Sleep Disturbances in a Young Adult Population: Can Gender Differences Be Explained by Differences in Psychological Status?
Abstract
To study the prevalence of reported sleep disturbances and the association between these complaints and psychological status, 529 randomly selected subjects aged 20-45 years were questioned about their sleep symptoms and psychological status by means of questionnaires. In this young population, feeling refreshed in the morning almost every day was reported by only 15.3%. Females reported a significantly longer mean total sleep time (TST) than males (F: 425 +/- 58 minutes, M: 403 +/- 50 minutes; p or = 3/week) (F: 20.1%, M: 10.4%; p < 0.01), the absence of feeling refreshed in the morning (F: 36.2%, M: 26.8%; p < 0.05), and excessive daytime sleepiness (EDS) (F: 23.3%, M: 15.9%; p < 0.05) were significantly more common among females. According to the Hospital Anxiety and Depression scale, females suffered from anxiety more frequently than males (F: 32.8%, M: 18.9%; p < 0.001). An association was found between anxiety and many sleep disturbances. After making adjustments for age, smoking, snoring, gender and psychological status by means of multiple regression, the gender differences mentioned above remained significant. We conclude that despite a longer TST, females report insufficient sleep, EDS, DMS, and the absence of feeling refreshed in the morning more frequently than males. The higher prevalence of anxiety among females alone cannot explain the gender differences in sleep disturbances seen in this population.
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While women normally have longer and better sleep, they also report a higher incidence of sleep disorders.
“Interestingly, while women normally have longer and better sleep, they also report a higher incidence of sleep disorders.99–102”
From Effects of Traumatic Brain Injury on the Orexin/Hypocretin System (2025) · cites this paper as [102]
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- Authors
- Lindberg, E., Janson, C., Gislason, T., Björnsson, E., Hetta, J., & Boman, G.
- Affiliations
- Uppsala University (SE)
- Corresponding author
- Lindberg, Eva
- Venue
- Sleep
- Publisher
- Oxford University Press (OUP)
- Published
- 1997-06
- Volume
- 20
- Issue
- 6
- Pages
- 381-387
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- OpenAlex
- W1580403824
- Cited by
- 332
- References
- 3
- Citations by year
- 2026: 8 · 2025: 15 · 2024: 13 · 2023: 17 · 2022: 21 · 2021: 14 · 2020: 15 · 2019: 13 · 2018: 16 · 2017: 5 · 2016: 15 · 2015: 8 · 2014: 9 · 2013: 17 · 2012: 16
- FWCI
- 8.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- SLEEP (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Landstinget i Uppsala län
- Bror Hjerpstedts stiftelse
- Medical Research Council
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Keywords
- sleep disorders, gender differences, young adults, anxiety, excessive daytime sleepiness, difficulty maintaining sleep, insufficient sleep, total sleep time, sleep need, psychological state
- MeSH terms
- Adult, Anxiety, Depressive Disorder, Female, Humans, Disorders of Excessive Somnolence, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Sex Factors, Sweden, Prevalence
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