PMID- 29966810
OWN - NLM
STAT- MEDLINE
DCOM- 20191104
LR  - 20191104
IS  - 1878-5506 (Electronic)
IS  - 1389-9457 (Linking)
VI  - 50
DP  - 2018 Oct
TI  - Prospective associations between sleep problems and subtypes of anxiety symptoms 
      among disaster-exposed adolescents.
PG  - 7-13
LID - S1389-9457(18)30206-5 [pii]
LID - 10.1016/j.sleep.2018.05.017 [doi]
AB  - OBJECTIVE: This study aimed to investigate longitudinal relationships between 
      sleep problems and subtypes of anxiety symptoms among adolescent earthquake 
      survivors. METHODS: Participants were 1573 adolescents (male, 45.8%; mean age at 
      baseline 15.01 years, standard deviation (SD) = 1.26) in the Wenchuan Earthquake 
      Adolescent Health Cohort. The Pittsburgh Sleep Quality Index and the Screen for 
      Child Anxiety Related Emotional Disorders were used to assess participants' sleep 
      problems and anxiety symptoms four times during 2.5 years after the earthquake. 
      Anxiety symptoms included subtypes of panic disorder (PD), generalized anxiety 
      disorder (GAD), separation anxiety disorder (SeAD), social phobia (SP), school 
      phobia (ScP). Longitudinal lagged generalized estimating equations (GEE) models 
      were used to determine the prospective associations. RESULTS: Overall, there was 
      a bidirectional relationship between sleep problems and anxiety symptoms. For the 
      specific sleep problems and anxiety subtypes, short sleep duration predicted 
      symptoms of PD, GAD, and ScP, and was predicted by GAD; difficulty falling asleep 
      predicted GAD symptoms, whereas PD symptoms increased difficulty falling asleep; 
      poor sleep quality predicted ScP symptoms and was predicted by symptoms of GAD 
      and ScP; difficulty maintaining sleep was not associated with any subtype of 
      anxiety symptoms in any direction; SeAD and SP were not associated with any 
      specific sleep problems in any direction. CONCLUSION: While sleep problems and 
      anxiety symptoms are bidirectional, the associations vary by subtypes of sleep 
      problems and anxiety symptoms. The potential biological mechanisms for the 
      specific associations between dimensional sleep and anxiety symptoms and their 
      clinical implications should be further investigated.
CI  - Copyright (c) 2018 Elsevier B.V. All rights reserved.
FAU - Geng, Fulei
AU  - Geng F
AD  - School of Psychology, Center for Studies of Psychological Application, and Key 
      Laboratory of Mental Health and Cognitive Science of Guangdong Province, South 
      China Normal University, China.
FAU - Liu, Xianchen
AU  - Liu X
AD  - School of Psychology, Center for Studies of Psychological Application, and Key 
      Laboratory of Mental Health and Cognitive Science of Guangdong Province, South 
      China Normal University, China; The University of Tennessee Health Science 
      Center, Memphis, TN, USA.
FAU - Liang, Yingxin
AU  - Liang Y
AD  - School of Psychology, Center for Studies of Psychological Application, and Key 
      Laboratory of Mental Health and Cognitive Science of Guangdong Province, South 
      China Normal University, China.
FAU - Shi, Xuliang
AU  - Shi X
AD  - School of Psychology, Center for Studies of Psychological Application, and Key 
      Laboratory of Mental Health and Cognitive Science of Guangdong Province, South 
      China Normal University, China.
FAU - Chen, Siyi
AU  - Chen S
AD  - School of Psychology, Center for Studies of Psychological Application, and Key 
      Laboratory of Mental Health and Cognitive Science of Guangdong Province, South 
      China Normal University, China.
FAU - Fan, Fang
AU  - Fan F
AD  - School of Psychology, Center for Studies of Psychological Application, and Key 
      Laboratory of Mental Health and Cognitive Science of Guangdong Province, South 
      China Normal University, China. Electronic address: fangfan@scnu.edu.cn.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20180601
PL  - Netherlands
TA  - Sleep Med
JT  - Sleep medicine
JID - 100898759
SB  - IM
MH  - Adolescent
MH  - Anxiety/diagnosis/*epidemiology/psychology
MH  - China/epidemiology
MH  - *Earthquakes
MH  - Female
MH  - Humans
MH  - Longitudinal Studies
MH  - Male
MH  - Panic Disorder/diagnosis/epidemiology/psychology
MH  - Prospective Studies
MH  - Sleep Wake Disorders/diagnosis/*epidemiology/*psychology
MH  - Surveys and Questionnaires
MH  - Survivors/*psychology
OTO - NOTNLM
OT  - Adolescence
OT  - Anxiety subtypes
OT  - Longitudinal studies
OT  - Natural disasters
OT  - Sleep problems
EDAT- 2018/07/04 06:00
MHDA- 2019/11/05 06:00
CRDT- 2018/07/04 06:00
PHST- 2017/12/13 00:00 [received]
PHST- 2018/05/11 00:00 [revised]
PHST- 2018/05/14 00:00 [accepted]
PHST- 2018/07/04 06:00 [pubmed]
PHST- 2019/11/05 06:00 [medline]
PHST- 2018/07/04 06:00 [entrez]
AID - S1389-9457(18)30206-5 [pii]
AID - 10.1016/j.sleep.2018.05.017 [doi]
PST - ppublish
SO  - Sleep Med. 2018 Oct;50:7-13. doi: 10.1016/j.sleep.2018.05.017. Epub 2018 Jun 1.