Journal of Home Health Care Nursing (가정∙방문간호학회지)

Korean Academic Society of Home Health Care Nursing (한국가정∙방문간호학회)
권호 표지
DOI QR코드

DOI QR Code

Association of Sleep Duration and Quality of Sleep with Depression in Middle School Students: Based on the Korean Children and Youth Panel Survey

중학교 청소년의 수면시간과 수면의 질이 우울에 미치는 영향: 한국아동·청소년패널조사를 중심으로

  • Received : 2020.07.10
  • Accepted : 2020.07.31
  • Published : 2020.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to examine the relationship between sleep duration, quality of sleep and depression, and to identify the factors associated with depression in middle school students. Methods: This study used a cross-sectional design with secondary data, middle school student panel data from the Korean Children and Youth Panel Survey (2018), and data from a total of 2,590 students was used for analysis. For the statistical analysis, t-test, ANOVA, and hierarchical multiple regression were performed using SPSS ver. 26. Results: The mean depression score in adolescents was 17.99±6.38. Depression had significant differences according to sleep duration and quality. Adolescents with less than eight hours of sleep showed the highest depression, and poor sleepers showed higher depression scores than good sleepers. Gender, school achievement, school satisfaction, economic status, and exercise time were found to significantly relate to depression. After controlling for general characteristics, depression explained 17.2% of the variance in quality of sleep (β=-.15, p<.001) and sleep duration (β=-.04, p=.022). Conclusion: These findings indicate that it is necessary to develop intervention strategies to enhance the quality of sleep and appropriate sleep duration for preventing depression in adolescents.

