Associations of sleep duration on school nights with self-rated health, overweight, and depression symptoms in adolescents: problems and possible solutions

Yeo, Sing Chen; Jos, Anna Mini; Erwin, Christina; Lee, Su Mei; Lee, Xuan Kai; Lo, June C.; Chee, Michael W.L.; Gooley, Joshua J.

doi:10.1016/j.sleep.2018.10.041

Cited by 136Sleep and related disordersSleep and Work-Related FatigueSleep and Wakefulness Research

Associations of sleep duration on school nights with self-rated health, overweight, and depression symptoms in adolescents: problems and possible solutions

Yeo, Sing Chen, Jos, Anna Mini, Erwin, Christina, Lee, Su Mei, Lee, Xuan Kai, Lo, June C., Chee, Michael W.L., Gooley, Joshua J.·2019·Sleep Medicine

DOI 10.1016/j.sleep.2018.10.041

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Abstract

Objective To investigate associations between sleep duration and health-related measures, and factors associated with short sleep, in adolescents in an East Asian society with strong emphasis on academic achievement. Methods Adolescents aged 13-19 years (n = 2346) from eight schools in Singapore (five local, three international) took part in a cross-sectional survey of sleep habits, school life, and health. Self-rated health, overweight (International Obesity Task Force Criteria), and depression symptoms were compared in adolescents with short (<7 h), moderately short (7 to <8 h), or an appropriate amount of sleep (8-10 h) on school nights. Results Short sleep on school nights was associated with poorer self-rated health, increased odds of being overweight (adjusted odds ratio [OR adj] = 2.56, 95% confidence interval = 1.39-4.70), and increased odds of feeling depression symptoms (sadness, irritability, worthlessness, low motivation, difficulty concentrating, anhedonia, anxiety, and thoughts of self-harm/suicide) compared with an appropriate sleep duration (OR adj = 2.10-4.33, p < 0.05 for each symptom). Barriers to healthy sleep included later preferred sleep timing (a relative indicator of later chronotype), lower parental supervision of bedtime, longer study time, early school start time, and longer travel time. Students at local schools were less likely to have a parent-set bedtime, and spent more time on homework/studying. Later bedtime in local schools attenuated the benefit of later school start time on nocturnal sleep duration. Conclusions Short sleep may contribute to poorer adolescent health and well-being. Strategies for improving sleep in hard-driving East Asian societies should take into account sociocultural factors that may impede removal of barriers to healthy sleep.

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These pressures may contribute to why adolescents in Asian countries go to bed later and sleep less than adolescents in Western cultures.
“These pressures may contribute to why adolescents in Asian countries go to bed later and sleep less than adolescents in Western cultures.8,22”
From Associations of time spent on homework or studying with nocturnal sleep behavior and depression symptoms in adolescents from Singapore (2020) · cites this paper as [8]
Long hours on homework/studying on school days may contribute indirectly to poorer mood by reducing nocturnal sleep duration.
“We provided evidence that long hours on homework/studying on school days may contribute indirectly to poorer mood by reducing nocturnal sleep duration.8”
From Associations of time spent on homework or studying with nocturnal sleep behavior and depression symptoms in adolescents from Singapore (2020) · cites this paper as [8]
Our study had several potential sources of selection bias related to the types of schools and students who agreed to take part.
