Hygiene and Preventive Medicine
A longitudinal study of the bidirectional relationship between adolescent depression and sleep problems
Ning Han, Fei Guo, Jinqin Hou, Lan Jiang, Shouwen Xun, Wenjin Zhang, Zhiyan Chen
Published 2016-10-20
Cite as Chin J Behav Med & Brain Sci, 2016, 25(10): 937-941. DOI: 10.3760/cma.j.issn.1674-6554.2016.10.016
Abstract
ObjectiveTo explore the bidirectional relationship between adolescent depression and sleep problems using the structural equation model (SEM)approach in a cross-lagged model.
MethodsThe three-round longitudinal data of 1006 adolescents (aged from 12 to 18) were analyzed which were drawn from a longitudinal study named Chinese Adolescent Mental Health Research Program.The adolescents were assessed with the Center for Epidemiological Studies Depression Scale(CES-D) and Pittsburgh Sleep Quality Index(PSQI). The studies were conducted about every 12 months in three years.
ResultsThe scores of depression were 5.55±4.70 at first round, 6.68±5.68 at the second round and 7.00±5.41 at the third round.The scores of sleep problems were 5.01±2.72 at the second round and 5.25±2.76 at the third round. The correlation analyses showed that there were significant cross-sectional and cross-waves correlations between depression and sleep problems(r=0.20~0.56, P<0.05). The cross-lagged model showed that the depression of adolescents can predict their sleep problems in the next year(β=0.30, 0.11; P<0.05). Meanwhile, sleep problems also had a significant predicted effect on adolescent depression in the next year(β=0.09; P<0.05), the multi-group comparison showed that the bidirectional relationship of prediction had no statistically significant in gender difference(Δχ2=6.01, P>0.05).
ConclusionThere is a stable bidirectional relationship between adolescent depression and sleep problems across time instead of a one-way relationship. Adolescent depression and sleep problems can predict each other during adolescent development.
Key words:
Sleep; Depression; Adolescent; Bidirectional relationship
Contributor Information
Ning Han
Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China
University of Chinese Academy of Sciences, Beijing 100049, China
The Asian Games Village Outpatient Department, General Office of the Central Military Commission Equipment Development Department, Beijing 100101, China
Fei Guo
Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China
Jinqin Hou
China Institute of Educational Science, Beijing 100888, China
Lan Jiang
Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China
Shouwen Xun
Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China
Wenjin Zhang
Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China
Zhiyan Chen
Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing 100101, China
