Depressive symptoms are associated with short and long sleep duration: A longitudinal study of Chinese adolescents

Liu, Bao-Peng; Wang, Xinting; Liu, Zhenzhen; Wang, Ze-Ying; An, Di; Wei, Yan-Xin; Jia, Cun-Xian; Liu, Xianchen

doi:10.1016/j.jad.2019.11.113

Cited by 70 publications

(51 citation statements)

References 45 publications

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“…Lastly, greater variability in sleep duration was associated with higher internalizing symptoms, which is consistent with past research (Fuligni et al, 2018) as well as coinciding with the finding that those with internalizing disorders have greater sleep difficulties (American Psychiatric Association, 2013). In contrast, sleep duration was not associated with internalizing disorders, which is in contrast to some research (Liu et al, 2020;Short et al, 2020), but does fall in line with previously mentioned findings that variability in sleep duration is associated with internalizing symptoms over and above sleep duration alone (Fuligni et al, 2018).…”

Section: Discussionsupporting

confidence: 89%

“…Lastly, adolescence is associated with alterations in sleep regulation and patterning (Crowley et al, 2007;Dahl & Lewin, 2002), which plays an important regulatory role in arousal (see HR above) and affect (Dahl, 1996). Sleep quantity is associated with future internalizing symptoms (Roberts et al, 2009) with both a lack of sleep (Short et al, 2020) and excessive sleep (Mullin et al, 2017) being associated with internalizing disorders as well as internalizing symptoms during adolescence (Liu et al, 2020). Such findings coincide with key internalizing diagnostic criteria (hypersomnia and insomnia in major depressive disorder, see American Psychiatric Association, 2013).…”

Section: Introductionmentioning

confidence: 99%

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Concurrent and Prospective Associations Between Fitbit Derived RDoC Arousal and Regulation Constructs and Adolescent Internalizing Symptoms

Nelson¹,

Flannery²,

Duell³

et al. 2021

Preprint

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Background: Adolescence is characterized by alterations in biobehavioral functioning, during which individuals are at heightened risk for first onset of psychopathology, particularly internalizing disorders (e.g., depression and anxiety). Recently, researchers have proposed the use of mobile Health (mHealth) technologies to passively index biobehavioral functioning in everyday life yet, there is a dearth of research examining how wearable metrics, which map onto NIMH Research Domain Criteria (RDoC) of Arousal and Regulation, are associated with concurrent and prospective changes in mental health.Methods: We preregistered secondary data analyses using the Adolescent Brain Cognitive Development (ABCD) Study dataset to determine whether wearable indices of resting heart rate (HR), step count, and sleep duration as well as variability in these measures were cross-sectionally associated with internalizing symptomatology in 5,686 adolescents. All models were also run controlling for age, sex, body mass index, socioeconomic status, and race. We also performed prospective analyses on a subset of this sample across 25 months that had Fitbit data available at Baseline and Follow Up (n = 143). Results: Cross-sectional analyses revealed that higher resting HR, lower step count and step count variability, and greater variability in sleep duration were associated with greater internalizing symptoms. Cross-lagged panel model analysis revealed that there were no prospective associations between wearable variables, but greater internalizing symptoms predicted lower step count 25 months later.Conclusions: Findings indicate that wearable indices concurrently, but not prospectively, associate with internalizing symptoms during early adolescence. Future research should capitalize on the temporal resolution provided by wearable devices to determine the intensive longitudinal relations between biobehavioral risk factors and acute changes in mental health.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Concurrent and Prospective Associations Between Fitbit Derived RDoC Arousal and Regulation Constructs and Adolescent Internalizing Symptoms

Nelson¹,

Flannery²,

Duell³

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Irregular sleeping duration might worsen children's physical and mental conditions 41 , as well as academic performance 42 . Reduced sleep might also exert negative effects on children's health, such as overweight/obesity and depressive symptoms 43,44 .…”

Section: Number Of Participants (%)mentioning

confidence: 99%

Physical activity, screen exposure and sleep among students during the pandemic of COVID-19

