Association between adolescent chronotype and depressive symptoms: a meta-analysis_Chinese Journal of Evidence-Based Medicine

Authors：

LI Tingting ¹ , TAO Fangbiao ^1,2 ,  WU Xiaoyan ^1,2

1. Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei 230032, P. R. China;
2. MOE Key Laboratory of Population Health Across Life Cycle, NHC Key Laboratory of Study on Abnormal Gametes and Reproductive Tract, Anhui Provincial Key Laboratory of Population Health and Aristogenics, Hefei 230032, P. R. China;

Corresponding author：

WU Xiaoyan, Email: xywu@ahmu.edu.cn

Keywords：

Adolescent; Chronotype; Depressive symptom; Systematic review; Meta-analysis

DOI：

10.7507/1672-2531.202203025

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To systematically review the association between chronotype and depressive symptoms among adolescents. Methods CNKI, VIP, WanFang Data, PubMed, ScienceDirect and Web of Science databases were electronically searched to collect studies on the association between adolescent chronotype and depressive symptoms from inception to January 17^th, 2022. Two reviewers independently screened literature, extracted data, and assessed the risk of bias of the included studies. Meta-analysis was then performed using Stata 16.0 software. Results A total of 12 studies were included. The results of meta-analysis showed that there was an association between chronotype and depressive symptoms (Fisher’s Z=−0.19, 95%CI −0.21 to −0.17, P<0.001). Conclusion Current evidence shows that evening-type chronotype may be a risk factor for depressive symptoms among adolescents. Due to the limited quality and quantity of the included studies, more high-quality studies are needed to verify the above conclusion.

Citation： LI Tingting, TAO Fangbiao, WU Xiaoyan. Association between adolescent chronotype and depressive symptoms: a meta-analysis. Chinese Journal of Evidence-Based Medicine, 2022, 22(11): 1319-1324. doi: 10.7507/1672-2531.202203025 Copy

