Evidence map›Paper›PMID 42154267›Full record

ArticleEuropean archives of psychiatry and clinical neuroscience2026

Prevalence and clinical features of depressed adolescents co-occurring insomnia and excessive daytime sleepiness symptoms.

Mingru Hao, Xin Zhao, Haojie Fan, Lewei Liu, Feng Geng, Daming Mo, Jiawei Wang, Changhao Chen, Zhiwei Liu, Xiangfen Luo and 3 more

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Article in European archives of psychiatry and clinical neuroscience, 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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5 · Who and what money

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13 authors.

Mingru Hao *Department of Psychiatry, The Fourth Affiliated Hospital of Anhui Medical University, 64 Chaohu North Road, Hefei, 238000, Anhui Province, China.
Xin Zhao *Department of Psychiatry, Hefei Fourth People's Hospital, Hefei, 230000, Anhui Province, China.
Haojie Fan *Department of Psychiatry, The Fourth Affiliated Hospital of Anhui Medical University, 64 Chaohu North Road, Hefei, 238000, Anhui Province, China.
Lewei LiuDepartment of Psychiatry, The Fourth Affiliated Hospital of Anhui Medical University, 64 Chaohu North Road, Hefei, 238000, Anhui Province, China.
Feng GengDepartment of Psychology and Sleep Medicine, The Second Affiliated Hospital of Anhui Medical University, Hefei, 230000, Anhui Province, China.
Daming MoDepartment of Psychiatry, Hefei Fourth People's Hospital, Hefei, 230000, Anhui Province, China.
Jiawei WangDepartment of Psychiatry, Bozhou People's Hospital, Bozhou, 236800, Anhui, China.
Changhao ChenDepartment of Psychiatry, Suzhou Second People's Hospital, Anhui, 234099, China.
Zhiwei LiuDepartment of Psychiatry, Fuyang Third People's Hospital, Fuyang, 236044, Anhui, China.
Xiangfen LuoDepartment of Psychiatry, The Second Affiliated Hospital of Bengbu Medical College, Bengbu, 233040, Anhui, China.
Xiangwang WenDepartment of Psychiatry, Ma'anshan Fourth People's Hospital, Ma'anshan, 243031, Anhui, China.
Ling ZhangDepartment of Psychiatry, The Fourth Affiliated Hospital of Anhui Medical University, 64 Chaohu North Road, Hefei, 238000, Anhui Province, China. 13916089346@163.com.
Huanzhong LiuDepartment of Psychiatry, The Fourth Affiliated Hospital of Anhui Medical University, 64 Chaohu North Road, Hefei, 238000, Anhui Province, China. huanzhongliu@ahmu.edu.cn.ORCID http://orcid.org/0000-0003-3095-5249

Funding

Anhui Health Research Project AHWJ2024Aa10004Anhui Translational Research Institute 2022zhyx-B01Bozhou Municipal Health and Wellness Research General Program bzwj2024b020
6 · The paper itself

Abstract

purposeThis study aimed to explore the prevalence and clinical characteristics of depressed adolescents with concurrent insomnia and excessive daytime sleepiness symptoms (EDS). PATIENTS AND

methodsFrom January 2021 to January 2024, 491 depressed adolescents from eight hospitals in Anhui Province, China, were included in this study. Sociodemographic characteristics and clinical features were compared in four groups: co-occurring insomnia and excessive daytime sleepiness symptoms (INS-EDS), insomnia symptom only (INS-Only), excessive daytime sleepiness symptom only (EDS-Only), and no insomnia and excessive daytime sleepiness symptoms (No INS-EDS).

resultsOf 491 depressed adolescents, 73 (14.9%) had both insomnia and EDS symptoms. They had more severe depression (OR = 1.487, 95% CI = 1.067-2.074), more intense suicidal ideation (OR = 1.052, 95% CI = 1.019-1.086), lower quality of life (OR = 0.794, 95% CI = 0.631-0.999), and were more likely to experience dissolution of parental relationships (OR = 2.371, 95% CI = 1.254-4.484). Meanwhile, patients with both insomnia and EDS were more likely to be addicted to the Internet and experience cyberbullying than those in the No INS-EDS group.

conclusionThe joint presentation of insomnia and EDS in depressed adolescents was linked to more severe depressive symptoms, more intense suicidal ideation, lower quality of life, and a higher likelihood of parental relationship dissolution. Large-scale studies are needed to investigate sleep abnormalities in adolescents with major depressive disorder.

Indexed as

DepressionDisorders of Excessive SomnolenceSleep Initiation and Maintenance DisordersAdolescentChinaComorbidityFemaleHumansMalePrevalenceQuality of LifeSuicidal IdeationAdolescentExcessive daytime sleepinessInsomniaMajor depressive disorder

Identifiers

PMID42154267

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