Long and short sleep duration and psychotic symptoms in adolescents: Findings from a cross-sectional survey of 15 786 Japanese students
•This study revealed the relationship between long sleep duration and increased risk of experiencing psychotic symptoms in male adolescents, which has not been shown before.•Short sleep duration was also related with an increased risk of experiencing psychotic symptoms in male adolescents and female...
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Veröffentlicht in: | Psychiatry research 2020-11, Vol.293, p.113440-113440, Article 113440 |
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creator | Morishima, Ryo Yamasaki, Syudo Ando, Shuntaro Shimodera, Shinji Ojio, Yasutaka Okazaki, Yuji Kasai, Kiyoto Sasaki, Tsukasa Nishida, Atsushi |
description | •This study revealed the relationship between long sleep duration and increased risk of experiencing psychotic symptoms in male adolescents, which has not been shown before.•Short sleep duration was also related with an increased risk of experiencing psychotic symptoms in male adolescents and female early adolescents.•These relation remained even after adjusting for depressive symptoms.
Sleep problems during adolescence affect current and subsequent mental health and are associated with experiences of psychotic symptoms. Recent studies have suggested that short sleep duration increases the risk of experiencing psychotic symptoms in the general adolescent population; however, whether long sleep duration is associated with an increased risk of psychotic symptoms in adolescence remains unclear. The present study aimed to examine the relationships between long sleep duration, short sleep duration, and the risk of experiencing psychotic symptoms in adolescence. Cross-sectional survey data from 15,786 junior and senior high school students (12- to 15-year-olds and 15- to 18-year-olds, respectively) in Japan were collected and analyzed using logistic regression analysis after controlling for covariates, including depressive symptoms. Long sleep duration was associated with a 1.6- to 2.8-fold increased risk of psychotic symptoms in male but not in female adolescents. Short sleep duration was also related with a 1.6- to 2.9-fold increased risk of experiencing psychotic symptoms, except for 15- to 18-year-old female adolescents. The present study suggested that adolescents with long and short sleep duration should be assessed for their risk of experiencing psychotic symptoms regardless of concurrent depressive symptoms. |
doi_str_mv | 10.1016/j.psychres.2020.113440 |
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Sleep problems during adolescence affect current and subsequent mental health and are associated with experiences of psychotic symptoms. Recent studies have suggested that short sleep duration increases the risk of experiencing psychotic symptoms in the general adolescent population; however, whether long sleep duration is associated with an increased risk of psychotic symptoms in adolescence remains unclear. The present study aimed to examine the relationships between long sleep duration, short sleep duration, and the risk of experiencing psychotic symptoms in adolescence. Cross-sectional survey data from 15,786 junior and senior high school students (12- to 15-year-olds and 15- to 18-year-olds, respectively) in Japan were collected and analyzed using logistic regression analysis after controlling for covariates, including depressive symptoms. Long sleep duration was associated with a 1.6- to 2.8-fold increased risk of psychotic symptoms in male but not in female adolescents. Short sleep duration was also related with a 1.6- to 2.9-fold increased risk of experiencing psychotic symptoms, except for 15- to 18-year-old female adolescents. The present study suggested that adolescents with long and short sleep duration should be assessed for their risk of experiencing psychotic symptoms regardless of concurrent depressive symptoms.</description><identifier>ISSN: 0165-1781</identifier><identifier>EISSN: 1872-7123</identifier><identifier>DOI: 10.1016/j.psychres.2020.113440</identifier><identifier>PMID: 32920526</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Adolescent ; Adolescent Behavior - psychology ; Child ; Cross-Sectional Studies ; Female ; General population ; Humans ; Japan - epidemiology ; Long sleep duration ; Male ; Psychotic Disorders - diagnosis ; Psychotic Disorders - epidemiology ; Psychotic Disorders - psychology ; Psychotic symptoms ; Short sleep duration ; Sleep - physiology ; Sleep Wake Disorders - diagnosis ; Sleep Wake Disorders - epidemiology ; Sleep Wake Disorders - psychology ; Students - psychology ; Surveys and Questionnaires ; Time Factors</subject><ispartof>Psychiatry research, 2020-11, Vol.293, p.113440-113440, Article 113440</ispartof><rights>2020 Elsevier B.V.</rights><rights>Copyright © 2020 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c434t-5073a475f663cf0e199b63a37cd54a4e1783fc07371aa04a3882ab4ba7095fb93</citedby><cites>FETCH-LOGICAL-c434t-5073a475f663cf0e199b63a37cd54a4e1783fc07371aa04a3882ab4ba7095fb93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.psychres.2020.113440$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32920526$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Morishima, Ryo</creatorcontrib><creatorcontrib>Yamasaki, Syudo</creatorcontrib><creatorcontrib>Ando, Shuntaro</creatorcontrib><creatorcontrib>Shimodera, Shinji</creatorcontrib><creatorcontrib>Ojio, Yasutaka</creatorcontrib><creatorcontrib>Okazaki, Yuji</creatorcontrib><creatorcontrib>Kasai, Kiyoto</creatorcontrib><creatorcontrib>Sasaki, Tsukasa</creatorcontrib><creatorcontrib>Nishida, Atsushi</creatorcontrib><title>Long and short sleep duration and psychotic symptoms in adolescents: Findings from a cross-sectional survey of 15 786 Japanese students</title><title>Psychiatry research</title><addtitle>Psychiatry Res</addtitle><description>•This study revealed the relationship between long sleep duration and increased risk of experiencing psychotic symptoms in male adolescents, which has not been shown before.•Short sleep duration was also related with an increased risk of experiencing psychotic symptoms in male adolescents and female early adolescents.•These relation remained even after adjusting for depressive symptoms.
