Association between healthy sleep patterns and depressive trajectories among college students: a prospective cohort study

Abstract Background The purpose of this study was to identify different develpment trajectories of depression symptoms during college period, and prospectively investigate the associations healthy sleep patterns with trajectories of depression symptoms among college students from freshman through ju...

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Main Authors: Dan Zhang, Yang Qu, Shuang Zhai, Tingting Li, Yang Xie, Shuman Tao, Liwei Zou, Fangbiao Tao, Xiaoyan Wu
Format: Article
Language:English
Published: BMC 2023-03-01
Series:BMC Psychiatry
Subjects:
Online Access:https://doi.org/10.1186/s12888-023-04596-0
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author Dan Zhang
Yang Qu
Shuang Zhai
Tingting Li
Yang Xie
Shuman Tao
Liwei Zou
Fangbiao Tao
Xiaoyan Wu
author_facet Dan Zhang
Yang Qu
Shuang Zhai
Tingting Li
Yang Xie
Shuman Tao
Liwei Zou
Fangbiao Tao
Xiaoyan Wu
author_sort Dan Zhang
collection DOAJ
description Abstract Background The purpose of this study was to identify different develpment trajectories of depression symptoms during college period, and prospectively investigate the associations healthy sleep patterns with trajectories of depression symptoms among college students from freshman through junior year. Methods A total of 999 participants from the College Student Behavior and Health Cohort Study were included between April 2019 and June 2021. Healthy sleep patterns were defined by chronotype, sleep duration, insomnia, snoring, and daytime sleepiness. Latent growth curve model was used to identify trajectories of depression symptoms. Then binary logistic regression was used to examine association of the healthy sleep patterns with these trajectories. Results In baseline survey, we found that a total of 100 (10.0%) participants had healthy sleep patterns’ score equal to 5. Then, we used 5 surveys’ data to identify 2 distinct trajectories of depression symptoms during college (decreasing: 82.5%; increasing: 17.5%). The healthy sleep patterns were associated with these trajectories, the better healthy sleep patterns significantly decrease the risk of increasing trajectories of depression symptoms in males (OR: 0.72, 95%CI: 0.54 ~ 0.97, P = 0.031). Moreover, we found out that the healthy sleep patterns of college students can predict the future depressive symptoms in this study (all P < 0.001). Conclusion Our findings indicate that the better healthy sleep patterns may significantly decrease the risk of increasing trajectory of depression symptoms only in male college students. The results speak to a need for college student with depression symptoms to identify and address sleep problems when present, which could prevent or reduce depression detriments in later life.
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spelling doaj.art-0800ce43c0154f96b3e1ffa4e775cd082023-03-22T12:00:27ZengBMCBMC Psychiatry1471-244X2023-03-0123111010.1186/s12888-023-04596-0Association between healthy sleep patterns and depressive trajectories among college students: a prospective cohort studyDan Zhang0Yang Qu1Shuang Zhai2Tingting Li3Yang Xie4Shuman Tao5Liwei Zou6Fangbiao Tao7Xiaoyan Wu8Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical UniversityDepartment of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical UniversityDepartment of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical UniversityDepartment of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical UniversityDepartment of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical UniversityMOE Key Laboratory of Population Health Across Life CycleDepartment of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical UniversityDepartment of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical UniversityDepartment of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical UniversityAbstract Background The purpose of this study was to identify different develpment trajectories of depression symptoms during college period, and prospectively investigate the associations healthy sleep patterns with trajectories of depression symptoms among college students from freshman through junior year. Methods A total of 999 participants from the College Student Behavior and Health Cohort Study were included between April 2019 and June 2021. Healthy sleep patterns were defined by chronotype, sleep duration, insomnia, snoring, and daytime sleepiness. Latent growth curve model was used to identify trajectories of depression symptoms. Then binary logistic regression was used to examine association of the healthy sleep patterns with these trajectories. Results In baseline survey, we found that a total of 100 (10.0%) participants had healthy sleep patterns’ score equal to 5. Then, we used 5 surveys’ data to identify 2 distinct trajectories of depression symptoms during college (decreasing: 82.5%; increasing: 17.5%). The healthy sleep patterns were associated with these trajectories, the better healthy sleep patterns significantly decrease the risk of increasing trajectories of depression symptoms in males (OR: 0.72, 95%CI: 0.54 ~ 0.97, P = 0.031). Moreover, we found out that the healthy sleep patterns of college students can predict the future depressive symptoms in this study (all P < 0.001). Conclusion Our findings indicate that the better healthy sleep patterns may significantly decrease the risk of increasing trajectory of depression symptoms only in male college students. The results speak to a need for college student with depression symptoms to identify and address sleep problems when present, which could prevent or reduce depression detriments in later life.https://doi.org/10.1186/s12888-023-04596-0Healthy sleep patternTrajectories of depression symptomsCollege students
spellingShingle Dan Zhang
Yang Qu
Shuang Zhai
Tingting Li
Yang Xie
Shuman Tao
Liwei Zou
Fangbiao Tao
Xiaoyan Wu
Association between healthy sleep patterns and depressive trajectories among college students: a prospective cohort study
BMC Psychiatry
Healthy sleep pattern
Trajectories of depression symptoms
College students
title Association between healthy sleep patterns and depressive trajectories among college students: a prospective cohort study
title_full Association between healthy sleep patterns and depressive trajectories among college students: a prospective cohort study
title_fullStr Association between healthy sleep patterns and depressive trajectories among college students: a prospective cohort study
title_full_unstemmed Association between healthy sleep patterns and depressive trajectories among college students: a prospective cohort study
title_short Association between healthy sleep patterns and depressive trajectories among college students: a prospective cohort study
title_sort association between healthy sleep patterns and depressive trajectories among college students a prospective cohort study
topic Healthy sleep pattern
Trajectories of depression symptoms
College students
url https://doi.org/10.1186/s12888-023-04596-0
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