The impact of sleep-corrected social jetlag on mental health, behavioral problems, and daytime sleepiness in adolescents
This study aimed to examine the effect of sleep-corrected social jetlag (SJLsc) on mental health, behavioral problems, and daytime sleepiness in adolescents. 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 Ho...
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| Veröffentlicht in: | Sleep medicine 2022-12, Vol.100, p.494-500 |
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| creator | Chen, Chris Xie Li, Tim Man Ho Zhang, Jihui Li, Shirley Xin Yu, Mandy Wai Man Tsang, Chi Ching Chan, Kate Ching Ching Au, Chun Ting Li, Albert Martin Kong, Alice Pik Shan Chan, Joey Wing Yan Wing, Yun Kwok Chan, Ngan Yin |
| description | This study aimed to examine the effect of sleep-corrected social jetlag (SJLsc) on mental health, behavioral problems, and daytime sleepiness in adolescents.
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”, |
| doi_str_mv | 10.1016/j.sleep.2022.09.027 |
| format | Article |
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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.
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.
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.
•Social jetlag should be calculated with sleep debt corrected and chronotype considered.•The sleep debt-corrected social jetlag was detrimental to behavioral difficulties but not to poor mental health or excessive daytime sleepiness.•Our findings highlighted the need for interventions to promote healthy sleep-wake patterns in school adolescents.</description><identifier>ISSN: 1389-9457</identifier><identifier>EISSN: 1878-5506</identifier><identifier>DOI: 10.1016/j.sleep.2022.09.027</identifier><identifier>PMID: 36272246</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Adolescent ; Adolescents ; Behavior ; Child ; Chronotype ; Circadian Rhythm - physiology ; Cross-Sectional Studies ; Daytime sleepiness ; Disorders of Excessive Somnolence - epidemiology ; Female ; Humans ; Jet Lag Syndrome - epidemiology ; Male ; Mental Health ; Problem Behavior ; Sleep - physiology ; Social jetlag ; Surveys and Questionnaires</subject><ispartof>Sleep medicine, 2022-12, Vol.100, p.494-500</ispartof><rights>2022 Elsevier B.V.</rights><rights>Copyright © 2022 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c359t-17aeeec16f48c739a2fbc1699a84cf8710653407422388af52fd65013994bfa73</citedby><cites>FETCH-LOGICAL-c359t-17aeeec16f48c739a2fbc1699a84cf8710653407422388af52fd65013994bfa73</cites><orcidid>0000-0002-3009-3565</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1389945722011558$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36272246$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, Chris Xie</creatorcontrib><creatorcontrib>Li, Tim Man Ho</creatorcontrib><creatorcontrib>Zhang, Jihui</creatorcontrib><creatorcontrib>Li, Shirley Xin</creatorcontrib><creatorcontrib>Yu, Mandy Wai Man</creatorcontrib><creatorcontrib>Tsang, Chi Ching</creatorcontrib><creatorcontrib>Chan, Kate Ching Ching</creatorcontrib><creatorcontrib>Au, Chun Ting</creatorcontrib><creatorcontrib>Li, Albert Martin</creatorcontrib><creatorcontrib>Kong, Alice Pik Shan</creatorcontrib><creatorcontrib>Chan, Joey Wing Yan</creatorcontrib><creatorcontrib>Wing, Yun Kwok</creatorcontrib><creatorcontrib>Chan, Ngan Yin</creatorcontrib><title>The impact of sleep-corrected social jetlag on mental health, behavioral problems, and daytime sleepiness in adolescents</title><title>Sleep medicine</title><addtitle>Sleep Med</addtitle><description>This study aimed to examine the effect of sleep-corrected social jetlag (SJLsc) on mental health, behavioral problems, and daytime sleepiness in adolescents.
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.
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.
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.
