Emergence of Sex Differences in Insomnia Symptoms in Adolescents: A Large-Scale School-Based Study

Zhang, Jihui; Chan, Ngan Yin; Lam, Siu Ping; Li, Shirley Xin; Liu, Yaping; Chan, Joey Wing Yan; Kong, Alice Pik Shan; Ma, Rong; Chan, Kate Ching Ching; Li, Albert Martin; Wing, Yun Kwok

doi:10.5665/sleep.6022

Cited by 153 publications

(115 citation statements)

References 52 publications

(78 reference statements)

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“…The excess of SC and SB in girls might suggest bidirectional interplay between both types of symptoms, under the influence of gender difference and hormonal processes. In the same direction, some authors have reported that complaints of insomnia might be influenced by pubertal developmental stages . Concerning the overlap between SC and SB, early awakening and daytime sleepiness were the sleep symptoms most related to self‐harm cognitions and behaviors.…”

Section: Discussionmentioning

confidence: 90%

Sleep Complaints as Risk Factor for Suicidal Behavior in Severely Depressed Children and Adolescents

et al. 2016

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SummaryObjectivesTo investigate the association between sleep complaints and suicidal behaviors among severely depressed children and adolescents.MethodsThe sample was 214 youths (56.1% males, mean age 12.5 years) with diagnosis of DSM‐IV major depressive disorder consecutively recruited from a university‐based outpatient clinic specialized in mood disorders. The structured interview for children and adolescents was applied to participants. The Children's Depression Rating Scale—revised version—scored the severity of depression, and the Children's Global Assessment Scale assessed the global functioning. Subgroups of patients were compared for psychopathological association by means of logistic regression, in accordance with presence and absence of sleep complaints and suicidality.ResultsThe frequency of sleep complaints and suicidal behaviors was, respectively, 66.4% and 52.3%, and both symptoms were observed in 37.9% of patients. Initial insomnia was the most frequent manifestation (58%), followed by night awakening (36%), daytime sleepiness (31%), and early awakening (29.9%). Significant association between sleep disturbance and suicidal behavior was found (odds ratio range of 2.3–10.8).ConclusionSleep disturbances are potential warning manifestations of suicidal behaviors in depressed youth. Possibly, the severity of the active affective episode likely underlies in both sleep complaints and suicidal behaviors among depressed underage patients.

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Section: Discussionmentioning

confidence: 90%

Sleep Complaints as Risk Factor for Suicidal Behavior in Severely Depressed Children and Adolescents

et al. 2016

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“…Age, gender, and IQ were selected as covariates given their associations with sleep and/or procedural learning (Colrain and Baker, 2011; Gomar et al, 2011; Zhang et al, 2016). …”

Section: Methodsmentioning

confidence: 99%

Self-reported sleep disturbances associated with procedural learning impairment in adolescents at ultra-high risk for psychosis

Lunsford‐Avery

Dean

Mittal

2017

Schizophrenia Research

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Sleep disturbance contributes to impaired procedural learning in schizophrenia, yet little is known about this relationship prior to psychosis onset. Adolescents at ultra high-risk (UHR; N = 62) for psychosis completed the Pittsburgh Sleep Quality Index (PSQI) and a procedural learning task (Pursuit Rotor). Increased self-reported problems with sleep latency, efficiency, and quality were associated with impaired procedural learning rate. Further, within-sample comparisons revealed that UHR youth reporting better sleep displayed a steeper learning curve than those with poorer sleep. Sleep disturbances appear to contribute to cognitive/motor deficits in the UHR period and may play a role in psychosis etiology.

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“…found an association of female gender with high PSQI scores in a community-dwelling adults sample5. A recent school-based study with 7,507 children and adolescents showed higher prevalence of insomnia symptoms in girls than boys6, indicating that a gender difference may extend across the life course. However, Buysse and colleagues previously found no significant gender differences in PSQI among healthy young and elderly subjects7.…”

mentioning

confidence: 99%

Gender and Regional Differences in Sleep Quality and Insomnia: A General Population-based Study in Hunan Province of China

Tang

Liao

Kelly

et al. 2017

Sci Rep

145

106

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Insomnia and the inability to sleep affect people’s health and well-being. However, its systematic estimates of prevalence and distribution in the general population in China are still lacking. A population-based cluster sampling survey was conducted in the rural and urban areas of Hunan, China. Subjects (n = 26,851) were sampled from the general population, with a follow-up using the Pittsburgh Sleep Quality Index (PSQI) for interview to assess quality of sleep and Insomnia (PSQI score >5). While the overall prevalence of insomnia was 26.6%, and little difference was found between males (26.3%) and females (27.0%); the mean PSQI score was 4.26 (±2.67), and significant higher in females (4.32 ± 2.70) than males (4.21 ± 2.64, p = 0.003). Individuals in the rural areas tended to report a higher PSQI score (4.45 ± 2.81) than urban residents did (4.18 ± 2.60) (p < 0.001) and the estimates of prevalence of insomnia was 29.4% in the rural areas, significant higher than 25.5% in the urban areas (p < 0.001). Multiple logistic regression analysis showed that female gender, older age, higher level of education, being unmarried, living in the rural area, cigarette smoking and alcohol drinking were associated with insomnia. Our study may provide important information for general and mental health research.

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Emergence of Sex Differences in Insomnia Symptoms in Adolescents: A Large-Scale School-Based Study

Abstract: Chinese Clinical Trial Register, http://www.chictr.org.cn, ID: ChiCTR-TRC-12002798.

Cited by 153 publications

References 52 publications

Sleep Complaints as Risk Factor for Suicidal Behavior in Severely Depressed Children and Adolescents

Sleep Complaints as Risk Factor for Suicidal Behavior in Severely Depressed Children and Adolescents

Self-reported sleep disturbances associated with procedural learning impairment in adolescents at ultra-high risk for psychosis

Gender and Regional Differences in Sleep Quality and Insomnia: A General Population-based Study in Hunan Province of China

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