“Our study also had several potential sources of selection bias related to the types of schools (e.g., our sample included high-performing schools) and students who agreed to take part in the research.8”
From Associations of time spent on homework or studying with nocturnal sleep behavior and depression symptoms in adolescents from Singapore (2020) · cites this paper as [8]

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Lo, J. C., Twan, D. C. K., Karamchedu, S., Lee, X. K., Ong, J. L., Van Rijn, E., Gooley, J. J., & Chee, M. W. L. (2019) · Sleep · doi:10.1093/sleep/zsz037 · Cited by 44 · see citing works
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The common denominators of sleep, obesity, and psychopathology
Tubbs, A. S., Khader, W., Fernandez, F., & Grandner, M. A. (2019) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2019.11.003 · Cited by 43 · see citing works
Sleep difficulties and suicidality in youth: current research and future directions
Goldstein, T. R., & Franzen, P. L. (2019) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2019.08.021 · Cited by 40 · see citing works
Observational and experimental studies on sleep duration and aggression: A systematic review and meta-analysis
van Veen, M., Lancel, M., Şener, O., Verkes, R., Bouman, E. J., & Rutters, F. (2022) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2022.101661 · Cited by 40 · see citing works
Cognitive effects of split and continuous sleep schedules in adolescents differ according to total sleep opportunity
Lo, J. C.-Y., Leong, R. L. F., Ng, A., Jamaluddin, S. A., Ong, J. L., Ghorbani, S., Lau, T., Chee, N. I. Y. N., Gooley, J. J., & Chee, M. W. L. (2020) · SLEEP · doi:10.1093/sleep/zsaa129 · Cited by 37 · see citing works
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Sleep Quality of Students from Elementary School to University: A Cross-Sectional Study
Liu, B., Gao, F., Zhang, J., Zhou, H., Sun, N., Li, L., Liang, L., Ning, N., Wu, Q., & Zhao, M. (2020) · Nature and Science of Sleep · doi:10.2147/nss.s266493 · Cited by 36 · see citing works
Association of weekend catch-up sleep ratio and subjective sleep quality with depressive symptoms and suicidal ideation among Korean adolescents
Lee, H., Kim, Y., Jeon, Y.-H., Kim, S. H., & Park, E. (2022) · Scientific Reports · doi:10.1038/s41598-022-14352-1 · Cited by 36 · see citing works
In‐person vs home schooling during the COVID‐19 pandemic: Differences in sleep, circadian timing, and mood in early adolescence
Stone, J. E., Phillips, A. J. K., Chachos, E., Hand, A. J., Lu, S., Carskadon, M. A., Klerman, E. B., Lockley, S. W., Wiley, J. F., Bei, B., et al. (2021) · Journal of Pineal Research · doi:10.1111/jpi.12757 · Cited by 35 · see citing works
Association of social jetlag and eating patterns with sleep quality and daytime sleepiness in Japanese high school students
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Depression and Anxiety Mediate the Association between Sleep Quality and Self-Rated Health in Healthcare Students
Zhu, Y., Jiang, C., Yang, Y., Dzierzewski, J. M., Spruyt, K., Zhang, B., Huang, M., Ge, H., Rong, Y., Ola, B. A., et al. (2023) · Behavioral Sciences · doi:10.3390/bs13020082 · Cited by 35 · see citing works
Sleep duration, depressive symptoms, and digital self‐harm among adolescents
Semenza, D. C., Meldrum, R. C., Testa, A. M., & Jackson, D. B. (2021) · Child and Adolescent Mental Health · doi:10.1111/camh.12457 · Cited by 32 · see citing works
Nonlinear relationship between sleep duration and non-suicidal self-injurious behaviour among Chinese adolescents
Tang, Y. C., Wan, Y., Xu, S., Zhang, S., Hao, J., & Tao, F. (2021) · BMC Psychiatry · doi:10.1186/s12888-021-03539-x · Cited by 31 · see citing works
Splitting sleep between the night and a daytime nap reduces homeostatic sleep pressure and enhances long-term memory
Cousins, J. N., Leong, R. L. F., Jamaluddin, S. A., Ng, A., Ong, J. L., & Chee, M. W. L. (2021) · Scientific Reports · doi:10.1038/s41598-021-84625-8 · Cited by 30 · see citing works
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The relationship between emotional neglect and non-suicidal self-injury among middle school students in China: the mediating role of social anxiety symptoms and insomnia
Hou, S., Twayigira, M., Luo, X., Song, L., Cui, X., Xie, Q., Shen, Y., Yang, F., & Yuan, X. (2023) · BMC Psychiatry · doi:10.1186/s12888-023-04735-7 · Cited by 29 · see citing works
Memory performance following napping in habitual and non-habitual nappers
Leong, R. L. F., Yu, N., Ong, J. L., Ng, A., Jamaluddin, S. A., Cousins, J. N., Chee, N. I. Y. N., & Chee, M. W. L. (2020) · SLEEP · doi:10.1093/sleep/zsaa277 · Cited by 27 · see citing works
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Associations between sleep quality and irritability: Testing the mediating role of emotion regulation
Whiting, C., Bellaert, N., Deveney, C. M., & Tseng, W. (2023) · Personality and Individual Differences · doi:10.1016/j.paid.2023.112322 · Cited by 27 · see citing works
Evaluation of an interactive school-based sleep education program: a cluster-randomized controlled trial
van Rijn, E., Koh, S. Y. J., Ng, A., Vinogradova, K., Chee, N. I. Y. N., Lee, S. M., Lo, J. C.-Y., Gooley, J. J., & Chee, M. W. L. (2019) · Sleep Health · doi:10.1016/j.sleh.2019.10.006 · Cited by 26 · see citing works
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The role of sleep disturbances in depressive-like behavior with emphasis on α-ketoglutarate dehydrogenase activity in rats.
