Evidence map›Paper›PMID 41804842›Full record

ArticleBrain and behavior2026

The Longitudinal Impact of Daytime Dysfunction on Adolescent Depressive and Anxiety Symptoms: A Random Intercept Cross-Lagged Panel Study.

Na Zhang, Chenguang Ji, Shiyi Tang, Tiancheng Li, Chengcong Wu, Ziyue Zhu, Jiazhao Li, Yonghui Huang, Danyue Feng, Dongyan Ding and 1 more

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Article in Brain and behavior, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Na ZhangBengbu Medical University, Bengbu, Anhui, China.
Chenguang JiBengbu Medical University, Bengbu, Anhui, China.
Shiyi TangBengbu Medical University, Bengbu, Anhui, China.
Tiancheng LiBengbu Medical University, Bengbu, Anhui, China.
Chengcong WuBengbu Medical University, Bengbu, Anhui, China.
Ziyue ZhuBengbu Medical University, Bengbu, Anhui, China.
Jiazhao LiBengbu Medical University, Bengbu, Anhui, China.
Yonghui HuangBengbu Medical University, Bengbu, Anhui, China.
Danyue FengBengbu Medical University, Bengbu, Anhui, China.
Dongyan DingBengbu Medical University, Bengbu, Anhui, China.
Wenjuan WangBengbu Medical University, Bengbu, Anhui, China.

Funding

Anhui Province Postgraduate Innovation and Entrepreneurship Practice Project (Grant No. 2023cxcysj160)Anhui Province Postgraduate Quality Engineering Project (Grant No. 2024zyxwjxalk187)Anhui Provincial Department of Education (Anhui Province Scientific Research Planning Key Project (Grant No. 2022AH051512)Anhui Provincial Department of Education: the Anhui Province Postgraduate Innovation and Entrepreneurship Practice Project 2023cxcysj160Anhui Provincial Department of Education: the Anhui Province Scientific Research Planning Key Project 2022AH051512Anhui Provincial Department of Education: the Anhui Provincial Postgraduate Quality Engineering Project 2024zyxwjxalk187Anhui Provincial Department of Education: the Innovative Training Program for Chinese College Students bydc2024072:bydc2024073:bydc2024078Innovative Training Program for Chinese College Students (Grant Nos. bydc2024072 bydc2024073 bydc2024078)
6 · The paper itself

Abstract

introductionDaytime dysfunction is a significant manifestation of sleep problems in adolescents, which increases individuals' negative emotional experiences by weakening their cognitive regulation and social adaptation. Meanwhile, emotional distress, such as depressive and anxiety symptoms, may further exacerbate daytime dysfunction, creating a negative cycle. Therefore, the present study employed a longitudinal follow-up design to explore the bidirectional relationship between daytime dysfunction and depressive and anxiety symptoms in adolescents.

methodsThis three-wave longitudinal study used stratified random sampling to recruit 936 adolescents (50.96% girls; mean age = 14.37 ± 1.32 years) from four secondary schools in Bengbu, Anhui Province, China. Data were collected between September 2023 and September 2024 at 4-month intervals. Standardized questionnaires measured daytime dysfunction, social ostracism, depressive symptoms, and anxiety symptoms. Random intercept cross-lagged panel models (RI-CLPM) were used to examine within- and between-person associations and to test the longitudinal mediating roles of two distinct forms of social ostracism.

resultsAt the between-individual level, the results indicated a significant positive association between daytime dysfunction and depressive and anxiety symptoms (r = 0.319-0.495, p < 0.001), and a significant positive association between social ostracism and depressive and anxiety symptoms (r = 0.120-0.504, p < 0.05). The link between social ostracism and daytime dysfunction was weaker, mainly involving social rejection. At the within-individual level, social neglect at T2 significantly mediated the longitudinal relationship between daytime dysfunction at T1 and anxiety symptoms at T3.

conclusionsThese findings suggest the negative impact of daytime dysfunction on adolescents' depressive and anxiety symptoms and highlight the role of social neglect in social ostracism on this influence.

Indexed as

AnxietyDepressionSleep Wake DisordersSocial IsolationAdolescentChinaFemaleHumansLongitudinal StudiesMaleSurveys and Questionnairesdaytime dysfunctionemotional distressrandom‐intercept cross‐lagged panel modelsocial ostracism

Identifiers

PMID41804842
PMCPMC12973128

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