Unda-López Alejandro, Quiroz-Cárdenas Fiorella, Tárraga-López Pedro Juan, Yañéz-Sepúlveda Rodrigo, Gutiérrez-Espinoza Héctor, Olivares-Arancibia Jorge, Rahmati Masoud, Smith Lee, Stubbs Brendon, López-Gil José Francisco
Escuela de Psicología y Educación, Universidad de Las Américas, Quito, Ecuador.
Vicerrectoría de Investigación y Postgrado, Universidad de Los Lagos, Osorno, Chile.
Sleep Med. 2025 Oct;134:106659. doi: 10.1016/j.sleep.2025.106659. Epub 2025 Jul 2.
The prevalence of sleep-related problems in adolescents has been recognized as a public health issue. Research on how specific sleep-related problems may be related to mood and affect variations in this age group is scarce. Therefore, the current study aims to explore the relationships between sleep-related problems and positive and negative affect in a sample of Spanish adolescents.
The present study uses a cross-sectional design based on secondary data collected in the Eating Healthy and Daily Life Activities (EHDLA) study. The sample consisted of 645 Spanish adolescents (Median age = 14.0) attending secondary schools in the Valle de Ricote in the Region of Murcia (Spain) during the 2021 and 2022 academic years. The BEARS (B = bedtime issues, E = excessive daytime sleepiness, A = night awakenings, R = regularity and duration of sleep, and S = snoring) sleep screening tool was used to assess sleep-related problems, whereas the Positive and Negative Affect Schedule 10-Children (PANAS-C10) was used to examine positive and negative affect.
The findings show that the presence of sleep-related problems is associated with a lower positive affect score and a greater negative affect score. Specifically, the presence of bedtime problems (unstandardized beta coefficient [B] = -2.82; 95 % confidence interval [CI] -3.77 to -1.86; p < 0.001), excessive daytime sleepiness (B = -3.15; 95 % CI -4.01 to -2.29; p < 0.001), awakening at night (B = -3.53; 95 % CI -4.61 to -2.44; p < 0.001), and adequate regularity and duration of sleep (B = -2.00; 95 % CI -2.88 to -1.11; p < 0.001) were found to be associated with a lower positive affect score. On the other hand, the presence of bedtime problems (B = 2.09; 95 % CI 1.32 to 2.87; p < 0.001), excessive daytime sleepiness (B = 2.70; 95 % CI 2.01 to 3.40; p < 0.001), awakenings during the night (B = 2.15; 95 % CI 1.26 to 3.04; p < 0.001), and adequate regularity and duration of sleep (B = 0.90; 95 % CI 0.18 to 1.62; p < 0.05) were associated with a greater negative affect score. Furthermore, a greater number of sleep-related problems experienced simultaneously was related to a lower positive affect (B = -1.59 per problem; 95 % CI -1.93 to -1.26; p < 0.001) and a heightened negative affect (B = 1.10 per problem; 95 % CI 0.82 to 1.38; p < 0.001).
The presence of sleep-related problems and their increased frequency are associated with lower positive affect, whereas having these problems and experiencing multiple problems simultaneously are linked to greater negative affect. Future research should explore specific sleep-related problems and their potential impact on different health-related outcomes in this age group while considering other covariates or confounding variables. Public health efforts should be aimed at providing education on sleep and promoting sleep hygiene, improving the health of adolescents and young adults.