Kordestani-Moghadam, P., Nasehi, M., Vaseghi, S., Khodagholi, F., & Zarrindast, M. (2020) · Physiology and Behavior · doi:10.1016/j.physbeh.2020.113023 · Cited by 24 · see citing works
The Associations between Meeting 24-Hour Movement Guidelines (24-HMG) and Mental Health in Adolescents—Cross Sectional Evidence from China
Luo, L., Zeng, X., Cao, Y., Hu, Y., Wen, S., Tang, K., Ding, L., Wang, X., & Song, N. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20043167 · Cited by 25 · see citing works
A Comprehensive Review of the Literature on Sleep Difficulties and Suicidality in Youth to Inform an Integrative Developmental Model and Future Directions
Goldstein, T., & Franzen, P. (2022) · Current Sleep Medicine Reports · doi:10.1007/s40675-022-00222-9 · Cited by 27 · see citing works
Short sleep duration and adolescent health: does weekend catch-up sleep work and for whom?
Park, G., & Kim, J. (2022) · Public Health · doi:10.1016/j.puhe.2022.11.008 · Cited by 24 · see citing works
Multi-Night Sleep Restriction Impairs Long-Term Retention of Factual Knowledge in Adolescents
Cousins, J. N., Wong, K. F., & Chee, M. W. L. (2019) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2019.04.030 · Cited by 23 · see citing works
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Relationships between Extra-School Tutoring Time, Somatic Symptoms, and Sleep Duration of Adolescent Students: A Panel Analysis Using Data from the Korean Children and Youth Panel Survey
Noh, J., Kim, J., Cheon, J., Lee, Y., & Kwon, Y. D. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17218037 · Cited by 22 · see citing works
Does splitting sleep improve long-term memory in chronically sleep deprived adolescents?
Cousins, J. N., van Rijn, E., Ong, J. L., Wong, K. F., & Chee, M. W. L. (2019) · npj Science of Learning · doi:10.1038/s41539-019-0047-z · Cited by 21 · see citing works
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The Heterogeneous Effects of Participation in Shadow Education on Mental Health of High School Students in Taiwan
Chen, I., & Kuan, P. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18031222 · Cited by 21 · see citing works
Assessing ‘readiness’ by tracking fluctuations in daily sleep duration and their effects on daily mood, motivation, and sleepiness
Ng, A. S. C., Massar, S. A. A., Bei, B., & Chee, M. W. L. (2023) · Sleep Medicine · doi:10.1016/j.sleep.2023.09.028 · Cited by 21 · see citing works
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Independent and joint effects of sleep duration and sleep quality on suboptimal self-rated health in medical students: A cross-sectional study
Ding, P., Li, J., Chen, H., Zhong, C., Ye, X., & Shi, H. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.957409 · Cited by 20 · see citing works
Associations between 24-h movement behaviors and self-rated health: a representative sample of school-aged children and adolescents in Okinawa, Japan
Kyan, A., Takakura, M., & Miyagi, M. (2022) · Public Health · doi:10.1016/j.puhe.2022.10.012 · Cited by 20 · see citing works
Cognitive effects of multi-night adolescent sleep restriction: current data and future possibilities
Lo, J., & Chee, M. (2020) · Current Opinion in Behavioral Sciences · doi:10.1016/j.cobeha.2019.12.005 · Cited by 21 · see citing works
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Sleep duration in schooldays is associated with health-related quality of life in norwegian adolescents: a cross-sectional study
Grasaas, E., Rohde, G. E., Haraldstad, K., Helseth, S., Småstuen, M. C., Skarstein, S. O., & Mikkelsen, H. T. (2023) · BMC Pediatrics · doi:10.1186/s12887-023-04306-5 · Cited by 19 · see citing works
