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The Associations between Sleep Duration, Academic Pressure, and Depressive Symptoms among Chinese Adolescents: Results from China Family Panel Studies

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  • Tong Zhou

    (Department of Epidemiology and Medical Statistics, Xiangya School of Public Health, Central South University, Xiangya Road 110, Changsha 410078, China)

  • Gang Cheng

    (Department of Epidemiology and Medical Statistics, Xiangya School of Public Health, Central South University, Xiangya Road 110, Changsha 410078, China)

  • Xihong Wu

    (Department of Epidemiology and Medical Statistics, Xiangya School of Public Health, Central South University, Xiangya Road 110, Changsha 410078, China)

  • Rui Li

    (Department of Epidemiology and Medical Statistics, Xiangya School of Public Health, Central South University, Xiangya Road 110, Changsha 410078, China)

  • Chao Li

    (Department of Epidemiology and Medical Statistics, Xiangya School of Public Health, Central South University, Xiangya Road 110, Changsha 410078, China)

  • Gang Tian

    (Department of Epidemiology and Medical Statistics, Xiangya School of Public Health, Central South University, Xiangya Road 110, Changsha 410078, China)

  • Simin He

    (Department of Epidemiology and Medical Statistics, Xiangya School of Public Health, Central South University, Xiangya Road 110, Changsha 410078, China)

  • Yan Yan

    (Department of Epidemiology and Medical Statistics, Xiangya School of Public Health, Central South University, Xiangya Road 110, Changsha 410078, China)

Abstract

Depressive symptoms are a common mental health problem among adolescents, which may affect their physical and mental health development and impose heavy burdens on individual families and society. This study aimed to examine the associations between sleep duration, academic pressure, and depressive symptoms among Chinese adolescents and to construct the mediation model to explore the mediating effect of sleep duration. The data are from the China Family Panel Studies (CFPS). Methodologically, the aforementioned associations were explored by constructing a structural equation model and applying multivariate multilevel logistic regression. In this study, we found that approximately 6.49% of the 3724 Chinese adolescents had depressive symptoms. Sleep duration of <6 h/night (OR = 2.39, 95%CI = 1.33–4.32) and high/maximum academic pressure (high: OR = 1.43, 95%CI = 1.02–1.99; maximum: OR = 2.43, 95%CI = 1.58–3.73) were both associated with an increased risk of depressive symptoms in adolescents. Meanwhile, the multiplicative interaction between sleep duration and academic pressure was significantly associated with depressive symptoms in adolescents ( p < 0.001). The sleep duration played a partial mediating role in the relationship between academic pressure and depressive symptoms (a*b = 0.006, 95%BootCI = 0.001–0.012). Our study highlights that it is essential to mitigate the academic pressure of adolescents to increase their sleep duration and further reduce the occurrence of depressive symptoms by adopting corresponding preventive measures.

Suggested Citation

  • Tong Zhou & Gang Cheng & Xihong Wu & Rui Li & Chao Li & Gang Tian & Simin He & Yan Yan, 2021. "The Associations between Sleep Duration, Academic Pressure, and Depressive Symptoms among Chinese Adolescents: Results from China Family Panel Studies," IJERPH, MDPI, vol. 18(11), pages 1-16, June.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:11:p:6134-:d:569924
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    References listed on IDEAS

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    1. Ann Vandendriessche & Ariane Ghekiere & Jelle Van Cauwenberg & Bart De Clercq & Karlien Dhondt & Ann DeSmet & Jorma Tynjälä & Maïté Verloigne & Benedicte Deforche, 2019. "Does Sleep Mediate the Association between School Pressure, Physical Activity, Screen Time, and Psychological Symptoms in Early Adolescents? A 12-Country Study," IJERPH, MDPI, vol. 16(6), pages 1-15, March.
    2. Yujuan Gao & Derek Hu & Evan Peng & Cody Abbey & Yue Ma & Chyi-In Wu & Chia-Yuan Chang & Wei-Ting Hung & Scott Rozelle, 2020. "Depressive Symptoms and the Link with Academic Performance among Rural Taiwanese Children," IJERPH, MDPI, vol. 17(8), pages 1-15, April.
    3. Haruka Tamura & Tomoko Nishida & Akiyo Tsuji & Hisataka Sakakibara, 2017. "Association between Excessive Use of Mobile Phone and Insomnia and Depression among Japanese Adolescents," IJERPH, MDPI, vol. 14(7), pages 1-11, June.
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    1. Wei Wei & Weimin Liu, 2022. "Sleep Pattern Is Related to Mental Health among Chinese Collegiate Student Athletes," IJERPH, MDPI, vol. 19(15), pages 1-10, July.
    2. Yixuan Liu & Xinyan Yang & Yinghui Wu & Yanling Xu & Yiwei Zhong & Shujuan Yang, 2023. "The Relationship between Job Satisfaction and Depressive Symptoms among Chinese Adults Aged 35–60 Years: The Mediating Role of Subjective Well-Being and Life Satisfaction," IJERPH, MDPI, vol. 20(3), pages 1-13, January.
    3. Xueyin Wang & Jiangli Di & Gengli Zhao & Linhong Wang & Xiaosong Zhang, 2021. "Association of Nighttime Sleep Duration with Depressive Symptoms and Its Interaction with Regular Physical Activity among Chinese Adolescent Girls," IJERPH, MDPI, vol. 18(21), pages 1-11, October.
    4. Ke Wang & Qianqian Xiang & Lan Hu & Lu Wang & Yunquan Zhang, 2022. "Frequency of Egg Intake Associated with Mortality in Chinese Adults: An 8-Year Nationwide Cohort Study," IJERPH, MDPI, vol. 19(22), pages 1-12, November.

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