Prävalenz von Insomniebeschwerden und deren Assoziation mit dem Konsum psychotroper Substanzen bei Jugendlichen in Deutschland unter besonderer Berücksichtigung des Kaffeekonsums

Skarupke, Christian

dc.contributor.advisor	Cohrs, Stefan PD Dr.
dc.contributor.author	Skarupke, Christian
dc.date.accessioned	2014-06-25T09:55:29Z
dc.date.available	2014-07-23T22:50:05Z
dc.date.issued	2014-06-25
dc.identifier.uri	http://hdl.handle.net/11858/00-1735-0000-0022-5EFB-C
dc.identifier.uri	http://dx.doi.org/10.53846/goediss-4572
dc.language.iso	deu	de
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/3.0/
dc.subject.ddc	610	de
dc.title	Prävalenz von Insomniebeschwerden und deren Assoziation mit dem Konsum psychotroper Substanzen bei Jugendlichen in Deutschland unter besonderer Berücksichtigung des Kaffeekonsums	de
dc.type	doctoralThesis	de
dc.title.translated	Prevalence of insomnia complaints in adolescents and their association with psychoactive substance use with particular regard to coffee use	de
dc.contributor.referee	Brockmann, Knut Prof. Dr.
dc.date.examination	2014-07-16
dc.description.abstracteng	Objective: To study associations of tobacco, alcohol, marijuana, and coffee use and insomnia complaints (IC) in adolescents with special consideration of the influence of coffee consumption on these relationships. Methods: 7,698 Subjects aged 11 to 17 years were investigated in a cross-sectional study within the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). Self-report questionnaires were distributed to the participants. Hierarchical regression analyses were performed in order to assess possible effects of coffee consumption on the association of tobacco, alcohol, and marijuana use with IC. Common risk factors for insomnia were included in the adjusted analyses. Results: Tobacco, alcohol, marijuana and coffee use displayed significant bivariate associations with IC. After adjusting the first three substances for coffee consumption, their associations with IC were reduced considerably. After additionally adjusting for other possible confounders (age, gender, socio-economic status, externalizing and internalizing psychiatric problems, media use, bodyweight, medical condition), frequent coffee consumption, high alcohol intake and frequent smoking contributed to the prediction of IC in male subjects while frequent coffee consumption and high alcohol intake predicted the occurrence of IC in females. Conclusion: Coffee consumption could be an important risk factor for IC in adolescents and it significantly affects the association of smoking, alcohol, and marijuana with IC. Future research that includes long-term studies about psychoactive substance use (PSU) and sleep should also consider coffee consumption. Parents, educators, clinicians, and researchers should be aware of the potentially hazardous influence of PSU, especially coffee, alcohol and tobacco, on sleep in young individuals.	de
dc.contributor.coReferee	Schön, Margarete Prof. Dr.
dc.subject.ger	Insomniebeschwerden	de
dc.subject.ger	Insomnie	de
dc.subject.ger	Schlaf	de
dc.subject.ger	Schlafprobleme	de
dc.subject.ger	Kinder	de
dc.subject.ger	Jugendliche	de
dc.subject.ger	Psychotrope Substanzen	de
dc.subject.ger	Psychoaktive Substanzen	de
dc.subject.ger	Alkohol	de
dc.subject.ger	Rauchen	de
dc.subject.ger	Nikotin	de
dc.subject.ger	Marihuana	de
dc.subject.ger	Kaffee	de
dc.subject.ger	Koffein	de
dc.subject.ger	KiGGS	de
dc.subject.ger	Epidemiologie	de
dc.subject.eng	Insomnia complaints	de
dc.subject.eng	Sleep	de
dc.subject.eng	Insomnia	de
dc.subject.eng	Sleep problems	de
dc.subject.eng	Trouble Sleeping	de
dc.subject.eng	Kids	de
dc.subject.eng	Adolescents	de
dc.subject.eng	Children	de
dc.subject.eng	Psychoactive substance use	de
dc.subject.eng	Alcohol	de
dc.subject.eng	Coffee	de
dc.subject.eng	Caffeine	de
dc.subject.eng	Marijuana	de
dc.subject.eng	Smoking	de
dc.subject.eng	KiGGS	de
dc.subject.eng	Nicotine	de
dc.subject.eng	Epidemiological study	de
dc.subject.eng	Cross-sectional study	de
dc.identifier.urn	urn:nbn:de:gbv:7-11858/00-1735-0000-0022-5EFB-C-4
dc.affiliation.institute	Medizinische Fakultät	de
dc.subject.gokfull	Medizin (PPN619874732)	de
dc.subject.gokfull	Psychiatrie (PPN619876344)	de
dc.description.embargoed	2014-07-23
dc.identifier.ppn	788898132

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Human- und Zahnmedizin [2873]

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