•Social jetlag should be calculated with sleep debt corrected and chronotype considered.•The sleep debt-corrected social jetlag was detrimental to behavioral difficulties but not to poor mental health or excessive daytime sleepiness.•Our findings highlighted the need for interventions to promote healthy sleep-wake patterns in school adolescents.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Behavior</subject><subject>Child</subject><subject>Chronotype</subject><subject>Circadian Rhythm - physiology</subject><subject>Cross-Sectional Studies</subject><subject>Daytime sleepiness</subject><subject>Disorders of Excessive Somnolence - epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Jet Lag Syndrome - epidemiology</subject><subject>Male</subject><subject>Mental Health</subject><subject>Problem Behavior</subject><subject>Sleep - physiology</subject><subject>Social jetlag</subject><subject>Surveys and Questionnaires</subject><issn>1389-9457</issn><issn>1878-5506</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtu2zAQRYmgQZzXFwQouOwiUviQRHLRRWGkTYEA2SRrgqKGMQ1KdEnZiP8-dJx22dU8cOfOzEHohpKaEtrdrescADY1I4zVRNWEiRN0TqWQVduS7kvJuVSValqxQBc5rwmhgsrmDC14xwRjTXeO3p5XgP24MXbG0eEPx8rGlMDOMOAcrTcBr2EO5hXHCY8wzaWxAhPm1S3uYWV2PqbS2qTYBxjzLTbTgAezn_0IR0M_Qc7YT9gMMUC2xSNfoVNnQobrz3iJXn7ePy8fqsenX7-XPx4ry1s1V1QYALC0c420givDXF8qpYxsrJOCkq7lDRENY1xK41rmhq4llCvV9M4Ifom-HX3LfX-2kGc9-nJBCGaCuM26gBAdV6RlRcqPUptizgmc3iQ_mrTXlOgDcr3WH__oA3JNlC7Iy9TXzwXbfoTh38xfxkXw_SiA8ubOQ9LZepgsDP5AWQ_R_3fBO8WNlJI</recordid><startdate>202212</startdate><enddate>202212</enddate><creator>Chen, Chris Xie</creator><creator>Li, Tim Man Ho</creator><creator>Zhang, Jihui</creator><creator>Li, Shirley Xin</creator><creator>Yu, Mandy Wai Man</creator><creator>Tsang, Chi Ching</creator><creator>Chan, Kate Ching Ching</creator><creator>Au, Chun Ting</creator><creator>Li, Albert Martin</creator><creator>Kong, Alice Pik Shan</creator><creator>Chan, Joey Wing Yan</creator><creator>Wing, Yun Kwok</creator><creator>Chan, Ngan Yin</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><orcidid>https://orcid.org/0000-0002-3009-3565</orcidid></search><sort><creationdate>202212</creationdate><title>The impact of sleep-corrected social jetlag on mental health, behavioral problems, and daytime sleepiness in adolescents</title><author>Chen, Chris Xie ; Li, Tim Man Ho ; Zhang, Jihui ; Li, Shirley Xin ; Yu, Mandy Wai Man ; Tsang, Chi Ching ; Chan, Kate Ching Ching ; Au, Chun Ting ; Li, Albert Martin ; Kong, Alice Pik Shan ; Chan, Joey Wing Yan ; Wing, Yun Kwok ; Chan, Ngan Yin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c359t-17aeeec16f48c739a2fbc1699a84cf8710653407422388af52fd65013994bfa73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Behavior</topic><topic>Child</topic><topic>Chronotype</topic><topic>Circadian Rhythm - physiology</topic><topic>Cross-Sectional Studies</topic><topic>Daytime sleepiness</topic><topic>Disorders of Excessive Somnolence - epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Jet Lag Syndrome - epidemiology</topic><topic>Male</topic><topic>Mental Health</topic><topic>Problem Behavior</topic><topic>Sleep - physiology</topic><topic>Social jetlag</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Chris Xie</creatorcontrib><creatorcontrib>Li, Tim Man Ho</creatorcontrib><creatorcontrib>Zhang, Jihui</creatorcontrib><creatorcontrib>Li, Shirley Xin</creatorcontrib><creatorcontrib>Yu, Mandy Wai Man</creatorcontrib><creatorcontrib>Tsang, Chi Ching</creatorcontrib><creatorcontrib>Chan, Kate Ching Ching</creatorcontrib><creatorcontrib>Au, Chun Ting</creatorcontrib><creatorcontrib>Li, Albert Martin</creatorcontrib><creatorcontrib>Kong, Alice Pik Shan</creatorcontrib><creatorcontrib>Chan, Joey Wing Yan</creatorcontrib><creatorcontrib>Wing, Yun Kwok</creatorcontrib><creatorcontrib>Chan, Ngan Yin</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>Sleep medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Chris Xie</au><au>Li, Tim Man Ho</au><au>Zhang, Jihui</au><au>Li, Shirley Xin</au><au>Yu, Mandy Wai Man</au><au>Tsang, Chi Ching</au><au>Chan, Kate Ching Ching</au><au>Au, Chun Ting</au><au>Li, Albert Martin</au><au>Kong, Alice Pik Shan</au><au>Chan, Joey Wing Yan</au><au>Wing, Yun Kwok</au><au>Chan, Ngan Yin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact of sleep-corrected social jetlag on mental health, behavioral problems, and daytime sleepiness in adolescents</atitle><jtitle>Sleep medicine</jtitle><addtitle>Sleep Med</addtitle><date>2022-12</date><risdate>2022</risdate><volume>100</volume><spage>494</spage><epage>500</epage><pages>494-500</pages><issn>1389-9457</issn><eissn>1878-5506</eissn><abstract>This study aimed to examine the effect of sleep-corrected social jetlag (SJLsc) on mental health, behavioral problems, and daytime sleepiness in adolescents.
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.
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.
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.
•Social jetlag should be calculated with sleep debt corrected and chronotype considered.•The sleep debt-corrected social jetlag was detrimental to behavioral difficulties but not to poor mental health or excessive daytime sleepiness.•Our findings highlighted the need for interventions to promote healthy sleep-wake patterns in school adolescents.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>36272246</pmid><doi>10.1016/j.sleep.2022.09.027</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-3009-3565</orcidid></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adolescent Adolescents Behavior Child Chronotype Circadian Rhythm - physiology Cross-Sectional Studies Daytime sleepiness Disorders of Excessive Somnolence - epidemiology Female Humans Jet Lag Syndrome - epidemiology Male Mental Health Problem Behavior Sleep - physiology Social jetlag Surveys and Questionnaires |
| title | The impact of sleep-corrected social jetlag on mental health, behavioral problems, and daytime sleepiness in adolescents |
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