Association between chronotype and quality of life in adolescents: a systematic review_Chinese Journal of Evidence-Based Medicine

Authors：

DENG Liya , LI Houyuan , TANG Yinshuang , LIU Yang ,  WANG Hong

School of Public Health / Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 401331, P. R. China;

Corresponding?author：

WANG Hong, Email: 100113@cqmu.edu.com

Keywords：

Adolescent; Chronotype; Morningness-eveningness; Quality of life; Systematic review

DOI：

10.7507/1672-2531.202206107

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To systematically review the association between chronotype and quality of life in adolescents. Methods PubMed, EMbase, Cochrane Library, Web of Science, CBM, WBM, VIP, WanFang Data and CNKI databases were electronically searched to collect studies on the association between chronotype and quality of life in adolescents from inception to April 21, 2022. Two reviewers independently screened the literature, extracted data and assessed the risk of bias of the included studies. A qualitative systematic review was then performed. Results A total of 7 studies were included. The results of systematic review suggested that the association between chronotype and quality of life in adolescents was statistically significant. Moreover, chronotype completely affected quality of life via insomnia symptoms, sleep related irrational cognition and general self-efficacy. Conclusion Current evidence shows that chronotype is associated with quality of life in adolescents. Due to the limited quality and quantity of the included studies, more high quality studies are needed to verify the above conclusion.

Citation： DENG Liya, LI Houyuan, TANG Yinshuang, LIU Yang, WANG Hong. Association between chronotype and quality of life in adolescents: a systematic review. Chinese Journal of Evidence-Based Medicine, 2023, 23(3): 346-350. doi: 10.7507/1672-2531.202206107 Copy

