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The Convergent Effect of Sleep Quality among Stress, Smartphone Addiction, Social support, and Physiological Index of Adolescents

청소년의 성별에 따른 스트레스, 스마트폰 중독, 사회적 지지, 생리적 지수가 수면의 질에 미치는 융복합적 영향

  • Received : 2019.01.11
  • Accepted : 2019.04.20
  • Published : 2019.04.28

Abstract

This study aimed to identify the effect of stress, smartphone addiction, Social support, and physiological index on quality of sleep (PSQI) and to investigate the affecting factors according to sex in highschool students. The data were collected from 210 subjects from February 6 to 16, 2018 using a structured self-report questionnaires and analyzed using descriptive statistics, t-test, ANOVA, and multiple regression with SPSS WIN Version 24.0. The quality of sleep was lower in female students than in male students. In multiple regression analysis, Awake time, School grades stress were significant predictors and explained 29.6% of quality of sleep for male students. In female students, Smart phone start age, School grades stress, Disability of daily living and Appraisal social support were significant predictors and explained 24.3% of quality of sleep. Therefore, it is expected to be used as basic data for the development of intervention programs that can solve the factors affecting the quality of sleep of adolescents, thereby helping the healthy development of youth.

본 연구는 청소년의 성별에 따른 스트레스, 스마트폰 중독, 사회적 지지, 생리적 지수가 수면의 질에 미치는 영향을 분석하기 위한 서술적 조사연구이다. 자료는 2018년 2월 6일부터 19일까지 전북지역 2개 고등학교 재학생 210명을 대상으로 구조화된 설문지를 이용하여 수집하였고, SPSS WIN Version 24.0을 이용하여 기술통계, 독립표본 t-test, ANOVA, 다중회귀분석을 실시하였다. 수면의 질은 여학생이 남학생보다 낮게 나타났다. 수면의 질에 영향을 미치는 요인은 남학생의 경우 아침에 일어나는 시간과 학교성적스트레스였고, 이들 변수의 수면의 질에 대한 설명력은 29.6%이었으며, 여학생의 경우 스마트폰 시작 연령, 학교성적스트레스, 일상생활장애 및 평가적 지지였고, 이들 변수의 수면의 질에 대한 설명력은 24.3%이었다. 따라서, 청소년의 수면의 질에 영향을 주는 요인을 해결할 수 있는 중재프로그램 개발에 기초자료로 활용됨으로써 우리 사회의 미래인 청소년들의 건강한 발달에 도움이 되길 기대한다.