Sleep problems during adolescence affect current and subsequent mental health and are associated with experiences of psychotic symptoms. Recent studies have suggested that short sleep duration increases the risk of experiencing psychotic symptoms in the general adolescent population; however, whether long sleep duration is associated with an increased risk of psychotic symptoms in adolescence remains unclear. The present study aimed to examine the relationships between long sleep duration, short sleep duration, and the risk of experiencing psychotic symptoms in adolescence. Cross-sectional survey data from 15,786 junior and senior high school students (12- to 15-year-olds and 15- to 18-year-olds, respectively) in Japan were collected and analyzed using logistic regression analysis after controlling for covariates, including depressive symptoms. Long sleep duration was associated with a 1.6- to 2.8-fold increased risk of psychotic symptoms in male but not in female adolescents. Short sleep duration was also related with a 1.6- to 2.9-fold increased risk of experiencing psychotic symptoms, except for 15- to 18-year-old female adolescents. The present study suggested that adolescents with long and short sleep duration should be assessed for their risk of experiencing psychotic symptoms regardless of concurrent depressive symptoms.</description><subject>Adolescent</subject><subject>Adolescent Behavior - psychology</subject><subject>Child</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>General population</subject><subject>Humans</subject><subject>Japan - epidemiology</subject><subject>Long sleep duration</subject><subject>Male</subject><subject>Psychotic Disorders - diagnosis</subject><subject>Psychotic Disorders - epidemiology</subject><subject>Psychotic Disorders - psychology</subject><subject>Psychotic symptoms</subject><subject>Short sleep duration</subject><subject>Sleep - physiology</subject><subject>Sleep Wake Disorders - diagnosis</subject><subject>Sleep Wake Disorders - epidemiology</subject><subject>Sleep Wake Disorders - psychology</subject><subject>Students - psychology</subject><subject>Surveys and Questionnaires</subject><subject>Time Factors</subject><issn>0165-1781</issn><issn>1872-7123</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUctu2zAQJIoWjZP2FwIee5HDl0SppxRB3DQwkEt7JihyldCQRIUrBfAX5LdL20mvPRHgzs7szBByydmaM15d7dYT7t1TAlwLJvInl0qxD2TFay0KzYX8SFYZWBZc1_yMnCPuGGOCN81nciZFI1gpqhV53cbxkdrRU3yKaabYA0zUL8nOIY7HwVEozsFR3A_THAekIU987AEdjDN-p5sw-jA-Iu1SHKilLkXEAsEdSGxPcUkvsKexo7ykuq7ovZ3sCAgU58UfOL6QT53tEb6-vRfkz-b2981dsX34-evmx7ZwSqq5KJmWVumyqyrpOgbZTltJK7XzpbIKslnZuQzS3FqmrKxrYVvVWs2asmsbeUG-nXinFJ8XwNkMIbvo-3xOXNAIpUTFcsQyQ6sT9OgmQWemFAab9oYzcyjB7Mx7CeZQgjmVkBcv3zSWdgD_b-099Qy4PgEgO30JkAy6AKMDH1LOzPgY_qfxF34jnQA</recordid><startdate>202011</startdate><enddate>202011</enddate><creator>Morishima, Ryo</creator><creator>Yamasaki, Syudo</creator><creator>Ando, Shuntaro</creator><creator>Shimodera, Shinji</creator><creator>Ojio, Yasutaka</creator><creator>Okazaki, Yuji</creator><creator>Kasai, Kiyoto</creator><creator>Sasaki, Tsukasa</creator><creator>Nishida, Atsushi</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202011</creationdate><title>Long and short sleep duration and psychotic symptoms in adolescents: Findings from a cross-sectional survey of 15 786 Japanese students</title><author>Morishima, Ryo ; Yamasaki, Syudo ; Ando, Shuntaro ; Shimodera, Shinji ; Ojio, Yasutaka ; Okazaki, Yuji ; Kasai, Kiyoto ; Sasaki, Tsukasa ; Nishida, Atsushi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c434t-5073a475f663cf0e199b63a37cd54a4e1783fc07371aa04a3882ab4ba7095fb93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Adolescent Behavior - psychology</topic><topic>Child</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>General population</topic><topic>Humans</topic><topic>Japan - epidemiology</topic><topic>Long sleep duration</topic><topic>Male</topic><topic>Psychotic Disorders - diagnosis</topic><topic>Psychotic Disorders - epidemiology</topic><topic>Psychotic Disorders - psychology</topic><topic>Psychotic symptoms</topic><topic>Short sleep