Sleep chronotype of middle school students in Shenzhen and its association with mental health

CHEN Dingyan; ZHOU Li; HUANG Yuanyuan; WU Yu; WANG Yun; WAN Yuhui; LI Xiaoheng

doi:10.16835/j.cnki.1000-9817.2024374

Volume 45 Issue 12

Dec. 2024

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2024 > 45(12): 1743-1746

CHEN Dingyan, ZHOU Li, HUANG Yuanyuan, WU Yu, WANG Yun, WAN Yuhui, LI Xiaoheng. Sleep chronotype of middle school students in Shenzhen and its association with mental health[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(12): 1743-1746. doi: 10.16835/j.cnki.1000-9817.2024374

Citation:

CHEN Dingyan, ZHOU Li, HUANG Yuanyuan, WU Yu, WANG Yun, WAN Yuhui, LI Xiaoheng. Sleep chronotype of middle school students in Shenzhen and its association with mental health[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(12): 1743-1746. doi: 10.16835/j.cnki.1000-9817.2024374

Citation:

CHEN Dingyan, ZHOU Li, HUANG Yuanyuan, WU Yu, WANG Yun, WAN Yuhui, LI Xiaoheng. Sleep chronotype of middle school students in Shenzhen and its association with mental health[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(12): 1743-1746. doi: 10.16835/j.cnki.1000-9817.2024374

PDF( 915 KB)

Sleep chronotype of middle school students in Shenzhen and its association with mental health

doi: 10.16835/j.cnki.1000-9817.2024374

1.
Shenzhen Center for Disease Control and Prevention, Shenzhen(518055), Guangdong Province, China

Received Date: 2024-07-09
Rev Recd Date: 2024-10-06

Available Online: 2025-01-07

Publish Date: 2024-12-25

Abstract

Abstract

Objective To investigate the sleep chronotype of middle school students in Shenzhen and its correlation with mental health status, so as to provide a reference for early prevention of psychological problems among middle school students. Methods In October 2021, a stratified cluster sampling and convenience sampling method was used to select 4 029 students from 3 junior high schools and 3 high schools in Shenzhen as the study subjects. Sleep chronotypes and mental health status were investigated by Morningness/Eveningness Questionnaire 5 (MEQ-5) and Brief Instrument on Psychological Health of Youths, and the correlation between the two was examined using Spearman correlation and partial correlation. Results Among the middle school students, the majority 66.79% (2 811 students) had an intermediate sleep chronotype. The proportions of moderate morning types, moderate evening types, definite evening types, and definite morning types were 14.97% (630 students), 14.49% (610 students), 2.40% (101 students), and 1.35% (57 students), respectively. The detection rates of mental health issues among students with definite evening, moderate evening, intermediate, moderate morning, and definite morning sleep chronotypes were 43.56%, 28.36%, 12.63%, 7.14%, and 22.81%, respectively, with statistically significant differences (χ²=196.00, P<0.01). The results of partial correlation analysis indicated a negative correlation between students' sleep chronotype scores and the number of mental health symptoms (r=-0.21, P<0.01). Conclusions The majority of middle school students in Shenzhen report intermediate sleep chronotype, but those with evening chronotypes have the highest proportion of mental health issues. It is suggested that intervention measures of improving students' sleep chronotypes may help reduce the risk of mental health problems.
- Sleep,
- Mental health,
- Questionnaires,
- Students

FullText(HTML)

References(20)

