Follow-up study on sleep behavior, chronotype and emotional symptoms of college students in Anhui Province

ZHA Xiaoli; ZHU Zhuoyan; WU Xiaoyan; CHEN Dongdong; ZHANG Yan; TAO Shuman

doi:10.16835/j.cnki.1000-9817.2021.08.020

Volume 42 Issue 8

Aug. 2021

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2021 > 42(8): 1206-1211

ZHA Xiaoli, ZHU Zhuoyan, WU Xiaoyan, CHEN Dongdong, ZHANG Yan, TAO Shuman. Follow-up study on sleep behavior, chronotype and emotional symptoms of college students in Anhui Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(8): 1206-1211. doi: 10.16835/j.cnki.1000-9817.2021.08.020

Citation:

ZHA Xiaoli, ZHU Zhuoyan, WU Xiaoyan, CHEN Dongdong, ZHANG Yan, TAO Shuman. Follow-up study on sleep behavior, chronotype and emotional symptoms of college students in Anhui Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(8): 1206-1211. doi: 10.16835/j.cnki.1000-9817.2021.08.020

Citation:

ZHA Xiaoli, ZHU Zhuoyan, WU Xiaoyan, CHEN Dongdong, ZHANG Yan, TAO Shuman. Follow-up study on sleep behavior, chronotype and emotional symptoms of college students in Anhui Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(8): 1206-1211. doi: 10.16835/j.cnki.1000-9817.2021.08.020

PDF( 396 KB)

Follow-up study on sleep behavior, chronotype and emotional symptoms of college students in Anhui Province

doi: 10.16835/j.cnki.1000-9817.2021.08.020

1.
School of Health Service Management, Anhui Medical University, Hefei(230032), China

Received Date: 2021-03-05
Rev Recd Date: 2021-07-20

Available Online: 2021-08-20

Publish Date: 2021-08-25

Abstract

Abstract

Objective To explore the relationships between sleep behaviors, chronotype and emotional symptoms including depression and anxiety symptoms among college students. Methods Freshmen and sophomore from one university in Anhui Province were recruited through cluster sampling method. The baseline survey was conducted in November 2020, and the follow-up survey was conducted 2 months later. The Morning and Evening Questionnaire-5 (MEQ-5) was used to assess chronotype. The Insomnia severity Index (ISI) and Epworth Sleepiness Scale for Children and Adolescents (ESS-CHAD) were used to evaluate sleep behaviors. Depression Anxiety Stress Scale (DASS-21) was used to assess depression and anxiety symptoms, respectively. The detection rate of depression and anxiety among college students with different demographic characteristics, different sleep chronotypes and sleep behavior were compared, and the association between sleep behavior, chronotypes and depression and anxiety symptoms was analyzed. Results The detection rates of depressive and anxiety symptoms were higher in the college students with daytime sleepiness and insomnia(χ²=12.39, 22.68;40.14, 29.46, P<0.01). Logistic regression results showed that at the baseline daytime sleepiness and insomnia were positively associated with depression (OR=3.03, 5.23) and anxiety symptoms (OR=3.74, 4.24), respectively (P < 0.05), however, no association was found between chronotype and symptoms of depression and anxiety (P > 0.05). Follow-up survey results were consistent with baseline. Conclusion Daytime sleepiness and insomnia are risk factors for depression and anxiety symptoms among college students. It is suggested that keeping healthy sleep behaviors play an important role in mental health promotion among college students in the future.
- Sleep,
- Behavior,
- Emotions,
- Mental health,
- Regression analysis,
- Students

FullText(HTML)

References(36)

