ArticleJournal of clinical medicine2022
Associations between Insomnia, Daytime Sleepiness, and Depressive Symptoms in Adolescents: A Three-Wave Longitudinal Study.
Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 14 citations in OpenAlex.
- Reciprocal associations between parent-child relationships and adolescent depressive symptoms: The longitudinal mediation role of insomnia and sex differences.European child & adolescent psychiatry · 2026Article
- Network analysis of school refusal behavior and internalizing and externalizing problems among Chinese adolescents.BMC psychology · 2026Article
- Excessive Daytime Sleepiness Should Be Systematically Assessed in Individuals With Insomnia: A Population-Based Study Employing a Virtual Agent-Based Digital Tool.Journal of sleep research · 2026Article
- Effects of gender differences and lifestyle factors on depression among Chinese children and adolescents.BMC psychology · 2026Article
- Sleep actigraphy results and HIV health outcomes in an urban HIV clinic sample.Psychology, health & medicine · 2025Article
- Depression mediates the association of healthy sleep patterns with suicidal ideation among U.S. adults.Frontiers in psychiatry · 2025Article
- Feature Contributions and Predictive Accuracy in Modeling Adolescent Daytime Sleepiness Using Machine Learning: The MeLiSA Study.Brain sciences · 2024Article
- Depression and suicidal ideation among Chinese college students during the COVID-19 pandemic: the mediating roles of chronotype and sleep quality.BMC psychiatry · 2024Article
- The Complex Association between Sleep Quality, Psychological Wellbeing, and Neurodevelopmental Disorders in Childhood.Journal of clinical medicine · 2023Article
- A bibliometric analysis of insomnia in adolescent.Frontiers in psychiatry · 2023Article
- Examining the Longitudinal Effects of Insomnia on Depression and Medication Adherence in People Living with HIV.Behavioral sleep medicineArticle
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Authors and funding
4 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundInsomnia, daytime sleepiness, and depressive symptoms are prevalent in adolescents. This three-wave prospective study examined the associations between the three symptoms in adolescents.
methodsA total of 6995 schoolchildren in 7th and 10th grades (Mean age = 14.86 years) participated in a longitudinal study of behavior and health in Shandong, China. Standardized rating scales were used to assess symptoms of insomnia, daytime sleepiness, and depression in November-December in 2015, 1 year later, and 2 years later.
resultsInsomnia was cross-sectionally associated with 10-14-fold increased odds of daytime sleepiness and 5-9-fold increased odds of depression. Daytime sleepiness was associated with 4-5-fold increased odds of depression. Insomnia, daytime sleepiness, or depression at a later time point was significantly predicted by itself at earlier time points. Insomnia was a significant predictor of daytime sleepiness and depression and a mediator between depression and daytime sleepiness. Daytime sleepiness was a significant predictor of insomnia and a mediator between depression and insomnia. Depression was a significant predictor of insomnia and daytime sleepiness and a mediator between insomnia and daytime sleepiness.
conclusionsInsomnia, daytime sleepiness, and depressive symptoms were highly comorbid in adolescents. The associations of insomnia with daytime sleepiness and depression were bidirectional. Depression predicted daytime sleepiness, but not vice versa. Further research is needed to understand the underlying neurobiological mechanisms between insomnia, daytime sleepiness, and depression during adolescence.
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