Lee So-Jin, Park Chul-Soo, Kim Bong-Jo, Lee Cheol-Soon, Cha Boseok, Lee Yu Jin, Soh Minah, Park Jin Ah, Young Park So, Song Eun Hye
a Department of Psychiatry , Gyeongsang National University School of Medicine and Gyeongsang National University Hospital , Jinju , Republic of Korea.
b Department of Psychiatry , Gyeongsang National University School of Medicine and Gyeongsang National University Changwon Hospital , Changwon , Republic of Korea.
Chronobiol Int. 2016;33(10):1391-1399. doi: 10.1080/07420528.2016.1220387. Epub 2016 Aug 30.
Circadian typology and sleep quality may be essential factors associated with the promotion of resilience. However, previous studies investigating the association between circadian typology and resilience did not analyze the effects of sleep quality on resilience. Thus, the present study evaluated the association between circadian typology and resilience in Korean college students after controlling for sleep quality. Additionally, this study investigated several sleep-related variables, including sleep duration, social jetlag and sunlight exposure during the daytime, to examine the modifiable behavioral features of morningness and also investigated whether the findings regarding morningness-related modifiable habits were associated with resilience. This study included 1094 participants (947 males and 147 females) between 19 and 29 years of age (22.8 ± 1.9 years) who completed the 10-item Korean version of the Connor-Davidson Resilience Scale (CD-RISC-10), the Korean version of the Morningness-Eveningness Questionnaire (MEQ), the Pittsburgh Sleep Quality Index (PSQI), the Korean version of the Hospital Anxiety and Depression Scale (HADS) and a survey about social jetlag that determined misalignments between weekday and weekend times of awakening and activity duration under conditions of sunlight between 10:00 and 15:00. A multiple linear regression analysis revealed that sleep duration, mean daily sunlight exposure between 10:00 and 15:00 and age were positive predictors of morningness, whereas social jetlag was a negative predictor of morningness. Of these morningness-related modifiable behavioral features, mean daily sunlight exposure between 10:00 and 15:00 significantly predicted greater resilience. An additional multiple linear regression analysis revealed that morningness was a positive predictor of resilience after controlling for age, sex, depression, anxiety and sleep quality. These results support the idea that morningness and better sleep quality are associated with greater resilience. Morningness was also associated with longer sleep duration, longer sunlight exposure during the daytime and less social jetlag, whereas longer daily sunlight exposure between 10:00 and 15:00 was associated with greater resilience. Future longitudinal studies are needed to examine whether manipulations of morningness-related modifiable behavioral features can rearrange chronotype and promote resilience.
昼夜节律类型和睡眠质量可能是与恢复力提升相关的重要因素。然而,以往研究昼夜节律类型与恢复力之间关联时,并未分析睡眠质量对恢复力的影响。因此,本研究在控制睡眠质量后,评估了韩国大学生昼夜节律类型与恢复力之间的关联。此外,本研究调查了几个与睡眠相关的变量,包括睡眠时间、社会时差以及白天的阳光照射情况,以探究晨型人的可改变行为特征,还研究了与晨型人相关的可改变习惯的研究结果是否与恢复力相关。本研究纳入了1094名年龄在19至29岁之间(22.8±1.9岁)的参与者(947名男性和147名女性),他们完成了10项韩国版的康纳-戴维森恢复力量表(CD-RISC-10)、韩国版的晨型-夜型问卷(MEQ)、匹兹堡睡眠质量指数(PSQI)、韩国版的医院焦虑抑郁量表(HADS)以及一项关于社会时差的调查,该调查确定了工作日和周末醒来时间以及10:00至15:00阳光条件下活动时长之间的不一致情况。多元线性回归分析显示,睡眠时间、10:00至15:00之间的平均每日阳光照射量和年龄是晨型性的正向预测因子,而社会时差是晨型性的负向预测因子。在这些与晨型性相关的可改变行为特征中,10:00至15:00之间的平均每日阳光照射量显著预测了更强的恢复力。另一项多元线性回归分析显示,在控制年龄、性别、抑郁、焦虑和睡眠质量后,晨型性是恢复力的正向预测因子。这些结果支持了晨型性和更好的睡眠质量与更强的恢复力相关这一观点。晨型性还与更长的睡眠时间、白天更长的阳光照射时间以及更少的社会时差相关,而10:00至15:00之间更长的每日阳光照射量与更强的恢复力相关。未来需要进行纵向研究,以检验对与晨型性相关的可改变行为特征的操控是否能重新调整昼夜节律类型并促进恢复力。