Figure - available from: Child Psychiatry & Human Development
This content is subject to copyright. Terms and conditions apply.
Source publication
Social isolation may be a unique risk factor for depression and anxiety in early adolescence. However, optimal sleep may protect adolescents from the emotional sequela of social isolation. The present study aimed to investigate whether sleep moderates the relationship between social isolation and symptoms of anxiety and depression in early adolesce...
Similar publications
Although both executive functions and internalizing symptoms go through important changes during adolescence, the role of executive functions in internalizing symptoms is unclear. Based on developmental cascade models of psychopathology, this study aimed to fill this gap by studying the bidirectional predictive relationship between executive functi...
Citations
... Most Chinese adolescents spend their teenage years immersed in the educational system. Research has consistently demonstrated that experiences of social isolation and bullying in the school setting are important predictors of depression in children and adolescents [13,14]. Furthermore, academic pressure and poor academic performance are also significantly correlated with adolescent depression [15]. ...
Depression is one of the most common psychological problems in adolescence. Familial and school-related factors are closely related to adolescents’ depression, but their combined effects need further examination. The purpose of this study was to explore the combined effects of risk/protective factors of depression in family and school domains using a sample of Chinese adolescents differing in gender, age group and left-behind status. A total of 2455 Chinese students in primary and secondary school participated in the cross-sectional survey and reported multiple risk/protective factors in family and school environments and depressive symptoms. Association rule mining, a machine learning method, was used in the data analyses to identify the correlation between risk/protective factor combinations and depression. We found that (1) Family cohesion, family conflict, peer support, and teacher support emerged as the strongest factors associated with adolescent depression; (2) The combination of these aforementioned factors further strengthened their association with depression; (3) Female gender, middle school students, and family socioeconomic disadvantages attenuated the protective effects of positive relational factors while exacerbating the deleterious effects of negative relational factors; (4) For individuals at risk, lack of mental health education resources at school intensified the negative impact; (5) The risk and protective factors of depression varied according to gender, age stage and left-behind status. In conclusion, the findings shed light on the identification of high-risk adolescents for depression and underscore the importance of tailored programs targeting specific subgroups based on gender, age, or left-behind status.
... Third, there is some indication that social isolation leads to sleep difficulties. In this area of research, social isolation is typically indexed by self-reports of few social interactions, small network sizes, and the lack of social support [25,26]. In addition, these indices have been related positively to several types of sleep difficulties, including insomnia, longer sleep latency, and poor sleep quality [25][26][27]. ...
... In this area of research, social isolation is typically indexed by self-reports of few social interactions, small network sizes, and the lack of social support [25,26]. In addition, these indices have been related positively to several types of sleep difficulties, including insomnia, longer sleep latency, and poor sleep quality [25][26][27]. For instance, in a sample of young adults, individuals who rated themselves as socially isolated reported poor sleep quality, long sleep latencies, and high levels of daytime dysfunction [28]. ...
... The evidence for links between social isolation and sleep difficulties is most robust in studies of adults. However, several recent studies have revealed associations between social isolation and sleep difficulties during adolescence [26,29]. At any age, social isolation may act as an interpersonal stressor that promotes rumination and interferes with sleep. ...
Anxious-withdrawal is a well-established individual risk factor for psychosocial difficulties during adolescence. It is unknown, however, whether it also places youth at increased risk for physical health problems, such as sleep difficulties. This study examines the concurrent and prospective associations between anxious-withdrawal and six types of sleep difficulties (i.e., sleeping too much, sleeping too little, talking/walking in sleep, being overtired, nightmares, and general trouble sleeping). We further evaluate whether these associations differ for adolescents who are high versus low in exclusion and victimization. The participants were 395 adolescents (Mage = 13.61 years; 35% ethnic minority) who completed peer nominations of anxious-withdrawal, exclusion, and victimization at Time 1 (T1). Their mothers completed reports of sleep difficulties at T1 and at Time 2 (T2). Path analyses revealed unique associations between anxious-withdrawal and several types of sleep difficulties (e.g., sleeping too much) at T1. Analyses also revealed a significant interaction effect between T1 anxious-withdrawal and exclusion/victimization such that anxious-withdrawal was prospectively associated with trouble sleeping only for those young adolescents who are highly excluded/victimized. Our findings are the first to link anxious-withdrawal to a physical health outcome in adolescence and point to the need for future research to not only examine anxious-withdrawal and physical health but also to include assessments of peer difficulties.