References

[1]	VANKIM N A, NELSON T F. Vigorous physical activity, mental health, perceived stress, and socializing among college students[J]. Am J Health Promot, 2013, 28(1): 7-15. doi: 10.4278/ajhp.111101-QUAN-395
[2]	ZIVIN K, EISENBERG D, GOLLUST S E. Persistence of mental health problems and needs in a college student population[J]. J Affect Disord, 2009, 117(3): 180-185. doi: 10.1016/j.jad.2009.01.001
[3]	BEITER R, NASH R, MCCRADY M, et al. The prevalence and correlates of depression, anxiety, and stress in a sample of college students[J]. J Affect Disord, 2015, 173: 90-96. doi: 10.1016/j.jad.2014.10.054
[4]	SAROKHANI D, DELPISHEH A, VEISANI Y, et al. Prevalence of depression among university students: a systematic review and meta-analysis study[J]. Depress Res Treat, 2013, 2013: 373857. http://www.ncbi.nlm.nih.gov/pubmed/24187615
[5]	REAVLEY N, JORM A F. Prevention and early intervention to improve mental health in higher education students[J]. Early Interv Psychiatry, 2010, 4(2): 132-142. doi: 10.1111/j.1751-7893.2010.00167.x
[6]	LEMMA S, GELAYE B, BERHANE Y, et al. Sleep quality and its psychological correlates among university students in Ethiopia: a cross-sectional study[J]. BMC Psychiatry, 2012, 12(1): 237. doi: 10.1186/1471-244X-12-237
[7]	ORZECH K M, SALAFSKY D B, HAMILTON L A. The state of sleep among college students at a large public university[J]. J Am Coll Health, 2011, 59(7): 612-619. doi: 10.1080/07448481.2010.520051
[8]	KENNEY S R, LABRIE J W, HUMMER J F, et al. Global sleep quality as a moderator of alcohol consumption and consequences in college students[J]. Addict Behav, 2012, 37(4): 507-512. doi: 10.1016/j.addbeh.2012.01.006
[9]	MARKARIAN S A, GILDNER D J, PICKETT S M, et al. Morningness-eveningness and social anxiety symptoms: the influence of depression symptoms on the indirect effect through punishment sensitivity and experiential avoidance[J]. Chronobiol Int, 2019, 36(2): 214-224. doi: 10.1080/07420528.2018.1529679
[10]	林延敏, 卢金逵. 山西省大学生睡眠与身体形态及活动量的关系[J]. 中国学校卫生, 2019, 40(6): 921-923. doi: 10.16835/j.cnki.1000-9817.2019.06.037 LIN Y M, LU J K. The relationship between sleep and body shape and activity level of college students in Shanxi Province[J]. Chin J Sch Health, 2019, 40(6): 921-923. doi: 10.16835/j.cnki.1000-9817.2019.06.037
[11]	LI L, WU C, GAN Y, et al. Insomnia and the risk of depression: a meta-analysis of prospective cohort studies[J]. BMC Psychiatry, 2016, 16(1): 375. doi: 10.1186/s12888-016-1075-3
[12]	REBECCA C C, BUNMI O O. A systematic review of sleep disturbance in anxiety and related disorders[J]. J Anxiety Disord, 2016, 37: 104-129. doi: 10.1016/j.janxdis.2015.12.001
[13]	CRAWFORD J R, HENRY J D. The Depression Anxiety Stress Scales (DASS): normative data and latent structure in a large non-clinical sample[J]. Br J Clin Psychol, 2003, 42(2): 111-131. doi: 10.1348/014466503321903544
[14]	JOHNS M W. A new method for measuring daytime sleepiness: the Epworth sleepiness scale[J]. Sleep, 1991, 14(6): 540-545. doi: 10.1093/sleep/14.6.540
[15]	MORIN C M, BELLEVILLE G, BLANGER L, et al. The Insomnia severity index: psychometric indicators to detect insomnia cases and evaluate treatment response[J]. Sleep, 2011, 34(5): 601-608. doi: 10.1093/sleep/34.5.601
[16]	ADAN A, ALMIRALL H. Horne & stberg morningness-eveningness questionnaire: a reduced scale[J]. Pers Individ Dif, 1991, 12(3): 241-253. doi: 10.1016/0191-8869(91)90110-W
[17]	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. doi: 10.3969/j.issn.1000-6729.2016.06.002 LI W X, MUYESE A Z Z, 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. doi: 10.3969/j.issn.1000-6729.2016.06.002
[18]	陈明, 耿庆山, 陈瑞华, 等. 广州某医学院校学生心理健康状况调查[J]. 广东医学, 2016, 37(20): 3113-3115. doi: 10.3969/j.issn.1001-9448.2016.20.038 CHEN M, GENG Q S, CHEN R H, et al. Investigation on the mental health of students in a medical college in Guangzhou[J]. Guangdong Med J, 2016, 37(20): 3113-3115. doi: 10.3969/j.issn.1001-9448.2016.20.038