1.	Mieda M. The central circadian clock of the suprachiasmatic nucleus as an ensemble of multiple oscillatory neurons. Neurosci Res, 2020, 156: 24-31.
2.	Oginska H, Mojsa-Kaja J, Mairesse O. Chronotype description: In search of a solid subjective amplitude scale. Chronobiol Int, 2017, 34(10): 1388-1400.
3.	Jankowski KS, Fajkowska M, Domaradzka E, et al. Chronotype, social jetlag and sleep loss in relation to sex steroids. Psychoneuroendocrinology, 2019, 108: 87-93.
4.	Hagenauer MH, Lee TM. The neuroendocrine control of the circadian system: adolescent chronotype. Front Neuroendocrinol, 2012, 33(3): 211-229.
5.	Tang X, Tang S, Ren Z, et al. Prevalence of depressive symptoms among adolescents in secondary school in mainland China: a systematic review and meta-analysis. J Affect Disord, 2019, 245: 498-507.
6.	徐伏莲, 黄奕祥. 青少年抑郁症状研究进展. 中国学校卫生, 2013, 34(2): 255-256.
7.	Lazaratou H, Dikeos DG, Anagnostopoulos DC, et al. Depressive symptomatology in high school students: the role of age, gender and academic pressure. Community Ment Health J, 2010, 46(3): 289-295.
8.	Keller LK, Zöschg S, Grünewald B, et al. Chronotype and depression in adolescents-a review. Z Kinder Jugendpsychiatr Psychother, 2016, 44(2): 113-126.
9.	Kim KM, Han SM, Heo K, et al. Sex differences in the association between chronotype and risk of depression. Sci Rep, 2020, 10(1): 18512.
10.	查晓丽, 朱卓妍, 伍晓艳, 等. 安徽某高校大学生睡眠行为和时型与情绪症状的随访研究. 中国学校卫生, 2021, 42(8): 1206-1211.
11.	张羽博, 杜雅馨, 管洁琼, 等. 黛力新治疗功能性消化不良有效性与安全性的Meta分析. 中国循证医学杂志, 2021, 21(04): 438-445.
12.	Natianal Institute of Health. Quality assessment tool for observational cohort and cross-sectional studies, 2018-12-2. Available at: https://www.nhlbi.nih.gov/health-topics/study-quality-assessment-tools.
13.	Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol, 2010, 25(9): 603-605.
14.	曾丽, 王佳琳, 左敏, 等. 中国老年人睡眠质量与社会支持相关性的Meta分析. 中国循证医学杂志, 2021, 21(4): 401-406.
15.	Au J, Reece J. The relationship between chronotype and depressive symptoms: A meta-analysis. J Affect Disord, 2017, 218: 93-104.
16.	李人杰, 陶舒曼, 伍晓艳, 等. 青少年媒体多任务与工作记忆和注意力关联性的Meta分析. 中国循证医学杂志, 2022, 22(2): 196-201.
17.	Zhou J, Hsiao FC, Shi X, et al. Chronotype and depressive symptoms: a moderated mediation model of sleep quality and resilience in the 1st-year college students. J Clin Psychol, 2021, 77(1): 340-355.
18.	Li T, Xie Y, Tao S, et al. Chronotype, sleep, and depressive symptoms among chinese college students: a cross-sectional study. Front Neurol, 2020, 11: 592825.
19.	Chiu WH, Yang HJ, Kuo PH. Chronotype preference matters for depression in youth. Chronobiol Int, 2017, 34(7): 933-941.
20.	Wills C, Ghani S, Tubbs A, et al. Chronotype and social support among student athletes: impact on depressive symptoms. Chronobiol Int, 2021, 38(9): 1319-1329.
21.	Tonon AC, Carissimi A, Schimitt RL, et al. How do stress, sleep quality, and chronotype associate with clinically significant depressive symptoms. A study of young male military recruits in compulsory service. Braz J Psychiatry, 2020, 42(1): 54-62.
22.	de Souza CM, Hidalgo MP. Midpoint of sleep on school days is associated with depression among adolescents. Chronobiol Int, 2014, 31(2): 199-205.
23.	Koo DL, Yang KI, Kim JH, et al. Association between morningness-eveningness, sleep duration, weekend catch-up sleep and depression among Korean high-school students. J Sleep Res, 2021, 30(1): e13063.
24.	Park H, Lee HK, Lee K. Chronotype and suicide: the mediating effect of depressive symptoms. Psychiatry Res, 2018, 269: 316-320.
25.	Haraden DA, Mullin BC, Hankin BL. The relationship between depression and chronotype: a longitudinal assessment during childhood and adolescence. Depress Anxiety, 2017, 34(10): 967-976.
26.	吕秋玥, 汤万杰, 王强, 等. 大学生昼夜节律类型与抑郁情绪相关性的纵向研究. 重庆医科大学学报, 2021, 46(10): 1163-1169.
27.	石绪亮, 范方, 曾彦莹, 等. 青少年清晨型—夜晚型偏好与抑郁症状的关系: 一个链式中介模型. 中国临床心理学杂志, 2019, 27(6): 1242-1245.
28.	Merikanto I, Kronholm E, Peltonen M, et al. Circadian preference links to depression in general adult population. J Affect Disord, 2015, 188: 143-148.
29.	Hidalgo MP, Caumo W, Posser M, et al. Relationship between depressive mood and chronotype in healthy subjects. Psychiatry Clin Neurosci, 2009, 63(3): 283-290.
30.	Lester D. Morningness-eveningness, current depression, and past suicidality. Psychol Rep, 2015, 116(2): 331-336.
31.	Randler C. Association between morningness-eveningness and mental and physical health in adolescents. Psychol Health Med, 2011, 16(1): 29-38.
32.	Van den Berg JF, Kivelä L, Antypa N. Chronotype and depressive symptoms in students: an investigation of possible mechanisms. Chronobiol Int, 2018, 35(9): 1248-1261.
33.	Druiven SJM, Knapen SE, Penninx BWJH, et al. Can chronotype function as predictor of a persistent course of depressive and anxiety disorder. J Affect Disord, 2019, 242: 159-164.
34.	Lehnkering H, Siegmund R. Influence of chronotype, season, and sex of subject on sleep behavior of young adults. Chronobiol Int, 2007, 24(5): 875-888.

