Association between bedroom night light exposure during sleep and children's emotional symptoms

DONG Xiuqing; ZHOU Yi; WANG Dongmei; XU Yuxiang; HUANG Wenjuan; WU Peipei; SUN Ying

doi:10.16835/j.cnki.1000-9817.2023.04.022

Volume 44 Issue 4

Apr. 2023

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2023 > 44(4): 572-576

DONG Xiuqing, ZHOU Yi, WANG Dongmei, XU Yuxiang, HUANG Wenjuan, WU Peipei, SUN Ying. Association between bedroom night light exposure during sleep and children's emotional symptoms[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(4): 572-576. doi: 10.16835/j.cnki.1000-9817.2023.04.022

Citation:

DONG Xiuqing, ZHOU Yi, WANG Dongmei, XU Yuxiang, HUANG Wenjuan, WU Peipei, SUN Ying. Association between bedroom night light exposure during sleep and children's emotional symptoms[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(4): 572-576. doi: 10.16835/j.cnki.1000-9817.2023.04.022

Citation:

DONG Xiuqing, ZHOU Yi, WANG Dongmei, XU Yuxiang, HUANG Wenjuan, WU Peipei, SUN Ying. Association between bedroom night light exposure during sleep and children's emotional symptoms[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(4): 572-576. doi: 10.16835/j.cnki.1000-9817.2023.04.022

PDF( 987 KB)

Association between bedroom night light exposure during sleep and children's emotional symptoms

doi: 10.16835/j.cnki.1000-9817.2023.04.022

1.
Tianchang Chengnan Primary School, Chuzhou (239399), Anhui Province, China

Received Date: 2022-12-30
Rev Recd Date: 2023-01-31

Available Online: 2023-04-26

Publish Date: 2023-04-25

Abstract

Abstract

Objective To explore the association between exposure to bedroom night light during sleep and emotional symptoms in children and provide a scientific basis for subsequent effective prevention and intervention. Methods In December 2021, 1 926 students from grades 4 to 6 were recruited to conduct a student questionnaire survey in two primary schools in Tianchang of Chuzhou City, Anhui Province. The data, including general demographic information, use of night lights and curtains, emotional symptoms, and other information, was collected. Binary Logistic regression analysis was used to examine the correlation between night light use and children's emotional symptoms. Results The reporting rates of depression symptoms, generalized anxiety symptoms, social phobia, and obsessive-compulsive symptoms of the children were 2.5%, 2.6%, 3.4% and 2.5%, respectively. About 12.6% of children often sleep with a night light on, and 22.0% of children did not close the curtains. Binary Logistic regression analysis revealed that frequent sleep with night lights was associated with an increased risk of depression symptoms(OR=2.29, 95%CI=1.04-5.03), social phobia (OR=1.93, 95%CI=1.02-3.64) and obsessive-compulsive symptoms (OR=3.44, 95%CI=1.72-6.88) in children(P < 0.05). Conclusion There is a positive correlation between bedroom night light exposure during sleep and the detection rate of children's emotional symptoms. The attention should be paid to bedroom light environment of children during sleep to reduce the adverse effects of night light exposure on the mental health.
- Sleep,
- Light,
- Environmental exposure,
- Emotions,
- Mental health,
- Regression analysis,
- Child

FullText(HTML)

References(32)

