Insomnia and Alexithymia in Chinese Adolescents with Major Depressive Disorder: A Cross-Sectional Study of Sex Differences and Associations
Xiaoxue Yang,1– 3 Lewei Liu,1– 3 Yinghan Tian,1– 3 Cheng Yang,1– 3 Chen Ling,1– 3 Huanzhong Liu2,3 1Department of Psychiatry, School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, Anhui Province, People’s Republic of China; 2Department of Psychiatry, Chaohu Hospital of...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2024-02-01
|
| Series: | Psychology Research and Behavior Management |
| Subjects: | |
| Online Access: | https://www.dovepress.com/insomnia-and-alexithymia-in-chinese-adolescents-with-major-depressive--peer-reviewed-fulltext-article-PRBM |
| _version_ | 1797301915877376000 |
|---|---|
| author | Yang X Liu L Tian Y Yang C Ling C Liu H |
| author_facet | Yang X Liu L Tian Y Yang C Ling C Liu H |
| author_sort | Yang X |
| collection | DOAJ |
| description | Xiaoxue Yang,1– 3 Lewei Liu,1– 3 Yinghan Tian,1– 3 Cheng Yang,1– 3 Chen Ling,1– 3 Huanzhong Liu2,3 1Department of Psychiatry, School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, Anhui Province, People’s Republic of China; 2Department of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, Anhui Province, People’s Republic of China; 3Anhui Psychiatric Center, Anhui Medical University, Hefei, Anhui Province, People’s Republic of ChinaCorrespondence: Huanzhong Liu, Department of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, Anhui Province, People’s Republic of China, Tel +86-551-82324616, Fax +86-551-82324252, Email huanzhongliu@ahmu.edu.cnPurpose: Insomnia is related to alexithymia in adults, but the relationship between insomnia and alexithymia in adolescents with major depressive disorder remains unclear. This study aimed to investigate the sex differences and the association between insomnia and alexithymia in adolescents with major depressive disorder.Patients and Methods: From October 2020 to April 2022, adolescent patients with major depressive disorder were recruited from psychiatric departments of seven hospitals in Anhui Province, China. Their general demographic and clinical information were collected. The 20-item Toronto Alexithymia Scale, the Center for Epidemiologic Studies of Depression Scale, and the Insomnia Severity Index Scale were used to assess their alexithymia, depression, and insomnia symptoms, respectively. The analysis of variance (ANOVA), Student’s t-test and Mann–Whitney U-test were used for continuous variables and chi-square tests for categorical variables. Pearson’s correlation analysis and Spearman correlation analysis were used to examine the correlation between ISI and demographic and clinical variables. Multiple binary logistic regression analyses with the “Enter” method were carried out to explore the correlations of insomnia.Results: The prevalence of insomnia in female adolescent patients was similar to that of male patients (χ2=1.84, p = 0.175). Compared with those without insomnia, patients with insomnia had worse family relationships (F = 7.71, p = 0.021), perceived heavier academic stress (F = 6.32, p = 0.012), more likely to take sedative-hypnotics (F = 5.51, p = 0.019), had higher levels of depression (F = 81.57, p < 0.001) and alexithymia (F = 28.57, p < 0.001). Correlation analysis showed that alexithymia was significantly associated with insomnia in adolescent patients (r = 0.360, p < 0.01). Binary logistic regression analyses showed that, alexithymia was significantly associated with insomnia in female patients (OR = 1.050, p < 0.05) but not male patients.Conclusion: In female adolescent patients, alexithymia is a risk factor of insomnia, which is of great importance in the understanding of the psychopathological mechanisms, treatments and psychological interventions of insomnia in adolescents with major depressive disorder.Keywords: adolescents, major depressive disorder, insomnia, alexithymia |
| first_indexed | 2024-03-07T23:29:25Z |
| format | Article |
| id | doaj.art-275fd2cd63f34ae3b88e890fe0d06ca2 |
| institution | Directory Open Access Journal |
| issn | 1179-1578 |
| language | English |
| last_indexed | 2024-03-07T23:29:25Z |
| publishDate | 2024-02-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Psychology Research and Behavior Management |