Guo

Liao

Cai

et al. 2021

Sci Rep

125

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This study aimed to determine the levels of health-related behaviours (physical activity, screen exposure and sleep status) among Chinese students from primary, secondary and high schools during the pandemic of COVID-19, as well as their changes compared with their status before the pandemic. A cross-sectional online survey of 10,933 students was conducted among 10 schools in Guangzhou, China, between 8th and 15th March, 2020. After getting the informed consent from student’s caregivers, an online questionnaire was designed and used to obtain time spending on health-related behaviours during the pandemic of COVID-19, as well as the changes compared with 3 months before the pandemic, which was completed by students themselves or their caregivers. Students were stratified by regions (urban, suburban, exurban), gender (boys and girls), and grades (lower grades of primary school, higher grades of primary schools, secondary schools and high schools). Data were expressed as number and percentages and Chi-square test was used to analyse difference between groups. Overall, the response rate of questionnaire was 95.3% (10,416/10,933). The median age of included students was 13.0 (10.0, 16.0) years and 50.1% (n = 5,219) were boys. 41.4%, 53.6% and 53.7% of total students reported less than 15 min per day in light, moderate and vigorous activities and 58.7% (n = 6,113) reported decreased participation in physical activity compared with the time before pandemic. Over 5 h of screen time spending on online study was reported by 44.6% (n = 4,649) of respondents, particular among high school students (81.0%). 76.9% of students reported increased screen time compared with the time before pandemic. Inadequate sleep was identified among 38.5% of students and the proportion was highest in high school students (56.9%). Our study indicated that, during the COVID-19 pandemic, the school closure exerted tremendous negative effects on school-aged children’s health habits, including less physical activity, longer screen exposure and irregular sleeping pattern.

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“…Poor sleep is detrimental to adolescents’ health and can lead to obesity, headaches, cardiovascular diseases, depression, and fatigue [ 10 ]. A study conducted on Chinese adolescents revealed a U-shaped relationship between sleep duration and depressive symptoms [ 11 , 12 ]. A survey of teenagers in the United States showed that insufficient sleep was associated with a number of health-risk behaviors, such as the current use of cigarettes, marijuana, feeling of sadness or hopelessness, and physical fight [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

The Associations between Sleep Duration, Academic Pressure, and Depressive Symptoms among Chinese Adolescents: Results from China Family Panel Studies

Zhou

Cheng

et al. 2021

IJERPH

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Depressive symptoms are a common mental health problem among adolescents, which may affect their physical and mental health development and impose heavy burdens on individual families and society. This study aimed to examine the associations between sleep duration, academic pressure, and depressive symptoms among Chinese adolescents and to construct the mediation model to explore the mediating effect of sleep duration. The data are from the China Family Panel Studies (CFPS). Methodologically, the aforementioned associations were explored by constructing a structural equation model and applying multivariate multilevel logistic regression. In this study, we found that approximately 6.49% of the 3724 Chinese adolescents had depressive symptoms. Sleep duration of <6 h/night (OR = 2.39, 95%CI = 1.33–4.32) and high/maximum academic pressure (high: OR = 1.43, 95%CI = 1.02–1.99; maximum: OR = 2.43, 95%CI = 1.58–3.73) were both associated with an increased risk of depressive symptoms in adolescents. Meanwhile, the multiplicative interaction between sleep duration and academic pressure was significantly associated with depressive symptoms in adolescents (p < 0.001). The sleep duration played a partial mediating role in the relationship between academic pressure and depressive symptoms (a*b = 0.006, 95%BootCI = 0.001–0.012). Our study highlights that it is essential to mitigate the academic pressure of adolescents to increase their sleep duration and further reduce the occurrence of depressive symptoms by adopting corresponding preventive measures.

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Depressive symptoms are associated with short and long sleep duration: A longitudinal study of Chinese adolescents

Cited by 70 publications

References 45 publications

Concurrent and Prospective Associations Between Fitbit Derived RDoC Arousal and Regulation Constructs and Adolescent Internalizing Symptoms

Concurrent and Prospective Associations Between Fitbit Derived RDoC Arousal and Regulation Constructs and Adolescent Internalizing Symptoms

Physical activity, screen exposure and sleep among students during the pandemic of COVID-19

The Associations between Sleep Duration, Academic Pressure, and Depressive Symptoms among Chinese Adolescents: Results from China Family Panel Studies

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