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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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.	刁华, 王宏, 杨连建, 等. 重庆青少年青春期身心健康知信行与生活质量的关系. 中国学校卫生, 2020, 41(1): 36-39.
2.	陈曼曼, 杨招庚, 苏彬彬, 等. 中山市儿童青少年青春期身高生长突增规律. 北京大学学报(医学版), 2021, 53(3): 506-510.
3.	饶权, 周长城. 关于生活质量指标问题的探讨. 宏观经济管理, 2001, (8): 39-40.
4.	程绪婷. 重庆某区青春发动时相提前儿童生活质量及其影响因素的研究. 重庆: 重庆医科大学, 2017.
5.	王玉, 赵明, 姜丹丹, 等. 青少年哮喘患者生活质量与焦虑、抑郁的关系. 军医进修学院学报, 2012, 33(6): 631-633.
6.	李晏, 张胜利, 黄烽. 青少年强直性脊柱炎患者睡眠障碍与躯体心理状况及生活质量的相关性研究: 第17次全国风湿病学学术会议论文集. 北京: 中华医学会杂志社, 2012.
7.	王婧. 湖南省儿童青少年1型糖尿病患者抑郁症状及生活质量总体满意度的研究. 长沙: 中南大学, 2011.
8.	步长龙, 陶宁, 李超英, 等. 大学生焦虑、抑郁与生活质量的相关性研究. 中国民政医学杂志, 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.	王长奇, 马文有, 于振剑, 等. 精神分裂症患者青少年子女心理韧性与应对方式、主观生活质量的相关性. 中华行为医学与脑科学杂志, 2016, 21(4): 349-351.
13.	朱文婷. 初中生心理弹性与生活质量关系研究. 中小学心理健康教育, 2019, (1): 8-12,18.
14.	Bottolfs M, Støa 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.	赵萍, 秦真真, 汪娜, 等. 饮食行为对中小学生健康相关生活质量影响. 中国公共卫生, 2022, 38(1): 47-51.
17.	奴尔艾力·卡的. 乌鲁木齐市汉族、维吾尔族高三学生生活质量及影响因素. 乌鲁木齐: 新疆医科大学, 2016.
18.	何金波, 朱虹, 吴思瑶, 等. 超重和肥胖青少年暴食行为与健康相关生活质量研究. 中国临床心理学杂志, 2014, 22(4): 635-637.
19.	王晓. 肥胖儿童运动态度、运动行为及生活质量的研究. 济南: 曲阜师范大学, 2021.
20.	陶芳标, 黄锟, 高茗, 等. 合肥地区中学生吸烟行为与主观生活质量评价. 中华流行病学杂志, 2006, 27(2): 132-136.
21.	黄彦. 青少年网络成瘾者自杀行为特征及自杀风险评估. 重庆: 重庆医科大学, 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. 信阳市高中生儿童期虐待经历对生命质量的影响. 中国学校卫生, 2019, 40(2): 299-302.
25.	朱相华, 周勤, 李娇, 等. 儿童期受虐待大学生生命质量影响因素分析. 中国学校卫生, 2016, 37(12): 1827-1830.
26.	韩自强, 肖晖. 校园欺凌与青少年生活质量、偏差行为和自杀的相关性研究. 风险灾害危机研究, 2017, 6(3): 78-100.
27.	冯鹤, 刘明芳. 朝鲜族中小学生健康相关生命质量及与社会支持和负性情绪的关联. 中国学校卫生, 2021, 42(1): 73-76,82.
28.	徐燕, 卞薇, 郑潘, 等. 青少年斜视患者生活质量现状及影响因素的研究. 贵州中医药大学学报, 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.	曾宪涛, 刘慧, 陈曦, 等. Meta分析系列之四: 观察性研究的质量评价工具. 中国循证心血管医学杂志, 2012, 4(4): 297-299.
