Associations between objective sleep duration, sleep duration variability, and sleep onset with emotion regulation and internalizing symptoms in adolescents: findings from the ABCD® study.
Investigation of cross-sectional associations between objective sleep features (sleep duration, duration variability, and onset time) and mental health outcomes in 1371 U.S. adolescents found objective sleep features were differentially associated with mental health outcomes.
Abstract
Poor sleep and mental health are closely linked in adolescence, yet most studies rely on self-reported sleep. We investigated cross-sectional associations between objective sleep features (sleep duration, duration variability, and onset time) and mental health outcomes in 1371 U.S. adolescents from the Adolescent Brain Cognitive Development℠ Study (ABCD®) [year 4 follow-up; mean age 14.09 ± 0.69, 51.86% female], controlling for age, sex, race/ethnicity, and parental education. Mental health outcomes were internalizing symptoms (emotional distress directed inward) and emotion regulation, including cognitive reappraisal (reframing emotional situations) and expressive suppression (inhibiting outward expression). Sleeping ≤7.05 h (β = 0.06 [95% CI: 0.00-0.11], p = 0.036), higher sleep duration variability (β = 0.09 [0.03-0.14], p = 0.001), with stronger effects in females (interaction: β = -0.12 [-0.22 to -0.02], p = 0.020), and later sleep onset times (β = 0.06 [0.01-0.11], p = 0.030) were all associated with greater internalizing symptoms. Sleep was not linked to reappraisal (all p > 0.05). Higher variability was associated with greater suppression (β = 0.09 [0.03-0.14], p = 0.001). Conclusively, objective sleep features were differentially associated with mental health outcomes.
Background and Objective: Sleep problems are common in school-aged children and may have negative impacts on their health. This study aimed to determine the sleep disorder patterns in school-aged children and evaluate their associ- ation with maternal anxiety, stress, and depression.
Materials and Methods: This cross-sectional study was conducted between October 2018 and September 2019 and included children aged 7-12 years using convenience sampling. The Persian version of the BEARS questionnaire, which incorporates five basic sleep domains (Bedtime problems, Excessive sleepiness, Awakenings during the night, Regulari- ty of sleep, Snoring), was used to assess sleep disorders. Maternal anxiety, stress, and depression were measured using the short form of the Depression, Anxiety, and Stress Scale (DASS), a caregiver self-report tool. Multivariable logistic regression was applied to assess the association between child sleep problems and maternal mental health.
Results: In the 99 children included, the most common sleep problem was nocturnal awakening, with 48.5% experienc- ing it. Excessive daytime sleepiness was the second most common problem, affecting 38.4% of children. In the multi- variable-adjusted model, awaking during the night [odds ratio (OR): 3.16, 95% confidence interval (CI): 1.27-7.82] and bedtime problems (OR: 4.20, 95% CI: 1.16-15.20) showed a positive association with moderate to severe levels of maternal anxiety, stress, and depression.
Conclusion: The prevalence of sleep problems among school-aged children underscores the need for family awareness and education about sleep problems.
Asghar Ghorbani, A. Najafi, A. Behkar et al.· Journal of sleep sciences· 0 citations
While sleep fragmentation was associated with depressive symptoms, insomnia symptoms appear to be a key factor in assessing insomnia in depression and vice versa and addressing these conditions, may be useful for reducing symptom burden.
J. Theorell-Haglöw, G. Wittert, Robert Adams et al.· Journal of Sleep Research· 0 citations
Physical activity did not show significant associations with psychological symptoms or sleep quality, and higher depression and stress scores predicted poorer sleep quality.
In this online convenience sample of adults aged ≥50 years, sleep quality, anxiety symptoms, and total physical activity showed consistent cross-sectional associations and require confirmation in representative longitudinal studies.
Hammad S. Alhasan, M. Alshehri· Journal of Clinical Medicine· 0 citations
Targeting insomnia may yield the greatest improvements in sleep quality in this population of community-dwelling older adults in Jordan and is driven primarily by insomnia severity rather than demographic or health factors.