1.	刁華, 王宏, 楊連建, 等. 重慶青少年青春期身心健康知信行與生活質量的關系. 中國學校衛生, 2020, 41(1): 36-39.
2.	陳曼曼, 楊招庚, 蘇彬彬, 等. 中山市兒童青少年青春期身高生長突增規律. 北京大學學報(醫學版), 2021, 53(3): 506-510.
3.	饒權, 周長城. 關于生活質量指標問題的探討. 宏觀經濟管理, 2001, (8): 39-40.
4.	程緒婷. 重慶某區青春發動時相提前兒童生活質量及其影響因素的研究. 重慶: 重慶醫科大學, 2017.
5.	王玉, 趙明, 姜丹丹, 等. 青少年哮喘患者生活質量與焦慮、抑郁的關系. 軍醫進修學院學報, 2012, 33(6): 631-633.
6.	李晏, 張勝利, 黃烽. 青少年強直性脊柱炎患者睡眠障礙與軀體心理狀況及生活質量的相關性研究: 第17次全國風濕病學學術會議論文集. 北京: 中華醫學會雜志社, 2012.
7.	王婧. 湖南省兒童青少年1型糖尿病患者抑郁癥狀及生活質量總體滿意度的研究. 長沙: 中南大學, 2011.
8.	步長龍, 陶寧, 李超英, 等. 大學生焦慮、抑郁與生活質量的相關性研究. 中國民政醫學雜志, 2002, 14(1): 18-19.
9.	Naz MSG, Tehrani FR, Lak TB, et al. Quality of life and emotional states of depression, anxiety and stress in adolescents with polycystic ovary syndrome: a cross-sectional study. Psychol Res Behav Manag, 2020, 13: 203-209.
10.	Luseno WK, Field SH, Iritani BJ, et al. Pathways to depression and poor quality of life among adolescents in western Kenya: role of anticipated HIV stigma, HIV risk perception, and sexual behaviors. AIDS Behav, 2021, 25(5): 1423-1437.
11.	Fazeli S, Zeidi IM, Lin CY, et al. Depression, anxiety, and stress mediate the associations between internet gaming disorder, insomnia, and quality of life during the COVID-19 outbreak. Addict Behav Rep, 2020, 12: 100307.
12.	王長奇, 馬文有, 于振劍, 等. 精神分裂癥患者青少年子女心理韌性與應對方式、主觀生活質量的相關性. 中華行為醫學與腦科學雜志, 2016, 21(4): 349-351.
13.	朱文婷. 初中生心理彈性與生活質量關系研究. 中小學心理健康教育, 2019, (1): 8-12,18.
14.	Bottolfs M, St?a E, Reinboth M, et al. Resilience and lifestyle-related factors as predictors for health-related quality of life among early adolescents: a cross-sectional study. J Int Med Res, 2020, 48(2): 1-15.
15.	Kim M, Kim K, Kim J. Impact of resilience on the health-related quality of life of adolescents with a chronic health problem: a structural equation approach: resilience and health-related quality of life of adolescents. J Adv Nurs, 2019, 75(4): 801-811.
16.	趙萍, 秦真真, 汪娜, 等. 飲食行為對中小學生健康相關生活質量影響. 中國公共衛生, 2022, 38(1): 47-51.
17.	奴爾艾力·卡的. 烏魯木齊市漢族、維吾爾族高三學生生活質量及影響因素. 烏魯木齊: 新疆醫科大學, 2016.
18.	何金波, 朱虹, 吳思瑤, 等. 超重和肥胖青少年暴食行為與健康相關生活質量研究. 中國臨床心理學雜志, 2014, 22(4): 635-637.
19.	王曉. 肥胖兒童運動態度、運動行為及生活質量的研究. 濟南: 曲阜師范大學, 2021.
20.	陶芳標, 黃錕, 高茗, 等. 合肥地區中學生吸煙行為與主觀生活質量評價. 中華流行病學雜志, 2006, 27(2): 132-136.
21.	黃彥. 青少年網絡成癮者自殺行為特征及自殺風險評估. 重慶: 重慶醫科大學, 2018.
22.	Vos T, Lim SS, Abbafati C, et al. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet, 2020, 396(10258): 1204-1422.
23.	Fortmann J, Fisher A, Hough R, et al. Sleep quality, fatigue, and quality of life among teenage and young adult cancer survivors. J Adolesc Young Adult Oncol, 2018, 7(4): 465-471.
24.	文斌, 邱如梅. 信陽市高中生兒童期虐待經歷對生命質量的影響. 中國學校衛生, 2019, 40(2): 299-302.
25.	朱相華, 周勤, 李嬌, 等. 兒童期受虐待大學生生命質量影響因素分析. 中國學校衛生, 2016, 37(12): 1827-1830.
26.	韓自強, 肖暉. 校園欺凌與青少年生活質量、偏差行為和自殺的相關性研究. 風險災害危機研究, 2017, 6(3): 78-100.
27.	馮鶴, 劉明芳. 朝鮮族中小學生健康相關生命質量及與社會支持和負性情緒的關聯. 中國學校衛生, 2021, 42(1): 73-76,82.
28.	徐燕, 卞薇, 鄭潘, 等. 青少年斜視患者生活質量現狀及影響因素的研究. 貴州中醫藥大學學報, 2021, 43(5): 37-41.
