The synergic relationship between social anxiety, depressive symptoms, poor sleep quality and body fatness in adolescents
Abstract
BACKGROUND The aim of the current study was to evaluate the cross-sectional synergic relationship among social anxiety, poor sleep quality, depressive symptoms and body fatness. METHODS A cross-sectional study was performed with 1,242 adolescents from a north-eastern district in Brazil. It was used the Social Anxiety Scale for Adolescents for symptoms of social anxiety, the Pittsburgh Sleep Quality Index for sleep quality and the Depression Scale of the Center for Epidemiologic Studies for depressive symptoms. Body fatness was the sum of triceps and subscapular skinfolds. Structural equation modelling was used to evaluate associations among these comorbidities. RESULTS Social anxiety was directly and positively associated with depressive symptoms, poor sleep quality and body fatness (β = 0.316 standard deviations [SD]; β = 0.299 SD; β = 0.072 SD, respectively). Moreover, social anxiety was indirectly associated with depressive symptoms via poor sleep quality (β = 0.113 SD). Poor sleep quality was directly associated with depressive symptoms (β = 0.377 SD). We did not observe a significant relationship of poor sleep quality and depressive symptoms with body fatness. LIMITATIONS This is a cross-sectional study; therefore, we cannot infer causality in the interpretation of the findings. CONCLUSIONS Social anxiety seemed to play pivotal role in adolescents' health, since it was associated with poor sleep quality, depressive symptoms and body fatness. Interventions targeting sleep quality, depressive symptoms and body fatness in adolescents should designate relevant effort addressing social anxiety.
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Social anxiety is positively correlated with poor sleep quality.
“Specifically, trait mindfulness is negatively correlated with poor sleep quality (Liu et al., 2018), whereas social anxiety is positively correlated with poor sleep quality (Horenstein et al., 2019).”
From How relative deprivation affects the sleep quality of Chinese college students: testing an integrated model of social anxiety and trait mindfulness (2023) · cites this paper as Lima et al., 2020
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- Authors
- Lima, R. A., de Barros, M. V. G., dos Santos, M. A. M., Machado, L., Bezerra, J., & Soares, F. C.
- Affiliations
- University of Graz (AT)
- Universidade Federal de Pernambuco (BR)
- Universidade de Pernambuco (BR)
- Corresponding author
- Lima, Rodrigo Antunes
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2020-01
- Volume
- 260
- Pages
- 200-205
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W2969241343
- Semantic Scholar
- acd0d8546f19ad32b159468bf2b10bf3ad4f0e34
- Cited by
- 61
- References
- 60
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 17 · 2023: 10 · 2022: 8 · 2021: 5 · 2020: 9
- FWCI
- 6.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Fundação de Amparo à Ciência e Tecnologia do Estado de Pernambuco (BCT 0233-4.09/17, BFP 0029-4.09/16)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- social anxiety, depressive symptoms, sleep quality, adiposity, adolescents, comorbidities, skinfold thickness
- MeSH terms
- Adolescent, Anxiety, Brazil, Cross-Sectional Studies, Depression, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Sleep, Comorbidity
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