Department of Child and Adolescent Psychiatry, Cumhuriyet University Faculty of Medicine, Sivas, Turkey.
Department of Child and Adolescent Mental Health and Diseases, Dicle University, Diyarbakir, Turkey.
Chronobiol Int. 2024 Oct;41(10):1340-1350. doi: 10.1080/07420528.2024.2416986. Epub 2024 Oct 21.
Chronotype is the temporal behavior of an organism. Social jetlag, fear of missing out (FoMO), and phubbing have received increasing attention recently and are closely related to sleep quality. This study aimed to explore the relationship between chronotype and these factors and their effects on sleep quality among medical students. The FoMO scale, phubbing behavior assessment scale, morning-evening questionnaire, Pittsburgh sleep quality index, social jetlag questionnaire, and online sociodemographic data form were filled out by 537 students participating in the study. The average age of participants was 21.34 ± 1.38 years; 43.2% were male, and 56.8% were female. The majority (66.7%) had an intermediate chronotype, 20.9% an evening type, and 12.5% a morning type. Evening chronotypes exhibited the highest levels of social jetlag, daily internet/phone use, and the poorest sleep quality and daily functioning. Women reported significantly higher levels of FoMO ( < 0.001), phubbing ( = 0.020), and daytime dysfunction ( = 0.005). Multiple regression analysis showed poor sleep quality was associated with high FoMO, high phubbing, high levels of social jetlag, and evening chronotype. Additionally, daytime dysfunction was associated with female gender, poor sleep quality, high FoMO, and high levels of phubbing ( < 0.001, F = 16.128, R = 0.221). These results suggest that individuals with an evening type may be susceptible to social interaction, social media use, and sleep patterns, which may negatively affect sleep quality. It has also been determined that females may be at greater risk for FoMO and phubbing. Evaluation of individuals' chronotypes will be an essential step in treating behavioral addictions such as social media, screen, and smartphone addiction.
时型是生物体的时间行为。最近，社会时差、错失恐惧症（Fear of Missing Out，FoMO）和低头症（Phubbing）受到越来越多的关注，它们与睡眠质量密切相关。本研究旨在探讨时型与这些因素的关系及其对医学生睡眠质量的影响。通过问卷调查的方式，537 名参与研究的学生填写了 FoMO 量表、低头症行为评估量表、晨-晚问卷、匹兹堡睡眠质量指数、社会时差问卷和在线社会人口统计学数据表单。参与者的平均年龄为 21.34±1.38 岁；43.2%为男性，56.8%为女性。大多数（66.7%）人具有中间时型，20.9%为晚型，12.5%为早型。晚型时型表现出最高的社会时差、日常上网/手机使用量以及最差的睡眠质量和日常功能。女性报告的 FoMO（ < 0.001）、低头症（ = 0.020）和日间功能障碍（ = 0.005）水平显著更高。多元回归分析显示，睡眠质量差与 FoMO 高、低头症高、社会时差高和晚型时型有关。此外，日间功能障碍与女性、睡眠质量差、FoMO 高和低头症高有关（ < 0.001，F=16.128，R=0.221）。这些结果表明，晚型时型的个体可能容易受到社交互动、社交媒体使用和睡眠模式的影响，这可能会对睡眠质量产生负面影响。还确定了女性可能更容易出现 FoMO 和低头症。评估个体的时型将是治疗社交媒体、屏幕和智能手机成瘾等行为成瘾的重要步骤。
