性别的不同会影响青少年的学校夜间睡眠时间、社交时差和抑郁症状之间的关系。

Sex Moderates Relationships Among School Night Sleep Duration, Social Jetlag, and Depressive Symptoms in Adolescents.

机构信息

Department of Biobehavioral Health, College of Health and Human Development, Pennsylvania State University, University Park, PA, USA.

Program in Public Health, Department of Family, Population, and Preventive Medicine, Stony Brook Medicine, Stony Brook, NY, USA.

出版信息

J Biol Rhythms. 2019 Apr;34(2):205-217. doi: 10.1177/0748730419828102. Epub 2019 Feb 18.

Abstract

Social jetlag, a misalignment between sleep timing on the weekend and during the work week, is associated with depressive symptoms among adults across both sexes. A previous study found that later sleep timing was associated with depressive symptoms in women but not men. To date, however, no research has investigated whether the association between social jetlag and depression varies by sex among adolescents. The current study assessed self-reported sleep, depressive symptoms, and demographic information from 3058 adolescents (48% female, mean [SD] age 15.59 [0.77] years) from the age 15 wave of the Fragile Families and Child Wellbeing Study (FFCWS). Social jetlag was calculated as the absolute value of the midpoint of sleep on the weekend minus the midpoint of sleep during the school week. Depressive symptoms were measured through a modified 5-item version of the Center for Epidemiologic Studies Depression Scale (CES-D). We assessed whether the associations among sleep duration on school nights, social jetlag, and depressive symptoms were similar between male and female adolescents using multiple linear regression. In fully adjusted models, sex moderated the association between school night total sleep time and depressive symptoms ( p < 0.001) and between social jetlag and depressive symptoms ( p = 0.037). In females, but not in males, school night total sleep time was negatively associated with depressive symptoms ( p < 0.001), whereas social jetlag ( p < 0.001) was positively and independently associated with depressive symptoms. The results indicate the importance of regular sleep timing across the week and adequate sleep duration for the maintenance of optimal emotional health among female adolescents.

摘要

社会时差,即周末和工作日的睡眠时间不匹配,与成年男女的抑郁症状有关。先前的一项研究发现,睡眠时间较晚与女性的抑郁症状有关,但与男性无关。然而,迄今为止,尚无研究调查青少年中社会时差与抑郁之间的关联是否因性别而异。本研究评估了来自脆弱家庭和儿童健康研究(FFCWS)第 15 波的 3058 名青少年(48%为女性,平均[SD]年龄为 15.59[0.77]岁)的自我报告睡眠、抑郁症状和人口统计学信息。社会时差的计算方法是周末睡眠中点与上学周睡眠中点之间的绝对值。抑郁症状通过修改后的中心流行病学研究抑郁量表(CES-D)的 5 项版本进行测量。我们使用多元线性回归评估了在校夜睡眠时间、社会时差和抑郁症状之间的关联在男性和女性青少年之间是否相似。在完全调整的模型中,性别调节了在校夜总睡眠时间和抑郁症状之间的关联(p<0.001)以及社会时差和抑郁症状之间的关联(p=0.037)。在校夜总睡眠时间与抑郁症状呈负相关(p<0.001),但仅在女性青少年中,而不是在男性青少年中,社会时差(p<0.001)与抑郁症状呈正相关且独立相关。结果表明,对于女性青少年来说,保持每周规律的睡眠时间和充足的睡眠时间对于维持最佳情绪健康非常重要。

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