... Previous research has revealed that sleep plays an important role in promoting an individual's resilience when they face stress or adversity (Besedovsky et al., 2019). Individuals with poor SQ often report lower psychological resilience or high anxiety than those with good sleep quality (Palagini et al., 2018;Richardson et al., 2019;Coiro et al., 2021), while psychological resilience or high anxiety can reduce the risk of experiencing depressive symptoms in the COVID-19 pandemic (Karasar and Canlı, 2020;Havnen et al., 2020). Recently, Coiro et al. (2021) found that poor SQ mediates the link between COVID-related stressors and depression. ...
Purpose
This study aimed to investigate whether optimism buffers an indirect relationship between COVID stress and depressive symptoms via poor sleep quality among Vietnamese high school students.
Design/methodology/approach
Six hundred and eighty-five participants completed the Coronavirus Stress Measure, the Life Orientation Test-Revised, the Pittsburgh Sleep Quality Index and the Depression, Anxiety and Stress Scales. Process Macro 3.5 for SPSS (Model 4 and Model 14) was used to analyze the mediating effect and moderated mediation effect.
Findings
The results indicated that COVID stress was associated with an increase in depressive symptoms via the indirect pathway of poor sleep quality. Furthermore, optimism moderated the indirect relationship between COVID stress and depressive symptoms through poor sleep quality among Vietnamese students.
Originality/value
The study's findings may serve as a basis for the development of depression prevention interventions for students with high COVID stress in the COVID-19 pandemic.
... Sleep hygiene and duration as key mechanisms Recent developments in the literature on prospective associations between PV, sleep, and internalizing problems highlight the importance of sleep as a potential mediator of the link between PV and internalizing problems among youth. The literature has explored a number of sleep mechanisms, including sleep deficit behaviors (e.g., difficulties getting to sleep; Chang et al., 2019;Herkama et al., 2019;van Geel et al., 2016), daytime dysfunction (e.g., sleepiness in class; Due et al., 2005;Richardson et al., 2019), subjective complaints (e.g., bad night's sleep; Kubiszewski et al., 2014;Tu et al., 2019), and nightmares (Biebl et al., 2011;Herkama et al., 2019). ...
Adolescence is a time of heightened vulnerability for both peer victimization (PV) and internalizing symptoms. While the positive association between them is well established, there is little understanding of the mechanisms underpinning this relationship. To address this gap, the current study aimed to investigate sleep hygiene and school night sleep duration as individual and sequential mediators of the relationship between PV and both depressive and social anxiety symptoms during pre- to mid-adolescence. The study drew upon a community sample of 528 Australian youth aged 10-12 years at baseline (M age = 11.19, SD = .55; 51.1% boys) and data were collected over five annual measurement occasions. Direct and indirect longitudinal and bidirectional associations were examined using cross-lagged panel analysis. There was no evidence of sequential mediation through both sleep hygiene and sleep duration to depression and social anxiety. Instead, the findings show that sleep hygiene mediated the prospective association between PV and both depressive and social anxiety symptoms, and between PV and sleep duration. Overall, sleep hygiene represents a modifiable transdiagnostic factor that can be targeted to break the cycle of PV, inadequate sleep, and internalizing symptoms.
... Besides sleep disturbances, there is a range of other risk factors for depression (Kendler, 2014 (Richardson et al., 2019) and chronic medical conditions (Jang, Shin, Cho, Kim, & Chiriboga, 2011), as well as the association between behavioural factors such as physical activity and internalizing problems (Gillis & El-Sheikh, 2019). ...
... Our second aim, to explore the best functional form for the association between the predictors and depressive symptoms, was met by con- Our results seem to contrast some earlier cross-sectional studies in that loneliness and physical inactivity did not interact with sleep quality in relation to depressive symptoms (Gillis & El-Sheikh, 2019;Moore et al., 2021;Richardson et al., 2019). These differences between our study and earlier accounts could potentially be explained by different conceptualization and measurements of the constructs. ...
