Evidence map›Paper›PMID 33875385›Full record

ArticleSleep health2021

Short sleep, insomnia symptoms, and evening chronotype are correlated with poorer mood and quality of life in adolescent transgender males.

Anne E Bowen, Syd Staggs, Jill Kaar, Natalie Nokoff, Stacey L Simon

Open access · greenAbstract read
In one paragraph

Article in Sleep health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
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  9. Review
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  13. Article
  14. Gender identity and transition: relationships with sleep disorders in US youth.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Article
  15. Article
  16. Transgender Health: A Metabolic Wake-Up Call.Indian journal of endocrinology and metabolism
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Anne E BowenChildren's Hospital Colorado, Aurora, Colorado, USA.
Syd StaggsUniversity of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Jill KaarUniversity of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Natalie NokoffChildren's Hospital Colorado, Aurora, Colorado, USA; University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Stacey L SimonChildren's Hospital Colorado, Aurora, Colorado, USA; University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA. Electronic address: stacey.simon@childrenscolorado.org.
Children's Hospital Colorado · USUniversity of Colorado Anschutz Medical Campus · US

Funding

NIH Prior Approval Process ProfessionalUL1TR002535 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2018 to 2022
$51.1M
UCHSC: Building Interdisciplinary Research Careers in Women's HealthK12HD057022 · NICHD · UNIVERSITY OF COLORADO DENVER · PI REGENSTEINER, JUDITH G., SANTORO, NANETTE F. · 2007 to 2023
$8.5M
The Colorado Building Interdisciplinary Research Careers in Women's Health ProgramK12AR084226 · NIAMS · UNIVERSITY OF COLORADO DENVER · PI JUDITH G. REGENSTEINER, Nanette F. Santoro · 2023 to 2026
$2.5M
Impact of Sleep Extension on Insulin Sensitivity and Dietary Intake in AdolescentsK23DK117021 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI SIMON, STACEY LYNN · 2018 to 2021
$682k
NCATS NIH HHS UL1 TR002535NIAMS NIH HHS K12 AR084226NICHD NIH HHS K12 HD057022NIDDK NIH HHS K23 DK117021
6 · The paper itself

Abstract

objectivePoor sleep is common among adolescents and associated with impaired mood and health-related quality of life (HRQOL). Transgender individuals are at increased risk of mood problems hypothesized to be due to minority stress; however, no research has investigated associations between sleep and mood in this population. We aimed to examine sleep, mood, and HRQOL in transgender adolescent males. DESIGN &

settingTransgender males age 13-16 were recruited from a U.S. gender diversity clinic. MEASUREMENTS: Participants completed one week of home actigraphy monitoring. Questionnaires assessed insomnia symptoms, chronotype, mood, and HRQOL. Pearson correlations between sleep, mood, and HRQOL were examined.

resultsA total of 10 participants completed study measures during the school year. Participants obtained less than the recommended 8-10 hours of sleep per night, and half of participants endorsed insomnia symptoms. Greater insomnia symptoms were correlated with higher anxiety (P = .04) and depression (P = .04) symptoms, and poorer Psychosocial HRQOL (P = .03). Earlier weekday and weekend bed and wake times and earlier weekday sleep midpoint were associated with better Wellbeing HRQOL. No other significant correlations between sleep and mood or HRQOL variables were found.

conclusionsAnxiety and depression symptoms were associated with self-reported insomnia symptoms, while HRQOL was associated with both insomnia symptoms and objective sleep timing in this sample of adolescent transgender males. Clinicians should assess both sleep and mood symptoms in this population and future research should evaluate the impact of improved sleep and gender-affirming care on mood and HRQOL for transgender adolescents.

Indexed as

Sleep Initiation and Maintenance DisordersSleep Wake DisordersTransgender PersonsAdolescentFemaleHumansMaleQuality of LifeSleepChronotypeGender diversityMental healthSleep health

Identifiers

PMID33875385
PMCPMC8384662
OpenAlexW3156751733

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.