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The associations between instructional approach, sleep characteristics and adolescent mental health: Lessons from the COVID-19 pandemic.
Wong, Patricia; Meltzer, Lisa J; Barker, David; Honaker, Sarah M; Owens, Judith A; Saletin, Jared M; Seixas, Azizi; Wahlstrom, Kyla L; Wolfson, Amy R; Carskadon, Mary A.
Afiliación
  • Wong P; Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University/E. P. Bradley Hospital, Sleep for Science Research Lab, Providence, Rhode Island. Electronic address: patriciawongphd@gmail.com.
  • Meltzer LJ; Division of Pediatric Behavioral Health, Department of Pediatrics, National Jewish Health, Denver, Colorado.
  • Barker D; Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, Rhode Island.
  • Honaker SM; Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana.
  • Owens JA; Boston Children's Hospital, Harvard Medical School Division of Sleep Medicine, Boston, Massachusetts.
  • Saletin JM; Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University/E. P. Bradley Hospital, Sleep for Science Research Lab, Providence, Rhode Island.
  • Seixas A; Department of Informatics and Health Data Science, University of Miami Miller School of Medicine, Miami, Florida.
  • Wahlstrom KL; Department of Organizational Leadership, Policy and Development, College of Education and Human Development, University of Minnesota, Minneapolis, Minnesota.
  • Wolfson AR; Department of Psychology, Loyola University Maryland, Baltimore, Maryland.
  • Carskadon MA; Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University/E. P. Bradley Hospital, Sleep for Science Research Lab, Providence, Rhode Island.
Sleep Health ; 10(2): 221-228, 2024 Apr.
Article en En | MEDLINE | ID: mdl-38262777
ABSTRACT

OBJECTIVES:

To test whether adolescents' mental health during the COVID-19 pandemic is associated with the combination of their instructional approach(es) and their sleep patterns.

DESIGN:

Cross-sectional.

SETTING:

Adolescents were recruited through social media outlets in October and November 2020 to complete an online survey.

PARTICIPANTS:

Participants were 4442 geographically and racially diverse, community-dwelling students (grades 6-12, 51% female, 36% non-White, 87% high schoolers). MEASUREMENTS Participants completed items from the PROMIS Pediatric Depressive Symptoms and Anxiety scales. Participants reported their instructional approach(es), bedtimes, and wake times for each day in the past week. Participants were categorized into five combined instructional approach groups. Average sleep opportunity was calculated as the average time between bedtime and waketime. Social jetlag was calculated as the difference between the average sleep midpoint preceding non-scheduled and scheduled days.

RESULTS:

Emotional distress was elevated in this sample, with a large proportion of adolescents reporting moderate-severe (T-score ≥ 65) levels of depressive symptoms (49%) and anxiety (28%). There were significant differences between instructional approach groups, such that adolescents attending all schooldays in-person reported the lowest depressive symptom and anxiety T-scores (P < .001, ηp2 = .012), but also the shortest sleep opportunity (P < .001, ηp2 = .077) and greatest social jetlag (P < .001, ηp2 = .037) of all groups. Adolescents attending school in person, with sufficient sleep opportunity (≥8-9 hours/night) and limited social jetlag (<2 hours) had significantly lower depressive (ηp2 = .014) and anxiety (ηp2 = .008) T-scores than other adolescents.

CONCLUSIONS:

Prioritizing in-person education and promoting healthy sleep patterns (more sleep opportunity, more consistent sleep schedules) may help bolster adolescent mental health.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sueño / Salud Mental / Depresión / COVID-19 Tipo de estudio: Risk_factors_studies Límite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: Sleep Health Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sueño / Salud Mental / Depresión / COVID-19 Tipo de estudio: Risk_factors_studies Límite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: Sleep Health Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos