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

摘要： 目的 分析我国青少年失眠症状与学校表现的相关性。方法 运用分层整群抽样法对上海市4 966名青少年进行失眠症状和学校表现的横断面调查。采用青少年睡眠障碍问卷(ASDQ)和学业成绩教师评估问卷(TSAF)分别对青少年失眠状况和学校表现进行评估。结果 调查对象平均年龄为(15.59±2.04)岁,男性占49.3%。多因素分析结果显示,失眠症状与青少年学校表现相关,具体因素有入睡困难与注意力不集中(OR=1.30,95%CI:1.11~1.52,P=0.001)、学业成绩差(OR=1.24,95%CI:1.06~1.45,P=0.007)及人际交往受挫(OR=1.26,95%CI:1.08~1.48,P=0.003);睡眠维持障碍与注意力不集中(OR=1.25,95%CI:1.06~1.46,P=0.007)和学习自觉性差(OR=1.22,95%CI:1.04~1.44,P= 0.017)相关;再次入睡困难与学习自觉性差(OR=1.20,95%CI:1.00~1.45,P=0.048)相关。结论 青少年失眠症状与学校不良表现具有相关性,应当引起足够重视,及时进行筛查和干预,以促进青少年睡眠健康和学校表现。

关键词: 青少年, 失眠症状, 学校表现