The associations between sleep situations and mental health among Chinese adolescents: A longitudinal study

Wang, Wanxin; Du, Xueying; Guo, Yangfeng; Li, Wenyan; Teopiz, Kayla M.; Shi, Juan; Guo, Lan; Lu, Ciyong; McIntyre, Roger S.

doi:10.1016/j.sleep.2021.03.009

Cited by 32 publications

(18 citation statements)

References 41 publications

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“…Fortunately, previous longitudinal studies have found bidirectional relationships between PMPU and sleep quality [38]; that is, sleep quality predicted PMPU and vice versa. In addition, longitudinal studies show that insufficient sleep and suboptimal sleep quality can predict subsequent depressive symptoms [46,47]. However, these studies also have certain limitations in that they focused on the longitudinal relationship between the two, rather than explored the relationship among the three.…”

Section: Sleep Qualitymentioning

confidence: 99%

Longitudinal relationships among problematic mobile phone use, bedtime procrastination, sleep quality and depressive symptoms in Chinese college students: a cross-lagged panel analysis

Cui

Yin

et al. 2021

BMC Psychiatry

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Background Cross-sectional and longitudinal studies have found that problematic mobile phone use, bedtime procrastination, sleep quality, and depressive symptoms are strongly associated. However, studies are inconsistent regarding whether problematic mobile phone use predicts depressive symptoms or vice versa, and sleep factors have been infrequently focused on in this regard. In addition, few studies have examined the longitudinal associations and directions of effects between these factors. Therefore, this study aims to explore the longitudinal relationship among problematic mobile phone use, bedtime procrastination, sleep quality, and depressive symptoms in college students. Methods Overall, 1181 college students completed questionnaires on problematic mobile phone use, bedtime procrastination, sleep quality, and depressive symptoms at two time points 12 months apart. A cross-lagged model was used to examine the longitudinal relationship between these factors. Results Cross-lagged analyses showed significant bidirectional relationships of problematic mobile phone use with bedtime procrastination and depressive symptoms. Additionally, there were also significant bidirectional relationships of sleep quality with bedtime procrastination and depressive symptoms. Problematic mobile phone use predicted subsequent sleep quality one-way, and bedtime procrastination predicted subsequent depressive symptoms one-way. Conclusions This study further expands our understanding of the longitudinal and bidirectional relationships among problematic mobile phone use, bedtime procrastination, sleep quality and depressive symptoms and helps school mental health educators design targeted interventions to reduce problematic mobile phone use, sleep problems, and depressive symptoms among college students.

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Section: Sleep Qualitymentioning

confidence: 99%

Longitudinal relationships among problematic mobile phone use, bedtime procrastination, sleep quality and depressive symptoms in Chinese college students: a cross-lagged panel analysis

Cui

Yin

et al. 2021

BMC Psychiatry

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“…Taken together, PSU could play a mediating role between sleep quality and eating disorders. Similarly, psychological distress including anxiety and depression has also been reported to be associated with sleep disorders (28)(29)(30)(31) and EDs (12,(32)(33)(34)(35)(36)(37) independently. And, the proposed mediating roles of anxiety/depression between sleep disorders and ED symptomology have been repeatedly shown in previous studies involving different samples (e.g., Inpatient, children, college women, and community adults) (9,15,36,37).…”

Section: Introductionmentioning

confidence: 98%

The Role of Problematic Smartphone Uses and Psychological Distress in the Relationship Between Sleep Quality and Disordered Eating Behaviors Among Chinese College Students