Napping Behavior in Adolescents: Consensus, Dissents, and Recommendations
Santos, J. S., Beijamini, F., & Louzada, F. M. (2021) · Sleep and Vigilance · doi:10.1007/s41782-021-00155-3 · Cited by 16 · see citing works
Ecological Momentary Mood, Resilience, and Mental Health Status as Predictors of Quality of Life Among Young Adults Under Stress: A Structural Equation Modeling Analysis
Sinvani, R.-T., Fogel‐Grinvald, H., Afek, A., Ben-Avraham, R., Davidov, A., Cohen, N., Yehuda, A. B., Nahum, M., & Gilboa, Y. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.672397 · Cited by 16 · see citing works
The role of mental health, academic stress, academic achievement, and physical activity on self-rated health among adolescents in Iran: A multilevel analysis
Hosseinkhani, Z., Hassanabadi, H.-R., Parsaeian, M., Nedjat, S., & Foroozanfar, Z. (2020) · Journal of Education and Health Promotion · doi:10.4103/jehp.jehp_161_20 · Cited by 15 · see citing works
“As regards, adolescents in Iran spend most of the times at school and doing homework at home, so their amount of assignments and academic achievement can have an important role in their academic stress and even their sleep that “this issue” can affect their SRH.[12,38-40] The social position among peers is another fac…”
Background
Prevalence and associated factors of somatic symptoms among adolescents in Singapore: a cross-sectional study
Mahirah, D., Lim, J. M., Chew, M. S.-L., Peddapalli, N., Ho, C. Z.-H., Marimuttu, V. J., Chen, H. Y., Sung, S. C., Ho, Y.-C. L., & Loh, C. B.-L. (2025) · Annals of General Psychiatry · doi:10.1186/s12991-025-00582-w · Cited by 15 · see citing works
Staying vigilant during recurrent sleep restriction: dose-response effects of time-in-bed and benefits of daytime napping
Lo, J. C.-Y., Koa, T. B., Ong, J. L., Gooley, J. J., & Chee, M. W. L. (2022) · SLEEP · doi:10.1093/sleep/zsac023 · Cited by 15 · see citing works
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Determinants of self-rated health among an older Tibetan population in a Chinese plateau area: analysis based on the conceptual framework for determinants of health
Li, Y., Nima, Q., Yu, B., Xiao, X., Zeng, P., Suolang, D., He, R., Ciren, Z., Wangqing, P., Laba, C., et al. (2021) · BMC Public Health · doi:10.1186/s12889-021-10359-x · Cited by 15 · see citing works
Inhibitory control and mood in relation to psychological resilience: an ecological momentary assessment study
Nahum, M., Sinvani, R.-T., Afek, A., Ben-Avraham, R., Jordan, J. T., Ben‐Shachar, M. S., Yehuda, A. B., Cohen, N., Davidov, A., & Gilboa, Y. (2023) · Scientific Reports · doi:10.1038/s41598-023-40242-1 · Cited by 14 · see citing works
Exploring the impact of family conflict on depression, anxiety and sleep problems in Turkish adolescents: The mediating effect of social connectedness
Çi̇çek, İ., & Yıldırım, M. (2025) · Journal of Psychologists and Counsellors in Schools · doi:10.1177/20556365251331108 · Cited by 15 · see citing works
Adherence to 24-hour movement guidelines and their association with depressive symptoms in adolescents: Evidence from Bangladesh
Khan, A., Ahmed, K. R., & Lee, E. (2023) · Sports Medicine and Health Science · doi:10.1016/j.smhs.2023.10.003 · Cited by 13 · see citing works
Neurobehavioral functions during recurrent periods of sleep restriction: effects of intra-individual variability in sleep duration
Koa, T. B., Gooley, J. J., Chee, M. W. L., & Lo, J. C.-Y. (2024) · SLEEP · doi:10.1093/sleep/zsae010 · Cited by 13 · see citing works
