scholarly journals Sleep problems among Chinese adolescents and young adults during the coronavirus-2019 pandemic

2020 ◽  
Vol 74 ◽  
pp. 39-47 ◽  
Author(s):  
Shuang-Jiang Zhou ◽  
Lei-Lei Wang ◽  
Rui Yang ◽  
Xing-Jie Yang ◽  
Li-Gang Zhang ◽  
...  
2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Xuechan Lyu ◽  
Tianzhen Chen ◽  
Zhe Wang ◽  
Jing Lu ◽  
Chenyi Ma ◽  
...  

Abstract Background In recent years, there have been frequent reports of gaming disorder in China, with more focus on young people. We developed and psychometrically tested a Gaming Disorder screening scale (i.e., Gaming Disorder Screening Scale - GDSS) for Chinese adolescents and young adults, based on the existing scales and diagnostic criteria, but also considering the development status of China. Methods For testing content and criterion validity, 1747 participants competed the GDSS and the Internet Addiction Test (IAT). After 15 days, 400 participants were retested with the scales for to assess test-retest reliability. Besides, 200 game players were interviewed for a diagnosis of gaming disorder. Results The Cronbach’s alpha coefficient on the GDSS was 0.93. The test-retest coefficient of 0.79. Principal components analysis identified three factors accounting for 62.4% of the variance; behavior, functioning, cognition and emotion. Confirmatory factor analysis showed a good model fit to the data (χ2 /df = 5.581; RMSEA =0.074; TLI = 0.916, CFI = 0.928). The overall model fit was significantly good in the measurement invariance tested across genders and different age groups. Based on the clinical interview, the screening cut-off point was determined to be ≥47 (sensitivity 41.4%, specificity 82.3%). Conclusions The GDSS demonstrated good reliability and validity aspects for screening online gaming disorder among Chinese adolescents and young adults.


Cancers ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 770
Author(s):  
Mohamed Abdelaal ◽  
Pamela J. Mosher ◽  
Abha Gupta ◽  
Breffni Hannon ◽  
Christine Cameron ◽  
...  

Clinical guidelines aimed at cancer care for adolescents and young adults (AYAs) encourage early integration of palliative care, yet there are scarce data to support these recommendations. We conducted a retrospective chart review of AYA patients, aged 15 to 39 years, who were referred to the Integrated AYA Palliative Care and Psychiatry Clinic (IAPCPC) at the Princess Margaret Cancer Centre between May 2017 and November 2019 (n = 69). Demographic data, symptom prevalence, change in symptom scores between baseline consultation and first follow-up, and intensity of end-of-life care were collected from the patients’ medical charts, analyzed, and reported. Of the 69 patients, 59% were female, and sarcoma was the most common cancer. A majority of patients had at least one symptom scored as moderate to severe; tiredness, pain, and sleep problems were the highest scored symptoms. More than one-third used medical cannabis to manage their symptoms. Symptom scores improved in 61% after the first clinic visit. Out of the 69 patients, 50 (72.5%) had died by October 2020, with a median time between the initial clinic referral and death of 5 months (range 1–32). Three patients (6%) received chemotherapy, and eight (16%) were admitted to an intensive care unit during the last month of life. In conclusion, AYAs with advanced cancer have a high burden of palliative and psychosocial symptoms. Creating a specialized AYA palliative care clinic integrated with psychiatry showed promising results in improving symptom scores and end-of-life planning.


SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A295-A295
Author(s):  
Maria Basta ◽  
Alexandros Vgontzas ◽  
Panagiotis Simos ◽  
Stamatis Karakonstantis ◽  
Katerina Micheli ◽  
...  

Abstract Introduction Suicide risk begins to increase among adolescents and young adults representing the leading cause of death in this age group. The aim of this study was to assess associations between sleep complaints, suicidal ideation and depression in a large, representative sample of adolescents and young adults of the general population in Greece. Methods A structured telephone questionnaire was conducted in a representative sample of 2.741 young Greeks aged 15–24 years, including sociodemographic variables, life-style habits, and substance use. symptoms were assessed using the PhQ-9. Suicidal ideation and sleep complaints, i.e. insomnia/ hypersomnia symptoms, were assessed based on the relevant questions of the PhQ-9 questionnaire. We conducted a direct and indirect effect analysis between the modified PhQ-7 scale, sleep complaints and suicidality controlling for gender, family income, education and substance use. Results In our sample prevalence of suicidal ideation was 7.8%, while 47.9% reported sleep complaints. The mean PhQ-7 score was 6.15±4.11. The direct paths from depression to sleep, as well as from sleep to ideation were both statistically significant with p-values <0.001. Indirect mediation analysis revealed a significant indirect effect of depression on ideation mediated by sleep complaints as indicated by the sobel test (z=3.59, p=0.0003). This is a partial mediation given that the direct effect of depression on ideation controlling for sleep (the mediator) remains significant (p<.001). The percentage of the effect of depression on ideation accounted for by the indirect effect through sleep is estimated at 16.5%. The mediation remains significant (p<.001) after controlling for income, gender, education, and substance use. Conclusion Our study supports that among youth there is direct associations between depression, sleep complaints and suicidal ideation. Furthermore, we found an indirect effect of depression on suicidal ideation mediated by sleep complaints. Our findings highlight the presence of complex interactions between subjective psychiatric symptoms and perceived sleep problems to account for suicidal ideation Therefore, treatment of sleep among youth with depression may significantly independently further reduce suicidal risk. Support (if any) EEA/Norwegian Financial Mechanism 2009–2014, under Project Contract n° EEA Grants/ GR07- 3757


2011 ◽  
Vol 20 (10) ◽  
pp. 517-525 ◽  
Author(s):  
Yu-Hui Wan ◽  
Chuan-Lai Hu ◽  
Jia-Hu Hao ◽  
Ying Sun ◽  
Fang-Biao Tao

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