Chronotypes, Sleep and Mental Distress Among Chinese College Students: A Cross-Sectional Study

ObjectiveThis study aimed to investigate the chronotypes and their relationship with sleep disturbances and mental distress among college students.MethodsStudents from a university in Guangzhou, China, were recruited through a cross-sectional online survey. Data were collected by self-reported quest...

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Main Authors: Jiajia Wang, Shuai Liu, Junlong Guo, Rong Xiao, Jia Yu, Xian Luo, Yan Xu, Yuhan Zhao, Yingru Cui, Yue Gu, Lidan Cai, Bin Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-05-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2022.883484/full
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author Jiajia Wang
Shuai Liu
Junlong Guo
Rong Xiao
Jia Yu
Xian Luo
Yan Xu
Yuhan Zhao
Yingru Cui
Yue Gu
Lidan Cai
Bin Zhang
author_facet Jiajia Wang
Shuai Liu
Junlong Guo
Rong Xiao
Jia Yu
Xian Luo
Yan Xu
Yuhan Zhao
Yingru Cui
Yue Gu
Lidan Cai
Bin Zhang
author_sort Jiajia Wang
collection DOAJ
description ObjectiveThis study aimed to investigate the chronotypes and their relationship with sleep disturbances and mental distress among college students.MethodsStudents from a university in Guangzhou, China, were recruited through a cross-sectional online survey. Data were collected by self-reported questionnaires including socio-demographics, lifestyles and health conditions, sleep patterns on weekdays and weekends, as well as the reduced Morningness-Eveningness Questionnaire (rMEQ), the Insomnia Severity Index, the Epworth Sleepiness Scale, the Beck Depression Inventory-13, and the Zung Self-Rating Anxiety Scale. Multivariate analyses were performed to examine the associations of chronotypes with sleep compensation, sleep disturbances, and mental distress.ResultsA total of 1,607 questionnaires were received, among which 1,569 (97.6%) were valid for further analysis. Among these participants [mean age 19.86 ± 1.16 (15–27) years], morning types (M-types), intermediate types (I-types), and evening types (E-types) accounted for 14.9, 71.5, and 13.6%, respectively. The regression analysis revealed that E-types were positively associated with long sleep compensation on weekends (adjusted OR 2.443, 95%CI 1.740-3.429) compared with I-types, while M-types were the opposite (adjusted OR 0.623, 95%CI 0.392–0.990). E-types were also positively correlated with insomnia symptoms (adjusted OR 2.000, 95%CI 1.428–2.801), depressive symptoms (adjusted OR 2.068, 95%CI 1.496–2.858), and anxiety symptoms (adjusted OR 2.188, 95%CI 1.387–3.451). However, no significant association was found between chronotypes and excessive daytime sleepiness.ConclusionOur study found that E-types were associated with long sleep compensation on weekends and insomnia, depression, and anxiety symptoms. Our findings emphasized the importance of early recognition and intervention of E-types and their accompanied sleep problems and mental distress.
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spelling doaj.art-a2d5a997ffa64534a45bab99b269a2312022-12-22T02:37:47ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-05-011310.3389/fpsyt.2022.883484883484Chronotypes, Sleep and Mental Distress Among Chinese College Students: A Cross-Sectional StudyJiajia Wang0Shuai Liu1Junlong Guo2Rong Xiao3Jia Yu4Xian Luo5Yan Xu6Yuhan Zhao7Yingru Cui8Yue Gu9Lidan Cai10Bin Zhang11Department of Psychiatry, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaDepartment of Psychiatry, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaDepartment of Psychiatry, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaDepartment of Psychology, School of Public Health, Southern Medical University, Guangzhou, ChinaDepartment of Psychosomatic Diseases, The Third People's Hospital of Panzhihua, Panzhihua, ChinaDepartment of Psychiatry, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaDepartment of Psychiatry, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaDepartment of Psychiatry, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaDepartment of Psychiatry, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaDepartment of Psychiatry, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaDepartment of Psychiatry, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaDepartment of Psychiatry, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaObjectiveThis study aimed to investigate the chronotypes and their relationship with sleep disturbances and mental distress among college students.MethodsStudents from a university in Guangzhou, China, were recruited through a cross-sectional online survey. Data were collected by self-reported questionnaires including socio-demographics, lifestyles and health conditions, sleep patterns on weekdays and weekends, as well as the reduced Morningness-Eveningness Questionnaire (rMEQ), the Insomnia Severity Index, the Epworth Sleepiness Scale, the Beck Depression Inventory-13, and the Zung Self-Rating Anxiety Scale. Multivariate analyses were performed to examine the associations of chronotypes with sleep compensation, sleep disturbances, and mental distress.ResultsA total of 1,607 questionnaires were received, among which 1,569 (97.6%) were valid for further analysis. Among these participants [mean age 19.86 ± 1.16 (15–27) years], morning types (M-types), intermediate types (I-types), and evening types (E-types) accounted for 14.9, 71.5, and 13.6%, respectively. The regression analysis revealed that E-types were positively associated with long sleep compensation on weekends (adjusted OR 2.443, 95%CI 1.740-3.429) compared with I-types, while M-types were the opposite (adjusted OR 0.623, 95%CI 0.392–0.990). E-types were also positively correlated with insomnia symptoms (adjusted OR 2.000, 95%CI 1.428–2.801), depressive symptoms (adjusted OR 2.068, 95%CI 1.496–2.858), and anxiety symptoms (adjusted OR 2.188, 95%CI 1.387–3.451). However, no significant association was found between chronotypes and excessive daytime sleepiness.ConclusionOur study found that E-types were associated with long sleep compensation on weekends and insomnia, depression, and anxiety symptoms. Our findings emphasized the importance of early recognition and intervention of E-types and their accompanied sleep problems and mental distress.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.883484/fullchronotypesleep compensationinsomniadepressionanxiety
spellingShingle Jiajia Wang
Shuai Liu
Junlong Guo
Rong Xiao
Jia Yu
Xian Luo
Yan Xu
Yuhan Zhao
Yingru Cui
Yue Gu
Lidan Cai
Bin Zhang
Chronotypes, Sleep and Mental Distress Among Chinese College Students: A Cross-Sectional Study
Frontiers in Psychiatry
chronotype
sleep compensation
insomnia
depression
anxiety
title Chronotypes, Sleep and Mental Distress Among Chinese College Students: A Cross-Sectional Study
title_full Chronotypes, Sleep and Mental Distress Among Chinese College Students: A Cross-Sectional Study
title_fullStr Chronotypes, Sleep and Mental Distress Among Chinese College Students: A Cross-Sectional Study
title_full_unstemmed Chronotypes, Sleep and Mental Distress Among Chinese College Students: A Cross-Sectional Study
title_short Chronotypes, Sleep and Mental Distress Among Chinese College Students: A Cross-Sectional Study
title_sort chronotypes sleep and mental distress among chinese college students a cross sectional study
topic chronotype
sleep compensation
insomnia
depression
anxiety
url https://www.frontiersin.org/articles/10.3389/fpsyt.2022.883484/full
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