29.	Au J, Reece J. The relationship between chronotype and depressive symptoms: a meta-analysis. J Affect Disord, 2017, 218: 93-104.
30.	Montaruli A, Castelli L, Mule A, et al. Biological rhythm and chronotype: new perspectives in health. Biomolecules, 2021, 11(4): 487.
31.	Randler C. Association between morningness-eveningness and mental and physical health in adolescents. Psychol Health Med, 2011, 16(1): 29-38.
32.	Genta FD, Neto GBR, Sunfeld JPV, et al. COVID-19 pandemic impact on sleep habits, chronotype, and health-related quality of life among high school students: a longitudinal study. J Clin Sleep Med, 2021, 17(7): 1371-1377.
33.	Esin IS, Dursun OB, Demirdogen EY, et al. Effects of chronotype and sleep duration on life quality and psychopathology in childhood obesity. Pediatr Endocrinol Diabetes Metab, 2020, 26(4): 192-197.
34.	Stroup DF, Berlin JA, Morton SC, et al. Meta-analysis of observational studies in epidemiology: a proposal for reporting meta-analysis of observational studies in epidemiology (MOOSE) group. JAMA, 2000, 283(15): 2008-2012.
35.	曾憲濤, 劉慧, 陳曦, 等. Meta分析系列之四: 觀察性研究的質量評價工具. 中國循證心血管醫學雜志, 2012, 4(4): 297-299.
36.	李幼平. 循證醫學. 北京: 人民衛生出版社, 2014: 148.
37.	Tzischinsky O, Shochat T. Eveningness, sleep patterns, daytime functioning, and quality of life in israeli adolescents. Chronobiol Int, 2011, 28(4): 338-343.
38.	Prieto PD, Díaz-morales JF, Barreno CE, et al. Morningness-Eveningness and health-related quality of life among adolescents. Span J Psychol, 2012, 15(2): 613-623.
39.	Roeser K, Brückner D, Schwerdtle B, et al. Health-related quality of life in adolescent chronotypes-a model for the effects of sleep problems, sleep-related cognitions, and self-efficacy. Chronobiol Int, 2012, 29(10): 1358-1365.
40.	Bowen AE, Staggs S, Kaar J, et al. Short sleep, insomnia symptoms, and evening chronotype are correlated with poorer mood and quality of life in adolescent transgender males. Sleep Health, 2021, 7(4): 445-450.
41.	Fischer D, Lombardi DA, Marucci-wellman H, et al. Chronotypes in the US - Influence of age and sex. PloS One, 2017, 12(6): e0178782.
42.	Karan M, Bai S, Almeida DM, et al. Sleep-wake timings in adolescence: chronotype development and associations with adjustment. J Youth Adolesc, 2021, 50(4): 628-640.
43.	Harvey AG. A Transdiagnostic intervention for youth sleep and circadian problems. Cogn Behav Pract, 2016, 23(3): 341-355.
44.	Zerbini G, Kantermann T, Merrow M. Strategies to decrease social jetlag: Reducing evening blue light advances sleep and melatonin. Eur J Neurosci, 2020, 51(12): 2355-2366.
45.	Hagenauer MH, Lee TM. The neuroendocrine control of the circadian system: Adolescent chronotype. Front Neuroendocrinol, 2012, 33(3): 211-229.
46.	Dong L, Gumport NB, Martinez AJ, et al. Is improving sleep and circadian problems in adolescence a pathway to improved health. A mediation analysis. J Consult Clin Psychol, 2019, 87(9): 757-771.

