Sex-Specific Moderation Effect of Age on the Associations Between Insomnia Symptoms and Various Psychological Distresses

Hsi-Chung Chen,1,2 Chia-Yi Wu,3– 5 Ming-Been Lee,1,5– 7 Shih-Cheng Liao,1,5,6 Chia-Ta Chan,5,7 Chun-Ying Chen5 1Department of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan; 2Center of Sleep Disorders, National Taiwan University Hospital, Taipei, Taiwan; 3School...

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Autores principales:	Chen HC, Wu CY, Lee MB, Liao SC, Chan CT, Chen CY
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	insomnia symptoms moderation effect psychological distress sex-specific Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
Acceso en línea:	https://doaj.org/article/0d1f67ce30c248349fadb131e5313deb
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spelling	oai:doaj.org-article:0d1f67ce30c248349fadb131e5313deb2021-12-02T13:53:34ZSex-Specific Moderation Effect of Age on the Associations Between Insomnia Symptoms and Various Psychological Distresses1179-1608https://doaj.org/article/0d1f67ce30c248349fadb131e5313deb2021-01-01T00:00:00Zhttps://www.dovepress.com/sex-specific-moderation-effect-of-age-on-the-associations-between-inso-peer-reviewed-article-NSShttps://doaj.org/toc/1179-1608Hsi-Chung Chen,1,2 Chia-Yi Wu,3– 5 Ming-Been Lee,1,5– 7 Shih-Cheng Liao,1,5,6 Chia-Ta Chan,5,7 Chun-Ying Chen5 1Department of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan; 2Center of Sleep Disorders, National Taiwan University Hospital, Taipei, Taiwan; 3School of Nursing, National Taiwan University College of Medicine, Taipei, Taiwan; 4Department of Nursing, National Taiwan University Hospital, Taipei, Taiwan; 5Taiwan Suicide Prevention Center, Taipei, Taiwan; 6Department of Psychiatry, National Taiwan University College of Medicine, Taipei, Taiwan; 7Department of Psychiatry, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, TaiwanCorrespondence: Chia-Yi WuSchool of Nursing, National Taiwan University College of Medicine, No.1, Sec. 1, Jen-A1 Road, Taipei 100, TaiwanTel +886-2-23123456 ext. 88430Email jennycyw@ntu.edu.tw Ming-Been LeeDepartment of Psychiatry, National Taiwan University Hospital, No. 7, Chung-Shan S. Road, Taipei 100, TaiwanTel +886-2-23123456 Ext. 66784Email mingbeen@ntu.edu.twBackground: Insomnia is closely related to psychological distress. This study aims to examine the role of age and sex in the association between various psychological distresses and insomnia symptoms.Participants and Methods: This population-based study used data provided by cumulative respondents of the annual survey of the Taiwan Suicide Prevention Center between 2006 and 2019. Potential respondents were aged ≥ 15 years and were selected by a stratified proportional randomization method according to the distribution of population size, sex, and age in different geographic areas of Taiwan. The Five-Item Brief Symptom Rating Scale was used to measure insomnia symptoms and four psychological distresses: depression, anxiety, hostility, and inferiority. The independent relationship between insomnia symptoms with depression, anxiety, hostility, and inferiority was further examined according to age and sex.Results: A total of 28,649 participants were included (women, 50.2%). The four types of psychological distress correlated differentially with insomnia symptoms. Concerning interaction effects, sex moderated the interaction effects between age with depression, anxiety, and hostility. In men, and not in women, age moderated the relationship between insomnia symptoms and all four psychological distresses. Specifically, the effect sizes of the associations between insomnia symptoms and depression, anxiety, and hostility showed an age-dependent decreasing trend in men.Conclusion: The associations between psychological distresses and insomnia symptoms varied in strength and according to age in a sex-specific manner.Keywords: insomnia symptoms, moderation effect, psychological distress, sex-specificChen HCWu CYLee MBLiao SCChan CTChen CYDove Medical Pressarticleinsomnia symptomsmoderation effectpsychological distresssex-specificPsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol Volume 13, Pp 93-102 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	insomnia symptoms moderation effect psychological distress sex-specific Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