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Adherence to sleep recommendations is associated with higher satisfaction with life among Norwegian adolescents
Grasaas, E., Ostojić, S. M., & Jahre, H. (2024) · BMC Public Health · doi:10.1186/s12889-024-18725-1 · Cited by 13 · see citing works
Parental Expectations Are Associated with Children's Sleep Duration and Sleep Hygiene Habits
Jarrin, D. C., Awad, Y. A., Rowe, H. L., Noel, N. A. O., Ramil, J., & McGrath, J. J. (2020) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/dbp.0000000000000818 · Cited by 13 · see citing works
Lifestyle Behaviors and Depressive Symptoms in Chinese Adolescents Using Regression and fsQCA Models
Mei, S., Lv, J., Ren, H., Guo, X., Meng, C., Fei, J., Yuan, T., Yue, J., Gao, R., Song, Q., et al. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.825176 · Cited by 12 · see citing works
Risk and protective factors associated with adolescent depression in Singapore: a systematic review
Goh, W. S., Tan, J. H. N., Luo, Y., Ng, S. H., Sulaiman, M. S. B. M., Wong, J. C. M., & Loh, V. W. K. (2023) · Singapore Medical Journal · doi:10.4103/singaporemedj.smj-2021-192 · Cited by 12 · see citing works
Cortical thinning and sleep slow wave activity reductions mediate age-related improvements in cognition during mid-late adolescence
Ong, J. L., Jamaluddin, S. A., Tandi, J., Chee, N. I. Y. N., Leong, R. L. F., Huber, R., Lo, J. C.-Y., & Chee, M. W. L. (2021) · SLEEP · doi:10.1093/sleep/zsab206 · Cited by 12 · see citing works
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Psychological Consequences of Experienced Stress in Childhood — Phenomena of "Abandonment" and "Involvement"
Kharlamenkova, N. E., Nikitina, D. A., Евгеньевна, Ш. Н., & Николаевна, Д. Е. (2022) · Clinical Psychology and Special Education · doi:10.17759/cpse.2022110303 · Cited by 12 · see citing works
24-hour movement behaviours and self-rated health in Chinese adolescents: a questionnaire-based survey in Eastern China
Shi, G., Liang, C., Zang, W., Bao, R., Yan, J. H., Zhou, L., & Wang, L. (2023) · PeerJ · doi:10.7717/peerj.16174 · Cited by 11 · see citing works
Short Sleep Duration in School-Age Children: Differential Factors on Weekdays and Weekends
Koa, T. B., Seah, J. X., Ong, J. Q. W., & Lo, J. C.-Y. (2023) · Behavioral Sleep Medicine · doi:10.1080/15402002.2022.2164001 · Cited by 11 · see citing works
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Early parental positive personality and stress: Longitudinal associations with children's sleep
Miadich, S. A., Doane, L. D., Davis, M. C., & Lemery‐Chalfant, K. (2019) · British Journal of Health Psychology · doi:10.1111/bjhp.12372 · Cited by 11 · see citing works
Delayed high school start times and graduation and attendance rates over 4 years: the impact of race and socioeconomics
McKeever, P. M., Dodd, R., & O’Sullivan, D. M. (2022) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.10156 · Cited by 10 · see citing works
Neurobehavioural functions during variable and stable short sleep schedules
Koa, T. B., & Lo, J. C.-Y. (2020) · Journal of Sleep Research · doi:10.1111/jsr.13252 · Cited by 10 · see citing works
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Sleep Loss, Daytime Sleepiness, and Neurobehavioral Performance among Adolescents: A Field Study
Tzischinsky, O., & Barel, E. (2022) · Clocks & Sleep · doi:10.3390/clockssleep4010015 · Cited by 10 · see citing works
Eight-Section Brocade Exercises Improve the Sleep Quality and Memory Consolidation and Cardiopulmonary Function of Older Adults With Atrial Fibrillation-Associated Stroke
