Volume 44 Issue 11
Nov.  2023
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SUN Peng, MA Mingkun, ZHANG Yinling, TASHI Langcuo. Social anxiety status and its relationship with sleep duration among Tibetan adolescents at high altitude[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(11): 1670-1673. doi: 10.16835/j.cnki.1000-9817.2023.11.017
Citation: SUN Peng, MA Mingkun, ZHANG Yinling, TASHI Langcuo. Social anxiety status and its relationship with sleep duration among Tibetan adolescents at high altitude[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(11): 1670-1673. doi: 10.16835/j.cnki.1000-9817.2023.11.017

Social anxiety status and its relationship with sleep duration among Tibetan adolescents at high altitude

doi: 10.16835/j.cnki.1000-9817.2023.11.017
  • Received Date: 2023-08-20
  • Rev Recd Date: 2023-09-07
  • Available Online: 2023-11-27
  • Publish Date: 2023-11-25
  •   Objective  To understand social anxiety of Tibetan adolescents aged 10-15 years old in high altitude areas and its correlation with sleep duration, so as to provide a reference and support for social anxiety prevention and mental health interventions for Tibetan adolescents in high altitude areas.  Methods  A total of 2 426 Tibetan adolescents from the Lhasa, Chamdo, and Nagchu regions of Tibet were surveyed. From April to June 2022, basic demographics, social anxiety, and sleep status were obtained and analyzed using class-based, stratified whole group sampling, and the correlations detected between the two were analyzed by logistic regression analysis.  Results  The average social anxiety score of Tibetan adolescents aged 10-15 years in high-altitude areas was (6.51±4.32), and the detection rate of social anxiety was 5.23%. The mean sleep duration was (7.42±1.18) hours/day. The differences were statistically significant when compared across gender, overweight/obesity status, level of physically activity, and sleep duration (χ2=19.44, 14.39, 7.83, 7.21, P < 0.05). After adjusting for relevant variables, the Logistic regression analysis showed that sleep-deprivation among boys (OR=2.91, 95%CI=1.82-4.61), sleep-deprivation among girls (OR=3.51, 95%CI=2.01-6.04), and overall sleep-deprivation among Tibetan adolescents (OR=3.12, 95%CI=1.91-4.58) were positively associated with social anxiety(P < 0.01).  Conclusions  A positive association was found between social anxiety and sleep deprivation, indicating that social anxiety is an issue among Tibetan adolescents living in high altitude regions. Sufficient sleep duration plays a positive protective role in reducing social anxiety among Tibetan adolescents in high altitude areas, and the findings provide a reference for future mental health interventions.
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  • [1]
    LYNCH H, MCDONAGH C, HENNESSY E. Social anxiety and depression stigma among adolescents[J]. J Affect Disord, 2021, 281: 744-750. doi: 10.1016/j.jad.2020.11.073
    SCAINI S, BELOTTI R, OGLIARI A, et al. A comprehensive Meta-analysis of cognitive-behavioral interventions for social anxiety disorder in children and adolescents[J]. J Anx Disord, 2016, 42: 105-112. doi: 10.1016/j.janxdis.2016.05.008
    SINGLE A, BILEVICIUS E, HO V, et al. Cannabis use and social anxiety in young adulthood: a Meta-analysis[J]. Addict Behav, 2022, 129: 107275. doi: 10.1016/j.addbeh.2022.107275
    DELL'OSSO L, RUCCI P, DUCCI F, et al. Social anxiety spectrum[J]. Eur Arch Psychiatry Clin Neurosci, 2003, 253(6): 286-291. doi: 10.1007/s00406-003-0442-5
    LEIGH E, CHIU K, BALLARD E D. Social anxiety and suicidality in youth: a systematic review and Meta-analysis[J]. Res Child Adolesc Psychopathol, 2023, 51(4): 441-454. doi: 10.1007/s10802-022-00996-0
    ZHAO X, CHEN J, CHEN M C, et al. Left-behind children in rural-China experience higher levels of anxiety and poorer living conditions[J]. Acta Paediatr, 2014, 103(6): 665-670. doi: 10.1111/apa.12602
    PORTER E, CHAMBLESS D L. Social anxiety and social support in romantic relationships[J]. Behav Ther, 2017, 48(3): 335-348. doi: 10.1016/j.beth.2016.12.002
    THOMPSON T, VAN ZALK N, MARSHALL C, et al. Social anxiety increases visible anxiety signs during social encounters but does not impair performance[J]. BMC Psychol, 2019, 7(1): 24. doi: 10.1186/s40359-019-0300-5
    SUTTERBY S R, BEDWELL J S, PASSLER J S, et al. Social anxiety and social cognition: the influence of sex[J]. Psychiatry Res, 2012, 197(3): 242-245. doi: 10.1016/j.psychres.2012.02.014
    BORISENKOV M F, PERMINOVA E V, KOSOVA A L. Chronotype, sleep length, and school achievement of 11-to 23-year-old students in northern European Russia[J]. Chronobiol Int, 2010, 27(6): 1259-1270. doi: 10.3109/07420528.2010.487624
    中华人民共和国教育部等六部门关于开展2019年全国学生体质与健康调研及国家学生体质健康标准抽查复核工作的通知[EB/OL]. (2019-07-10)[2023-07-12]. http://www.moe.gov.cn/srcsite/A17/moe_943/moe_946/201907/t20190724_392121.html.

    Notice of the Ministry of Education of the PRC and other five departments on carrying out the 2019 National Students' physique and health research and the spot check and review of the national Students' physical health standards[EB/OL]. (2019-07-10)[2023-07-12]. http://www.moe.gov.cn/srcsite/A17/moe_943/moe_946/201907/t20190724_392121.html. (in Chinese)
    中华人民共和国国家卫生和计划生育委员会. 学龄儿童青少年营养不良筛查: WS/T 456—2014[S]. 2014-12-15.

