青少年多维睡眠健康框架的数据驱动推导
Data-driven derivation of a multidimensional sleep health framework in adolescents.
文献信息
| PMID | 42711187 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Casandra C Nyhuis |
| 作者单位 | Department of Public Health Sciences, Pennsylvania State University College of Medicine, Hershey, Pennsylvania, USA; Sleep Research & Treatment Center, Department of Psychiatry, Pennsylvania State University College of Medicine, Hershey, Pennsylvania, USA. |
| 期刊 | Sleep health |
| SCI 分区 | Q1 |
| IF | 4.6 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 耳科 |
中文摘要
目的： 多维睡眠健康将24小时睡眠体验概括为规律性、满意度、警觉性、时间、效率和时长。然而，大多数证据来自成年人。青少年有独特的睡眠需求，可能未被充分体现。本研究旨在实证识别并验证青少年睡眠健康的维度，并评估与其评估相关的方法。
方法： 我们分析了宾夕法尼亚州立儿童队列中347名青少年（16.3±2.2岁；45.8%女性；22.2%种族和族裔少数群体）的主观和客观睡眠测量。在随机40%的子样本中进行探索性因子分析，以识别自我报告、活动记录仪和多导睡眠图测量的潜在维度，随后在其余60%中进行了验证性因子分析以检验模型效度。
结果： 探索性因子分析识别出6个维度：呼吸、效率、时长、规律性/变异性、满意度和时间，统称为BEDReST框架，解释了63%的方差。对6因子结构中各因子的验证性因子分析显示良好至优秀的拟合（比较拟合指数=0.95-1.00；Tucker-Lewis指数=0.86-1.00；近似误差均方根=0.06-0.15；标准化残差均方根<0.08）。除满意度外，所有维度均包含客观测量。
结论： 我们使用多方法途径实证推导并验证了青少年睡眠健康的6个维度，即BEDReST框架。该方法强调了纳入客观睡眠数据以全面捕捉青少年睡眠健康的重要性。BEDReST框架通过纳入睡眠呼吸障碍扩展了现有模型，并为完善青少年期睡眠健康的概念化和测量提供了基础。
英文摘要
OBJECTIVES: Multidimensional sleep health captures the 24-hour experience of sleep as regularity, satisfaction, alertness, timing, efficiency, and duration. However, most evidence comes from adults. Adolescents have unique sleep needs that may not be fully represented. This study aimed to empirically identify and validate dimensions of adolescent sleep health and evaluate methods relevant to their assessment.
METHODS: We analyzed subjective and objective sleep measures from 347 adolescents in the Penn State Child Cohort (16.3±2.2 years; 45.8% female; 22.2% race and ethnic minority). Exploratory factor analysis was conducted in a random 40% subsample to identify latent dimensions of self-reported, actigraphy, and polysomnography measures, followed by confirmatory factor analysis in the remaining 60% to test model validity.
RESULTS: Exploratory factor analysis identified 6 dimensions: Breathing, Efficiency, Duration, Regularity/variability, Satisfaction, and Timing, collectively referred to as the BEDReST framework, explaining 63% of the variance. Confirmatory factor analysis of individual factors within the 6-factor structure demonstrated good to excellent fit (Comparative Fit Index = 0.95-1.00; Tucker-Lewis Index = 0.86-1.00; Root Mean Square Error of Approximation = 0.06-0.15; Standardized Root Mean Square Residual < 0.08). All dimensions, except Satisfaction, included objective measures.
CONCLUSIONS: We empirically derived and validated 6 dimensions of adolescent sleep health, the BEDReST framework, using a multimethod approach. This approach highlighted the importance of including objective sleep data to comprehensively capture adolescent sleep health. The BEDReST framework extends existing models by incorporating sleep-disordered breathing and provides a foundation for refining the conceptualization and measurement of sleep health during adolescence.