Lv, W., Wang, X., Liu, J., & Yu, P. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.02348 · Cited by 10 · see citing works
Gender and Age Differences in the Study Plan of University Students
Okagbue, H. I., Bishop, S. A., Boluwajoko, A. E., Ezenkwe, A. M., Anene, G. N., Akinsola, B. E., & Offiah, I. B. (2020) · International Journal of Interactive Mobile Technologies (iJIM) · doi:10.3991/ijim.v14i01.11232 · Cited by 10 · see citing works
Status Gizi, Kadar Hemoglobin, Kualitas Tidur dan Siklus Menstruasi pada Siswi di SMAN 8 Tangerang
Salsabilla, B., Anwar, K., & Maskar, D. H. (2023) · Jurnal Ilmu Gizi dan Dietetik · doi:10.25182/jigd.2023.2.1.16-23 · Cited by 8 · see citing works
Trajectories of sleep problems and the longitudinal associations with mental health difficulties among Chinese adolescents
Liu, X. (2024) · Social Science & Medicine · doi:10.1016/j.socscimed.2024.117203 · Cited by 8 · see citing works
Sleep Quality Among Adolescents and Its Relation to Inhalant, Khat, and Internet Use, and Physical Illness: A Community-Based Exploratory Cross-Sectional Study
Wolde, A., & Aydiko, A. (2022) · Global Pediatric Health · doi:10.1177/2333794x221125075 · Cited by 8 · see citing works
The Association Between Frequent Sugar-Sweetened Beverage Intake and Sleep Duration in School Children: A Cross-Sectional Study
Shih, Y., Wu, H.-C., Pan, W., & Chang, H. (2022) · Frontiers in Nutrition · doi:10.3389/fnut.2022.847704 · Cited by 8 · see citing works
Clustering of Physical Activity, Sleep, Diet, and Screen-Based Device Use Associated with Self-Rated Health in Adolescents
Knebel, M. T. G., Matias, T. S., Lopes, M. V. V., dos Santos, P. C., Bandeira, A. D. S., & da Silva, K. S. (2022) · International Journal of Behavioral Medicine · doi:10.1007/s12529-021-10043-9 · Cited by 8 · see citing works
Longitudinal associations between high school sleep characteristics and young adult health outcomes
Maultsby, K. D., Temmen, C. D., Lewin, D., Sita, K. R., Luk, J. W., Simons-Morton, B. G., & Haynie, D. L. (2022) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.10126 · Cited by 7 · see citing works
Pre-COVID-19 short sleep duration and eveningness chronotype are associated with incident suicidal ideation during COVID-19 pandemic in medical students: a retrospective cohort study
Zheng, D., Qin, Q., Peng, Y., Zhong, H., Huang, Y., Wang, H., Tan, Q., & Li, Y. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1406396 · Cited by 7 · see citing works
Sleep characteristics and non-suicidal self-injury: unveiling the association in depressed adolescents
Liang, J., Liu, Y., Zhang, T., Jia, F., & Hou, C. (2025) · BMC Psychiatry · doi:10.1186/s12888-025-07466-z · Cited by 7 · see citing works
The CLASS Study (Circadian Light in Adolescence, Sleep and School): protocol for a prospective, longitudinal cohort to assess sleep, light, circadian timing and academic performance in adolescence
Stone, J. E., Wiley, J. F., Chachos, E., Hand, A. J., Lu, S., Raniti, M. B., Klerman, E. B., Lockley, S. W., Carskadon, M. A., Phillips, A. J. K., et al. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-055716 · Cited by 7 · see citing works
Bidirectional associations between the duration and timing of nocturnal sleep and daytime naps in adolescents differ from weekdays to weekends
Leong, R. L. F., Tian, L., Yu, N., Teo, T. B., Ong, J. L., & Chee, M. W. L. (2024) · SLEEP · doi:10.1093/sleep/zsae147 · Cited by 7 · see citing works
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Parental perception and guideline awareness of children’s lifestyle behaviours at ages 5 to 14 in Singapore
