ArticleSleep health2024
The associations between instructional approach, sleep characteristics and adolescent mental health: Lessons from the COVID-19 pandemic.
Article in Sleep health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
6 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Associations of Social Jetlag With Depression and Anxiety in Adolescents and Young People: A Systematic Review and Meta-Analysis.Depression and anxiety · 2026Pooled it
- Social jetlag and depressive symptoms among young people: a systematic review and meta-analysis.BMC psychiatry · 2025Pooled it
- Sleep Is Integral to School Health and Adolescent Wellbeing: An Evidence-Based Call to Action.The Journal of school health · 2026Review
- The Relationship Between Indicators of Behavior Rhythmicity With Depression, Anxiety, and Stress Among Youths.Depression and anxiety · 2026Article
- Associations of mood, stress, and social support with sleep duration and daytime sleepiness among adolescents in semi-rural Georgia.Sleep epidemiology · 2024Article
- Instructional approach, sleep, and perceived academic well-being in adolescents during COVID-19: Evidence from the NESTED study.Sleep health · 2024Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectivesTo test whether adolescents' mental health during the COVID-19 pandemic is associated with the combination of their instructional approach(es) and their sleep patterns.
designCross-sectional.
settingAdolescents were recruited through social media outlets in October and November 2020 to complete an online survey.
participantsParticipants were 4442 geographically and racially diverse, community-dwelling students (grades 6-12, 51% female, 36% non-White, 87% high schoolers). MEASUREMENTS: Participants completed items from the PROMIS Pediatric Depressive Symptoms and Anxiety scales. Participants reported their instructional approach(es), bedtimes, and wake times for each day in the past week. Participants were categorized into five combined instructional approach groups. Average sleep opportunity was calculated as the average time between bedtime and waketime. Social jetlag was calculated as the difference between the average sleep midpoint preceding non-scheduled and scheduled days.
resultsEmotional distress was elevated in this sample, with a large proportion of adolescents reporting moderate-severe (T-score ≥ 65) levels of depressive symptoms (49%) and anxiety (28%). There were significant differences between instructional approach groups, such that adolescents attending all schooldays in-person reported the lowest depressive symptom and anxiety T-scores (P < .001, η
conclusionsPrioritizing in-person education and promoting healthy sleep patterns (more sleep opportunity, more consistent sleep schedules) may help bolster adolescent mental health.
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Registered trials
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.