Prevalence of insufficient sleep duration in Thai adolescents and its association with mood disorders
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Abstract
This research aimed to assess the prevalence of insufficient sleep duration, its associated factors, and the association between short sleep duration and daytime sleepiness, depressive symptoms, and anxiety in Thai adolescents from both urban and rural areas. Thai adolescents aged 11-19 years completed a self-administered questionnaire consisting of items from the Phramongkutklao Hospital Sleep Disorders Center Questionnaire, Pittsburg Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), Children’s Depression Inventory (CDI) scale, and Screen for Child Anxiety Related Emotional Disorder (SCARED). A total of 1,259 Thai adolescents with a mean age of 15.66 ± 1.82 years participated in this survey. Of those, 55.6% were living in urban areas. The average sleep time was 7.2±2.8 h. The prevalence of insufficient sleep duration was 69% overall and 80.6% in urban students. According to multivariable analysis, a high school education level (odds ratio (OR) 2.12; 95% confidence interval (CI):1.38 - 3.25), excellent academic performance (OR 2.23; 95% CI: 1.31 - 3.80), irregular wake times (OR 1.9; 95% CI:1.28 - 2.84) and living in urban areas (OR1.97; 95% CI:1.29 - 3.02) increased the risk of insufficient sleep duration (p<0.05). This study confirmed that the average sleep duration in Thai adolescents was less than the recommended amount. Interestingly, short sleep duration was significantly associated with sleep quality index, depressive symptoms, and anxiety scores but not ESS score in our sample of urban adolescents.
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References
Hirshkowitz M, Whiton K, Albert SM, Alessi C, Bruni O, Carlos DL, et al. National Sleep Foundation's sleep time duration recommendations: methodology and results summary. Sleep Health. 2015;1(1):40-43.
Owens J. Insufficient sleep in adolescents and young adults: an update on causes and consequences. Pediatrics. 2014;134(3):e921-932.
Tarokh L, Saletin JM, Carskadon MA. Sleep in adolescence: physiology, cognition and mental health. Neurosci Biobehav Rev. 2016;70:182-188.
Eaton DK, Eily MLR, Lowry R, Perry GS, Cantrell PL, Croft JB. Prevalence of insufficient, borderline, and optimal hours of sleep among high school students - United States, 2007. J Adolesc Health. 2010;46(4):399-401.
Huang YS, Wang CH, Guilleminault C. An epidemiologic study of sleep problems among adolescents in North Taiwan. Sleep Med. 2010;11(10):1035-1042.
Loessl B, Valerius G, Kopasz M, Hornyak M, Riemann D, Voderholzer U. Are adolescents chronically sleep-deprived? An investigation of sleep habits of adolescents in the Southwest of Germany. Child Care Health Dev. 2008;34(5):549-556.
Gupta R, Bhatia MS, Chhabra V, Sharma S, Dahiya D, Semalti K, et al. Sleep patterns of urban school-going adolescents. Indian Pediatr. 2008;45(3):183-189.
Tagaya H, Uchiyama M, Ohida T, Kamei Y, Shibui K, Ozaki A, et al. Sleep habits and factors associated with short sleep duration among Japanese high-school students: a community study. Sleep Biol Rhythms. 2004;2(1):57-64.
Roberts RE, Roberts CR, Chen IG. Functioning of adolescents with symptoms of disturbed sleep. J Youth Adolesc. 2001;30(1):1-18.
Oginska H, Pokorski J. Fatigue and mood correlates of sleep length in three age-social groups: school children, students, and employees. Chronobiol Int. 2006;23(6):1317-1328.
O'Brien EM, Mindell JA. Sleep and risk-taking behavior in adolescents. Behav Sleep Med. 2005;3(3):113-133.
Wheaton AG, Olsen EO, Miller GF, Croft JB. Sleep duration and injury-related risk behaviors among High school students--United States, 2007-2013. MMWR Morb Mortal Wkly Rep. 2016;65(13):337-341.