Quah, P. L., Loo, B. K. G., Razali, N. S., Razali, N. S., Teo, C. C., & Tan, K. H. (2021) · Annals of the Academy of Medicine Singapore · doi:10.47102/annals-acadmedsg.2021134 · Cited by 7 · see citing works
Associations of Time Spent on Study and Sleep with Anxiety and Depressive Symptoms in Junior High School Students: Report from the Large-Scale Monitoring of Basic Education Data in China
Yao, H., & Chen, S. (2023) · International Journal of Mental Health Promotion · doi:10.32604/ijmhp.2023.028844 · Cited by 6 · see citing works
Adolescent sleep health in Africa: a scoping review protocol
Olorunmoteni, O. E., Gómez-Olivé, F. X., Popoola, B. O., Fatusi, A. O., & Scheuermaier, K. D. (2023) · BMJ Open · doi:10.1136/bmjopen-2022-067373 · Cited by 6 · see citing works
Association Among BMI, Self-Esteem, and Nonsuicidal Self-Injury in Young Adults to Understand the Influence of Socioenvironmental Factors: Longitudinal Study
Zhang, Q., Ying, R., Lu, W., Liu, X., Hu, K., Feng, Q., Yu, Z., Wang, Z., Lu, F., Miao, Y., et al. (2025) · JMIR Public Health and Surveillance · doi:10.2196/52928 · Cited by 6 · see citing works
Factors associated with late bedtimes, early wake-up times, and short sleep in adolescents on school nights
Charoenthammanon, R. S., & Gooley, J. J. (2025) · SLEEP Advances · doi:10.1093/sleepadvances/zpaf018 · Cited by 5 · see citing works
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Association of social support with sleep and subjective health outcomes in Ghanaian artisanal miners
Nyaaba, E., Abass, K., & Gyasi, R. M. (2025) · Scientific Reports · doi:10.1038/s41598-025-27679-2 · Cited by 5 · see citing works
Going to bed later than intended is associated with shorter sleep and poorer next-day mood and sleepiness in residential college students
Kok, V. J. T., Chua, S., Yabuki, H., Rukmini, A. V., Sreenivasulu, B., & Gooley, J. J. (2026) · SLEEP · doi:10.1093/sleep/zsaf414 · Cited by 5 · see citing works
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Equal Benefits? An Examination of the Potential Consequences of Later School Start Times for Adolescents and Their Mental Health
Peltz, J. S., & Buckhalt, J. A. (2021) · Journal of School Health · doi:10.1111/josh.13127 · Cited by 5 · see citing works
The prevalence of morningness–eveningness in university-level students of North-East India: Impact on their sleep physiology and metabolic processes
Bhattacharjee, A., & Chakraborty, A. (2025) · Chronobiology International · doi:10.1080/07420528.2025.2511259 · Cited by 5 · see citing works
Allergic Disease, Short Sleep Duration, and Suicidal Ideation and Plans Among Korean Adolescents
Kim, J., & Seo, Y. (2020) · The Journal of School Nursing · doi:10.1177/1059840520921920 · Cited by 5 · see citing works
Is napping related with health-related behaviors and sleep habits among adolescents? A population-based study
Inazumi, C. K., Andrechuk, C. R. S., Lima, M. G., Zancanella, E., Barros, M. B. D. A., Cardoso, T. A. M. D. O., & Ceolim, M. F. (2020) · Applied Nursing Research · doi:10.1016/j.apnr.2020.151373 · Cited by 5 · see citing works
Evidence of sleep duration and weekend sleep recovery impact on suicidal ideation in adolescents with allergic rhinitis
Kim, C.-W., Jeong, S. C., Hwang, S. W., Hui, S., & Kim, S. H. (2020) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.9004 · Cited by 5 · see citing works
Time Spent on Daily Activities and Its Association with Life Satisfaction among Czech Adolescents from 1992 to 2019
