SynthesisPloS one2021
Prevalence of sleep disturbances in Chinese adolescents: A systematic review and meta-analysis.
Synthesis in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
53 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Prevalence and risk factors of sleep disturbances among adolescents with non-suicidal self-injury: a systematic review and meta-analysis.BMC psychology · 2026Pooled it
- Prevalence of sleep disturbances in children and adolescents during COVID-19 pandemic: a meta-analysis and systematic review of epidemiological surveys.Translational psychiatry · 2024Pooled it
- Is decreasing problematic mobile phone use a pathway for alleviating adolescent depression and sleep disorders? A randomized controlled trial testing the effectiveness of an eight-session mindfulness-based intervention.Journal of behavioral addictions · 2024Trial
- Cumulative effects of excess weight, sleep quality, and depressive and anxiety symptoms in Chinese adolescents.BMC psychology · 2026Article
- Investigating the Prospective Relationship Between Weight Loss Behaviours and Sleep in Adolescents From the Growing Up in Ireland Cohort.European eating disorders review : the journal of the Eating Disorders Association · 2026Article
- Insomnia Among Adolescents in Northern Peru: Associations with Psychosocial, Health-Related, and Educational Factors in a Cross-Sectional Study Across Five Schools.Journal of clinical medicine · 2026Article
- School nurses' experiences of supporting children and young people and their caregivers around sleep: a focus group study.Journal of research in nursing : JRN · 2026Article
- The chain mediating role of physical exercise and anxiety in the relationship between school connectedness and sleep disorders among adolescents.Frontiers in public health · 2026Article
- Adolescent Insomnia Disorder - Problematic Internet Use Nexus: A Convergent Developmental Trajectory - Bridging Neuroimaging Biomarkers, Molecular Susceptibility, and Environmental-Neurocognitive Cascades.Psychology research and behavior management · 2026Review
- The mediation effects of smartphone addiction, negative emotion and psychological resilience in the relationship between social support and sleep quality among medical students.Frontiers in psychiatry · 2026Article
- The synergistic effects of diet and physical activity on sleep quality among Chinese adolescents: A comprehensive cross-sectional study.Global mental health (Cambridge, England) · 2026Article
- Cumulative ecological risk, dysfunctional beliefs and attitudes about sleep, and sleep quality among Chinese adolescents: the indirect association of psychological distress.Frontiers in psychology · 2026Article
- Development and validation of a risk prediction model for poor sleep quality among senior high school students in China.Scientific reports · 2025Article
- An interpretable machine learning model for predicting sleep disturbances in adolescents with mood disorders: the key role of psychological factors.BMC psychiatry · 2025Article
- Sex differences in peer victimization and suicidal ideation among adolescents: a cross-sectional study.BMC public health · 2025Article
- Association between snacking habits and sleep problems in children aged 6 to 12: a cross-sectional study in Iran.BMC pediatrics · 2025Article
- The Bidirectional Relationship Between Sleep Quality and Aggressive Behavior: Within-Person Mediated Effect of Self-Control.Journal of youth and adolescence · 2025Article
- Mental health symptoms in Chinese children with sleep disorders and association with parental emotions.Scientific reports · 2025Article
- Point Prevalence and Risk Factors for Insomnia in Children and Adolescents: Findings of a Population-Based Survey.Deutsches Arzteblatt international · 2025Observational
- The Correlation Between Sleep and Coronary Heart Disease: A Review.Reviews in cardiovascular medicine · 2025Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo review cross-sectional studies on the prevalence of sleep disturbance in Chinese adolescents and use a meta-analysis to explore the factors that may explain the heterogeneity between estimates of the prevalence.
methodsWe followed the Preferred Reporting Items for Systematic Review and Meta-analysis and searched the PubMed, Embase, Cochrane Library, PsycINFO, Scopus, Web of Science, SinoMed, Chinese National Knowledge Infrastructure (CNKI), WanFang, and VIP Database for Chinese Technical Periodicals databases from their inception through June 30, 2020. Analysis of the abstract, full-text, and data were conducted independently with uniform standards. Sub-group analyses and meta-regression analyses were performed to explore the associations between prevalence and gender, sex ratio, mean age, area, studying stage, sample size, survey time, response rate, assessment tools, PSQI cut-off, and quality score of the study.
resultsA total of 63 studies (64 groups of outcomes) were included in our analysis, covering 430,422 adolescents across China, of which 104,802 adolescents had sleep disturbances. The overall pooled prevalence was 26% (95% CI: 24-27%). Adolescents in senior high school (28%, 95% CI: 24-31%, p<0.001) had a higher prevalence of sleep disturbances than those in junior high school (20%, 95% CI: 15-24%, p<0.001). Studies with effective sample size of more than 1,000 and less than 3,000 had the highest prevalence of 30% (95% CI: 24-35%, p<0.001). The prevalence of sleep disturbances was not affected by other factors.
conclusionThis systematic review and meta-analysis revealed that sleep disturbances are common in Chinese adolescents, and effective psychological and behavior intervention may be needed to help adolescents solve their sleep problems.
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