    National Health and Family Planning Commission of the PRC. Screening standard for malnutrition of school-age children and adolescents: WS/T 456-2014[S]. 2014-12-15. (in Chinese)
    中华人民共和国国家卫生和计划生育委员会. 学龄儿童青少年超重与肥胖筛查: WS/T 586-2018[S]. 2018-08-01.

    National Health and Family Planning Commission of the PRC. Screening for overweight and obesity among school-age children and adolescents: WS/T 586-2018[S]. 2018-08-01. (in Chinese)
    中华人民共和国国家卫生健康委办公厅关于印发儿童青少年近视防控适宜技术指南的通知[EB/OL]. (2019-10-15)[2021-11-12]. http://www.nhc.gov.cn/jkj/s5898bm/201910/c475e0bd2de444379402f157523f03fe.shtml.

    Notice of the General Office of the National Health Commission of the PRC on printing and distributing appropriate technical guidelines for theprevention and control of myopia in children and adolescents[EB/OL]. (2019-10-15)[2021-11-12]. http://www.nhc.gov.cn/jkj/s5898bm/201910/c475e0bd2de444379402f157523f03fe.shtml. (in Chinese)
    邹志勇, 李晓卉, 庄丽丽, 等. 5-2-1-1-0行为干预改善儿童青少年超重肥胖效果评价[J]. 中国学校卫生, 2016, 37(7): 973-976. doi: 10.16835/j.cnki.1000-9817.2016.07.004

    ZHOU Z Y, LI X H, ZHUANG L L, et al. Analysis of effects of 5-2-1-1-0 behavior intervention on overweight and obesity in children and adolescents[J]. Chin J Sch Health, 2016, 37(7): 973-976. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2016.07.004
    曹娟, 李静, 韩百惠, 等. "52110"干预模式对中小学生健康饮食运动行为效果分析[J]. 中国学校卫生, 2017, 38(10): 1496-1499. doi: 10.16835/j.cnki.1000-9817.2017.10.017

    CAO J, LI J, HAN B H, et al. " 52110" intervention model on healthy eating and physical exercising among primary and middle school students[J]. Chin J Sch Health, 2017, 38(10): 1496-1499. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2017.10.017
    MOLLAYEVA T, THURAIRAJAH P, BURTON K, et al. The Pitts-burgh Sleep Quality Index as a screening tool for sleep dysfunction inclinical and non-clinical samples: a systematic review and Meta-analysis[J]. Sleep Med Rev, 2016, 25: 52-73. doi: 10.1016/j.smrv.2015.01.009
    LAGRECA A M, DANDES S K, WICK P, et al. Development of the Social Anxiety Scale for Children: reliability and concurrent validity[J]. J Clin Child Psychol, 1988, 17 (1): 84-91. doi: 10.1207/s15374424jccp1701_11
    楚啸原, 楚子强, 王琦, 等. 农村初中学生亲子依恋回避与智能手机依赖: 社交焦虑的中介作用和家庭经济困难的调节作用[J]. 心理发展与教育, 2023, 39(2): 192-199. https://www.cnki.com.cn/Article/CJFDTOTAL-XLFZ202302005.htm

    CHU X Y, CHU Z Q, WANG Q, et al. Parent-child attachment avoidance and smartphone dependency for junior school students in rural areas: the mediating role of social anxiety and the moderating role of family financial difficulty[J]. Psychol Dev Educ, 2023, 39(2): 192-199. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XLFZ202302005.htm
    李飞, 苏林雁, 金宇. 儿童社交焦虑量表的中国城市常模[J]. 中国儿童保健杂志, 2006, 14(4): 335-337. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO200604005.htm

    LI F, SU L Y, JIN Y. Norm of the screen for child social anxiety related emotional disorders in Chinese urban children[J]. Chin J Child Health Care, 2006, 14(4): 335-337. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO200604005.htm
    WU Y L, ZHAO X, LI Y F, et al. The risk and protective factors in the development of childhood social anxiety symptoms among Chinese children[J]. Psychiat Res, 2016, 240: 103-109. doi: 10.1016/j.psychres.2015.08.046
    BARTELS M, CACIOPPO J T, VAN BEIJSTERVELDT T C E M, et al. Exploring the association between well-being and psychopathologyin adolescents[J]. Behav Genet, 2013, 43(3): 177-190. doi: 10.1007/s10519-013-9589-7
    刘致宏, 张珊珊. 中学生线上社交焦虑与抑郁症状和睡眠质量的关联[J]. 中国学校卫生, 2022, 43(1): 77-81, 86. doi: 10.16835/j.cnki.1000-9817.2022.01.017

    LIU Z H, ZHANG S S. Association between online social anxiety in middle students with depressive symptoms and sleep quality[J]. Chin J Sch Health, 2022, 43(1): 77-81, 86. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.01.017
    ALLARD T, RIGGINS T, EWELL A, et al. Measuring neural mechanisms underlying sleep-dependent memory consolidation during naps in early childhood[J]. J Vis Exp, 2019, 2(152): 3791-3799.
    TALBOT L S, MCGLINCHEY E L, KAPLAN K A, et al. Sleep dep-rivation in adolescents and adults: changes in affect[J]. Emotion, 2010, 10(6): 831-841. doi: 10.1037/a0020138
    KAHN M, SHEPPES G, SADEH A. Sleep and emotions: bidirectionallinks and underlying mechanisms[J]. Int J Psychophys, 2013, 89(2): 218-228.
    GOLDSTEIN A N, WALKER M P. The role of sleep in emotionalbrain function[J]. Ann Rev Clin Psychol, 2014, 10: 679-708.
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