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청소년의 수면습관, 주간졸음과 문제행동과의 관계

Relationships between sleep habits, daytime sleepiness and problem behaviors among adolescents

  • 유미애 (아주대학교 간호대학.간호과학연구소) ;
  • 강나경 (아주대학교 대학원 간호학과) ;
  • 이혜진 (서울여자간호대학교)
  • 투고 : 2017.03.21
  • 심사 : 2017.05.20
  • 발행 : 2017.05.28

초록

본 연구는 청소년의 수면습관, 주간졸음과 문제행동의 관계를 파악하기 위한 서술적 횡단적 조사연구이다. 연구대상자는 중고등학생 276명이었으며, 수면습관은 Adolescent Sleep Hygiene scale(ASHS), 주간졸음은 Epworth Sleepiness Scale(ESS), 문제행동은 한국판 청소년 자기행동평가척도(K-YSR)를 사용하여 측정하였다. 자료수집은 2014년 7 월부터 8 월까지 구조화된 설문지를 사용하여 이루어졌다. 연구결과 중학생의 경우 수면시간이 충분하다고 인지하고, 수면의 질이 좋다고 인지할수록, 수면중 문제가 없으며, 지난 한 주 동안 카페인이 함유된 음료를 마시지 않았다고 응답한 학생의 수면습관 점수가 더 높았다. 수면습관 점수는 주간졸음, 문제행동과 음의 상관관계가 나타났다. 따라서, 청소년의 좋은 수면습관 형성과 수면의 질 향상을 위한 수면증진 프로그램의 개발이 필요하다.

This study examined the relationships sleep habits, daytime sleepiness, and problem behaviors. A cross-sectional survey design was used. Participants were 276 adolescents. Sleep habits, daytime sleepiness and problem behavior were measured by Adolescent Sleep Hygiene Scale (ASHS), Epworth Sleepiness Scale (ESS), and Korea-Youth Self Report (K-YSR), respectively. Data were collected from July to August, 2014 using self-reported questionnaires. Participants were middle school students, perceived their sleep time as enough and their sleep quality as good, have no problem behavior during sleep, and have no caffeinated drink for last a week were more likely to have higher score of sleep hygiene. Sleep habits score was associated negatively with daytime sleepiness and problem behaviors. Sleep impacts on physical growth, behavior, and emotional development of adolescent. Therefore, it is necessary to develop a sleep enhancement program for the good sleep habits of the adolescents, and to make efforts at home and school.

