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KMID : 0607520100180020062
Korean Journal of Psychosomatic Medicine
2010 Volume.18 No. 2 p.62 ~ p.71
Differential Relations of Depression, Anxiety and Sleep Disturbances by Gender in Young Adolescents
Kim Eun-Jin

Kang Su-Gyeong
Moon Myoung-Sung
Lim Se-Won
Oh Kang-Seob
Abstract
Objectives : The aim of the study was to investigate the prevalence by gender and to evaluate associations of depression, anxiety and sleep disturbances in a large sample of adolescents from the general population.

Methods : 1422 subjects, aged 14 years students were recruited in the seven middle-school of the local community. The self-report questionnaire(Children¡¯s Depression Inventory : CDI, Beck Anxiety Inventory : BAI and Pittsburgh Sleep Quality Index : PSQI) was used for screening depression, anxiety and sleep disturbances in adolescent. CDI, BAI, and PSQI score was categorized into the following quartiles : 21, 22-25, 26-28, and 29 ; 21, 22-26, 27-31, and 32 ; 5, <5. The cut-off score is that CDI is 22, BAI is 22 and PSQI is 5. The result was analyzed using the independent t-test, the chi-square test and logistic regression analyses.

Results : The mean CDI score( vs. ; p=0.003), BAI( vs. ; p<0.001) and PSQI( vs. ; p=0.013) of girls were significantly higher than for boys. But, boys in the fourth quartile of CDI(CDI29) and BAI(BAI32) were at significantly elevated risk for sleep disturbances more than for girls after adjustment for sex, history of psychiatric treatment(CDI odd ratio, 14.66 ; 95% CI, 4.17-51.53, BAI odd ratio, 32.99 ; 95% CI, 4.26-255.39).

Conclusion : The results suggest that high CDI, BAI score appears to increase the risk for developing sleep disturbances in boys more than girls
KEYWORD
Anxiety, Depression, Sleep disturbance, Gender difference
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