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

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  • Additional Information
    • Source:
      Publisher: Elsevier Science Country of Publication: Netherlands NLM ID: 100898759 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-5506 (Electronic) Linking ISSN: 13899457 NLM ISO Abbreviation: Sleep Med Subsets: MEDLINE
    • Publication Information:
      Original Publication: Amsterdam ; New York : Elsevier Science, c2000-
    • Subject Terms:
      COVID-19* ; Mental Disorders*; Adolescent ; China/epidemiology ; Cross-Sectional Studies ; Depression/epidemiology ; Humans ; Longitudinal Studies ; Pandemics ; SARS-CoV-2 ; Sleep
    • Abstract:
      Depression is one of the most prevalent psychiatric disorders and the leading cause of disability among adolescents, with sleep duration as its vital influential factor. Adolescents might be mentally sensitive to the stress caused by the COVID-19 pandemic. Yet, the alteration of adolescents' sleep duration, depression, and their associations within the context of the COVID-19 pandemic have not been well documented. We conducted a longitudinal study, recruiting 2496 adolescents from 3 junior high schools to examine the alteration of their sleep duration and depressive symptoms before and during the pandemic, and to explore their potential association(s). Data were collected before (December 2019) and during the pandemic (July 2020). Paired samples t-test revealed a significant decrease in sleep duration and a significant increase in depressive symptoms during the COVID-19 pandemic. Higher grades, COVID-19 infection history, higher CES-DC score, and the COVID-19 pandemic itself might contribute to decreased sleep duration, while longer exercise duration during the pandemic might be a protective factor. According to the cross-lagged analysis, the existence of depressive symptoms before the pandemic was significantly associated with a shorter sleep duration during the pandemic (β = -0.106, p < 0.001). Previously shortened sleep duration was significantly associated with a greater likelihood of depressive symptoms during the pandemic (β = -0.082, p < 0.001). Our findings revealed that the COVID-19 pandemic has a negative influence on adolescents' mental health and sleep. Mental preparedness should be highlighted to mitigate the psychosocial influences of any possible public emergencies in the future. Sleep duration represents a viable home-based intervention for depressive symptoms.
      (Copyright © 2021 Elsevier B.V. All rights reserved.)
    • References:
      Asia Pac Psychiatry. 2021 Jun;13(2):e12406. (PMID: 32783389)
      Nat Clin Pract Oncol. 2008 Aug;5(8):466-75. (PMID: 18493231)
      J Psychiatr Res. 2020 Jul;126:134-140. (PMID: 31439359)
      Depress Anxiety. 2015 Sep;32(9):664-70. (PMID: 26047492)
      Lancet. 2012 Mar 17;379(9820):1056-67. (PMID: 22305766)
      Lancet Planet Health. 2019 Feb;3(2):e57-e59. (PMID: 30797406)
      Can J Psychiatry. 2020 Oct;65(10):688-691. (PMID: 32567353)
      Sleep Med. 2020 Oct;74:39-47. (PMID: 32836185)
      Prog Cardiovasc Dis. 2020 Jul-Aug;63(4):531-532. (PMID: 32360513)
      Disabil Health J. 2021 Apr;14(2):101021. (PMID: 33221246)
      Stroke. 2012 Jan;43(1):32-7. (PMID: 22020036)
      Front Psychiatry. 2020 Dec 03;11:570164. (PMID: 33343415)
      J Youth Adolesc. 2021 Jan;50(1):44-57. (PMID: 33108542)
      Front Pediatr. 2021 Jun 08;9:622608. (PMID: 34169046)
      J Am Acad Child Adolesc Psychiatry. 2019 Jan;58(1):72-79. (PMID: 30577941)
      Curr Neuropharmacol. 2015;13(4):480. (PMID: 26412067)
      Psychiatry Res. 2020 Sep;291:113264. (PMID: 32622172)
      J Affect Disord. 2019 Feb 15;245:757-763. (PMID: 30448760)
      Sleep Med. 2020 Dec;76:33-35. (PMID: 33070000)
      Psychosom Med. 2011 Apr;73(3):257-64. (PMID: 21257975)
      Sleep Health. 2015 Dec;1(4):233-243. (PMID: 29073398)
      Dev Psychol. 2021 Oct;57(10):1582-1596. (PMID: 34807682)
      Int J Geriatr Psychiatry. 2013 May;28(5):441-9. (PMID: 22815126)
      Front Pediatr. 2020 Sep 11;8:573. (PMID: 33042917)
      Global Health. 2020 Jul 28;16(1):69. (PMID: 32723373)
      Depress Anxiety. 2018 Aug;35(8):700-716. (PMID: 29878410)
      Lancet. 2016 Apr 16;387(10028):1672-85. (PMID: 26454360)
      J Adv Nurs. 2010 Nov;66(11):2582-91. (PMID: 20825514)
      Sleep Med Rev. 2020 Aug;52:101311. (PMID: 32240932)
      J Child Psychol Psychiatry. 2020 Jul;61(7):757-759. (PMID: 32474941)
      Eur Child Adolesc Psychiatry. 2020 Jun;29(6):749-758. (PMID: 32363492)
      Pharmacol Rev. 2016 Oct;68(4):1074-1109. (PMID: 27677720)
      Sleep Med. 2018 Dec;52:221-229. (PMID: 29861378)
      Sleep Med. 2015 Jun;16(6):760-7. (PMID: 25953297)
      J Affect Disord. 2020 Feb 15;263:267-273. (PMID: 31818788)
      Lancet. 2020 Mar 14;395(10227):912-920. (PMID: 32112714)
      Br J Psychiatry. 2013 Jan;202(1):22-7. (PMID: 23284149)
      Int J Health Policy Manag. 2021 Mar 16;:. (PMID: 33904698)
      J Hypertens. 2012 May;30(5):842-51. (PMID: 22343537)
      J Affect Disord. 2019 Aug 1;255:77-89. (PMID: 31203106)
    • Contributed Indexing:
      Keywords: Depression; Longitudinal associations; Repeated measures; Sleep; Teenagers
    • Publication Date:
      Date Created: 20210702 Date Completed: 20210812 Latest Revision: 20221221
    • Publication Date:
      20240628
    • Accession Number:
      PMC9760405
    • Accession Number:
      10.1016/j.sleep.2021.06.007
    • Accession Number:
      34214961