Kvasková, L., Rečka, K., Ježek, S., & Macek, P. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19159422 · Cited by 5 · see citing works
The gendered health consequences of persistent exposure to short sleep duration during adolescence
Park, G., & Kim, J. (2023) · Journal of Adolescence · doi:10.1002/jad.12203 · Cited by 5 · see citing works
Development and testing of the Sleep Health And Wellness Questionnaire (SHAWQ) in adolescents and university students: composite SHAWQ scores are associated with sleep problems, depression symptoms, and academic performance
Loke, Y. M., Lim, S., Rukmini, A. V., Chen, P., Wang, J., & Gooley, J. J. (2023) · Frontiers in Sleep · doi:10.3389/frsle.2023.1188424 · Cited by 4 · see citing works
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Napping, sleep and affect in late- and short- sleeping adolescents: An actigraphy and daily diary study
Rea, E. M., Bohnert, A. M., & Crowley, S. J. (2025) · Sleep Health · doi:10.1016/j.sleh.2025.03.003 · Cited by 4 · see citing works
Objectively-measured sleep characteristics and the associated factors among rural and urban in-school Nigerian adolescents
Olorunmoteni, O. E., Fatusi, A. O., Gómez-Olivé, F. X., & Scheuermaier, K. D. (2025) · Sleep Medicine · doi:10.1016/j.sleep.2025.01.020 · Cited by 4 · see citing works
Translation and Validation of a Chinese Version of the Cleveland Adolescent Sleepiness Questionnaire
Yang, Y.-T. C., Chang, H.-Y., Hsu, C., & Zeitzer, J. M. (2021) · Nature and Science of Sleep · doi:10.2147/nss.s262572 · Cited by 4 · see citing works
Depression, Insomnia, and Obesity Among Post-9/11 Veterans: Eating Pathology as a Distinct Health Risk Behavior
Ramsey, C. M., Gaffey, A. E., Brandt, C., Haskell, S. G., & Masheb, R. M. (2022) · Military Medicine · doi:10.1093/milmed/usac165 · Cited by 4 · see citing works
Association of Sleep Duration and Weekend Catch-Up Sleep with Suicidal Ideation among Adolescents with Atopic Dermatitis
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Authors: Yeo, S. C., Jos, A. M., Erwin, C., Lee, S. M., Lee, X. K., Lo, J. C., Chee, M. W. L., & Gooley, J. J.
Affiliations: National University of Singapore (SG)
Corresponding author: Gooley, Joshua J.
ORCID: Yeo, Sing Chen
Jos, Anna Mini
Lo, June C.
Chee, Michael W.L.
Gooley, Joshua J.
Venue: Sleep Medicine
Publisher: Elsevier BV
Published: 2019-08
Volume: 60
Pages: 96-108
ISSN: 1389-9457 (ISSN-L)
DOI: 10.1016/j.sleep.2018.10.041
OpenAlex: W2903940771
Cited by: 135
References: 65
Citations by year: 2026: 8 · 2025: 13 · 2024: 17 · 2023: 24 · 2022: 23 · 2021: 16 · 2020: 20 · 2019: 14
FWCI: 16.37
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Sleep Medicine (publishedVersion)
PubMed (publishedVersion)
Funders: National Research Foundation, Singapore (NRF/2015/SOL001-004, NRF/2016/SOL002-001)
National Medical Research Council, Singapore (NMRC/StaR/015/2013)
Far East Organization (unrestricted donation to the Center for Cognitive Neuroscience, Duke-NUS Medical School)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
Keywords: sleep duration, adolescents, self-rated health, overweight, depressive symptoms, short sleep duration, bedtime, chronotype, study time, school start time, travel time
MeSH terms: Adolescent, Depression, Female, Humans, Male, Surveys and Questionnaires, Schools, Singapore, Sleep, Students, Time Factors, Overweight, Diagnostic Self Evaluation

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Associations of sleep duration on school nights with self-rated health, overweight, and depression symptoms in adolescents: problems and possible solutions

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