Sleep disturbances
- in
- Sleep Medicine
- volume
- 78
- pages
- 7 pages
- publisher
- Elsevier
- external identifiers
-
- scopus:85098651181
- pmid:33418432
- ISSN
- 1389-9457
- DOI
- 10.1016/j.sleep.2020.12.015
- language
- English
- LU publication?
- no
- id
- ffd68d30-faa5-421a-8f18-765d909b9eca
- date added to LUP
- 2021-12-22 13:25:37
- date last changed
- 2024-09-22 08:04:11
@article{ffd68d30-faa5-421a-8f18-765d909b9eca, abstract = {{<p>Objective: To examine the prevalence of sleep disturbances 10 years after Wenchuan earthquake, and to explore whether comorbid post-traumatic stress disorder (PTSD) and depressive symptoms could predict sleep disturbances and whether such effects were modified by gender. Methods: Participants were 1357 adolescents in the Wenchuan Earthquake Adolescent Health Cohort Study (WEAHC). 799 of the participants completed the followed-up survey 10 years after the earthquake. At 12-month post-earthquake (T<sub>12m</sub>), a battery of standardized measures were used to assess individual earthquake exposure, sleep disturbances (insomnia symptoms and poor sleep quality), PTSD, and depressive symptoms. At 10 years post-earthquake (T<sub>10y</sub>), those survivors reported their sleep disturbances via an online survey. Data were analyzed using binary logistic regression. Results: The prevalence of insomnia (14.3%) and of poor sleep quality (19.8%) at T<sub>10y</sub> decreased when compared with it at T<sub>12m</sub>. After controlling for covariates, it is revealed that depression-only and comorbidity groups at T<sub>12m</sub> predicted sleep disturbances at T<sub>10y</sub> among the whole sample and males. As for females, who have depression-only and comorbidity were more likely to develop insomnia symptoms but not poor sleep quality. Conclusions: Sleep disturbances remained highly prevalent among survivors even 10 years after the earthquake. Depression-only and comorbidity groups were related to higher risks of sleep disturbances, especially for males. Assessments and interventions targeting both depressive symptoms and comorbid PTSD to reduce sleep disturbances after a deadly disaster are warranted.</p>}}, author = {{Chen, Xiao Yan and Shi, Xuliang and Li, Yuanyuan and Zhou, Ya and Chen, Huilin and Wang, Tong and Fan, Fang}}, issn = {{1389-9457}}, keywords = {{Depressive symptoms; Earthquake; Gender; Longitudinal cohort; PTSD; Sleep disturbances}}, language = {{eng}}, pages = {{94--100}}, publisher = {{Elsevier}}, series = {{Sleep Medicine}}, title = {{Psychiatric comorbidity predicts sleep disturbances among adolescent earthquake survivors : a 10-year cohort study}}, url = {{http://dx.doi.org/10.1016/j.sleep.2020.12.015}}, doi = {{10.1016/j.sleep.2020.12.015}}, volume = {{78}}, year = {{2021}}, }