The Relationship Between Insufficient Sleep and Depressive Symptoms in Chinese Adolescents: A National Survey of Contributing Factors.

IF 3 2区医学 Q2 CLINICAL NEUROLOGY

Nature and Science of Sleep Pub Date : 2025-01-10 eCollection Date: 2025-01-01 DOI:10.2147/NSS.S491714

Chuming Yan, Wancheng Zheng, Yun Du, Yi Li, Mengshu Wang, Miao Qu

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Abstract

Purpose: There is a lack of national studies examining the relationship between insufficient sleep and depression among Chinese adolescents, and previous research has not comprehensively considered related factors. This study aimed to investigate the prevalence of depressive symptoms in adolescents with insufficient sleep and explore the role of associated factors using a nationally representative sample in China.

Patients and methods: A pen-and-paper survey was conducted among 24147 Chinese adolescents from November 2019 to January 2020. Data on depressive symptoms, maltreatment experiences, psychological resilience, demographic information, parent-child relationships, parental marital status, and sleep duration were collected.

Results: A total of 22231 valid questionnaires were analyzed. Among the respondents, 67.7% reported insufficient sleep, while 32.3% had sufficient sleep. The prevalence of depressive symptoms was 25.3% in adolescents with insufficient sleep, compared to 8.2% in those with sufficient sleep. Insufficient sleep was identified as an independent risk factor for depressive symptoms (OR = 3.058, 95% CI: 2.753-3.396, P < 0.001). In adolescents with sufficient sleep, being female, emotional abuse, physical abuse, sexual abuse, and physical neglect were significant risk factors for depressive symptoms (P < 0.05), while higher resilience scores and a good parent-child relationship were protective factors (P < 0.05). Among adolescents with insufficient sleep, additional risk factors included higher body mass index (BMI), older age, parental divorce, and living with a single parent (P < 0.05).

Conclusion: Insufficient sleep is significantly associated with depressive symptoms in Chinese adolescents. The adolescents with insufficient sleep, particularly those who are older, have a higher BMI, or come from divorced or single-parent households, require increased attention.

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中国青少年睡眠不足与抑郁症状的关系：一项影响因素的全国性调查

目的：中国青少年睡眠不足与抑郁关系的全国性研究缺乏，既往研究未全面考虑相关因素。本研究旨在调查睡眠不足青少年抑郁症状的患病率，并探讨相关因素在中国具有全国代表性的样本中的作用。患者和方法：2019年11月至2020年1月，对24147名中国青少年进行了纸笔调查。收集抑郁症状、虐待经历、心理弹性、人口统计信息、亲子关系、父母婚姻状况和睡眠时间等数据。结果：共分析有效问卷22231份。67.7%的受访者表示睡眠不足，32.3%的受访者表示睡眠充足。在睡眠不足的青少年中，抑郁症状的患病率为25.3%，而在睡眠充足的青少年中，这一比例为8.2%。睡眠不足被确定为抑郁症状的独立危险因素（OR = 3.058, 95% CI: 2.753-3.396, P < 0.001）。在睡眠充足的青少年中，女性、情绪虐待、身体虐待、性虐待和身体忽视是抑郁症状的显著危险因素（P < 0.05），而较高的心理弹性评分和良好的亲子关系是抑郁症状的保护因素（P < 0.05）。在睡眠不足的青少年中，额外的危险因素包括较高的身体质量指数（BMI）、年龄较大、父母离婚和单亲生活（P < 0.05）。结论：睡眠不足与中国青少年抑郁症状显著相关。睡眠不足的青少年，尤其是那些年龄较大、身体质量指数较高、来自离异或单亲家庭的青少年，需要更多的关注。

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来源期刊

Nature and Science of Sleep Neuroscience-Behavioral Neuroscience

CiteScore

5.70

自引率

5.90%

发文量

245

审稿时长

16 weeks

期刊介绍： Nature and Science of Sleep is an international, peer-reviewed, open access journal covering all aspects of sleep science and sleep medicine, including the neurophysiology and functions of sleep, the genetics of sleep, sleep and society, biological rhythms, dreaming, sleep disorders and therapy, and strategies to optimize healthy sleep. Specific topics covered in the journal include: The functions of sleep in humans and other animals Physiological and neurophysiological changes with sleep The genetics of sleep and sleep differences The neurotransmitters, receptors and pathways involved in controlling both sleep and wakefulness Behavioral and pharmacological interventions aimed at improving sleep, and improving wakefulness Sleep changes with development and with age Sleep and reproduction (e.g., changes across the menstrual cycle, with pregnancy and menopause) The science and nature of dreams Sleep disorders Impact of sleep and sleep disorders on health, daytime function and quality of life Sleep problems secondary to clinical disorders Interaction of society with sleep (e.g., consequences of shift work, occupational health, public health) The microbiome and sleep Chronotherapy Impact of circadian rhythms on sleep, physiology, cognition and health Mechanisms controlling circadian rhythms, centrally and peripherally Impact of circadian rhythm disruptions (including night shift work, jet lag and social jet lag) on sleep, physiology, cognition and health Behavioral and pharmacological interventions aimed at reducing adverse effects of circadian-related sleep disruption Assessment of technologies and biomarkers for measuring sleep and/or circadian rhythms Epigenetic markers of sleep or circadian disruption.