... A study found that adolescents with external manifestations such as mood disorders or social isolation were often had symptoms of insomnia or short sleep duration and depression (Fernandez-Mendoza et al., 2016). Social isolation may be a unique risk factor for depression in early adolescence (Richardson et al., 2019). Isolated adolescents do not get along well with their peers at school, which is what we call poor collective integration. ...
Adolescence is a time of dramatic physical and mental change when adolescents are extremely vulnerable to various mental health problems. Depression and poor sleep duration are increasingly common among adolescents. This study is mainly aimed to verify the important mediating role of collective integration on sleep duration and depression and examine the interrelationship between sleep duration and depression in adolescents longitudinally. The data were obtained from the Wave 1 (in 2013–2014) and Wave 2 (in 2014–2015) longitudinal surveys of China Education Panel Survey (CEPS). The analytic sample in the present study included 8,829 seventh-grade students aged about 14 years (51.50% boys and 48.50% girls). A structural equation modeling (SEM) was used to investigate parent–child/teacher factors affecting adolescent sleep duration and depression, and Monte Carlo resampling with R was employed to confirm the significance of the mediation effects of collective integration. An autoregressive cross-lagged model was employed to analyze the interrelationship between adolescent sleep duration and depression. The findings were as follows. Firstly, collective integration strongly mediated the relationships among academic self-efficacy, parental involvement, teacher praise/criticism, sleep duration, and depression. Secondly, sleep duration and depression were found to have enduring effects and have effects on each other. Thirdly, parental involvement and teacher praise were positively associated with sleep quality and negatively associated with depression. Teacher criticism was negatively associated with sleep quality and positively associated with depression. Compared with teacher praise, teacher criticism has stronger effects on youth sleep duration and depression. In conclusion, improving sleep problems and depression in adolescents as early as possible can stop the persistent and long-term consequences of these problems. Increasing teacher praise, decreasing teacher criticism, and increasing adolescents’ collective integration were effective ways to improve adolescents’ sleep duration and mediate depression.
... [3,4] Due to the enforced restrictions -including physical isolation and school lockdowns -students have experienced emotional problems, feelings of loneliness and even sleep disorders. [5,6,7] Considering health effects, the pandemic has mostly affected the elderly and those with coexisting conditions (including hypertension, lung diseases, diabetes): that is, those who generally experience SARS-CoV-2 infection more severely than younger people, and are more likely to require hospitalization. [8,9] Although younger people are less likely to be severely affected by the coronavirus, social isolation imposed by the restrictions intended to contain the transmission of the virus has increased the risk of the development of depression in this age group [10][11][12]. ...
Background:
The enforced restrictions, including physical isolation and school lockdowns after the outbreak of the COVID-19 pandemic, have brought about anxiety and uncertainty the younger generation.
Objective:
The main objective is to analyse the everyday challenges faced by adolescents in Poland during the time of social isolation in the COVID-19 pandemic.
Material and methods:
A nationwide, online survey of adolescents aged 11-18 (N=2408) was conducted in April 2020. Quantitative and qualitative analyses were undertaken. Differences in the everyday challenges experienced during the COVID-19 pandemic connected with gender, age and place of residence were analysed.
Results:
Girls were significantly more likely than boys to perceive the limitations in contacts with others (friends and family) and the concerns about the health of relatives as a big difficulty. Among the youngest students (11-12 years of age), the lack of contact with friends and family and worries about their health and the fear of infection ranked higher than for other students. For the oldest (17-18) the lack of private time and space and not being able to meet one's boyfriend/ girlfriend were the most troublesome. The necessity to stay at home and the inconvenience resulting from the lack of outdoor exercise were ranked higher by urban students than by students living in rural areas.
Conclusions:
When planning campaigns in the near future to support the mental health of adolescents in the context of the pandemic it is recommended to include especially the youngest adolescents and those living in small and medium-sized cities.
... Students who had higher weekday-to-weekend sleep differences were more likely to experience social withdrawal. Previous studies indicated that social withdrawal could be induced by daytime sleepiness, which was caused by later onset of sleep on weekday and accumulation of sleep debt, in response to academic and social demands [30]. In the United States, school start times are a huge contributor to sleep debt which is induced due to difference in individual preferred sleep timing and actual sleep duration, particularly among high school students [4,31,32]. ...