Keywords

Table 1. Time-based sleep behavior of the Participants

DJTJBT_2019_v17n4_335_t0001.png 이미지

Table 2. The General Characteristics of the Participants

DJTJBT_2019_v17n4_335_t0002.png 이미지

Table 3. Stress, Smartphone Addiction, Social support, Physiological index

DJTJBT_2019_v17n4_335_t0003.png 이미지

Table 4. Multiple Regression for Quality of sleep of the Participants

DJTJBT_2019_v17n4_335_t0004.png 이미지

References

  1. A. G. White, W. Buboltz & F. Igou. (2011). Mobile phone use and sleep quality and length in college students. International Journal of Humanities and Social Science, 1(18), 51-58.
  2. J. Lee, J. Kang, S. Rhie & K. Y. Chae. (2013). Impact of sleep duration on emotional status in adolescents. Journal of Korean Child Neurology Society, 21(3), 100-110.
  3. B. K. Lee. (2015). Association between Sleep Duration and Body Mass Index among South Korean Adolescent. Journal of Korean J Health Promot, 15(1), 16-23. DOI : 10.15384/kjhp.2015.15.1.16
  4. P. W. Mercer, S. L. Merritt & J. M. Cowell. (1998). Differences in reported sleep need among adolescents. Journal of Adolescent Health, 23, 259-263. DOI : 10.1016/S1054-139X(98)00037-8
  5. G. J. Sohn et al. (2014). Sleep Patterns and Predictors of Daytime Sleepiness in High School Students. Journal of Korean Neuropsychiatric Association, 53(6), 426-433. DOI : 10.4306/jknpa.2014.53.6.426
  6. C. K. Yang, J. K. Kim, S. R. Patel & J. H. Lee. (2005). Age-related changes in sleep/wake patterns among Korean teenagers. Journal of Pediatrics, 115(1 Suppl), 250-256. DOI : 10.1542/peds.2004-0815g
  7. G. Y. Jang & K. H. Kim. (2009). The Lifetime of Korean youth and their Lifestyle. Journal of f-youth. 6(4), 139-155.
  8. S. N. Seo, S. G. Lee & S. H. Lim. (2012). The effects of positive parenting style, selfefficacy, stress, and depression on school adjustment of adolescents. Journal of Digital Convergence, 10, 239-248.
  9. Y. O. Goo. (2006). Sleep quality and melancholy degree of high school students. Unpublished master's thesis, Kyungpook National University, Daegu.
  10. J. K. Kim, H. S. Song & M. Y. Yeon. (2009). The preliminary study of sleep patterns, circadian typology and depression level in Korean college students. Journal of Korean Health Psychology, 14(3), 617-632. DOI : 10.17315/kjhp.2009.14.3.009
  11. Y. H. Lee & K. J. Lee. (2013). The effects of stress, rumination, dysfunctional beliefs and boundary on university students' sleep quality. Journal of Korean Health Psychology, 18(1), 121-142. DOI : 10.17315/kjhp.18.1.008
  12. J. K. Kim & H. S. Song. (2007). The relation of circadian sleep phase preference to sleep habits, psychological adjustment and academic performance in college students. Journal of Korean Health Psychology, 12(3), 631-648. DOI : 10.17315/kjhp.2007.12.3.010
  13. Y. S. Sung & B. D. Son. (2014). Research on the Ways to Respond to Commercialization of Sex among Youth through Mass Media in the Smart Era. Sejong: National Youth Policy Institute. 14-R13.
  14. B. Y. Kim & K. H. Suh. (2012). Mobile Phone and Internet Game Addiction, and Stress Responses of High School Students: The Mediating Effect of Sleep Deprivation. Journal of Korean Psychological Association, 17(2), 385-398. DOI : 10.17315/kjhp.2012.17.2.007
  15. T. Y. Han. (2005). Adolescents' Stress at School: Moderation Effects of Personality and Emotional Intelligence. Journal of Korean Psychological Association, 2(2), 177-197.
  16. E. H. Chung & S. Y. Lee. (2017). The multiple mediating effects of sleep duration and quality in the relationship between adolescents' smartphone addiction tendencies and depressive symptoms. Journal of Studies on Korean Youth, 28(3), 119-146. DOI : 10.14816/sky.2017.28.3.119
  17. K. H. Suh. (2009). The relations of circadian rhythm and sleep deprivation to college life stress and depression: focused on gender differences. Journal of Korean Stress Research, 17(3), 247-254.
  18. H. R. Ryu & S. Y. Suh. (2016). Differences in insomnia, depression, night eating and binge-eating based on chronotype. Journal of Korean Youth Studies, 23(2), 151-73. DOI : 10.21509/kjys.2016.02.23.2.151
  19. H. S. Kang. (2014). The effect of adolescent using degree of smartphone on peer relationship and on-line communication.. Unpublished master's thesis, Jeju University, Jeju.
  20. G. N. Natvig, G. Albrektsen, N. Anderssen & U. Qvarnstrom. (1999). School related Psychosomatic Symptom among School Adolescents. Journal of School Health, 69(91), 362-368. DOI : 10.1111/j.1746-1561.1999.tb06430.x
  21. I. Borup. (1998). Psychosocial and health factors associated with school children's perceived benefits of the health dialogue in Denmark. Journal of Health Education, 57(4), 339-50. DOI : 10.1177/001789699805700406
  22. H. S. Kim. (1998). Model development of affecting factors on health behavior and juvenile delinquency of adolescents. Unpublished Doctoral dissertation, Seoul National University, Seoul.
  23. A. R. Han. (2008). The association between sleep and metabolic syndrome. Unpublished master's thesis, yonsei University, Seoul.
  24. National Youth Policy Institute (2009). Korea Youth Panel Survey(KYPS). http://www.nypi.re.kr/contents/siteMain.do
  25. National Information Society Agency(NIA) (2011). Development of Korean Smartphone Addiction Proneness Scale. Retrieved 16 September, 2013, from http://www.iapc.or.kr/info/lib/selectInfoLibRschList.do.
