The DOI matches its Crossref record; 65 of the 65 references it cites were found in a registry or an index.
Associations of sleep duration on school nights with self-rated health, overweight, and depression symptoms in adolescents: problems and possible solutions
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.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
Citations
Cites
Extended international ( IOTF ) body mass index cut‐offs for thinness, overweight and obesity
Cole, T. J., & Lobstein, T. (2012) · Pediatric Obesity · doi:10.1111/j.2047-6310.2012.00064.x · Cited by 3,135
National Sleep Foundation’s updated sleep duration recommendations: final report
Hirshkowitz, M., Whiton, K., Albert, S. M., Alessi, C., Bruni, O., DonCarlos, L., Hazen, N., Herman, J., Adams Hillard, P. J., Katz, E. S., et al. (2015) · Sleep Health · doi:10.1016/j.sleh.2015.10.004 · Cited by 2,348
Sleep Schedules and Daytime Functioning in Adolescents
Wolfson, A. R., & Carskadon, M. A. (1998) · Child Development · doi:10.1111/j.1467-8624.1998.tb06149.x · Cited by 1,676
A marker for the end of adolescence
Roenneberg, T., Kuehnle, T., Pramstaller, P. P., Ricken, J., Havel, M., Guth, A., & Merrow, M. (2004) · Current Biology · doi:10.1016/j.cub.2004.11.039 · Cited by 1,585
Dewald, J. F., Meijer, A. M., Oort, F. J., Kerkhof, G. A., & Bögels, S. M. (2010) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2009.10.004 · Cited by 1,526
Chang, A.-M., Aeschbach, D., Duffy, J. F., & Czeisler, C. A. (2015) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1418490112 · Cited by 1,430
Insufficient Sleep in Adolescents and Young Adults: An Update on Causes and Consequences
Owens, J., ADOLESCENT SLEEP WORKING GROUP, COMMITTEE ON ADOLESCENCE, Au, R., Carskadon, M., Millman, R., Wolfson, A., Braverman, P. K., Adelman, W. P., Breuner, C. C., et al. (2014) · Pediatrics · doi:10.1542/peds.2014-1696 · Cited by 1,413
Gradisar, M., Gardner, G., & Dohnt, H. (2011) · Sleep Medicine · doi:10.1016/j.sleep.2010.11.008 · Cited by 1,196
Association between Puberty and Delayed Phase Preference
Carskadon, M. A., Vieira, C., & Acebo, C. (1993) · Sleep · doi:10.1093/sleep/16.3.258 · Cited by 1,167
Paruthi, S., Brooks, L. J., D’Ambrosio, C. M., Hall, W. A., Kotagal, S., Lloyd, R. M., Malow, B. A., Maski, K. P., Nichols, C. D., Quan, S. F., et al. (2016) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.6288 · Cited by 925
Sleep duration and risk of type 2 diabetes: a meta-analysis of prospective studies
Shan, Z., Ma, H., Xie, M., Yan, P., Guo, Y., Bao, W., Rong, Y., Jackson, C. L., Hu, F. B., & Liu, L. (2015) · Diabetes Care · doi:10.2337/dc14-2073 · Cited by 902
Chaput, J.-P., Gray, C. E., Poitras, V. J., Carson, V., Gruber, R., Olds, T., Weiss, S. K., Connor Gorber, S., Kho, M. E., Sampson, M., et al. (2016) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/apnm-2015-0627 · Cited by 898
An update on adolescent sleep: New evidence informing the perfect storm model ☆
Crowley, S. J., Wolfson, A. R., Tarokh, L., & Carskadon, M. A. (2018) · Journal of Adolescence · doi:10.1016/j.adolescence.2018.06.001 · Cited by 684
Sleep restriction worsens mood and emotion regulation in adolescents
Baum, K. T., Desai, A., Field, J., Miller, L. E., Rausch, J., & Beebe, D. W. (2014) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12125 · Cited by 629
Lovato, N., & Gradisar, M. (2014) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2014.03.006 · Cited by 594
Fatima, Y., Doi, S. A. R., & Mamun, A. A. (2015) · Obesity Reviews · doi:10.1111/obr.12245 · Cited by 577
Who gets the best sleep? Ethnic and socioeconomic factors related to sleep complaints
Grandner, M. A., Patel, N. P., Gehrman, P. R., Xie, D., Sha, D., Weaver, T., & Gooneratne, N. (2010) · Sleep Medicine · doi:10.1016/j.sleep.2009.10.006 · Cited by 562
