School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Chronobiol Int. 2022 Nov;39(11):1498-1507. doi: 10.1080/07420528.2022.2127362. Epub 2022 Sep 26.
Potential relevance between the circadian rhythm and behavioral health has got raising attention in recent years. This study aimed to examine chronotype, social jetlag and their associations with prosocial behavior problems among Chinese adolescents. A total of 4,666 middle school students aged 12-18 years were enrolled in study. Sleep characteristics were collected by the modified Chinese version of Adolescent Sleep Hygiene Scale (M-ASHS); MSFsc and mid-sleep point were calculated to determine chronotypes and social jetlag. Prosocial behavior problems were assessed by the Strength and Difficult Questionnaire (SDQ). Multivariate logistic regression was applied to analyze the relationships between chronotype and social jetlag with prosocial behavior problems. Evening chronotype was associated with higher risk of prosocial behavior problems, whether among male (OR = 1.82, 95%CI:1.27-2.61, = .001) or female adolescents (OR = 1.83, 95%CI:1.15-2.91, = .011). Female adolescents with social jetlag of 1-2 hours had 1.60 times the risk of prosocial behavior problems than their peers whose social jetlag was <1 h ( = .028); social jetlag ≥ 2 h was positively associated with prosocial behavior problems in both male and female adolescents (OR = 1.79 and 2.45, respectively, both < .05). Further, the combination of intermediate chronotype and social jetlag ≥ 2 h was correlated with prosocial behavior problems only in female adolescents (OR = 3.24, 95%CI = 1.40-9.21, = .004). Evening chronotype and higher social jetlag were risk factors for prosocial behavior problems in adolescents, especially for the female. For the promotion of prosocial behavior in adolescents, the importance of circadian rhythm should be addressed.
近年来，昼夜节律与行为健康之间的潜在关联引起了越来越多的关注。本研究旨在探讨中国青少年的睡眠时型、社交时差及其与亲社会行为问题的关系。共纳入 4666 名 12-18 岁的中学生。采用改良后的青少年睡眠卫生量表中文版（M-ASHS）收集睡眠特征；计算 MSFsc 和中点来确定睡眠时型和社交时差。采用长处和困难问卷（SDQ）评估亲社会行为问题。采用多变量 logistic 回归分析睡眠时型和社交时差与亲社会行为问题的关系。晚型睡眠时型与男性（OR=1.82，95%CI：1.27-2.61， =.001）和女性青少年（OR=1.83，95%CI：1.15-2.91， =.011）的亲社会行为问题风险增加有关。女性青少年的社交时差为 1-2 小时，其发生亲社会行为问题的风险是社交时差<1 小时的青少年的 1.60 倍（ =.028）；社交时差≥2 小时与男性和女性青少年的亲社会行为问题均呈正相关（OR 分别为 1.79 和 2.45，均<0.05）。此外，中时型睡眠时型与社交时差≥2 小时相结合仅与女性青少年的亲社会行为问题相关（OR=3.24，95%CI=1.40-9.21， =.004）。晚型睡眠时型和较高的社交时差是青少年亲社会行为问题的危险因素，尤其是女性青少年。为了促进青少年的亲社会行为，应重视昼夜节律。
