Sleep Research Clinic and Laboratory, Department of Psychology, The University of Hong Kong, Hong Kong.
Sleep Research Clinic and Laboratory, Department of Psychology, The University of Hong Kong, Hong Kong.
Sleep Med Rev. 2023 Dec;72:101851. doi: 10.1016/j.smrv.2023.101851. Epub 2023 Sep 17.
Youth is a vulnerable developmental period associated with an increased preference for eveningness and risk for developing psychopathology. Growing evidence suggests a link between eveningness and poorer mental health outcomes, but the findings in the current literature are inconsistent, and a comprehensive synthesis of evidence in this area remains lacking. This meta-analysis aimed to 1) synthesise the existing evidence on the association between circadian preference and mental health outcomes in youths and 2) explore potential sleep-related factors that may moderate the relationship between circadian preference and mental health outcomes. A systematic search of five electronic databases resulted in 81 observational studies included in the review. Eveningness was found to be significantly associated with general mental health (r = 0.20), mood-related disturbances (r = 0.17), and anxiety problems (r = 0.13). The qualitative review also identified that eveningness was associated with greater risks for psychotic symptoms and maladaptive eating behaviours. These findings highlighted the need to consider circadian preference in the clinical management of youth mental health problems. Further research is needed to examine the efficacy of a circadian-focused intervention in the context of youth mental health.
青春期是一个脆弱的发展阶段，与人们更喜欢晚睡和出现心理病理风险有关。越来越多的证据表明，晚睡与较差的心理健康结果之间存在关联，但目前文献中的研究结果并不一致，而且该领域的综合证据仍然缺乏。这项荟萃分析旨在：1）综合现有关于青少年昼夜节律偏好与心理健康结果之间关联的证据；2）探索可能调节昼夜节律偏好与心理健康结果之间关系的潜在与睡眠相关的因素。系统检索了五个电子数据库，共纳入了 81 项观察性研究。研究发现，晚成性与一般心理健康（r=0.20）、情绪相关障碍（r=0.17）和焦虑问题（r=0.13）显著相关。定性综述还发现，晚成性与精神病症状和适应不良的饮食行为的风险增加有关。这些发现强调了在青少年心理健康问题的临床管理中需要考虑昼夜节律偏好。需要进一步研究以检验在青少年心理健康背景下以昼夜节律为重点的干预措施的效果。
