ArticleNeuropsychiatric disease and treatment2015
Effects of a selective educational system on fatigue, sleep problems, daytime sleepiness, and depression among senior high school adolescents in Taiwan.
Article in Neuropsychiatric disease and treatment, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 60 citations in OpenAlex.
- Network Analysis and Mediation Effect Analysis of Anxiety Symptoms and Sleep Patterns for Adolescents.Actas espanolas de psiquiatria · 2025Article
- Fatigue as a central bridge: temporal dynamics between problematic smartphone use and depressive symptoms in Chinese adolescents.Child and adolescent psychiatry and mental health · 2025Article
- Effects of binaural beat therapy with different frequencies on autonomic nervous system regulation among college students.BMC complementary medicine and therapies · 2025Article
- The effects of different training programs on sleep and academic performance of senior high school boy students: a randomized controlled trial.Frontiers in psychology · 2025Article
- The effects of parent-child relationship, study stress, and mobile phone use on depressive symptoms among Chinese elementary school students: a moderated mediation model.Frontiers in psychiatry · 2025Article
- A Six-Year Longitudinal Study of Parenting and Depressive Symptoms among Taiwanese Adolescents.International journal of social welfare · 2024Article
- Epidemiology of depressive disorders among youth during Gaokao to college in China: results from Hunan Normal University mental health survey.BMC psychiatry · 2023Article
- Effectiveness of Aromatherapy Yoga in Stress Reduction and Sleep Quality Improvement among Chinese Female College Students: A Quasi-Experimental Study.Healthcare (Basel, Switzerland) · 2022Article
- The Correlates of Academic Stress in Hong Kong.International journal of environmental research and public health · 2022Article
- Mapping network connection among symptoms of anxiety, depression, and sleep disturbance in Chinese high school students.Frontiers in public health · 2022Article
- Associations Between Academic Stress, Mental Distress, Academic Self-Disclosure to Parents and School Engagement in Hong Kong.Frontiers in psychiatry · 2022Article
- Perceived Academic Stress and Depression: The Mediation Role of Mobile Phone Addiction and Sleep Quality.Frontiers in public health · 2022Article
- Longitudinal epidemiological study of subjective sleep quality in Japanese adolescents to investigate predictors of poor sleep quality.Sleep and biological rhythms · 2022Article
- Gender Differences in Lifestyle and Mental Health among Senior High School Students in South Korea.International journal of environmental research and public health · 2021Article
- A survey of mental health literacy in Japanese high school teachers.BMC psychiatry · 2021Article
- Mental Health Problems and Associated Factors in Chinese High School Students in Henan Province: A Cross-Sectional Study.International journal of environmental research and public health · 2020Article
- Depressive Symptoms and the Link with Academic Performance among Rural Taiwanese Children.International journal of environmental research and public health · 2020Article
- The Mediating Role of Visual Stimuli From Media Use at Bedtime on Psychological Distress and Fatigue in College Students: Cross-Sectional Study.JMIR mental health · 2020Article
- Sleep Quality of Students from Elementary School to University: A Cross-Sectional Study.Nature and science of sleep · 2020Article
- Relationships between depression, health‑related behaviors, and internet addiction in female junior college students.PloS one · 2019Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe aim of the study reported here was to clarify the effects of academic pressure on fatigue, sleep problems, daytime sleepiness, and depression among senior high school adolescents in Taiwan.
methodsThis cross-sectional study enrolled 757 senior high school adolescents who were classified into four groups: Grade 1 (n=261), Grade 2 (n=228), Grade 3T (n=199; Grade 3 students who had another college entrance test to take), and Grade 3S (n=69; Grade 3 students who had succeeded in their college application). Fatigue, sleep quality, daytime sleepiness, and depression were assessed using the Chinese version of the Multidimensional Fatigue Symptom Inventory - Short Form, Pittsburgh Sleep Quality Index-Taiwan Form, the Chinese version of the Epworth Sleepiness Scale, and the Chinese version of the Beck Depression Inventory(®)-II (BDI-II), respectively.
resultsPhysical, emotional, and mental fatigue scores were all higher in higher-grade groups. The Grade 3T (test) students had the worst fatigue severity, and the Grade 3S (success) students had the least fatigue severity. More than half of the students (60.9%) went to bed after 12 am, and they had on average 6.0 hours of sleep per night. More than 30% of the students in Grade 2 (37.3%) and Grades 3T/S (30.2%/30.4%) possibly had daily sleepiness problems. The students in Grade 3T had the worst BDI-II score (13.27±9.24), and the Grade 3S students had a much lower BDI-II score (7.91±6.13).
conclusionRelatively high proportions of fatigue, sleep problems, daytime sleepiness, and depression among senior high school adolescents were found in our study. The severities of fatigue, sleep problems, and depression were significantly diminished in the group under less academic stress (Grade 3S). Our findings may increase the understanding of the mental health of senior high school students under academic pressure in Taiwan. Further large sample size and population-based study should be done for better understanding about this topic.
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