Associations of sleep duration on school nights with self-rated health, overweight, and depression symptoms in adolescents: problems and possible solutions

Yeo, Sing Chen; Jos, Anna Mini; Erwin, Christina; Lee, Su Mei; Lee, Xuan Kai; Lo, June C.; Chee, Michael W.L.; Gooley, Joshua J.

doi:10.1016/j.sleep.2018.10.041

Cited by 106 publications

(78 citation statements)

References 56 publications

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“…Sleep played an important role for the dimension Physical well-being in our study, confirming that sleep is highly important for HRQOL in adolescents [ 19 , 20 , 39 ]. Studies have shown that there are several barriers to healthy sleep among adolescents such as later preferred sleep timing, lower parental supervision of bedtime, longer study time, and early school start time [ 19 , 38 , 71 ]. Thus, prevention of and interventions against sleep problems require collaboration between adolescents, parents, schools, and healthcare professionals [ 39 ].…”

Section: Discussionsupporting

confidence: 82%

Health-related quality of life is strongly associated with self-efficacy, self-esteem, loneliness, and stress in 14–15-year-old adolescents: a cross-sectional study

Mikkelsen

Haraldstad

Helseth

et al. 2020

Health Qual Life Outcomes

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Background To enhance and better understand health-related quality of life (HRQOL) in adolescents, it is important to study factors associated with HRQOL. The present study aimed to assess possible associations between sociodemographic variables, self-efficacy, self-esteem, pain, sleep, loneliness, stress and HRQOL in 14 to 15-year-old adolescents. Methods A cross-sectional study was performed among 696 adolescents (14–15 years) in a school-based setting. Sociodemographic variables, self-efficacy, self-esteem, pain, sleep, loneliness and stress were analyzed. The variables were all assessed with well-validated instruments. HRQOL was analyzed using KIDSCREEN 27. Analyses included Chi-square, independent t-tests, Mann–Whitney U tests, linear regression analyses and hierarchical regression analyses. The results from linear regression models were expressed as standardized beta. Results The adolescents generally reported high levels of HRQOL. However, girls scored significantly worse on HRQOL, self-efficacy, self-esteem, pain, sleep, loneliness and stress compared to boys. Using hierarchical regression analyses we found that Self-efficacy (beta = 0.11–0.24), Self-esteem: (beta = 0.12–0.21), Loneliness: (beta = − 0.24 to − 0.45) and Stress: (beta = − 0.26 to − 0.34) revealed the strongest associations with the HRQOL dimensions. Sociodemographic-, pain- and sleep related covariates were all significantly associated with some of the KIDSCREEN subscales, however their effect on the outcome was smaller than for the psychosocial variables listed above. Being a girl, not living with both parents, not having both parents working, being absent from school more than 4 days, having pain and having lack of enough sleep were all independently negatively associated with HRQOL. Conclusions HRQOL is strongly associated with self-efficacy, self-esteem, loneliness and stress in 14 to 15-year-old adolescents. Our findings indicate that positive psychosocial factors such as self-efficacy and self-esteem might play a buffer role for negative psychosocial factors (e.g. stress) in adolescents. Further, our results show that girls score significantly worse on factors that are associated to HRQOL compared to boys. To improve HRQOL in school-based populations of adolescents, we suggest that future interventions should aim to strengthen self-efficacy and self-esteem. We recommend gender specific interventions.

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Section: Discussionsupporting

confidence: 82%

Health-related quality of life is strongly associated with self-efficacy, self-esteem, loneliness, and stress in 14–15-year-old adolescents: a cross-sectional study

Mikkelsen

Haraldstad

Helseth

et al. 2020

Health Qual Life Outcomes

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“…Short sleep (Owens et al 2014) and sleep problems (Tu et al 2015) are both associated with internalizing and externalizing difficulties in adolescence. In a previous study, short sleep duration on school nights was associated with feelings of sadness and worthlessness, low motivation, anxiety, and thoughts of self-harm in youth (Yeo et al 2019). Further, circadian preference for eveningness can lead to impaired daytime functioning (Wolfson and Carskadon 1998) and increased internalizing problems (Quach et al 2018).…”

Section: Previous Studies On Association Between Sleep and Emotional mentioning

confidence: 91%

Bidirectional Relationship of Sleep with Emotional and Behavioral Difficulties: A Five-year Follow-up of Finnish Adolescents