1. 刁華, 王宏, 楊連建, 等. 重慶青少年青春期身心健康知信行與生活質量的關系. 中國學校衛生, 2020, 41(1): 36-39.
2. 陳曼曼, 楊招庚, 蘇彬彬, 等. 中山市兒童青少年青春期身高生長突增規律. 北京大學學報(醫學版), 2021, 53(3): 506-510.
3. 饒權, 周長城. 關于生活質量指標問題的探討. 宏觀經濟管理, 2001, (8): 39-40.
4. 程緒婷. 重慶某區青春發動時相提前兒童生活質量及其影響因素的研究. 重慶: 重慶醫科大學, 2017.
5. 王玉, 趙明, 姜丹丹, 等. 青少年哮喘患者生活質量與焦慮、抑郁的關系. 軍醫進修學院學報, 2012, 33(6): 631-633.
6. 李晏, 張勝利, 黃烽. 青少年強直性脊柱炎患者睡眠障礙與軀體心理狀況及生活質量的相關性研究: 第17次全國風濕病學學術會議論文集. 北京: 中華醫學會雜志社, 2012.
7. 王婧. 湖南省兒童青少年1型糖尿病患者抑郁癥狀及生活質量總體滿意度的研究. 長沙: 中南大學, 2011.
8. 步長龍, 陶寧, 李超英, 等. 大學生焦慮、抑郁與生活質量的相關性研究. 中國民政醫學雜志, 2002, 14(1): 18-19.
9. Naz MSG, Tehrani FR, Lak TB, et al. Quality of life and emotional states of depression, anxiety and stress in adolescents with polycystic ovary syndrome: a cross-sectional study. Psychol Res Behav Manag, 2020, 13: 203-209.
10. Luseno WK, Field SH, Iritani BJ, et al. Pathways to depression and poor quality of life among adolescents in western Kenya: role of anticipated HIV stigma, HIV risk perception, and sexual behaviors. AIDS Behav, 2021, 25(5): 1423-1437.
11. Fazeli S, Zeidi IM, Lin CY, et al. Depression, anxiety, and stress mediate the associations between internet gaming disorder, insomnia, and quality of life during the COVID-19 outbreak. Addict Behav Rep, 2020, 12: 100307.
12. 王長奇, 馬文有, 于振劍, 等. 精神分裂癥患者青少年子女心理韌性與應對方式、主觀生活質量的相關性. 中華行為醫學與腦科學雜志, 2016, 21(4): 349-351.
13. 朱文婷. 初中生心理彈性與生活質量關系研究. 中小學心理健康教育, 2019, (1): 8-12,18.
14. Bottolfs M, St?a E, Reinboth M, et al. Resilience and lifestyle-related factors as predictors for health-related quality of life among early adolescents: a cross-sectional study. J Int Med Res, 2020, 48(2): 1-15.
15. Kim M, Kim K, Kim J. Impact of resilience on the health-related quality of life of adolescents with a chronic health problem: a structural equation approach: resilience and health-related quality of life of adolescents. J Adv Nurs, 2019, 75(4): 801-811.
16. 趙萍, 秦真真, 汪娜, 等. 飲食行為對中小學生健康相關生活質量影響. 中國公共衛生, 2022, 38(1): 47-51.
17. 奴爾艾力·卡的. 烏魯木齊市漢族、維吾爾族高三學生生活質量及影響因素. 烏魯木齊: 新疆醫科大學, 2016.
18. 何金波, 朱虹, 吳思瑤, 等. 超重和肥胖青少年暴食行為與健康相關生活質量研究. 中國臨床心理學雜志, 2014, 22(4): 635-637.
19. 王曉. 肥胖兒童運動態度、運動行為及生活質量的研究. 濟南: 曲阜師范大學, 2021.
20. 陶芳標, 黃錕, 高茗, 等. 合肥地區中學生吸煙行為與主觀生活質量評價. 中華流行病學雜志, 2006, 27(2): 132-136.
21. 黃彥. 青少年網絡成癮者自殺行為特征及自殺風險評估. 重慶: 重慶醫科大學, 2018.
22. Vos T, Lim SS, Abbafati C, et al. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet, 2020, 396(10258): 1204-1422.
23. Fortmann J, Fisher A, Hough R, et al. Sleep quality, fatigue, and quality of life among teenage and young adult cancer survivors. J Adolesc Young Adult Oncol, 2018, 7(4): 465-471.
24. 文斌, 邱如梅. 信陽市高中生兒童期虐待經歷對生命質量的影響. 中國學校衛生, 2019, 40(2): 299-302.
25. 朱相華, 周勤, 李嬌, 等. 兒童期受虐待大學生生命質量影響因素分析. 中國學校衛生, 2016, 37(12): 1827-1830.
26. 韓自強, 肖暉. 校園欺凌與青少年生活質量、偏差行為和自殺的相關性研究. 風險災害危機研究, 2017, 6(3): 78-100.
27. 馮鶴, 劉明芳. 朝鮮族中小學生健康相關生命質量及與社會支持和負性情緒的關聯. 中國學校衛生, 2021, 42(1): 73-76,82.
28. 徐燕, 卞薇, 鄭潘, 等. 青少年斜視患者生活質量現狀及影響因素的研究. 貴州中醫藥大學學報, 2021, 43(5): 37-41.
29. Au J, Reece J. The relationship between chronotype and depressive symptoms: a meta-analysis. J Affect Disord, 2017, 218: 93-104.
30. Montaruli A, Castelli L, Mule A, et al. Biological rhythm and chronotype: new perspectives in health. Biomolecules, 2021, 11(4): 487.
31. Randler C. Association between morningness-eveningness and mental and physical health in adolescents. Psychol Health Med, 2011, 16(1): 29-38.
32. Genta FD, Neto GBR, Sunfeld JPV, et al. COVID-19 pandemic impact on sleep habits, chronotype, and health-related quality of life among high school students: a longitudinal study. J Clin Sleep Med, 2021, 17(7): 1371-1377.
33. Esin IS, Dursun OB, Demirdogen EY, et al. Effects of chronotype and sleep duration on life quality and psychopathology in childhood obesity. Pediatr Endocrinol Diabetes Metab, 2020, 26(4): 192-197.
34. Stroup DF, Berlin JA, Morton SC, et al. Meta-analysis of observational studies in epidemiology: a proposal for reporting meta-analysis of observational studies in epidemiology (MOOSE) group. JAMA, 2000, 283(15): 2008-2012.
35. 曾憲濤, 劉慧, 陳曦, 等. Meta分析系列之四: 觀察性研究的質量評價工具. 中國循證心血管醫學雜志, 2012, 4(4): 297-299.
36. 李幼平. 循證醫學. 北京: 人民衛生出版社, 2014: 148.
37. Tzischinsky O, Shochat T. Eveningness, sleep patterns, daytime functioning, and quality of life in israeli adolescents. Chronobiol Int, 2011, 28(4): 338-343.
38. Prieto PD, Díaz-morales JF, Barreno CE, et al. Morningness-Eveningness and health-related quality of life among adolescents. Span J Psychol, 2012, 15(2): 613-623.
39. Roeser K, Brückner D, Schwerdtle B, et al. Health-related quality of life in adolescent chronotypes-a model for the effects of sleep problems, sleep-related cognitions, and self-efficacy. Chronobiol Int, 2012, 29(10): 1358-1365.
40. Bowen AE, Staggs S, Kaar J, et al. Short sleep, insomnia symptoms, and evening chronotype are correlated with poorer mood and quality of life in adolescent transgender males. Sleep Health, 2021, 7(4): 445-450.
41. Fischer D, Lombardi DA, Marucci-wellman H, et al. Chronotypes in the US - Influence of age and sex. PloS One, 2017, 12(6): e0178782.
42. Karan M, Bai S, Almeida DM, et al. Sleep-wake timings in adolescence: chronotype development and associations with adjustment. J Youth Adolesc, 2021, 50(4): 628-640.
43. Harvey AG. A Transdiagnostic intervention for youth sleep and circadian problems. Cogn Behav Pract, 2016, 23(3): 341-355.
44. Zerbini G, Kantermann T, Merrow M. Strategies to decrease social jetlag: Reducing evening blue light advances sleep and melatonin. Eur J Neurosci, 2020, 51(12): 2355-2366.
45. Hagenauer MH, Lee TM. The neuroendocrine control of the circadian system: Adolescent chronotype. Front Neuroendocrinol, 2012, 33(3): 211-229.
46. Dong L, Gumport NB, Martinez AJ, et al. Is improving sleep and circadian problems in adolescence a pathway to improved health. A mediation analysis. J Consult Clin Psychol, 2019, 87(9): 757-771.

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