[19]	AL-KHANI A M, SARHANDI M I, ZAGHLOU M S, et al. A cross-sectional survey on sleep quality, mental health, and academic performance among medical students in Saudi Arabia[J]. BMC Res Notes, 2019, 12(1): 665. doi: 10.1186/s13104-019-4713-2
[20]	MOELLER R W, SEEHUUS M. Loneliness as a mediator for college students' social skills and experiences of depression and anxiety[J]. J Adolesc, 2019, 73: 1-13. doi: 10.1016/j.adolescence.2019.03.006
[21]	AUERBACH R P, ALONSO J, AXINN W G, et al. Mental disorders among college students in the World Health Organization World Mental Health Surveys[J]. Psychol Med, 2016, 46(14): 2955-2970.
[22]	WOLF T, KISSLING G. Changes in life-style characteristics, health, and mood of freshman medical students[J]. J Med Educ, 1984, 59(10): 806-814. http://europepmc.org/abstract/MED/6481777
[23]	DEMENECH LM, OLIVEIRA AT, NEIVA-SILVA L, et al. Prevalence of anxiety, depression and suicidal behaviors among Brazilian undergraduate students: a systematic review and meta-analysis[J]. J Affect Disord, 2021, 282: 147-159. doi: 10.1016/j.jad.2020.12.108
[24]	ASELTON P. Sources of stress and coping in American college students who have been diagnosed with depression[J]. J Child Adolesc Psychiatr Nurs, 2012, 25(3): 119-123. doi: 10.1111/j.1744-6171.2012.00341.x
[25]	ZUNHAMMER M, EICHGAMMER P, BUCH V. Sleep quality during exam stress: the role of alcohol, caffeine and nicotine[J]. PLoS One, 2014, 9(10): e109490. doi: 10.1371/journal.pone.0109490
[26]	TSOU M T, CHANG B C C. Association of depression and excessive daytime sleepiness among sleep-deprived college freshmen in northern Taiwan[J]. Int J Environ Res Public Health, 2019, 16(17): 3148. doi: 10.3390/ijerph16173148
[27]	DOHNT H, GRADISAR M, SHORT M A. Insomnia and its symptoms in adolescents: comparing DSM-Ⅳ and ICSD-Ⅱ diagnostic criteria[J]. J Clin Sleep Med, 2012, 8(3): 295-299. doi: 10.5664/jcsm.1918
[28]	DRUIVEN S J M, HOVENKAMP-HERMELINK J H M, Knapen S E. Stability of chronotype over a 7-year follow-up period and its association with severity of depressive and anxiety symptoms[J]. Depress Anx, 2020, 37(5): 466-474. doi: 10.1002/da.22995
[29]	MATSUSHITA M, KOYAMA A, USHIJIMA H, et al. Sleep duration and its association with sleepiness and depression in "ronin-sei" preparatory school students[J]. Asian J Psychiatr, 2014, 9: 61-66. doi: 10.1016/j.ajp.2014.01.006
[30]	BLAKE M J, TRINDER J A, ALLEN N B. Mechanisms underlying the association between insomnia, anxiety, and depression in adolescence: implications for behavioral sleep interventions[J]. Clin Psychol Rev, 2018, 63: 25-40. http://europepmc.org/abstract/MED/29879564
[31]	HARVEY A G. A cognitive model of insomnia[J]. Behav Res Ther, 2002, 40(8): 869-893.
[32]	GARCÍA J A N, VERGEL M F B, LABRADOR J A O, et al. Factors associated with excessive daytime sleepiness in medical students of a higher education institution of bucaramanga[J]. Rev Colomb Psiquiatr, 2019, 48(4): 222-231. doi: 10.1016/j.rcp.2017.12.002
[33]	SHIM E J, NOH H L, YOON J, et al. A longitudinal analysis of the relationships among daytime dysfunction, fatigue, and depression in college students[J]. J Am Coll Health, 2019, 67(1): 51-58. doi: 10.1080/07448481.2018.1462819
[34]	CHAN N Y, ZHANG J, TSANG C C, et al. The associations of insomnia symptoms and chronotype with daytime sleepiness, mood symptoms and suicide risk in adolescents[J]. Sleep Med, 2020, 74: 124-131. http://www.sciencedirect.com/science/article/pii/S1389945720302458
[35]	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. doi: 10.11847/zgggws1122257 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. doi: 10.11847/zgggws1122257
[36]	PARK C I, AN S K, KIM H W. Relationships between chronotypes and affective temperaments in healthy young adults[J]. J Affect Disord, 2015, 175: 256-259.