Kortesoja

Vainikainen

Hotulainen

et al. 2020

J Youth Adolescence

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The long-term effects of sleep on adolescent psychosocial well-being are mostly unknown, although insufficient sleep has been associated with emotional and behavioral difficulties in cross-sectional studies. With a five-year follow-up of Finnish adolescents (Time 1: n = 8834; Mean age = 13 years, 51.1% female, Time 2: n = 5315, Mean age = 15 years, 51.6% female, Time 3: n = 3712; Mean age = 17 years; 50.2% female), the purpose of this longitudinal study was to investigate the relations between self-reported sleep duration, sleep problems, and emotional and behavioral difficulties during adolescence. Emotional and behavioral difficulties were assessed using The Strengths and Difficulties Questionnaire (SDQ) measuring emotional symptoms, conduct problems, hyperactivity, peer problems and total difficulties. Sleep duration was calculated by counting the hours between self-reported bedtime and wake-up time. Sleep problems were assessed with a single question about the general sleep problems. According to the cross-lagged models for sleep and emotional and behavioral difficulties, the findings of this study indicate a developmental process during adolescence where, firstly, short sleep duration is a stronger predictor for current and prospective emotional and behavioral difficulties than vice versa. Secondly, increased emotional and behavioral difficulties expose adolescents to current and later sleep problems more strongly than reverse. Thus, the results show that short sleep duration predisposed to emotional and behavioral difficulties across adolescence, which then led to more prospective sleep problems. These findings suggest a developmental process where sleep and emotional and behavioral difficulties are intertwined in shaping adolescents' health.

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“…Sleep problems among children have been found to persist into adolescence (Sivertsen, Harvey, Pallesen, & Hysing, 2017;Wang et al, 2016). Among adolescents, shorter durations have been associated with poorer self-rated health, more depressive symptoms, and increased odds of being overweight (Yeo et al, 2018). Prior research suggests a connection between poor sleep and poor mental and physical outcomes, with longitudinal trajectories of poor sleep starting in childhood.…”

Section: Implications Of Poor Sleep For Healthmentioning

confidence: 99%

Early parental positive personality and stress: Longitudinal associations with children's sleep

Miadich

Doane

Davis

et al. 2019

British J Health Psychol

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Objectives The current study examined the influence of early parental stress and positive parent personality during infancy on sleep in middle childhood. Further, the role of positive parent personality as a buffer of the association between parental stress and sleep was considered. Methods Participants included 381 twins and their primary caregivers who were recruited from birth records in the United States. Primary caregivers completed survey assessments via phone when twins were 12 and 30 months of age to assess multiple dimensions of parental stress and positive parent personality. Approximately 6 years later (M = 5.78, SD = 0.42), twins participated in an intensive assessment that included wearing actigraph watches to provide an objective measurement of sleep, while primary caregivers completed daily diaries regarding twins' sleep. Results Positive parent personality was associated prospectively with longer actigraphy sleep duration and higher parent‐reported sleep quality/daytime functioning. Parental stress was associated prospectively with greater variability in sleep duration. Positive parent personality moderated the parental stress – sleep‐timing relation, such that greater parental stress was associated with a later midpoint of the sleep period only for children with parents low on positive personality (e.g., low optimism). All other findings were non‐significant. Conclusions Findings suggest that both positive attributes and stress may influence sleep in middle childhood and that low parent positive personality may exacerbate associations between parental stress and later timing of sleep periods in children. Early interventions to promote healthy sleeping may consider focusing on decreasing parental stress and increasing parental empathy and optimism as early as infancy. What is already known on this subject? Early‐life experiences, especially adversity, have been related to health outcomes among adults and children, such that negative experiences are associated with poor health outcomes. Poor sleep (e.g., short duration, poor quality) among children is associated with negative outcomes including poorer cognitive performance and higher adiposity. What does this study add? This study used a prospective design to understand relations between early parent‐related factors and child sleep. Early parental stress and positive parent personality were associated with objective sleep quality. Positive parent personality during infancy may have promotive/protective influences on sleep later in childhood.

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Associations of sleep duration on school nights with self-rated health, overweight, and depression symptoms in adolescents: problems and possible solutions

Cited by 106 publications

References 56 publications

Health-related quality of life is strongly associated with self-efficacy, self-esteem, loneliness, and stress in 14–15-year-old adolescents: a cross-sectional study

Health-related quality of life is strongly associated with self-efficacy, self-esteem, loneliness, and stress in 14–15-year-old adolescents: a cross-sectional study

Bidirectional Relationship of Sleep with Emotional and Behavioral Difficulties: A Five-year Follow-up of Finnish Adolescents

Early parental positive personality and stress: Longitudinal associations with children's sleep

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