Guo

Rong

et al. 2021

Front. Psychiatry

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Background: Sleep problems and eating disorders (EDs) are both serious public health concerns often seen in young adults. Yet, the underlying mechanisms for such associations are largely unknown. This study aims to examine potential serial multiple mediation effects of problematic smartphone use (PSU) and psychological distress (i.e., depressive and anxiety symptoms) in the relationship between sleep quality and disordered eating behaviors/attitudes (DEBs).Methods: A total of 4,325 students from two Tibet universities in China (2,657 females and 1,668 males) completed an online survey that included the following measurements: Eating Attitude Test-26 for disordered eating behaviors/attitudes, the Chinese Version of Pittsburgh Sleep Quality Index (CPSQI), Smartphone Addiction Scale—Short Version (SAS-SV) for problematic smartphone use, Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) for psychological distress.Results: While the direct path linking sleep quality and DEBs was not found to be significant (Standardized β = 0.006, 95% CI = −0.0667~0.0970), both PSU (Standardized β = 0.016, 95% CI = 0.0256~0.0591) and anxiety symptoms (Standardized β = 0.014, 95% CI = 0.0203~0.0526) may mediate a link between sleep quality and DEBs; serial multiple mediation analysis revealed that a serial indirect pathway of “sleep quality -> PSU -> anxiety symptoms -> DEBs” existed(Standardized β = 0.001, 95% CI = 0.0002~0.0012). Similarly, while the direct path linking sleep quality and DEBs was not found to be significant (Standardized β = 0.006, 95% CI = −0.0667~0.0970), both PSU (Standardized β = 0.020, 95% CI = 0.0337~0.0692) and depressive symptoms (Standardized β = 0.015, 95% CI = 0.0139~0.0652) may mediate a link between sleep quality and DEBs; serial multiple mediation analysis revealed that a serial indirect pathway of “sleep quality -> PSU -> depressive symptoms -> DEBs” existed (Standardized β = 0.001, 95% CI = 0.0006~0.0038).Conclusions: Psychological and behavioral factors may comprehensively work together, leading to flow-on effects from sleep problems to disordered eating behaviors among university students. Appropriate interventions that target problematic smartphone use could thus potentially reduce anxiety and depression levels, which in turn will provide a buffer against the negative impact of poor sleep quality on eating disorder symptoms.

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“…An earlier study also found that symptoms of short sleep duration, daytime sleepiness and sleep disturbances are independently related to anxiety while the use of sleep medication is independently associated to depression in a random sample of 2393 individuals aged 65 years or older 33 . Another longitudinal study found that short sleep duration, especially on weekdays, was signi cantly associated with subsequent depressive (OR = 0.86, 95%CI: 0.80-0.92) 34 . Besides, shorter sleep duration has been found to be associated with a greater rate of ventricular enlargement, which similarly re ects loss of brain volume 35 .…”

Section: Discussionmentioning

confidence: 99%

The Mediation Role of Sleep Quality in the Relationship Between Cognitive Decline and Depression

Xia

Qin

et al. 2021

Preprint

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ObjectivesAssociations between cognitive decline and depression have been inconclusive. We examined 1) whether sleep quality mediates these relationships and 2) which factor of sleeping quality mediates these relationships.MethodsThis study utilized baseline data from the 2018 West China Health and Aging Trend study (WCHAT), a large cohort data-set that including participants aged over 50 years old. We defined depression using the 15-item Geriatric Depression Scale (GDS-15). Cognitive status was measured using the Short Portable Mental Status Questionnaire (SPMSQ) and sleeping quality was assessed using the Pittsburgh sleep quality index (PSQI). Direct relationships between cognitive decline, sleep quality and depression were assessed using multiple linear regression. Mediation models and structural equation model (SEM) pathway analysis were used to test the mediating role of specific aspects of sleep (e.g., quality, duration) in the relationship between cognitive decline and depression.ResultsOf 6828 participants aged 50 years old or older, the proportion of depression was 17.4%. Regression analysis indicated a direct association between cognitive scores (β= 0.251, 95% CI 0.211 to 0.29, p < 0.001) and depression status. After adjusted PSQI scores, the association between cognitive scores and depression status was still significant (β= 0.242, 95% CI 0.203 to 0.281, p < 0.001), indicating a partial mediation effect of sleeping quality. Mediation analysis verified sleep quality partially mediate the associations between cognitive decline and depression (indirect effect estimate = 0.0308, bootstrap 95% CI 0.0231 to 0.04; direct effect estimate = 0.3124, bootstrap 95% CI 0.2692 to 0.35). And daytime dysfunction had a highest mediation effect with a proportion of mediation up to 14.56%. Conclusions Sleep quality partially mediated the relationship between cognitive decline and depression. Daytime dysfunction had a highest mediation effect. Further research is necessary to examine the effects of sleep quality on the relationship of cognitive decline and depression.

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The associations between sleep situations and mental health among Chinese adolescents: A longitudinal study

Cited by 32 publications

References 41 publications

Longitudinal relationships among problematic mobile phone use, bedtime procrastination, sleep quality and depressive symptoms in Chinese college students: a cross-lagged panel analysis

Longitudinal relationships among problematic mobile phone use, bedtime procrastination, sleep quality and depressive symptoms in Chinese college students: a cross-lagged panel analysis

The Role of Problematic Smartphone Uses and Psychological Distress in the Relationship Between Sleep Quality and Disordered Eating Behaviors Among Chinese College Students

The Mediation Role of Sleep Quality in the Relationship Between Cognitive Decline and Depression

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