Journal of Developmental Medicine(Electronic Version)  2023, Vol. 11 Issue (6): 411-415 DOI: 10.3969/j.issn.2095-5340.2023.06.002 |
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| Analysis of the influencing factors of nightmares among adolescents |
| Li Ran, Zhu Xiaoyu, Li Jinghua, et al
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(1. Clinical Departmentfour of Beijing Huilongguan Hospital, Beijing 100096, China; 2. Department of Psychosomatic Medicine,Beijing Huilongguan Hospital, Beijing 100096, China; 3. School of Statistics, Shanxi University of Financeand Economics, Taiyuan, Shanxi 030012, China; 4. Department of Internal Medicine, Xiagezhuang TownCommunity Health Service Center, Pinggu District, Beijing 101200, China)
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Abstract 【Abstract】 Objective To explore the epidemiological data and influencing factors of adolescent
nightmare experience. Method In the form of an online questionnaire, the Nightmare Disorder Index
(NDI), Bullying Scale, Insomnia Severity Index (ISI)，Perceived Stress Scale 14-item version (PSS-14),
Patient Health Questionnaire 9 (PHQ-9), and Generalized Anxiety Disorder 7 (GAD-7) were examined
in 6 014 subjects aged 12-18 years. According to whether they had nightmares in one month, the subjects
were divided into non-nightmare group (n=4 093) and nightmare group (n=1 975). The statistical methods performed by t-test, χ2 test, Mann-Whitney U test. Logistic regression model was used to evaluate the influencing factors of nightmare risk. Result 32.8% (1 975/6 014) adolescents had experienced nightmares in the past one month. The proportion of males in the nightmare group was significantly lower than that in the non-nightmare group [52.7% (2 129/4 039) and 41.6% (821/1 975), χ2=65.884, P<0.05]. The mean age of the nightmare group [(16.21±1.40) vs (16.08±1.46) years, Z=-3.328, P=0.002], the Bullying Scale score[1 (0, 2) vs 0 (0, 1), Z=-16.379, P<0.001], PSS-14 score [21 (14, 26) vs 18 (3, 25), Z=-11.997, P<0.001], ISIscore [5 (2, 9) vs 1 (0, 4), Z=-30.541, P<0.001], PHQ-9 score [6 (3, 10) vs 2 (0, 5), Z=-29.432, P<0.001],and GAD-7 score [4 (1, 7) vs 0 (0, 3), Z=-29.057, P<0.001] were significantly higher than those in the nonightmare group (all P<0.05). Conclusion The frequency of nightmares in adolescents is high, which is affected by many factors. Females are more likely to have nightmares. Higher Bullying Scale score, PSS-14 score, ISI score, PHQ-9 score and GAD-7 score will increase the risk of nightmares. Above information can be used to assess the risk of nightmares.
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Received: 18 April 2023
Published: 29 November 2023
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