1. Mieda M. The central circadian clock of the suprachiasmatic nucleus as an ensemble of multiple oscillatory neurons. Neurosci Res, 2020, 156: 24-31.
2. Oginska H, Mojsa-Kaja J, Mairesse O. Chronotype description: In search of a solid subjective amplitude scale. Chronobiol Int, 2017, 34(10): 1388-1400.
3. Jankowski KS, Fajkowska M, Domaradzka E, et al. Chronotype, social jetlag and sleep loss in relation to sex steroids. Psychoneuroendocrinology, 2019, 108: 87-93.
4. Hagenauer MH, Lee TM. The neuroendocrine control of the circadian system: adolescent chronotype. Front Neuroendocrinol, 2012, 33(3): 211-229.
5. Tang X, Tang S, Ren Z, et al. Prevalence of depressive symptoms among adolescents in secondary school in mainland China: a systematic review and meta-analysis. J Affect Disord, 2019, 245: 498-507.
6. 徐伏莲, 黄奕祥. 青少年抑郁症状研究进展. 中国学校卫生, 2013, 34(2): 255-256.
7. Lazaratou H, Dikeos DG, Anagnostopoulos DC, et al. Depressive symptomatology in high school students: the role of age, gender and academic pressure. Community Ment Health J, 2010, 46(3): 289-295.
8. Keller LK, Zöschg S, Grünewald B, et al. Chronotype and depression in adolescents-a review. Z Kinder Jugendpsychiatr Psychother, 2016, 44(2): 113-126.
9. Kim KM, Han SM, Heo K, et al. Sex differences in the association between chronotype and risk of depression. Sci Rep, 2020, 10(1): 18512.
10. 查晓丽, 朱卓妍, 伍晓艳, 等. 安徽某高校大学生睡眠行为和时型与情绪症状的随访研究. 中国学校卫生, 2021, 42(8): 1206-1211.
11. 张羽博, 杜雅馨, 管洁琼, 等. 黛力新治疗功能性消化不良有效性与安全性的Meta分析. 中国循证医学杂志, 2021, 21(04): 438-445.
12. Natianal Institute of Health. Quality assessment tool for observational cohort and cross-sectional studies, 2018-12-2. Available at: https://www.nhlbi.nih.gov/health-topics/study-quality-assessment-tools.
13. Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol, 2010, 25(9): 603-605.
14. 曾丽, 王佳琳, 左敏, 等. 中国老年人睡眠质量与社会支持相关性的Meta分析. 中国循证医学杂志, 2021, 21(4): 401-406.
15. Au J, Reece J. The relationship between chronotype and depressive symptoms: A meta-analysis. J Affect Disord, 2017, 218: 93-104.
16. 李人杰, 陶舒曼, 伍晓艳, 等. 青少年媒体多任务与工作记忆和注意力关联性的Meta分析. 中国循证医学杂志, 2022, 22(2): 196-201.
17. Zhou J, Hsiao FC, Shi X, et al. Chronotype and depressive symptoms: a moderated mediation model of sleep quality and resilience in the 1st-year college students. J Clin Psychol, 2021, 77(1): 340-355.
18. Li T, Xie Y, Tao S, et al. Chronotype, sleep, and depressive symptoms among chinese college students: a cross-sectional study. Front Neurol, 2020, 11: 592825.
19. Chiu WH, Yang HJ, Kuo PH. Chronotype preference matters for depression in youth. Chronobiol Int, 2017, 34(7): 933-941.
20. Wills C, Ghani S, Tubbs A, et al. Chronotype and social support among student athletes: impact on depressive symptoms. Chronobiol Int, 2021, 38(9): 1319-1329.
21. Tonon AC, Carissimi A, Schimitt RL, et al. How do stress, sleep quality, and chronotype associate with clinically significant depressive symptoms. A study of young male military recruits in compulsory service. Braz J Psychiatry, 2020, 42(1): 54-62.
22. de Souza CM, Hidalgo MP. Midpoint of sleep on school days is associated with depression among adolescents. Chronobiol Int, 2014, 31(2): 199-205.
23. Koo DL, Yang KI, Kim JH, et al. Association between morningness-eveningness, sleep duration, weekend catch-up sleep and depression among Korean high-school students. J Sleep Res, 2021, 30(1): e13063.
24. Park H, Lee HK, Lee K. Chronotype and suicide: the mediating effect of depressive symptoms. Psychiatry Res, 2018, 269: 316-320.
25. Haraden DA, Mullin BC, Hankin BL. The relationship between depression and chronotype: a longitudinal assessment during childhood and adolescence. Depress Anxiety, 2017, 34(10): 967-976.
26. 吕秋玥, 汤万杰, 王强, 等. 大学生昼夜节律类型与抑郁情绪相关性的纵向研究. 重庆医科大学学报, 2021, 46(10): 1163-1169.
27. 石绪亮, 范方, 曾彦莹, 等. 青少年清晨型—夜晚型偏好与抑郁症状的关系: 一个链式中介模型. 中国临床心理学杂志, 2019, 27(6): 1242-1245.
28. Merikanto I, Kronholm E, Peltonen M, et al. Circadian preference links to depression in general adult population. J Affect Disord, 2015, 188: 143-148.
29. Hidalgo MP, Caumo W, Posser M, et al. Relationship between depressive mood and chronotype in healthy subjects. Psychiatry Clin Neurosci, 2009, 63(3): 283-290.
30. Lester D. Morningness-eveningness, current depression, and past suicidality. Psychol Rep, 2015, 116(2): 331-336.
31. Randler C. Association between morningness-eveningness and mental and physical health in adolescents. Psychol Health Med, 2011, 16(1): 29-38.
32. Van den Berg JF, Kivelä L, Antypa N. Chronotype and depressive symptoms in students: an investigation of possible mechanisms. Chronobiol Int, 2018, 35(9): 1248-1261.
33. Druiven SJM, Knapen SE, Penninx BWJH, et al. Can chronotype function as predictor of a persistent course of depressive and anxiety disorder. J Affect Disord, 2019, 242: 159-164.
34. Lehnkering H, Siegmund R. Influence of chronotype, season, and sex of subject on sleep behavior of young adults. Chronobiol Int, 2007, 24(5): 875-888.

Chinese Journal of Evidence-Based Medicine

Association between adolescent chronotype and depressive symptoms: a meta-analysis

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content