Keywords

References

  1. Nixon GM, Thompson JM, Han DY, Becroft DM, Clark PM, Robinson E, et. al. Short sleep duration in middle childhood: risk factors and consequences. Sleep. 2008;31(1):71-78. https://doi.org/10.1093/sleep/31.1.71
  2. Kim YH, Kwon BS, Nam HK, An MS, Yang YO, Oh SE. Wong's essentials pediatric nursing. Seoul: Hyunmoon Co; 2010. p. 669-670.
  3. You MA, Kang NG, Lee HJ. Relationships between sleep habits, daytime sleepiness and problem behaviors among adolescents. Journal of Digital Convergence. 2017;15(5):305-315. https://doi.org/10.14400/JDC.2017.15.5.305
  4. Carskadon MA. Factors influencing sleep patterns of adolescents. In: Carskadon MA, ed. Adolescent sleep patterns: biological, social, and psychological influences. New York: Cambridge University Press; 2002. p. 4-26.
  5. Joe SK, Lee SY. A study of longitudinal changes and other relevant factors of adolescents' sleep duration. Studies on Korean Youth. 2020;31(1):5-32. http://doi.org/10.14816/sky.2020.31.1.5
  6. Choi CU, Hwang SY, Yoo MS, Lee MH, Kim JH, Moon JH. Study on the implementation of the international convention on the rights of Korean children and youth-comprehensive report for human rights status of Korean children and youth. Sejong: National Youth Policy Institute, 2018 December. Report No. : 18-R12.
  7. Zhang J, Paksarian D, Lamers F, Hickie IB, He J, Merikangas KR. Sleep patterns and mental health correlates in US adolescents. The Journal of Pediatrics. 2017;182:137-143. https://doi.org/10.1016/j.jpeds.2016.11.007
  8. Hirshkowitz M, Whiton K, Alessi C, Bruni O, DonCarlos L, Neubauer DN, et al. National sleep foundation's sleep time duration recommendations: methodology and results summary. Sleep Health. 2015;1(1):40-43. https://doi.org/10.1016/j.sleh.2014.12.010
  9. Park HS, Kim GD, Kim KH, Chung BY. Comparison of quality of sleep and factors which are influenced on sleep among adolescents, adults and elderly. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2000;9(4):429-439.
  10. Lee SS, Kim BN, Park S, Park MH. Relationship between depression and sleep patterns of middle school student in Seoul. Journal of Korean Neuropsychiatric Association. 2017;56(2):78-83. https://doi.org/10.4306/jknpa.2017.56.2.78
  11. Kim SJ, Chung IJ. The effect of sleep duration on youth school adjustment mediated by parenting behavior. Korean Journal of Child Studies. 2016;37(3):13-26. https://doi.org/10.5723/kjcs.2016.37.3.13
  12. Lee J, Kang J, Rhie S, Chae KY. Impact of sleep duration on emotional status in adolescents. Journal of the Korean Child Neurology Society. 2013;21(3):100-110.
  13. Yun HJ. Effect of stress and sleep quality on mental health of adolescents. Journal of the Korean Society of School Health. 2016;29(2):98-106. https://doi.org/10.15434/kssh.2016.29.2.98
  14. Park HJ. Effect of sleep duration on suicidal ideation in Korean adolescents. Journal of the Korean Society of School Health. 2015;28(1):1-9. https://doi.org/10.15434/kssh.2015.28.1.1
  15. Saluja G, Iachan R, Scheidt PC, Overpeck MD, Sun W, Giedd JN. Prevalence of and risk factors for depressive symptoms among young adolescents. Archives of pediatrics & adolescent medicine. 2004;158(8):760-765. https://doi.org/10.1001/archpedi.158.8.760
  16. Choi JH, Jeon JA. Adolescents’ mental health and its relationship with health behaviors. Health and welfare policy forum. 2017;245:72-83.
  17. Kim MS. The study of the effect of perceived stress and depression on the school adjustment of Korean adolescents. The Journal of the Korean Association of Psychology. 2009;1(2):53-67.
  18. Ha YH. Effects of parent-adolescent relationships and depression on adolescents’ problem behavior. The Korea Journal of Youth Counseling. 2004;12(2):42-52.
  19. Akerstedt T, Hume K, Minors D, Waterhouse J. The meaning of good sleep: a longitudinal study of polysomnography and subjective sleep quality. Journal of Sleep Research. 1994;3(3):152-158. http://doi.org/10.1111/j.1365-2869.1994.tb00122.x
  20. Lee EJ, Ma RW. The relationships between smart-phone addiction, sleep time and depression in female high school students. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology. 2018;8(4):533-542. http://doi.org/10.35873/ajmahs.2018.8.4.048
  21. Raniti MB, Allen NB, Schwartz O, Waloszek JM, Byrne ML, Woods MJ, et al. Sleep duration and sleep quality:associations with depressive symptoms across adolescence. Behavioral sleep medicine. 2017;15(3):198-215. https://doi.org/10.1080/15402002.2015.1120198
  22. Stice E. Risk and maintenance factors for eating pathology:a meta-analytic review. Psychological Bulletin. 2002;128(5):825-848. http://doi.org/10.1037/0033-2909.128.5.825
  23. Twenge JM, Nolen-Hoeksema S. Age, gender, race, socioeconomic status, and birth cohort difference on the children's depression inventory: a meta-analysis. Journal of Abnormal Psychology. 2002;111(4):578. http://doi.org/10.1037//0021-843x.111.4.578
  24. The 2018 Korea Children and Youth Panel Survey (KCYPS 2018) User's Guide. National Sejong: Youth Policy Institute;2019 [cited 2020 February 7]. Available from:http://www.nypi.re.kr/archive
  25. Yun HJ. Effect of body image distortion on mental health in adolescents. Journal of Health Informatics and Statistics. 2018;43(3):191-199. https://doi.org/10.21032/jhis.2018.43.3.191
  26. Kang MJ, Lee MS. The association of depression and suicidal behaviors with smartphone use among Korean adolescents. Korean Journal of Health Education and Promotion. 2014;31(5):147-158. http://doi.org/10.14367/kjhep.2014.31.5.147
  27. Lim YB, Kim JW, Hong SB, Kim JW. Association between BDNF and antidepressant effects of exercise in youth: a preliminary study. Journal of the Korean Academy of Child and Adolescent Psychiatry. 2016;27(1):72-81. https://doi.org/10.5765/jkacap.2016.27.1.72
  28. Kim KI, Kim JH, Won HT. Korean Manual of Symptom Checklist-90-Revision. Seoul: Jung Ang Juk Sung Publisher;1984. p. 10.
  29. Kim KH. Mediating effects of mobile phone dependence on sleep length through depression and school maladjustment in high school students. Journal of School Social Work. 2015;32(1):87-114. http://doi.org/10.20993/SSW.32.4
  30. Chung EH, Lee SY. The multiple mediating effects of sleep duration and quality in the relationship between adolescents' smartphone addiction tendencies and depressive symptoms. Studies on Korean Youth. 2017;28(3):119-146. http://doi.org/10.14816/sky.2017.28.3.119

Cited by

  1. Relationship between Sleep Duration Trajectories and Self-Rated Depressive Symptoms in South Koreans with Physical Disabilities vol.9, pp.3, 2020, https://doi.org/10.3390/healthcare9030361