ArticleBMC psychiatry2025
The relationship between chronotype, insomnia and depressive symptoms in Chinese male prisoners.
Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Ambient PMBMC public health · 2026Article
- Sensory Deprivation and the Brain: Neurobiological Mechanisms, Psychological Effects, and Clinical Implications.Brain sciences · 2026Review
- Age Differences in Factors Associated With Insomnia Severity: A Comparative Study of Questionnaire Scores and Heart Rate Variability Parameters.Depression and anxiety · 2026Article
- Circadian Rhythm Traits Matter More Than Shift Work Demands in the Sleep-Depression-Safety Behavior Pathway Among Shift-Working Nurses.Journal of nursing management · 2026Article
- Dietary diversity and its associations with sleep quality and chronotype in young and middle-aged adults.Frontiers in nutrition · 2025Article
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Authors and funding
7 authors.
Funding
Abstract
backgroundThis study aimed to estimate the prevalence of chronotypes among male prisoners in China and to examine the relationship between chronotype, insomnia, and depressive symptoms in this population.
methodsA total of 1609 male inmates participated in this cross-sectional study by completing the Morning and Evening Questionnaire-5 (MEQ-5), Insomnia Severity Index (ISI), and Patient Health Questionnaire-9 (PHQ-9). Age, time served, insomnia, and depressive symptoms were compared across chronotypes. Binary logistic stepwise regression was used to analyze factors influencing depression. Additionally, a simple mediation model incorporating MEQ-5, ISI, and PHQ-9 was analyzed, with age controlled as a covariate.
resultsThe prevalence of morning type (MT), neutral type (NT), and evening type (ET) was 47.2%, 46.7%, and 6.1%, respectively. Being an ET was significantly associated with younger age and increased symptoms of insomnia and depression (P < 0.05). The relative risk of depression was 2.970-fold higher (95% CI, 1.724 to 5.116; P < 0.001) for ET compared to MT. Mediation analysis revealed that insomnia partially mediated the relationship between chronotype and depression, while the direct effect of chronotype on depression was also significant (accounting for 50.51% of the total effect).
conclusionsThe prevalence of ET is relatively low among male prisoners. Resetting ET tendencies may reduce depressive symptoms in this population.
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