| spelling | doaj.art-275fd2cd63f34ae3b88e890fe0d06ca22024-02-20T17:10:13ZengDove Medical PressPsychology Research and Behavior Management1179-15782024-02-01Volume 1761562590599Insomnia and Alexithymia in Chinese Adolescents with Major Depressive Disorder: A Cross-Sectional Study of Sex Differences and AssociationsYang XLiu LTian YYang CLing CLiu HXiaoxue Yang,1– 3 Lewei Liu,1– 3 Yinghan Tian,1– 3 Cheng Yang,1– 3 Chen Ling,1– 3 Huanzhong Liu2,3 1Department of Psychiatry, School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, Anhui Province, People’s Republic of China; 2Department of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, Anhui Province, People’s Republic of China; 3Anhui Psychiatric Center, Anhui Medical University, Hefei, Anhui Province, People’s Republic of ChinaCorrespondence: Huanzhong Liu, Department of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, Anhui Province, People’s Republic of China, Tel +86-551-82324616, Fax +86-551-82324252, Email huanzhongliu@ahmu.edu.cnPurpose: Insomnia is related to alexithymia in adults, but the relationship between insomnia and alexithymia in adolescents with major depressive disorder remains unclear. This study aimed to investigate the sex differences and the association between insomnia and alexithymia in adolescents with major depressive disorder.Patients and Methods: From October 2020 to April 2022, adolescent patients with major depressive disorder were recruited from psychiatric departments of seven hospitals in Anhui Province, China. Their general demographic and clinical information were collected. The 20-item Toronto Alexithymia Scale, the Center for Epidemiologic Studies of Depression Scale, and the Insomnia Severity Index Scale were used to assess their alexithymia, depression, and insomnia symptoms, respectively. The analysis of variance (ANOVA), Student’s t-test and Mann–Whitney U-test were used for continuous variables and chi-square tests for categorical variables. Pearson’s correlation analysis and Spearman correlation analysis were used to examine the correlation between ISI and demographic and clinical variables. Multiple binary logistic regression analyses with the “Enter” method were carried out to explore the correlations of insomnia.Results: The prevalence of insomnia in female adolescent patients was similar to that of male patients (χ2=1.84, p = 0.175). Compared with those without insomnia, patients with insomnia had worse family relationships (F = 7.71, p = 0.021), perceived heavier academic stress (F = 6.32, p = 0.012), more likely to take sedative-hypnotics (F = 5.51, p = 0.019), had higher levels of depression (F = 81.57, p < 0.001) and alexithymia (F = 28.57, p < 0.001). Correlation analysis showed that alexithymia was significantly associated with insomnia in adolescent patients (r = 0.360, p < 0.01). Binary logistic regression analyses showed that, alexithymia was significantly associated with insomnia in female patients (OR = 1.050, p < 0.05) but not male patients.Conclusion: In female adolescent patients, alexithymia is a risk factor of insomnia, which is of great importance in the understanding of the psychopathological mechanisms, treatments and psychological interventions of insomnia in adolescents with major depressive disorder.Keywords: adolescents, major depressive disorder, insomnia, alexithymiahttps://www.dovepress.com/insomnia-and-alexithymia-in-chinese-adolescents-with-major-depressive--peer-reviewed-fulltext-article-PRBMadolescentsmajor depressive disorderinsomniaalexithymia |
| spellingShingle | Yang X Liu L Tian Y Yang C Ling C Liu H Insomnia and Alexithymia in Chinese Adolescents with Major Depressive Disorder: A Cross-Sectional Study of Sex Differences and Associations Psychology Research and Behavior Management adolescents major depressive disorder insomnia alexithymia |
| title | Insomnia and Alexithymia in Chinese Adolescents with Major Depressive Disorder: A Cross-Sectional Study of Sex Differences and Associations |
| title_full | Insomnia and Alexithymia in Chinese Adolescents with Major Depressive Disorder: A Cross-Sectional Study of Sex Differences and Associations |
| title_fullStr | Insomnia and Alexithymia in Chinese Adolescents with Major Depressive Disorder: A Cross-Sectional Study of Sex Differences and Associations |
| title_full_unstemmed | Insomnia and Alexithymia in Chinese Adolescents with Major Depressive Disorder: A Cross-Sectional Study of Sex Differences and Associations |
| title_short | Insomnia and Alexithymia in Chinese Adolescents with Major Depressive Disorder: A Cross-Sectional Study of Sex Differences and Associations |
| title_sort | insomnia and alexithymia in chinese adolescents with major depressive disorder a cross sectional study of sex differences and associations |
| topic | adolescents major depressive disorder insomnia alexithymia |
| url | https://www.dovepress.com/insomnia-and-alexithymia-in-chinese-adolescents-with-major-depressive--peer-reviewed-fulltext-article-PRBM |
| work_keys_str_mv | AT yangx insomniaandalexithymiainchineseadolescentswithmajordepressivedisorderacrosssectionalstudyofsexdifferencesandassociations AT liul insomniaandalexithymiainchineseadolescentswithmajordepressivedisorderacrosssectionalstudyofsexdifferencesandassociations AT tiany insomniaandalexithymiainchineseadolescentswithmajordepressivedisorderacrosssectionalstudyofsexdifferencesandassociations AT yangc insomniaandalexithymiainchineseadolescentswithmajordepressivedisorderacrosssectionalstudyofsexdifferencesandassociations AT lingc insomniaandalexithymiainchineseadolescentswithmajordepressivedisorderacrosssectionalstudyofsexdifferencesandassociations AT liuh insomniaandalexithymiainchineseadolescentswithmajordepressivedisorderacrosssectionalstudyofsexdifferencesandassociations |