Associations of evening-type and insomnia symptoms with depressive symptoms among youths
Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved..
BACKGROUND: Evening-type and insomnia symptoms are significantly related to each other and independently associated with depressive symptoms, yet few studies have examined the potential interaction between these two conditions. Therefore, we aimed to examine the associations of evening-type and insomnia symptoms with depressive symptoms among Chinese youths, with a specific focus on the joint effects of the two conditions on depressive symptoms.
METHODS: Participants aged between 12 and 25 were invited to participate in an online survey from December 15, 2022, to May 26, 2023. Multivariate logistic regression models and additive interaction models were used to examine the independent and joint effects of chronotypes and insomnia symptoms on depressive symptoms, respectively.
RESULTS: Of the 6145 eligible youths, the prevalence of evening-type and insomnia symptoms were 24.9 % and 29.6 %, respectively. Both evening-type (adjusted OR, [AdjOR]: 3.21, 95 % CI: 2.80-3.67) and insomnia symptoms (AdjOR: 10.53, 95 % CI: 9.14-12.12) were associated with an increased risk of depressive symptoms. In addition, the additive interaction models showed that there is an enhanced risk of depression related to interaction between evening-type and insomnia symptoms (relative excess risk due to interaction, [RERI]: 11.66, 95 % CI: 7.21-16.11).
CONCLUSIONS: The present study provided additional evidence demonstrating the presence of interaction between evening-type and insomnia symptoms, which can lead to a higher risk of depressive symptoms. Our findings argue the need for addressing both sleep and circadian factors in the management of depressive symptoms in young people.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:118 |
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| Enthalten in: |
Sleep medicine - 118(2024) vom: 18. Mai, Seite 81-87 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Que, Jianyu [VerfasserIn] |
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| Links: |
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| Themen: |
Additive interaction |
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| Anmerkungen: |
Date Completed 02.05.2024 Date Revised 02.05.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.sleep.2024.04.009 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM371157587 |
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| 245 | 1 | 0 | |a Associations of evening-type and insomnia symptoms with depressive symptoms among youths |
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| 500 | |a published: Print-Electronic | ||
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| 520 | |a Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved. | ||
| 520 | |a BACKGROUND: Evening-type and insomnia symptoms are significantly related to each other and independently associated with depressive symptoms, yet few studies have examined the potential interaction between these two conditions. Therefore, we aimed to examine the associations of evening-type and insomnia symptoms with depressive symptoms among Chinese youths, with a specific focus on the joint effects of the two conditions on depressive symptoms | ||
| 520 | |a METHODS: Participants aged between 12 and 25 were invited to participate in an online survey from December 15, 2022, to May 26, 2023. Multivariate logistic regression models and additive interaction models were used to examine the independent and joint effects of chronotypes and insomnia symptoms on depressive symptoms, respectively | ||
| 520 | |a RESULTS: Of the 6145 eligible youths, the prevalence of evening-type and insomnia symptoms were 24.9 % and 29.6 %, respectively. Both evening-type (adjusted OR, [AdjOR]: 3.21, 95 % CI: 2.80-3.67) and insomnia symptoms (AdjOR: 10.53, 95 % CI: 9.14-12.12) were associated with an increased risk of depressive symptoms. In addition, the additive interaction models showed that there is an enhanced risk of depression related to interaction between evening-type and insomnia symptoms (relative excess risk due to interaction, [RERI]: 11.66, 95 % CI: 7.21-16.11) | ||
| 520 | |a CONCLUSIONS: The present study provided additional evidence demonstrating the presence of interaction between evening-type and insomnia symptoms, which can lead to a higher risk of depressive symptoms. Our findings argue the need for addressing both sleep and circadian factors in the management of depressive symptoms in young people | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a Additive interaction | |
| 650 | 4 | |a Chronotypes | |
| 650 | 4 | |a Depressive symptoms | |
| 650 | 4 | |a Insomnia symptoms | |
| 650 | 4 | |a Young people | |
| 700 | 1 | |a Chen, Sijing |e verfasserin |4 aut | |
| 700 | 1 | |a Chan, Ngan Yin |e verfasserin |4 aut | |
| 700 | 1 | |a Wu, Suying |e verfasserin |4 aut | |
| 700 | 1 | |a Zhang, Li |e verfasserin |4 aut | |
| 700 | 1 | |a Chen, Yaoyi |e verfasserin |4 aut | |
| 700 | 1 | |a Liu, Jingrou |e verfasserin |4 aut | |
| 700 | 1 | |a Chen, Mingxuan |e verfasserin |4 aut | |
| 700 | 1 | |a Chen, Lixia |e verfasserin |4 aut | |
| 700 | 1 | |a Li, Shirley Xin |e verfasserin |4 aut | |
| 700 | 1 | |a Lin, Duoduo |e verfasserin |4 aut | |
| 700 | 1 | |a Liu, Farong |e verfasserin |4 aut | |
| 700 | 1 | |a Wing, Yun Kwok |e verfasserin |4 aut | |
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