Bilateral associations between sleep duration and depressive symptoms among Chinese adolescents before and during the COVID-19 pandemic

Liao, Shiping; Luo, Benyan; Liu, Hanmin; Zhao, Li; Shi, Wei; Lei, Yalin; Jia, Peng

doi:10.1016/j.sleep.2021.06.007

Cited by 26 publications

(19 citation statements)

References 44 publications

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“…Paradoxically, this might result in shortened sleep durations (i.e., shorter total sleep time) although the participants would have been more flexible to attune their sleep schedules to their individual needs during COVID-19. A shortening of sleep duration has also been reported in studies with 11–16- and 6–17-year-old Chinese children and adolescents as well as in an Italian sample 37 , 53 , 54 . However, several studies also observed an increase in sleep durations during the pandemic 36 , 37 – 40 .…”

Section: Discussionsupporting

confidence: 57%

Self-reported changes in sleep patterns and behavior in children and adolescents during COVID-19

Bothe

Schabus

Eigl

et al. 2022

Sci Rep

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The COVID-19 pandemic and lockdowns worldwide forced children and adolescents to change and adapt their lives to an unprecedented situation. Using an online survey, we investigated whether they showed changes in sleep quality and other related factors due to this event. Between February 21st, 2021 and April 19th, 2021, a total of 2,290 Austrian children and adolescents (6–18 years) reported their sleep habits and quality of sleep as well as physical activity, daylight exposure and usage of media devices during and, retrospectively, before the pandemic. Results showed an overall delay of sleep and wake times. Almost twice as many respondents reported having sleeping problems during the pandemic as compared to before, with insomnia, nightmares and daytime sleepiness being the most prevalent problems. Furthermore, sleeping problems and poor quality of sleep correlated positively with COVID-19 related anxiety. Lastly, results showed a change from regular to irregular bedtimes during COVID-19, higher napping rates, a strong to very strong decrease in physical activity and daylight exposure, as well as a high to very high increase in media consumption. We conclude that the increase in sleeping problems in children and adolescent during COVID-19 is concerning. Thus, health promoting measures and programs should be implemented and enforced.

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Section: Discussionsupporting

confidence: 57%

Self-reported changes in sleep patterns and behavior in children and adolescents during COVID-19

Bothe

Schabus

Eigl

et al. 2022

Sci Rep

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“…Other measurement scales were used to measure sleep quality such as Generac Health‐related Quality of Life Questionnaire for Children (Kid‐KNIDL) (Adıbelli & Sümen., Adıbelli & Sümen, 2020 ), Epworth Sleepiness Scale (ESS) (Dutta et al, 2022 ; Genta et al, 2021 ; Silva et al, 2022 ), Horne‐Osteberg Morningness‐Eveningness Questionnaire (MEQ) (Genta et al, 2021 ), Patient Health Questionnaire (PHQ‐9) (Zhou et al, 2020 ), Generalised Anxiety Disorder (GAD‐7) (Lu et al, 2020 ; Zhou et al, 2020 ), Screening for Sleep Disorders in Childhood (Lavigne‐Cerván et al, 2021 ), Center of Epidemiological Studies Depression Scale for Children (CES‐DC) (Liao et al, 2021 ), Youth Self‐Rating Insomnia Scales (YSIS) (Lu et al, 2020 ), and five studies used questionnaires developed by the authors (Dutta et al, 2022 ; Kaditis et al, 2021 ; Lim et al, 2021 ; Ranjbar et al, 2021 ; Uccella et al, 2021 ). In fact, adolescents benefited more from social isolation during the pandemic than children in relation to sleep because they had longer sleep duration, but this phenomenon did not predominate in sleep quality and the prevalence of sleep disorders versus prior periods (Bruni et al, 2022 ).…”

Section: Resultsmentioning

confidence: 99%

Effects of the COVID‐19 pandemic on sleep quality in children and adolescents: A systematic review and meta‐analysis

Richter

Ferraz‐Rodrigues

Schilling

et al. 2022

Journal of Sleep Research

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Summary We synthesise the literature on the potential influence of the COVID‐19 pandemic on sleep quality in children and adolescents. The search identified studies that examined the relationship between sleep quality and disorders during the COVID‐19 pandemic. It began in May 2021 and has had two updates with the last in January 2022. The databases used were LILACS, PubMed, and EMBASE. Random effects models were performed to explore heterogeneity between studies. Data were presented as continuous variables (mean value and standard deviation) to perform a meta‐analysis. Twenty‐nine studies from 16 countries were identified: Nine had children and eight had adolescents. The overall quality of the studies ranged from high (27.6%) to medium (65.5%) and low (6.9%). Eight studies were eligible for meta‐analysis. There was an increase in sleep duration during the pandemic when compared with the previous period 0.33 (95%CI −0.07; 0.60) ( p < 0.001) and late bedtime 0.78 (95%CI −0.33; 1.22) ( p < 0.001). A trend toward reduced sleep efficiency was also detected 0.54 (95%CI −0.75; −0.33) p = 0.20. Parents’ reports of increased use of screen media/electronic devices were associated with worse sleep quality. The results suggest an influence of the pandemic on sleep characteristics such as increased sleep duration, late bedtimes, and poor sleep quality. These alterations were related to changes in family routines during this period.

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“…Furthermore, sleep of the same duration can be more or less restorative depending upon mood state and level of stress. The adverse effects of "lockdown" on mood and sleep were emphasized in numerous recent publications [29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44]. It an not be excluded that stressful situations caused by "lockdown" resulted in a longer but less restorative sleep.…”

Section: Discussionmentioning

confidence: 99%

Sleep during “lockdown” highlighted the need to rethink the concept of weekend catch-up sleep

Putilov

2021

Sleep Breath

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Bilateral associations between sleep duration and depressive symptoms among Chinese adolescents before and during the COVID-19 pandemic

Cited by 26 publications

References 44 publications

Self-reported changes in sleep patterns and behavior in children and adolescents during COVID-19

Self-reported changes in sleep patterns and behavior in children and adolescents during COVID-19

Effects of the COVID‐19 pandemic on sleep quality in children and adolescents: A systematic review and meta‐analysis

Sleep during “lockdown” highlighted the need to rethink the concept of weekend catch-up sleep

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