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Quality of life, sleepiness and depressive symptoms in adolescents with insomnia: A cross-sectional study

2017-01Journal article Open access
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dc.contributor.authorAmaral, Maria Odete Pereira
dc.contributor.authorGarrido, António José de Almeida
dc.contributor.authorPereira, Carlos de Figueiredo
dc.contributor.authorVeiga, Nélio
dc.contributor.authorNunes, Carla de Rosário Delgado
dc.contributor.authorSakellarides, Constantino Theodor
dc.date.accessioned2017-06-16T12:26:32Z
dc.date.available2021-01-01T01:30:10Z
dc.date.issued2017-01
dc.description.abstractObjectives: To determine the prevalence of insomnia in a sample of Portuguese adolescents and assess its repercussions on HRQoL, daytime sleepiness and depressive symptomatology. Design: We carried out a cross-sectional school-based study evaluating students from Viseu. Location: Students from twenty-six public secondary schools in the county of Viseu, Portugal. Participants: Of 9237 questionnaires distributed, 7581 were collected (82.1%). We excluded from analysis all questionnaires from adolescents younger than 12 or older than 18 years of age (211) and unfilled forms (451). The sample comprised 6919 adolescents, the 7th to 12th grade, from 26 public secondary schools. Interventions: None. Measurements: Data gathering was done using a self-applied questionnaire. Insomnia was defined based on the Diagnostic and Statistical Manual of Mental Disorders -- IV criteria. HRQoL was evaluated with the Quality of Life Health Survey SF-36, depressive symptomatology with BDI-II and daytime sleepiness with the Epworth Sleepiness Scale. Results: Prevalence of insomnia was 8.3% and the prevalence of adolescents with symptoms of insomnia without daytime impairment (disturbed sleepers) was 13.1%. HRQoL was significantly reduced among adolescents with insomnia compared to normal sleepers (p < 0.001) and even when compared to disturbed sleepers (p < 0.001). There was an increase in daytime sleepiness from normal sleepers to disturbed sleepers and to adolescents with insomnia (p < 0.001). There was also an increase in the prevalence and severity of depressive symptoms (p < 0.001). Conclusions: Our results show that insomnia is associated with a significantly lower health related quality of life among adolescents.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationAmaral MOP, Garrido AJA, Pereira CF, Veiga N, Nunes CRD, Sakellarides CT. Quality of life, sleepiness and depressive symptoms in adolescents with insomnia: a cross-sectional study. Aten Primaria. 2017 Jan;49(1):35-41.pt_PT
dc.identifier.doihttp://dx.doi.org/10.1016/j.aprim.2016.03.004pt_PT
dc.identifier.issn0212-6567
dc.identifier.urihttp://hdl.handle.net/10400.19/4613
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevier Españapt_PT
dc.relation.publisherversionhttp://www.sciencedirect.com/science/article/pii/S0212656716301366pt_PT
dc.subjectInsomniapt_PT
dc.subjectQuality of lifept_PT
dc.subjectDaytime sleepinesspt_PT
dc.subjectDepressive symptomspt_PT
dc.subjectAdolescentspt_PT
dc.titleQuality of life, sleepiness and depressive symptoms in adolescents with insomnia: A cross-sectional studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage41pt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage35pt_PT
oaire.citation.titleAtención Primariapt_PT
oaire.citation.volume49pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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