  26. J. W. Park. (1985). Study to development a scale of social support. Unpublished Doctoral dissertation, Yonsei University, Seoul.
  27. D. Buysse, C. Reynolds, T. Monk, S. Berman & D. Kupfer. (1989). The Pittsburgh Sleep Quality Index-A New Instrument for Psychiatric Practice and Research. Journal of Psychiatry Research, 18(2), 193-213. DOI : 10.1016/0165-1781(89)90047-4
  28. Y. W. Cho. (2004). Sleep Scale and Sleep Hygiene. Journal of Korean Sleep Res Soc. 1, 12-23. DOI : 10.13078/jksrs.04003
  29. M. Hirshkowitz et al. (2015). National sleep foundation's sleep time duration recommendations: Methodology and results summary. Journal of Sleep Health, 1(1), 40-43. DOI : 10.1016/j.sleh.2014.12.010
  30. Korea Centers for Disease Control and Prevention (KCDC). (2015). Using Data from the 11th (2015) Korea Youth Risk Behavior Web-Based Survey 2015.
  31. National Youth Policy Institute (2016). Using data from the Korea Survey on the Rigths of Children and Youth in 2016.
  32. N. Y. Lee, Y. J. Song, S. E. Jun & S. K. Lee. (2014). Relationships between the Adolescents' Usage Time of Smart Phone before Bedtime and Sleep Quality. Research Institute of Nursing Science, Keimyung University, 18(2), 1-14.
  33. S. H. Lee & J. S. Jun. (2012). The Influence of Stress on Suicidal Ideation among Male and Female Adolescents: Focusing on the Moderating Effects of Self-Esteem. Journal of Ewha Social Sciences. 28, 173-202. DOI : 10.16935/ejss.2012.28..006
  34. K. J. Lee. (1997). Stress, social support, and behavior problems of adolescents. Unpublished Doctoral dissertation, Chonnam National University, Gwangju.
  35. M. J. Park & J. H. Kang. (2017). The Effect of the Adolescents' Perception of Inter-parental Conflict on the Depression and Aggression: Moderating Effects of Self-Compassion. Journal of Korea counseling, 18(4), 167-190. https://doi.org/10.15703/kjc.18.4.201708.167
  36. H. J. Lee, M. N. Lee & I. S. Choe. (2008). Validation of a Well-Being Scale of Adolescent in Korea. Journal of Educational Psychology, 22(1). 301-315.
  37. J. H. Heo. (2013). Impact of Adolescent Peer Relationships and Self-esteem on Smartphone Addiction. Unpublished master's thesis, Daegu University, Daegu.
  38. C. A. Bae. (2014). A study on the relationship of smart phone addiction of adolescent and the self-esteem. Unpublished master's thesis, Chonbuk University, Jeonju.
  39. M. J. Park & K. W. Kim. (2015). A Review on the Concepts within and Individual Psychological Variables and Clinical Intervention available for Smart Phone Addiction among Korean Children and Youth: Focusing on Studies Published in Korea from 2011 to 2015. Journal of Korean Association for Play Therapy, 18(2), 97-113. DOI : 10.17641/kapt.18.2.2
  40. M. Y. Hwang, H. J. Bang & Y. S. Kim. (2014). The Relationship between Actual-Ideal Self-discrepancy, Self Efficacy, Social Support and Depressed Mood in Korean High School Students. Journal of Korean Psychological Association, 33(1), 239-261.
  41. G. D. Kang. (2007). Relations of School adaptation and social support in addition to child stress. Unpublished master's thesis, Chonnam National University, Gwangju.
  42. S. H. Park. (2008). The Effect of Music Intervention on Anxiety and Physiological responses for Intensive Care Units patients. Unpublished master's thesis, Ajou University, Suwon.
  43. M. S. Park, M. N. Choi, H. K. Lee & M. H. Lee. (2015). Quality of Sleep and Heart Rate Variability by Physical Activity in High School Students. Journal of Korean Academy of Child Health Nursing, 21(3), 195-203. DOI : 10.4094/chnr.2015.21.3.195
  44. J. M. Woo. (2004). The concept and clinical application for the measurement of heart rate variability. Journal of Psychosomatic Medicine. 12(1), 3-14.
  45. B. M. Choi & G. J. Noh. (2004). Heart rate variability. Journal of Intravenous Anesthesia. 8(2), 45-86.
  46. S. R. Chen, H. W. Chiu, Y. J. Lee, T. C. Sheen & C. Jeng. (2012). Impact of pubertal development and physical activity on heart rate variability in overweight and obese children in Taiwan. Journal of School Nursing, 28(4), 284-290. DOI : 10.1177/1059840511435248
  47. D. J. Maume. (2013). Social ties and adolescent sleep disruption. Journal of Health and Social Behavior, 54(4), 498-515. DOI : 10.1177/0022146513498512
  48. H. S. Jung. (2016). Psychosocial Factors Affecting Smartphone Addiction of College Students. Unpublished master's thesis, Chonbuk University, Jeonju.
  49. T. J. Yoo. (2015). The Influencing Factors of Smartphone Addiction of University Students. Unpublished master's thesis, Ewha Womans University, Seoul.
  50. D. W. Choi. (2015). Physical activity level, sleep quality, attention control and self-regulated learning along to smartphone addiction among college students. Journal of the Korea Academia-Industrial cooperation Society, 16(1), 429-437. DOI : 10.5762/KAIS.2015.16.1.429
  51. S. Park. (2011). Association between short sleep duration and obesity among South Korean adolescents. West Journal of Nurs Res, 33(2), 207-23. DOI : 10.1177/0193945910371317
  52. J. Y. Kim. (2017). The Relationship among Loneliness, Stress, and Smartphone Addiction of Adolescents in the Era of Digitalization.. Journal of Digital Convergence, 15(9), 335-343. DOI : 10.14400/JDC.2017.15.9.335