Sitasuwan T, Bussaratid S, Ruttanaumpawan P, Chotinaiwattarakul W. Reliability and validity of the Thai version of the Pittsburgh sleep quality index. J Med Assoc Thai. 2014;97 Suppl 3:S57-67.
Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213.
Banhiran W, Assanasen P, Nopmaneejumruslers C, Metheetrairut C. Epworth sleepiness scale in obstructive sleep disordered breathing: the reliability and validity of the Thai version. Sleep Breath. 2011;15(3):571-577.
Gibson ES, Powles AC, Thabane L, O'Brien S, Molnar DS, Trajanovic N, et al. "Sleepiness" is serious in adolescence: two surveys of 3235 Canadian students. BMC Public Health. 2006;6(1):116.
Johns MW. A new method for measuring daytime sleepiness: the epworth sleepiness scale. Sleep. 1991;14(6):540-545.
Kendzerska TB, Smith PM, Petersen BR, Leung RS, Tomlinson GA. Evaluation of the measurement properties of the Epworth sleepiness scale: a systematic review. Sleep Med Rev. 2014;18(4):321-331.
Kovacs M. The children's depression, inventory (CDI). Psychopharmacol Bull. 1985;21(4):995-998.
Trangkasombat U, Likanapichitkul D. The children's depression inventory as a screen for depression in Thai children. J Med Assoc Thai. 1997;80(8):491-499.
Birmaher B, Brent DA, Chiappetta L, Bridge J, Monga S, Baugher M. Psychometric properties of the screen for child anxiety related emotional disorders (SCARED): a replication study. J Am Acad Child Adolesc Psychiatry. 1999;38(10):1230-1236.
Chung KF, Cheung MM. Sleep-wake patterns and sleep disturbance among Hong Kong Chinese adolescents. Sleep. 2008;31(2):185-194.
Gradisar M, Gardner G, Dohnt H. Recent worldwide sleep patterns and problems during adolescence: a review and meta-analysis of age, region, and sleep. Sleep Med. 2011;12(2):110-118.
Li S, Zhu S, Jin X, Yan C, Wu S, Jiang F, et al. Risk factors associated with short sleep duration among Chinese school-aged children. Sleep Med. 2010;11(9):907-916.
Hounnaklang N, Lohsoonthorn V, Rattananupong T, Lertmeharit S. Sleep and academic related factors among adolescents in Bangkok, Thailand. In: Plaisent M, Mkhitaryan KA, editors. International Conference on Social Sciences and Humanities (ICSSH-15); 2015 May 5-6; Bali, Indonesia. California: ICEHM; 2015. p.51-55.
Kann L, McManus T, Harris WA, Shanklin SL, Flint KH, Hawkins J, et al. Youth risk behavior surveillance - United States, 2015. MMWR Surveill Summ. 2016;65(6):1-174.
Liu X, Zhao Z, Jia C, Buysse DJ. Sleep patterns and problems among Chinese adolescents. Pediatrics. 2008;121(6):1165-1173.
Crowley SJ, Carskadon MA. Modifications to weekend recovery sleep delay circadian phase in older adolescents. Chronobiol Int. 2010;27(7):1469-1492.
Harrison Y, Horne JA. The impact of sleep deprivation on decision making: a review. J Exp Psychol Appl. 2000;6(3):236-249.
Tekcan P, ÇaliŞkan Z, KocaÖz S. Sleep quality and related factors in Turkish high school adolescents. J Pediatr Nurs. 2020;55:120-125.
Chen MC, Burley HW, Gotlib IH. Reduced sleep quality in healthy girls at risk for depression. J Sleep Res. 2012;21(1):68-72.
Short MA, Booth SA, Omar O, Ostlundh L, Arora T. The relationship between sleep duration and mood in adolescents: A systematic review and meta-analysis. Sleep Med Rev. 2020;52:101311.
Chiu HY, Lee HC, Chen PY, Lai YF, Tu YK. Associations between sleep duration and suicidality in adolescents: a systematic review and dose-response meta-analysis. Sleep Med Rev. 2018;42:119-126.