Epidemiological studies of short and long sleepers have not been conducted
previously. We collected socioeconomic, psychological, and polysomnographic
characteristics of 6501 parents (3252 men and 3249 women) of 4036 primary school
children in Guangzhou city. The study data were collected in three phases. The
overall prevalence of short (5 h or less) and long (10 h or more) sleep duration
was 0.52 and 0.64%, respectively. Long sleepers had higher Eysenck Personality
Questionnaire neuroticism scores [odds ratio (OR)=1.224, 95% confidence interval
(CI)=1.047-1.409] and lower education levels (OR=0.740, 95%CI=0.631-0.849) than
short sleepers. In the polysomnographic assessment, short, long, and normal
sleepers (7-8 h) shared similar durations of Stage 3 sleep (short=25.7±10.7,
long=20.3±7.9, and normal=28.0±12.8 min, F=1.402, P=0.181). In daytime multiple
sleep latency tests, short sleepers (10/19, 52.6%) were more prone to have a
short sleep latency (≤8 min) than long sleepers (2/23, 8.7%). In addition to
different sleep durations, neuroticism might also contribute to differences
between short and long sleepers in social achievements. Stage 3 sleep might be
essential for humans. The short sleep latency (≤8 min) of short sleepers in
multiple sleep latency tests should be interpreted cautiously, since it was of
the same severity as required for a diagnosis of narcolepsy or idiopathic
hypersomnia.
Psychological time reveals information about an individual’s psychological state and psychopathological traits and, thus, has become a new perspective through which the occurrence and development of depression can be examined. Psychological time includes time perception, time perspective, circadian rhythms, and passage of time. Patients with depression are characterized by inaccurate time interval estimation, habitual negative thoughts about the past and future, evening-type circadian rhythms, and slow passage of time. Habitual negative thoughts about the past and future and evening-type circadian rhythms influence the formation of depression, and poor time interval estimation and slow passage of time may result from depression. Further study is needed accurately exploring psychological time and influencing factors in patients with depression, and prospective cohort studies could further clarify this complex relationship. In addition, the study of psychological time has important implications for developing effective interventions to reduce depression.
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