The sleep difference between weekdays and weekends can lead to negative physical and
mental health outcomes in adolescents. Thus, this study has attempted to analyze the impact of sleep time differences on various health outcomes, using nationally representative panel data. Data from the junior high school student panel of the Korean Children and Youth Panel Survey were analyzed. The sleep difference was defined as the difference between the average sleep duration on weekdays and that on weekends in minutes. A series of mixed effect linear regression models for continuous
variables or mixed effect logit regression for binary variables was utilized. Korean adolescent students reported from 96.8 min to 133.2 min of sleep duration difference between weekdays and weekends. After controlling for gender, parent work status, and type of housing, the weekday-to-weekend sleep differences were associated with various health-related outcomes including concentration difficulty, aggression, somatic symptoms, and withdrawal. Additionally, adolescent student life satisfaction was associated with sleep difference. The sleep differences among adolescent students were more associated with mental health-related outcomes and emotional symptoms than with physical health related
outcomes. The appropriate intervention to reduce the sleep difference gap is an important
key to improve health in the adolescence period.
... In the authors' opinion, the pronounced association revealed between daytime sleepiness and the severity of Internet-dependent behavior in Siberian adolescents is undoubtedly one of the negative consequences of a decrease in the quality of nighttime sleep: going to bed late, difficulty in falling asleep, frequent awakenings. On the other hand, daytime sleepiness may be one of the common manifestations of depression and anxiety-phobic disorders comorbid for IA [73,74]. ...
This study aims to establish a link between disturbances in the night sleep habitus, quality of sleep, and daytime sleepiness in adolescents with Internet addiction and different types of content consumed.
Methods:
This is a cross-sectional observational study of a school sample in three large cities in Central Siberia. 4615 schoolchildren of 12-18 years old were examined. The Russian-language versions of the Chen Internet Addiction Scale, the Game Addiction Scale for Adolescents, and the Social Media Disorder Scale were used to identify Internet addiction. Questions from the Pittsburgh Sleep Quality Index questionnaire were used to assess nighttime sleep. Daytime sleepiness was assessed using the Pediatric Daytime Sleepiness Scale questionnaire.
Results:
Adolescents with Internet addiction go to bed and wake up late; they are characterized by a decrease in the duration of nighttime sleep, an increase in sleep onset latency, and frequent nighttime awakenings, as well as more pronounced daytime sleepiness. Among the sleep parameters studied, the indicators of daytime sleepiness and night awakening scales have the highest effect size in Internet-addicted adolescents, regardless of the media consumed.
Conclusion:
Internet-addicted adolescents are characterized by significant disturbances in the quality of nighttime sleep and excessive daytime sleepiness, which requires appropriate psychological correction.
... Considering the negative ramifications of sleep problems on adolescents, it is important to understand the predictors and mechanisms that may generate such problems. Previous studies have shown that loneliness and social isolation are associated with poor sleep quality (Hawkley & Cacioppo, 2010;Matthews et al., 2017;Richardson et al., 2019). One possible explanation for these associations was offered by Cacioppo et al. (2006), who posit that the feeling of being lonely triggers a sense of vulnerability. ...
This paper reports findings on associations between four subscales of social alienation and psychological distress and sleep problems, and the moderating effects of ethnic pride and shame on these relationships. The study employed a cross-sectional survey design. Participants were 1008 Israeli Palestinian and Jewish adolescents recruited via public schools that allowed access. The questionnaires were administered in adolescents’ native language (Hebrew or Arabic) in their homeroom classes. As hypothesized, findings showed that adolescents who have more trust in procedural justice and prefer their own ethnic group reported fewer sleep problems and that adolescents who were less committed to the law and more alienated reported more sleep problems. The findings also showed negative association between psychological distress and believing in procedural justice and positive association with alienation. However, of sixteen moderating effects tested only ethnic pride reached statistical significance and moderated the effect of alienation on sleep problems. Findings also showed that gender, ethnicity and SES were partially linked to both outcomes variables. Psychological distress and sleep problems were associated with female gender, Palestinian-Israeli ethnic affiliation and low SES. Several possible explanations are offered for the findings. Directions for future research, and potential implications are discussed.