36.	李幼平. 循证医学. 北京: 人民卫生出版社, 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. 刁华, 王宏, 杨连建, 等. 重庆青少年青春期身心健康知信行与生活质量的关系. 中国学校卫生, 2020, 41(1): 36-39.
2. 陈曼曼, 杨招庚, 苏彬彬, 等. 中山市儿童青少年青春期身高生长突增规律. 北京大学学报(医学版), 2021, 53(3): 506-510.
3. 饶权, 周长城. 关于生活质量指标问题的探讨. 宏观经济管理, 2001, (8): 39-40.
4. 程绪婷. 重庆某区青春发动时相提前儿童生活质量及其影响因素的研究. 重庆: 重庆医科大学, 2017.
5. 王玉, 赵明, 姜丹丹, 等. 青少年哮喘患者生活质量与焦虑、抑郁的关系. 军医进修学院学报, 2012, 33(6): 631-633.
6. 李晏, 张胜利, 黄烽. 青少年强直性脊柱炎患者睡眠障碍与躯体心理状况及生活质量的相关性研究: 第17次全国风湿病学学术会议论文集. 北京: 中华医学会杂志社, 2012.
7. 王婧. 湖南省儿童青少年1型糖尿病患者抑郁症状及生活质量总体满意度的研究. 长沙: 中南大学, 2011.
8. 步长龙, 陶宁, 李超英, 等. 大学生焦虑、抑郁与生活质量的相关性研究. 中国民政医学杂志, 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. 王长奇, 马文有, 于振剑, 等. 精神分裂症患者青少年子女心理韧性与应对方式、主观生活质量的相关性. 中华行为医学与脑科学杂志, 2016, 21(4): 349-351.
13. 朱文婷. 初中生心理弹性与生活质量关系研究. 中小学心理健康教育, 2019, (1): 8-12,18.
14. Bottolfs M, Støa 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. 赵萍, 秦真真, 汪娜, 等. 饮食行为对中小学生健康相关生活质量影响. 中国公共卫生, 2022, 38(1): 47-51.
17. 奴尔艾力·卡的. 乌鲁木齐市汉族、维吾尔族高三学生生活质量及影响因素. 乌鲁木齐: 新疆医科大学, 2016.
18. 何金波, 朱虹, 吴思瑶, 等. 超重和肥胖青少年暴食行为与健康相关生活质量研究. 中国临床心理学杂志, 2014, 22(4): 635-637.
19. 王晓. 肥胖儿童运动态度、运动行为及生活质量的研究. 济南: 曲阜师范大学, 2021.
20. 陶芳标, 黄锟, 高茗, 等. 合肥地区中学生吸烟行为与主观生活质量评价. 中华流行病学杂志, 2006, 27(2): 132-136.
21. 黄彦. 青少年网络成瘾者自杀行为特征及自杀风险评估. 重庆: 重庆医科大学, 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. 信阳市高中生儿童期虐待经历对生命质量的影响. 中国学校卫生, 2019, 40(2): 299-302.
25. 朱相华, 周勤, 李娇, 等. 儿童期受虐待大学生生命质量影响因素分析. 中国学校卫生, 2016, 37(12): 1827-1830.
26. 韩自强, 肖晖. 校园欺凌与青少年生活质量、偏差行为和自杀的相关性研究. 风险灾害危机研究, 2017, 6(3): 78-100.
27. 冯鹤, 刘明芳. 朝鲜族中小学生健康相关生命质量及与社会支持和负性情绪的关联. 中国学校卫生, 2021, 42(1): 73-76,82.
28. 徐燕, 卞薇, 郑潘, 等. 青少年斜视患者生活质量现状及影响因素的研究. 贵州中医药大学学报, 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. 曾宪涛, 刘慧, 陈曦, 等. Meta分析系列之四: 观察性研究的质量评价工具. 中国循证心血管医学杂志, 2012, 4(4): 297-299.
36. 李幼平. 循证医学. 北京: 人民卫生出版社, 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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