Cheung Forrest Tin Wai, Sit Hao Fong, Li Xiao, Chan Joey Wing Yan, Chan Ngan Yin, Wing Yun Kwok, Li Shirley Xin
Sleep Research Clinic and Laboratory, Department of Psychology, The University of Hong Kong, Hong Kong.
Li Chiu Kong Family Sleep Assessment Unit, Department of Psychiatry, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong.
Clocks Sleep. 2024 Oct 10;6(4):557-567. doi: 10.3390/clockssleep6040037.
Adolescence and young adulthood are transitional periods associated with significant changes and challenges, leading to a heightened vulnerability to sleep disturbances and mental health difficulties. This stage is often associated with an increased preference for eveningness, manifested as a later chronotype. The current study aimed to investigate the directionality of the association between chronotype, based on an individual's sleep-wake behaviour, and insomnia in young people using a two-wave panel design with a 12-month interval. A total of 370 participants aged 15-24 (mean age: 21.0 ± 2.0, 72.7% female) were recruited from local secondary schools and universities. Insomnia symptoms were assessed using the Insomnia Severity Index, while chronotype was measured using the Munich Chronotype Questionnaire. Temporal associations were analysed using a series of cross-lagged panel models. The best fitting and most parsimonious model indicated that a later chronotype at baseline predicts more severe insomnia symptoms at the 12-month follow-up after accounting for autoregressive effects. However, the opposite causal model, where baseline insomnia symptoms predicted the chronotype at the 12-month follow-up, was not supported. These findings suggest that a late chronotype may be a potential risk factor for the development of insomnia in young people, emphasising the importance of considering circadian factors in the prevention and treatment of sleep disturbances among this population.
青少年期和青年期是与重大变化和挑战相关的过渡阶段,这导致他们更容易出现睡眠障碍和心理健康问题。这个阶段通常与对晚睡的偏好增加有关,表现为更晚的生物钟类型。本研究旨在采用间隔12个月的两波面板设计,调查基于个体睡眠-觉醒行为的生物钟类型与年轻人失眠之间关联的方向性。从当地中学和大学招募了370名年龄在15 - 24岁之间的参与者(平均年龄:21.0 ± 2.0,72.7%为女性)。使用失眠严重程度指数评估失眠症状,同时使用慕尼黑生物钟问卷测量生物钟类型。使用一系列交叉滞后面板模型分析时间关联。最佳拟合且最简约的模型表明,在考虑自回归效应后,基线时较晚的生物钟类型可预测12个月随访时更严重的失眠症状。然而,相反的因果模型,即基线失眠症状预测12个月随访时的生物钟类型,未得到支持。这些发现表明,较晚的生物钟类型可能是年轻人失眠发生的一个潜在风险因素,强调了在该人群睡眠障碍的预防和治疗中考虑昼夜节律因素的重要性。
Child Adolesc Psychiatry Ment Health. 2023-8-26
J Sleep Res. 2023-12
J Can Acad Child Adolesc Psychiatry. 2022-8