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Article: The impact of sleep-corrected social jetlag on mental health, behavioral problems, and daytime sleepiness in adolescents

TitleThe impact of sleep-corrected social jetlag on mental health, behavioral problems, and daytime sleepiness in adolescents
Authors
KeywordsAdolescents
Behavior
Chronotype
Daytime sleepiness
Mental health
Social jetlag
Issue Date1-Dec-2022
PublisherElsevier
Citation
Sleep Medicine, 2022, v. 100, p. 494-500 How to Cite?
Abstract

Study objectives: This study aimed to examine the effect of sleep-corrected social jetlag (SJLsc) on mental health, behavioral problems, and daytime sleepiness in adolescents.

Methods: This was a cross-sectional study which included 4787 adolescents (Mean age: 14.83 +/- 1.6y, 56.0% girls) recruited from 15 secondary schools in Hong Kong. SJLsc was defined as the absolute difference between sleep-corrected midsleep on weekdays and weekends, at which the sleep debt has been considered. It was classified into three groups: low-level ("LSJLsc", <1h), mid-level ("MSJLsc", >= 1h and <2h), and high-level of SJLsc ("HSJLsc", >= 2h). Adolescents' mental health, behavioral problems and daytime sleepiness were measured by the General Health Questionnaire (GHQ-12), the Strengths and Difficulties Questionnaire (SDQ) and the Pediatric Daytime Sleepiness Scale (PDSS). Logistic regression analysis and restricted cubic spline regression (RCS) analysis were applied with consideration of confounders including age, gender, puberty and sleep problems.

Results: Nearly half (46.9%) of adolescents had SJLsc for at least 1 h. Greater SJLsc was associated with more behavioral difficulties (MSJLsc: OR: 1.20, p = 0.03; HSJLsc: OR: 1.34, p = 0.02) when controlling for age, sex, puberty, chronotype, insomnia, and time in bed. There was a dose-response relationship in which higher SJLsc had an increased risk of conduct problems and hyperactivity, while only high-level SJLsc was associated with a peer relationship problem. In RCS analysis, SJLsc was associated with a higher likelihood of behavioral difficulties (p = 0.03) but not poor mental health or daytime sleepiness.

Conclusions: Sleep-corrected social jetlag was a unique risk factor for behavioral problems in adolescents. Our findings highlighted the need for interventions to promote healthy sleep-wake patterns in school adolescents.


Persistent Identifierhttp://hdl.handle.net/10722/331991
ISSN
2023 Impact Factor: 3.8
2023 SCImago Journal Rankings: 1.368
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorChen, Chris Xie-
dc.contributor.authorLi, Tim Man Ho-
dc.contributor.authorZhang, Jihui-
dc.contributor.authorLi, Shirley Xin-
dc.contributor.authorYu, Mandy Wai Man-
dc.contributor.authorTsang, Chi Ching-
dc.contributor.authorChan, Kate Ching Ching-
dc.contributor.authorAu, Chun Ting-
dc.contributor.authorLi, Albert Martin-
dc.contributor.authorKong, Alice Pik Shan-
dc.contributor.authorChan, Joey Wing Yan-
dc.contributor.authorWing, Yun Kwok-
dc.contributor.authorChan, Ngan Yin-
dc.date.accessioned2023-09-28T05:00:05Z-
dc.date.available2023-09-28T05:00:05Z-
dc.date.issued2022-12-01-
dc.identifier.citationSleep Medicine, 2022, v. 100, p. 494-500-
dc.identifier.issn1389-9457-
dc.identifier.urihttp://hdl.handle.net/10722/331991-
dc.description.abstract<p>Study objectives: This study aimed to examine the effect of sleep-corrected social jetlag (SJLsc) on mental health, behavioral problems, and daytime sleepiness in adolescents.</p><p>Methods: This was a cross-sectional study which included 4787 adolescents (Mean age: 14.83 +/- 1.6y, 56.0% girls) recruited from 15 secondary schools in Hong Kong. SJLsc was defined as the absolute difference between sleep-corrected midsleep on weekdays and weekends, at which the sleep debt has been considered. It was classified into three groups: low-level ("LSJLsc", <1h), mid-level ("MSJLsc", >= 1h and <2h), and high-level of SJLsc ("HSJLsc", >= 2h). Adolescents' mental health, behavioral problems and daytime sleepiness were measured by the General Health Questionnaire (GHQ-12), the Strengths and Difficulties Questionnaire (SDQ) and the Pediatric Daytime Sleepiness Scale (PDSS). Logistic regression analysis and restricted cubic spline regression (RCS) analysis were applied with consideration of confounders including age, gender, puberty and sleep problems.</p><p>Results: Nearly half (46.9%) of adolescents had SJLsc for at least 1 h. Greater SJLsc was associated with more behavioral difficulties (MSJLsc: OR: 1.20, p = 0.03; HSJLsc: OR: 1.34, p = 0.02) when controlling for age, sex, puberty, chronotype, insomnia, and time in bed. There was a dose-response relationship in which higher SJLsc had an increased risk of conduct problems and hyperactivity, while only high-level SJLsc was associated with a peer relationship problem. In RCS analysis, SJLsc was associated with a higher likelihood of behavioral difficulties (p = 0.03) but not poor mental health or daytime sleepiness.</p><p>Conclusions: Sleep-corrected social jetlag was a unique risk factor for behavioral problems in adolescents. Our findings highlighted the need for interventions to promote healthy sleep-wake patterns in school adolescents.</p>-
dc.languageeng-
dc.publisherElsevier-
dc.relation.ispartofSleep Medicine-
dc.subjectAdolescents-
dc.subjectBehavior-
dc.subjectChronotype-
dc.subjectDaytime sleepiness-
dc.subjectMental health-
dc.subjectSocial jetlag-
dc.titleThe impact of sleep-corrected social jetlag on mental health, behavioral problems, and daytime sleepiness in adolescents-
dc.typeArticle-
dc.identifier.doi10.1016/j.sleep.2022.09.027-
dc.identifier.scopuseid_2-s2.0-85140093160-
dc.identifier.volume100-
dc.identifier.spage494-
dc.identifier.epage500-
dc.identifier.isiWOS:001002664400012-
dc.identifier.issnl1389-9457-

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