Associations of evening-type and insomnia symptoms with depressive symptoms among youths

作者全名：Que, Jianyu; Chen, Sijing; Chan, Ngan Yin; Wu, Suying; Zhang, Li; Chen, Yaoyi; Liu, Jingrou; Chen, Mingxuan; Chen, Lixia; Li, Shirley Xin; Lin, Duoduo; Liu, Farong; Wing, Yun Kwok

作者地址：[Que, Jianyu; Wu, Suying; Chen, Yaoyi; Lin, Duoduo; Liu, Farong] Xiamen Med Coll, Xiamen Xianyue Hosp, Fujian Clin Res Ctr Mental Disorders, Fujian Psychiat Ctr,Xianyue Hosp, Xiamen, Fujian, Peoples R China; [Chen, Sijing; Chan, Ngan Yin; Wing, Yun Kwok] Chinese Univ Hong Kong, Fac Med, Dept Psychiat, Li Chiu Kong Family Sleep Assessment Unit, Hong Kong, Peoples R China; [Chen, Sijing] Univ Laval, Ecole Psychol, Brain Res Ctr, Ctr Rech CERVO, Quebec City, PQ, Canada; [Zhang, Li; Chen, Lixia] Inner Mongolia Autonomous Reg Mental Hlth Ctr, Hohhot, Inner Mongolia, Peoples R China; [Liu, Jingrou] Xiamen Univ Technol, Xiamen, Fujian, Peoples R China; [Chen, Mingxuan] Chongqing Med Univ, Chongqing, Peoples R China; [Li, Shirley Xin] Univ Hong Kong, Dept Psychol, Hong Kong, Peoples R China; [Li, Shirley Xin] Univ Hong Kong, State Key Lab Brain & Cognit Sci, Hong Kong, Peoples R China; [Lin, Duoduo; Liu, Farong] Xiamen Xianyue Hosp, 387-399 Xianyue Rd, Xiamen 361012, Fujian, Peoples R China

通信作者：Lin, DD; Liu, FR (通讯作者)，Xiamen Xianyue Hosp, 387-399 Xianyue Rd, Xiamen 361012, Fujian, Peoples R China.

来源：SLEEP MEDICINE

ESI学科分类：NEUROSCIENCE & BEHAVIOR

WOS号：WOS:001230906200001

JCR分区：Q1

影响因子：3.8

年份：2024

卷号：118

期号：　

开始页：81

结束页：87

文献类型：Article

关键词：Chronotypes; Insomnia symptoms; Depressive symptoms; Young people; Additive interaction

摘要：Background: Evening-type and insomnia symptoms are significantly related to each other and independently associated with depressive symptoms, yet few studies have examined the potential interaction between these two conditions. Therefore, we aimed to examine the associations of evening-type and insomnia symptoms with depressive symptoms among Chinese youths, with a specific focus on the joint effects of the two conditions on depressive symptoms. Methods: Participants aged between 12 and 25 were invited to participate in an online survey from December 15, 2022, to May 26, 2023. Multivariate logistic regression models and additive interaction models were used to examine the independent and joint effects of chronotypes and insomnia symptoms on depressive symptoms, respectively. Results: Of the 6145 eligible youths, the prevalence of evening-type and insomnia symptoms were 24.9 % and 29.6 %, respectively. Both evening-type (adjusted OR, [AdjOR]: 3.21, 95 % CI: 2.80-3.67) and insomnia symptoms (AdjOR: 10.53, 95 % CI: 9.14-12.12) were associated with an increased risk of depressive symptoms. In addition, the additive interaction models showed that there is an enhanced risk of depression related to interaction between evening-type and insomnia symptoms (relative excess risk due to interaction, [RERI]: 11.66, 95 % CI: 7.21-16.11). Conclusions: The present study provided additional evidence demonstrating the presence of interaction between evening-type and insomnia symptoms, which can lead to a higher risk of depressive symptoms. Our findings argue the need for addressing both sleep and circadian factors in the management of depressive symptoms in young people.

基金机构：Fujian Provincial Health Technology Project [2022GGB015, 2022CXB019]; Natural Science Foundation of Xiamen [3502Z20227148]

基金资助正文：This study was supported by grants from Fujian Provincial Health Technology Project (No. 2022GGB015 and 2022CXB019) and Natural Science Foundation of Xiamen (No. 3502Z20227148) .