References

[1]	TAMAYO MARTINEZ N, TIEMEIER H, LUIJK M, et al. Aggressive behavior, emotional, and attention problems across childhood and academic attainment at the end of primary school[J]. Soc Psychiatry Psychiatr Epidemiol, 2021, 56(5): 837-846. doi: 10.1007/s00127-021-02039-3
[2]	BEVILACQUA L, HALE D, BARKER E D, et al. Conduct problems trajectories and psychosocial outcomes: a systematic review and Meta-analysis[J]. Eur Child Adolesc Psychiatry, 2018, 27(10): 1239-1260. doi: 10.1007/s00787-017-1053-4
[3]	KIELING C, BAKER-HENNINGHAM H, BELFER M, et al. Child and adolescent mental health worldwide: evidence for action[J]. Lancet, 2011, 378(9801): 1515-1525. doi: 10.1016/S0140-6736(11)60827-1
[4]	POLANCZYK G V, SALUM G A, SUGAYA L S, et al. Annual research review: a Meta-analysis of the worldwide prevalence of mental disorders in children and adolescents[J]. J Child Psychol Psychiatry, 2015, 56(3): 345-365. doi: 10.1111/jcpp.12381
[5]	PAKSARIAN D, RUDOLPH K E, STAPP E K, et al. Association of outdoor artificial light at night with mental disorders and sleep patterns among US adolescents[J]. JAMA Psychiatry, 2020, 77(12): 1266-1275. doi: 10.1001/jamapsychiatry.2020.1935
[6]	CHORPITA B F, YIM L, MOFFITT C, et al. Assessment of symptoms of DSM-IV anxiety and depression in children: a revised child anxiety and depression scale[J]. Behav Res Ther, 2000, 38(8): 835-855. doi: 10.1016/S0005-7967(99)00130-8
[7]	PIQUERAS J A, MARTÍN-VIVAR M, SANDIN B, et al. The revised child anxiety and depression scale: a systematic review and reliability generalization Meta-analysis[J]. J Affect Disord, 2017, 218: 153-169. doi: 10.1016/j.jad.2017.04.022
[8]	ZEITZER J M, DIJK D J, KRONAUER R, et al. Sensitivity of the human circadian pacemaker to nocturnal light: melatonin phase resetting and suppression[J]. J Physiol, 2000, 526(3): 695-702. doi: 10.1111/j.1469-7793.2000.00695.x
[9]	PHILLIPS A J K, VIDAFAR P, BURNS A C, et al. High sensitivity and interindividual variability in the response of the human circadian system to evening light[J]. Proc Natl Acad Sci USA, 2019, 116(24): 12019-12024. doi: 10.1073/pnas.1901824116
[10]	HIGUCHI S, NAGAFUCHI Y, LEE S, et al. Influence of light at night on melatonin suppression in children[J]. J Clin Endocrinol Metab, 2014, 99(9): 3298-3303. doi: 10.1210/jc.2014-1629
[11]	STEVENS R G, BRAINARD G C, BLASK D E, et al. Adverse health effects of nighttime lighting: comments on American Medical Association Policy Statement[J]. Am J Prev Med, 2013, 45(3): 343-346. doi: 10.1016/j.amepre.2013.04.011
[12]	LI F, CUI Y, LI Y, et al. Prevalence of mental disorders in school children and adolescents in China: diagnostic data from detailed clinical assessments of 17 524 individuals[J]. J Child Psychol Psychiatry, 2022, 63(1): 34-46. doi: 10.1111/jcpp.13445
[13]	彭林丽, 何芳, 杨静薇, 等. 重庆市某主城区中小学生青春发动时相与抑郁的关系[J]. 中国学校卫生, 2018, 39(2): 215-218. doi: 10.16835/j.cnki.1000-9817.2018.02.017 PENG L L, HE F, YANG J W, et al. Pubertal timing and depressive symptom among primary and junior middle school students in urban Chongqing[J]. Chin J Sch Health, 2018, 39(2): 215-218. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2018.02.017
[14]	ZOU S, SONG X, TAN W, et al. Core self-evaluation as mediator between depressive symptoms and suicidal ideation in adolescents[J]. J Affect Disord, 2022, 302: 361-366. doi: 10.1016/j.jad.2022.01.093
[15]	CHEN F, ZHENG D, LIU J, et al. Depression and anxiety among adolescents during COVID-19: a cross-sectional study[J]. Brain Behav Immun, 2020, 88: 36-38. doi: 10.1016/j.bbi.2020.05.061
[16]	苏雯靓, 罗丽霞, 晏妮, 等. 重庆市儿童青少年广泛性焦虑障碍量表(GAD-7)调查及其影响因素研究[J]. 精神医学杂志, 2022, 35(2): 158-162. doi: 10.3969/j.issn.2095-9346.2022.02.009 SU W L, LUO L X, YAN N, et al. Investigation and analysis of the influencing factors on anxiety symptoms in children and adolescents in Chongqing City through Generalized Anxiety Disorder(GAD-7)[J]. J Psychiatry, 2022, 35(2): 158-162. (in Chinese) doi: 10.3969/j.issn.2095-9346.2022.02.009
[17]	XU D D, RAO W W, CAO X L, et al. Prevalence of depressive symptoms in primary school students in China: a systematic review and Meta-analysis[J]. J Affect Disord, 2020, 268: 20-27. doi: 10.1016/j.jad.2020.02.034
[18]	BEDROSIAN T A, FONKEN L K, WALTON J C, et al. Dim light at night provokes depression-like behaviors and reduces CA1 dendritic spine density in female hamsters[J]. Psychoneuroendocrinology, 2011, 36(7): 1062-1069. doi: 10.1016/j.psyneuen.2011.01.004
[19]	FONKEN L K, KITSMILLER E, SMALE L, et al. Dim nighttime light impairs cognition and provokes depressive-like responses in a diurnal rodent[J]. J Biol Rhythms, 2012, 27(4): 319-327. doi: 10.1177/0748730412448324
[20]	FONKEN L K, NELSON R J. Dim light at night increases depressive-like responses in male C3H/HeNHsd mice[J]. Behav Brain Res, 2013, 243: 74-78. doi: 10.1016/j.bbr.2012.12.046
[21]	CHEN R, WEITZNER A S, MCKENNON L A, et al. Light at night during development in mice has modest effects on adulthood behavior and neuroimmune activation[J]. Behav Brain Res, 2021, 405: 113171. doi: 10.1016/j.bbr.2021.113171
[22]	KALMBACH D A, PILLAI V, CHENG P, et al. Shift work disorder, depression, and anxiety in the transition to rotating shifts: the role of sleep reactivity[J]. Sleep Med, 2015, 16(12): 1532-1538. doi: 10.1016/j.sleep.2015.09.007
[23]	LEE A, MYUNG S K, CHO J J, et al. Night shift work and risk of depression: Meta-analysis of observational studies[J]. J Korean Med Sci, 2017, 32(7): 1091-1096. doi: 10.3346/jkms.2017.32.7.1091
[24]	HELBICH M, BROWNING M, HUSS A. Outdoor light at night, air pollution and depressive symptoms: a cross-sectional study in the Netherlands[J]. Sci Total Environ, 2020, 744: 140914. doi: 10.1016/j.scitotenv.2020.140914
[25]	MIN J Y, MIN K B. Outdoor light at night and the prevalence of depressive symptoms and suicidal behaviors: a cross-sectional study in a nationally representative sample of Korean adults[J]. J Affect Disord, 2018, 227: 199-205. doi: 10.1016/j.jad.2017.10.039
[26]	XIE Y, JIN Z, HUANG H, et al. Outdoor light at night and autism spectrum disorder in Shanghai, China: a matched case-control study[J]. Sci Total Environ, 2022, 811: 152340. doi: 10.1016/j.scitotenv.2021.152340
[27]	OBAYASHI K, SAEKI K, IWAMOTO J, et al. Exposure to light at night and risk of depression in the elderly[J]. J Affect Disord, 2013, 151(1): 331-336. doi: 10.1016/j.jad.2013.06.018
[28]	OBAYASHI K, SAEKI K, KURUMATANI N. Bedroom light exposure at night and the incidence of depressive symptoms: a longitudinal study of the HEIJO-KYO cohort[J]. Am J Epidemiol, 2018, 187(3): 427-434. doi: 10.1093/aje/kwx290
[29]	ESAKI Y, OBAYASHI K, SAEKI K, et al. Association between light exposure at night and manic symptoms in bipolar disorder: cross-sectional analysis of the APPLE cohort[J]. Chronobiol Int, 2020, 37(6): 887-896. doi: 10.1080/07420528.2020.1746799
[30]	ESAKI Y, OBAYASHI K, SAEKI K, et al. Effect of nighttime bedroom light exposure on mood episode relapses in bipolar disorder[J]. Acta Psychiatr Scand, 2022, 146(1): 64-73. doi: 10.1111/acps.13422
[31]	AN K, ZHAO H, MIAO Y, et al. A circadian rhythm-gated subcortical pathway for nighttime-light-induced depressive-like behaviors in mice[J]. Nat Neurosci, 2020, 23(7): 869-880. doi: 10.1038/s41593-020-0640-8
[32]	BEDROSIAN T A, NELSON R J. Influence of the modern light environment on mood[J]. Mol Psychiatry, 2013, 18(7): 751-757. doi: 10.1038/mp.2013.70