Homeostatic sleep regulation in adolescents
Jenni, O. G., Achermann, P., & Carskadon, M. A. (2005) · Sleep · doi:10.1093/sleep/28.11.1446 · Cited by 469
School Start Times for Adolescents
ADOLESCENT SLEEP WORKING GROUP, COMMITTEE ON ADOLESCENCE, COUNCIL ON SCHOOL HEALTH, Au, R., Carskadon, M., Millman, R., Wolfson, A., Braverman, P. K., Adelman, W. P., Breuner, C. C., et al. (2014) · Pediatrics · doi:10.1542/peds.2014-1697 · Cited by 468
The Prospective Association between Sleep Deprivation and Depression among Adolescents
ROBERTS, R. E., & Duong, H. T. (2014) · SLEEP · doi:10.5665/sleep.3388 · Cited by 459
Lo, J. C., Ong, J. L., Leong, R. L. F., Gooley, J. J., & Chee, M. W. L. (2016) · Sleep · doi:10.5665/sleep.5552 · Cited by 446
Self-citationMiller, M. A., Kruisbrink, M., Wallace, J., Ji, C., & Cappuccio, F. P. (2018) · Sleep · doi:10.1093/sleep/zsy018 · Cited by 435
Sleep duration and health in young adults
Steptoe, A. (2006) · Archives of Internal Medicine · doi:10.1001/archinte.166.16.1689 · Cited by 425
Sleep and Adolescent Suicidal Behavior
Liu, X. (2004) · Sleep · doi:10.1093/sleep/27.7.1351 · Cited by 358
Delayed school start times and adolescent sleep: A systematic review of the experimental evidence
Minges, K. E., & Redeker, N. S. (2016) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2015.06.002 · Cited by 338
School Start Times, Sleep, Behavioral, Health, and Academic Outcomes: a Review of the Literature
Wheaton, A. G., Chapman, D. P., & Croft, J. B. (2016) · Journal of School Health · doi:10.1111/josh.12388 · Cited by 311
Sleep-Wake Patterns and Sleep Disturbance among Hong Kong Chinese Adolescents
Chung, K., & Cheung, M.-M. (2008) · SLEEP · doi:10.1093/sleep/31.2.185 · Cited by 306
Twenge, J. M., Krizan, Z., & Hisler, G. (2017) · Sleep Medicine · doi:10.1016/j.sleep.2017.08.013 · Cited by 303
Olds, T., Blunden, S. L., Petkov, J., & Forchino, F. (2010) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2009.12.002 · Cited by 287
Stankov, L. (2010) · Learning and Individual Differences · doi:10.1016/j.lindif.2010.05.003 · Cited by 279
Earlier Parental Set Bedtimes as a Protective Factor Against Depression and Suicidal Ideation
Gangwisch, J. E., Babiss, L. A., Malaspina, D., Turner, B. J., Zammit, G. K., & Posner, K. (2010) · Sleep · doi:10.1093/sleep/33.1.97 · Cited by 272
Short, M. A., Gradisar, M., Wright, H., Lack, L. C., Dohnt, H., & Carskadon, M. A. (2011) · Sleep · doi:10.5665/sleep.1052 · Cited by 242
Dietary Intake Following Experimentally Restricted Sleep in Adolescents
Beebe, D. W., Simon, S., Summer, S., Hemmer, S., Strotman, D., & Dolan, L. M. (2013) · Sleep · doi:10.5665/sleep.2704 · Cited by 232
Insufficient Sleep and Suicidality in Adolescents
Lee, Y. J., Cho, S.-J., Cho, I. H., & Kim, S. J. (2012) · Sleep · doi:10.5665/sleep.1722 · Cited by 183
LeBlanc, J. C., Almudevar, A., Brooks, S. J., & Kutcher, S. (2002) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/104454602760219153 · Cited by 168
Huang, G. C., & Gove, M. K. (2015) · Springer eBooks · doi:10.1007/978-3-319-16390-1_3 · Cited by 164
Sleep and youth suicidal behavior: a neglected field
Liu, X., & Buysse, D. J. (2006) · Current Opinion in Psychiatry · doi:10.1097/01.yco.0000218600.40593.18 · Cited by 151
Watson, N. F., Martin, J. L., Wise, M. S., Carden, K. A., Kirsch, D. B., Kristo, D. A., Malhotra, R. K., Olson, E. J., Ramar, K., Rosen, I. M., et al. (2017) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.6558 · Cited by 128
Understanding Adolescent Caffeine Use: Connecting Use Patterns With Expectancies, Reasons, and Sleep
Ludden, A. B., & Wolfson, A. R. (2009) · Health Education & Behavior · doi:10.1177/1090198109341783 · