A Longitudinal Examination between Chronotype and Insomnia in Youths: A Cross-Lagged Panel Analysis.

IF 2.1 Q3 CLINICAL NEUROLOGY Clocks & Sleep Pub Date : 2024-10-10 DOI:10.3390/clockssleep6040037
Forrest Tin Wai Cheung, Hao Fong Sit, Xiao Li, Joey Wing Yan Chan, Ngan Yin Chan, Yun Kwok Wing, Shirley Xin Li
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Abstract

Adolescence and young adulthood are transitional periods associated with significant changes and challenges, leading to a heightened vulnerability to sleep disturbances and mental health difficulties. This stage is often associated with an increased preference for eveningness, manifested as a later chronotype. The current study aimed to investigate the directionality of the association between chronotype, based on an individual's sleep-wake behaviour, and insomnia in young people using a two-wave panel design with a 12-month interval. A total of 370 participants aged 15-24 (mean age: 21.0 ± 2.0, 72.7% female) were recruited from local secondary schools and universities. Insomnia symptoms were assessed using the Insomnia Severity Index, while chronotype was measured using the Munich Chronotype Questionnaire. Temporal associations were analysed using a series of cross-lagged panel models. The best fitting and most parsimonious model indicated that a later chronotype at baseline predicts more severe insomnia symptoms at the 12-month follow-up after accounting for autoregressive effects. However, the opposite causal model, where baseline insomnia symptoms predicted the chronotype at the 12-month follow-up, was not supported. These findings suggest that a late chronotype may be a potential risk factor for the development of insomnia in young people, emphasising the importance of considering circadian factors in the prevention and treatment of sleep disturbances among this population.

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青少年时间型与失眠之间的纵向研究:跨滞后面板分析
青春期和青年期是与重大变化和挑战相关的过渡时期,导致更容易出现睡眠障碍和心理健康问题。在这一阶段,人们往往更倾向于晚睡,表现为较晚的时间型。目前的研究旨在采用间隔 12 个月的两波面板设计,调查基于个人睡眠-觉醒行为的年代型与年轻人失眠之间的定向关联。我们从当地中学和大学共招募了 370 名 15-24 岁的参与者(平均年龄:21.0 ± 2.0,72.7% 为女性)。失眠症状采用失眠严重程度指数进行评估,而时间型则采用慕尼黑时间型问卷进行测量。采用一系列交叉滞后面板模型对时间相关性进行了分析。拟合度最高、最简洁的模型表明,在考虑自回归效应后,基线时间型较晚的人在 12 个月的随访中会出现更严重的失眠症状。然而,与之相反的因果模型,即基线失眠症状预测 12 个月随访时的年代型,却不被支持。这些研究结果表明,较晚的时间型可能是导致年轻人失眠的一个潜在风险因素,强调了在预防和治疗这一人群的睡眠障碍时考虑昼夜节律因素的重要性。
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来源期刊
Clocks & Sleep
Clocks & Sleep Multiple-
CiteScore
4.40
自引率
0.00%
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0
审稿时长
7 weeks
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