References

[1]	ZHANG J, PAKSARIAN D, LAMERS F, et al. Sleep patterns and mental health correlates in US adolescents[J]. J Pediatr, 2017, 182: 137-143. doi: 10.1016/j.jpeds.2016.11.007
[2]	Lancet Diabetes Endocrinology. Sleep: a neglected public health issue[J]. Lancet Diabetes Endocrinol, 2024, 12(6): 365. doi: 10.1016/S2213-8587(24)00132-3
[3]	李婷婷, 陶芳标, 伍晓艳. 青少年睡眠时型与抑郁症状相关性的系统评价[J]. 中国循证医学杂志, 2022, 22(11): 1319-1324. LI T T, TAO F B, WU X Y. Association between adolescent chronotype and depressive symptoms: a Meta-analysis[J]. Chin J Evid Based Med, 2022, 22(11): 1319-1324. (in Chinese)
[4]	永忠甜, 王凯, 刘瑾, 等. 太原市中学生睡眠时型与心理健康问题的关联[J]. 中国学校卫生, 2023, 44(7): 1034-1037, 1043. doi: 10.16835/j.cnki.1000-9817.2023.07.017 YONG Z T, WANG K, LIU J, et al. Relationship between chronotype and mental health problems among middle school students in Taiyuan[J]. Chin J Sch Health, 2023, 44(7): 1034-1037, 1043. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.07.017
[5]	QU Y, LI T, XIE Y, et al. Association of chronotype, social jetlag, sleep duration and depressive symptoms in Chinese college students[J]. J Affect Disord, 2023, 320: 735-741. doi: 10.1016/j.jad.2022.10.014
[6]	ZHOU J, HSIAO F C, SHI X, et al. Chronotype and depressive symptoms: a moderated mediation model of sleep quality and resilience in the 1st-year college students[J]. J Clin Psychol, 2021, 77(1): 340-355. doi: 10.1002/jclp.23037
[7]	LI T, XIE Y, TAO S, et al. Chronotype, sleep, and depressive symptoms among Chinese college students: a cross-sectional study[J]. Front Neurol, 2020(11): 592825. http://www.socolar.com/Article/Index?aid=100085637931&jid=100000009585
[8]	VULSER H, LEMAITRE H S, GULDNER S, et al. Chronotype, longitudinal volumetric brain variations throughout adolescence, and depressive symptom development[J]. J Am Acad Child Adolesc Psychiatry, 2023, 62(1): 48-58. doi: 10.1016/j.jaac.2022.06.003
[9]	吕秋玥, 汤万杰, 王强, 等. 大学生昼夜节律类型与抑郁情绪相关性的纵向研究[J]. 重庆医科大学学报, 2021, 46(10): 1163-1169. LÜ Q Y, TANG W J, WANG Q, et al. A longitudinal study on the correlation between circadian rhythm and depression in college students[J]. J Chongqing Med Univ, 2021, 46(10): 1163-1169. (in Chinese)
[10]	石绪亮, 范方, 曾彦莹, 等. 青少年清晨型-夜晚型偏好与抑郁症状的关系: 一个链式中介模型[J]. 中国临床心理学杂志, 2019, 27(6): 1242-1245. SHI X L, FAN F, ZENG Y Y, et al. Associations between morningness-eveningness preference and depressive symptoms: a chain mediating model[J]. Chin J Clin Psychol, 2019, 27(6): 1242-1245. (in Chinese)
[11]	CHIU W H, YANG H J, KUO P H. Chronotype preference matters for depression in youth[J]. Chronobiol Int, 2017, 34(7): 933-941. doi: 10.1080/07420528.2017.1327441
[12]	李伟霞, 穆叶色·艾则孜, 谢植涛, 等. 清晨型与夜晚型量表-5项测评技工学校学生的效度和信度[J]. 中国心理卫生杂志, 2016, 30(6): 406-412. LI W X, MUYESE A, XIE Z T, et al. Validity and reliability of the Chinese version of Morningness/Eveningness Questionnaire-5 items (MEQ-5) in students of technical schools[J]. Chin Ment Health J, 2016, 30(6): 406-412. (in Chinese)
[13]	陶舒曼, 万宇辉, 伍晓艳, 等. 《青少年心理健康评定简明问卷》的心理学评价及应用[J]. 中国学校卫生, 2020, 41(9): 1331-1334, 1338. doi: 10.16835/j.cnki.1000-9817.2020.09.014 TAO S M, WAN Y H, WU X Y, et al. Evaluation and application of Brief Instrument on Psychological Health of Youths[J]. Chin J Sch Health, 2020, 41(9): 1331-1334, 1338. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2020.09.014
[14]	丛皓, 郭菲, 陈祉妍. 青少年昼夜偏好类型及其与睡眠质量关系[J]. 中国公共卫生, 2019, 35(10): 1400-1403. CONG H, GUO F, CHEN Z Y. Relationship between morningness-eveningness and sleep quality among Chinese adolescents[J]. Chin J Public Health, 2019, 35(10): 1400-1403. (in Chinese)
[15]	RANDLER C, FASSL C, KALB N. From Lark to Owl: developmental changes in morningness-eveningness from new-borns to early adulthood[J]. Sci Rep, 2017(7): 45874. http://www.onacademic.com/detail/journal_1000039873503910_c073.html
[16]	WATSON N F, BUCHWALD D, HARDEN K P. A twin study of genetic influences on diurnal preference and risk for alcohol use outcomes[J]. J Clin Sleep Med, 2013, 9(12): 1333-1339. http://jcsm.aasm.org/Articles/jcsm.9.12.1333.pdf
[17]	TAILLARD J, SAGASPE P, PHILIP P, et al. Sleep timing, chronotype and social jetlag: impact on cognitive abilities and psychiatric disorders[J]. Biochem Pharmacol, 2021, 191: 114438. http://www.sciencedirect.com/science/article/pii/S0006295221000344
[18]	ROENNEBERG T. How can social jetlag affect health?[J] Nat Rev Endocrinol, 2023, 19(7): 383-384. doi: 10.1038/s41574-023-00851-2
[19]	CALIANDRO R, STRENG A A, VAN KERKHOF L W M, et al. Social jetlag and related risks for human health: a timely review[J]. Nutrients, 2021, 13(12): 4543. http://www.socolar.com/Article/Index?aid=200319338539&jid=200000065380
[20]	HENDERSON S E M, BRADY E M, ROBERTSON N. Associations between social jetlag and mental health in young people: a systematic review[J]. Chronobiol Int, 2019, 36(10): 1316-1333. http://pubmed.ncbi.nlm.nih.gov/31387413/