Impacts of insomnia symptoms on school performance among adolescents

ZHAO Ke-na; ZHANG Jin-wen; WU Zeng-qiang; LI Sheng-hui

doi:10.11852/zgetbjzz2018-26-02-08

PDF(525 KB)

Chinese Journal of Child Health Care ›› 2018, Vol. 26 ›› Issue (2) : 141-144. DOI: 10.11852/zgetbjzz2018-26-02-08

Impacts of insomnia symptoms on school performance among adolescents

ZHAO Ke-na¹, ZHANG Jin-wen¹, WU Zeng-qiang², LI Sheng-hui¹

Author information +

History +

Abstract

Objective To analyze the associations of insomnia symptoms with school performance among adolescents in China. Methods A stratified,cluster random sample of 4 966 adolescents participated in a cross-sectional survey.The Adolescent Sleep Disturbance Questionnaire (ASDQ) and the Teacher School Achievement Form (TSAF) were used to assess insomnia symptoms and adolescents' school performance,respectively. Results The age of the participants was (15.59±2.04) years old,and 49.3% of which were boys.Multivariate regression model demonstrated that insomnia symptoms were associated with school performance among adolescents.Falling asleep problem was associated with poor attention (OR=1.30,95%CI:1.11~1.52,P=0.001),frustrating academic achievement (OR=1.24,95%CI:1.06~1.45,P=0.007),and unsatisfying school relationship (OR=1.26,95%CI:1.08~1.48,P=0.003).Continuous sleep problem was found to be linked to an increased likelihood of poor attention (OR=1.25,95%CI:1.06~1.46,P=0.007) and poor motivation of study (OR=1.22,95%CI:1.04~1.44,P=0.017).Reinitiating sleep problem was associated with poor motivation of study (OR=1.20,95%CI:1.00~1.45,P=0.048). Conclusions Insomnia symptoms are associated with poor school performance.The significance of our findings lies in calling for serious attention and timely screening and intervention,so as to promote adolescent sleep health and school performance.

Key words

adolescents / insomnia symptoms / school performance

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

ZHAO Ke-na, ZHANG Jin-wen, WU Zeng-qiang, LI Sheng-hui. Impacts of insomnia symptoms on school performance among adolescents[J]. Chinese Journal of Child Health Care. 2018, 26(2): 141-144 https://doi.org/10.11852/zgetbjzz2018-26-02-08

References

[1] Vallido T,Peters K,O'Brien L,et al.Sleep in adolescence:a review of issues for nursing practice[J].J Clin Nurs,2009,18(13):1819-1826.
[2] Li S,Yang Q,Chen Z,et al.Homework schedule:an important factor associated with shorter sleep duration among Chinese school-aged children[J].Behav Sleep Med,2014,12(5):389-397.
[3] Liu X,Zhao Z,Jia C,et al.Sleep patterns and problems among chinese adolescents[J].Pediatrics,2008,121(6):1165-1173.
[4] Fortier-Brochu E,Beaulieu-Bonneau S,Ivers H,et al.Insomnia and daytime cognitive performance:a meta-analysis[J].Sleep Med Rev,2012,16(1):83-94.
[5] Roberts RE,Roberts CR,Duong HT.Sleepless in adolescence:prospective data on sleep deprivation,health and functioning[J].J Adolesc,2009,32(5):1045-1057.
[6] Kronholm E,Puusniekka R,Jokela J,et al.Trends in self-reported sleep problems,tiredness and related school performance among Finnish adolescents from 1984 to 2011[J].J Sleep Res,2015,24(1):3-10.
[7] Kilincaslan A,Yilmaz K,Oflaz SB,et al.Epidemiological study of self-reported sleep problems in Turkish high school adolescents[J].Pediatrics Int,2014,56(4):594-600.
[8] Mak KK,Lee SL,Ho SY,et al.Sleep and academic performance in Hong Kong adolescents[J].J Sch Health,2012,82(11):522-527.
[9] Li S,Arguelles L,Jiang F,et al.Sleep,school performance,and a school-based intervention among school-aged children:a sleep series study in China[J].PLoS One,2013,8(7):e67928.
[10] Chung KF,Cheung MM.Sleep-wake patterns and sleep disturbance among Hong Kong Chinese adolescents[J].Sleep,2008,31(2):185.
[11] 杨玉凤.儿童发育行为心理评定量表[M].北京:人民卫生出版社,2016,1:191-193.
[12] Liu X,Liu L,Owens JA,et al.Sleep patterns and sleep problems among schoolchildren in the United States and China[J].Pediatrics,2005,115(1 Suppl):241-249.
[13] Zhang J,Xu Z,Zhao K,et al.Sleep habits,sleep problems,sleep hygiene,and their associations with mental health problems among adolescents[J].J Am Psychiatr Nurses Assoc,2017.doi:10.1177/1078390317715315
[14] Ravid S,Afek I,Suraiya S,et al.Sleep disturbances are associated with reduced school achievements in first-grade pupils[J].Dev Neuropsychol,2009,34(5):574-587.
[15] Bruni O,Ferini-Strambi L,Russo PM,et al.Sleep disturbances and teacher ratings of school achievement and temperament in children[J].Sleep Med,2006,7(1):43-48.
[16] Amaral O,Garrido A,Pereira C,et al.Sleep patterns and insomnia among portuguese adolescents:a cross-sectional study[J].Aten Primaria,2014,46:191-194.
[17] Johnson EO.Epidemiology of DSM-IV insomnia in adolescence:Lifetime prevalence,chronicity,and an emergent gender difference[J].Pediatrics,2006,117(2):e247-e256.
[18] Chen T,Wu Z,Shen Z,et al.Sleep duration in Chinese adolescents:biological,environmental,and behavioral predictors[J].Sleep Med,2014,15(11):1345-1353.
[19] McCoy JG,Tartar JL,Bebis AC,et al.Experimental sleep fragmentation impairs attentional set-shifting in rats[J].Sleep,2007,30(1):52-60.
[20] Chen Z,Wimmer RD,Wilson MA,et al.Thalamic circuit mechanisms link sensory processing in sleep and attention[J].Front Neural Circuits,2015,9:83.
[21] Beebe DW,Rose D,Amin R.Attention,Learning,and Arousal of Experimentally Sleep-restricted Adolescents in a Simulated Classroom[J].J Adolesc Health,2010,47(5):523-525.
[22] Curcio G,Ferrara M,De Gennaro L.Sleep loss,learning capacity and academic performance[J].Sleep Med Rev,2006,10(5):323-337.
[23] Nieuwenhuis ILC,Takashima A.The role of the ventromedial prefrontal cortex in memory consolidation[J].Behav Brain Res,2011,218(2):325-334.
[24] Srinivasan V,Pandi-Perumal SR,Trakht I,et al.Pathophysiology of depression:role of sleep and the melatonergic system[J].Psychiatry Res,2009,165(3):201-214.
[25] Blunden SL,Chervin RD.Sleep problems are associated with poor outcomes in remedial teaching programmes:a preliminary study[J].J Paediatr Child Health,2008,44(5):237-242.