키워드

참고문헌

  1. A. Storfer‐Isser, M. K. Lebourgeois, J. Harsh, C. J. Tompsett, S. Redline, “Psychometric properties of the adolescent sleep hygiene scale,” Journal of Sleep Research, Vol. 22, No. 6, pp. 707-716, 2013. https://doi.org/10.1111/jsr.12059
  2. Korea Centers for Disease Control and Prevention, "A study on sleep health status and its effect on daily life in adolescents of Korea," 2011.
  3. Ministry of Education, Ministry of Health & Welfare, Korea Centers for Disease Control and Prevention, "The 11th Korea youth risk behavior web-based survey, 2015," 2015.
  4. M. Hirshkowitz, K. Whiton, S. M. Albert, C. Alessi, O. Bruni, L. DonCarlos, L, N. Hazen, J. Herman, E. S. Katz, L. Kheirandish-Gozal, D. N. Neubauer, A. E. O'Donnell, M. Ohayon, J. Peever, R. Rawding, R. C. Sachdeva, B. S.etters, M. V. Vitiello, C. Ware, P. J. Adams Hillard, "National Sleep Foundation's sleep time duration recommendations: methodology and results summary," Sleep Health, Vol. 1, No. 1, pp. 40-43. 2015. https://doi.org/10.1016/j.sleh.2014.12.010
  5. H. S. Park, G. D. Kim, K. H. Kim, B. Y. Chung, "Comparison of quality of sleep and factors which are influenced on sleep among adolescents, adults and elderly," Journal of Korean Academy of Psychiatric and Mental Health Nursing, Vol. 9, No. 4, pp. 429-439. 2004.
  6. F. P. Cappuccio, F. M. Taggart, N. Kandala, A. Currie, E. Peile, S. Stranges, M. A. Miller, "Meta-analysis of short sleep duration and obesity in children and adults," Sleep, Vol. 31, No. 5, pp. 619-626. 2008. https://doi.org/10.1093/sleep/31.5.619
  7. T. Shochat,, M. Cohen-Zion, O. Tzischinsky, "Functional consequences of inadequate sleep in adolescents: a systematic review," Sleep Medicine Reviews, Vol. 18, No. 1, pp. 75-87. 2014. https://doi.org/10.1016/j.smrv.2013.03.005
  8. R. E. Dahl, D. S. Lewin, "Pathways to adolescent health sleep regulation and behavior," Journal of Adolescent Health, Vol. 31, No. 6, pp. 175-184. 2002. https://doi.org/10.1016/S1054-139X(02)00506-2
  9. J. F. Dewald, A. M. Meijer, F. J. Oort, G. A. Kerkho, S. M. Bogels, "The influence of sleep quality, sleep duration and sleepiness on school performance in children and adolescents: A meta-analytic review," Sleep Medicine Reviews, Vol. 14, No. 1, pp. 179-189. 2010. https://doi.org/10.1016/j.smrv.2009.10.004
  10. Korea Centers for Disease Control and Prevention, "A study on sleep health status and its effect on daily life in adolescents of Korea," 2011.
  11. J. Lee, J. Kang, S. Rhie, K. Y. Chae, “Impact of sleep duration on emotional status in adolescents,” Journal of the Korean Child Neurology Society, Vol. 21, No. 3, pp. 100-110, 2013.
  12. E. M. O'Brien, J. A. Mindell, "Sleep and risk-taking behavior in adolescents," Behavioral Sleep Medicine, Vol. 3, No. 3, pp. 113-133. 2015. https://doi.org/10.1207/s15402010bsm0303_1
  13. K. I. Choi, "An Effect of Sleeping Time on School Adaptation of Youths: Mediated by Depression and Ability of Seif-Protection," Youth Culture Forum, Vol. 30, No. 1, pp. 126-166. 2012.
  14. S. O. Nam, “Normal sleep in children and adolescents,” Journal of the Korean Child Neurology Society, Vol. 19, No. 2, pp. 67-75, 2011.
  15. M. K. LeBourgeois, F. Giannotti, F. Cortesi, A. R. Worffson, J. Harsh, "The relationship between reported sleep quality and sleep hygiene in Italian and American adolescents," Pediatrics, Vol. 115, No. 1, pp. 257-265. 2005. https://doi.org/10.1542/peds.2004-0815H
  16. M. Moore, H. L. Kirchner, D. Drotar, N. Johnson, C. Rosen, S. Ancoli-Israel, S, S. Redline, "Relationships among sleepiness, sleep time, and psychological functioning in adolescents," Journal of Pediatric Psychology, Vol. 34, No. 10, pp. 1175-1183. 2009. https://doi.org/10.1093/jpepsy/jsp039
  17. K. E. Pasch, M. N. Laska, L. A. Lytle, S. G. Moe, "Adolescent sleep, risk behaviors, and depressive symptoms: are they linked?" American Journal of Health Behavior, Vol. 34 No. 2, pp. 237-248. 2010.
  18. M. M. Wong, K. J. Brower, K. J, R. A. Zucker. "Childhood sleep problems, early onset of substance use and behavioral problems in adolescence," Sleep Medicine, Vol. 10, No. 7, pp. 787-796. 2009. https://doi.org/10.1016/j.sleep.2008.06.015
  19. H. J. Yun, "Effect of Stress and Sleep Quality on Mental Health of Adolescents," The Journal of the Korean Society of School Health, Vol. 29, No 2, pp. 98-106, 2016. https://doi.org/10.15434/kssh.2016.29.2.98
  20. H. E. Seo, H. E, S. Kwon, H. W. Lee, J. S. Kim, "Clinical analysis of sleep disorders in Korean children," Journal of the Korean Child Neurology Society, Vol. 18, No. 1, pp. 74-82. 2010.
  21. S. H. Kim, Y. H. Jang, J. Park, S. Y. Ryu, “The association between sleep duration and quality and body mass index in Korean adolescents,” Journal of the Korean Society of School Health, Vol. 25, No. 1, pp. 51-58, 2012.
  22. M. W. Johns, "Reliability and factor analysis of the Epworth Sleepiness Scale," Sleep, Vol. 15, No. 4, pp. 376-381. 1992. https://doi.org/10.1093/sleep/15.4.376
  23. T. Achenbach, "Manual for the youth self-report and 1991 profile. Burlington" Department of Psychiatry, University of Vermont.
  24. K. J. Oh, H. R. Lee, K. U. Hong. E. H. Ha, "K-CBCL," Seoul: Jungangjeouksung Books. 1997.
  25. T. M. Achenbach, L. Rescorla, "ASEBA school-age forms & profiles," 2001.
  26. J. A. Owens, K. Belon, P. Moss, "Impact of delaying school start time on adolescent sleep, mood, and behavior," Archives of Pediatrics & Adolescent Medicine, Vol. 164, No. 7, pp. 608-614. 2010. https://doi.org/10.1001/archpediatrics.2010.96
  27. F. C. Brown, W. C. Buboltz Jr, B. Soper, “Relationship of sleep hygiene awareness, sleep hygiene practices, and sleep quality in university students,” Behavioral Medicine, Vol. 28, No. 1, pp. 33-38, 2002. https://doi.org/10.1080/08964280209596396
  28. X. Liu, L. Liu, J. A. Owens, D. L. Kaplan, “Sleep patterns and sleep problems among schoolchildren in the United States and China,” Pediatrics, Vol. 115, No. 1, pp. 711-717, 2005.
  29. H. J. Kang, S. H. Kook, "Patterns realted to parent and adolescent reports of problem behavior in adolescents with internaization and externalization disorders," The Korean Journal of Clinical psychology," Vol. 29, No. 4, pp. 907-925. 2010. https://doi.org/10.15842/kjcp.2010.29.4.001
  30. D. Sousa, I. Cortez, J. F. AraÚjo, D. Azeyedo, C. V. Macedo, "The effect of a sleep hygiene education program on the sleep-wake cycle of Brazilian adolescent students. Sleep and Biological Rhythms," Vol. 5, No. 4, pp. 251-258. 2007. https://doi.org/10.1111/j.1479-8425.2007.00318.x
  31. Mi-Seob Oh, “A study on the Effects of Parenting Attitudes on School Adjustment in Middle School Students,” Journal of the Korea Convergence Society, Vol. 6, No. 4, pp. 197-203, 2015. https://doi.org/10.15207/JKCS.2015.6.4.197