duration</topic><topic>Sleep - physiology</topic><topic>Sleep Wake Disorders - diagnosis</topic><topic>Sleep Wake Disorders - epidemiology</topic><topic>Sleep Wake Disorders - psychology</topic><topic>Students - psychology</topic><topic>Surveys and Questionnaires</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Morishima, Ryo</creatorcontrib><creatorcontrib>Yamasaki, Syudo</creatorcontrib><creatorcontrib>Ando, Shuntaro</creatorcontrib><creatorcontrib>Shimodera, Shinji</creatorcontrib><creatorcontrib>Ojio, Yasutaka</creatorcontrib><creatorcontrib>Okazaki, Yuji</creatorcontrib><creatorcontrib>Kasai, Kiyoto</creatorcontrib><creatorcontrib>Sasaki, Tsukasa</creatorcontrib><creatorcontrib>Nishida, Atsushi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Psychiatry research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Morishima, Ryo</au><au>Yamasaki, Syudo</au><au>Ando, Shuntaro</au><au>Shimodera, Shinji</au><au>Ojio, Yasutaka</au><au>Okazaki, Yuji</au><au>Kasai, Kiyoto</au><au>Sasaki, Tsukasa</au><au>Nishida, Atsushi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long and short sleep duration and psychotic symptoms in adolescents: Findings from a cross-sectional survey of 15 786 Japanese students</atitle><jtitle>Psychiatry research</jtitle><addtitle>Psychiatry Res</addtitle><date>2020-11</date><risdate>2020</risdate><volume>293</volume><spage>113440</spage><epage>113440</epage><pages>113440-113440</pages><artnum>113440</artnum><issn>0165-1781</issn><eissn>1872-7123</eissn><abstract>•This study revealed the relationship between long sleep duration and increased risk of experiencing psychotic symptoms in male adolescents, which has not been shown before.•Short sleep duration was also related with an increased risk of experiencing psychotic symptoms in male adolescents and female early adolescents.•These relation remained even after adjusting for depressive symptoms.
Sleep problems during adolescence affect current and subsequent mental health and are associated with experiences of psychotic symptoms. Recent studies have suggested that short sleep duration increases the risk of experiencing psychotic symptoms in the general adolescent population; however, whether long sleep duration is associated with an increased risk of psychotic symptoms in adolescence remains unclear. The present study aimed to examine the relationships between long sleep duration, short sleep duration, and the risk of experiencing psychotic symptoms in adolescence. Cross-sectional survey data from 15,786 junior and senior high school students (12- to 15-year-olds and 15- to 18-year-olds, respectively) in Japan were collected and analyzed using logistic regression analysis after controlling for covariates, including depressive symptoms. Long sleep duration was associated with a 1.6- to 2.8-fold increased risk of psychotic symptoms in male but not in female adolescents. Short sleep duration was also related with a 1.6- to 2.9-fold increased risk of experiencing psychotic symptoms, except for 15- to 18-year-old female adolescents. The present study suggested that adolescents with long and short sleep duration should be assessed for their risk of experiencing psychotic symptoms regardless of concurrent depressive symptoms.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>32920526</pmid><doi>10.1016/j.psychres.2020.113440</doi><tpages>1</tpages></addata></record> |
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subjects | Adolescent Adolescent Behavior - psychology Child Cross-Sectional Studies Female General population Humans Japan - epidemiology Long sleep duration Male Psychotic Disorders - diagnosis Psychotic Disorders - epidemiology Psychotic Disorders - psychology Psychotic symptoms Short sleep duration Sleep - physiology Sleep Wake Disorders - diagnosis Sleep Wake Disorders - epidemiology Sleep Wake Disorders - psychology Students - psychology Surveys and Questionnaires Time Factors |
title | Long and short sleep duration and psychotic symptoms in adolescents: Findings from a cross-sectional survey of 15 786 Japanese students |
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