spellingShingle	insomnia symptoms moderation effect psychological distress sex-specific Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 Chen HC Wu CY Lee MB Liao SC Chan CT Chen CY Sex-Specific Moderation Effect of Age on the Associations Between Insomnia Symptoms and Various Psychological Distresses
description	Hsi-Chung Chen,1,2 Chia-Yi Wu,3– 5 Ming-Been Lee,1,5– 7 Shih-Cheng Liao,1,5,6 Chia-Ta Chan,5,7 Chun-Ying Chen5 1Department of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan; 2Center of Sleep Disorders, National Taiwan University Hospital, Taipei, Taiwan; 3School of Nursing, National Taiwan University College of Medicine, Taipei, Taiwan; 4Department of Nursing, National Taiwan University Hospital, Taipei, Taiwan; 5Taiwan Suicide Prevention Center, Taipei, Taiwan; 6Department of Psychiatry, National Taiwan University College of Medicine, Taipei, Taiwan; 7Department of Psychiatry, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, TaiwanCorrespondence: Chia-Yi WuSchool of Nursing, National Taiwan University College of Medicine, No.1, Sec. 1, Jen-A1 Road, Taipei 100, TaiwanTel +886-2-23123456 ext. 88430Email jennycyw@ntu.edu.tw Ming-Been LeeDepartment of Psychiatry, National Taiwan University Hospital, No. 7, Chung-Shan S. Road, Taipei 100, TaiwanTel +886-2-23123456 Ext. 66784Email mingbeen@ntu.edu.twBackground: Insomnia is closely related to psychological distress. This study aims to examine the role of age and sex in the association between various psychological distresses and insomnia symptoms.Participants and Methods: This population-based study used data provided by cumulative respondents of the annual survey of the Taiwan Suicide Prevention Center between 2006 and 2019. Potential respondents were aged ≥ 15 years and were selected by a stratified proportional randomization method according to the distribution of population size, sex, and age in different geographic areas of Taiwan. The Five-Item Brief Symptom Rating Scale was used to measure insomnia symptoms and four psychological distresses: depression, anxiety, hostility, and inferiority. The independent relationship between insomnia symptoms with depression, anxiety, hostility, and inferiority was further examined according to age and sex.Results: A total of 28,649 participants were included (women, 50.2%). The four types of psychological distress correlated differentially with insomnia symptoms. Concerning interaction effects, sex moderated the interaction effects between age with depression, anxiety, and hostility. In men, and not in women, age moderated the relationship between insomnia symptoms and all four psychological distresses. Specifically, the effect sizes of the associations between insomnia symptoms and depression, anxiety, and hostility showed an age-dependent decreasing trend in men.Conclusion: The associations between psychological distresses and insomnia symptoms varied in strength and according to age in a sex-specific manner.Keywords: insomnia symptoms, moderation effect, psychological distress, sex-specific
format	article
author	Chen HC Wu CY Lee MB Liao SC Chan CT Chen CY
author_facet	Chen HC Wu CY Lee MB Liao SC Chan CT Chen CY
author_sort	Chen HC
title	Sex-Specific Moderation Effect of Age on the Associations Between Insomnia Symptoms and Various Psychological Distresses
title_short	Sex-Specific Moderation Effect of Age on the Associations Between Insomnia Symptoms and Various Psychological Distresses
title_full	Sex-Specific Moderation Effect of Age on the Associations Between Insomnia Symptoms and Various Psychological Distresses
title_fullStr	Sex-Specific Moderation Effect of Age on the Associations Between Insomnia Symptoms and Various Psychological Distresses
title_full_unstemmed	Sex-Specific Moderation Effect of Age on the Associations Between Insomnia Symptoms and Various Psychological Distresses
title_sort	sex-specific moderation effect of age on the associations between insomnia symptoms and various psychological distresses
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/0d1f67ce30c248349fadb131e5313deb
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Sex-Specific Moderation Effect of Age on the Associations Between Insomnia Symptoms and Various Psychological Distresses

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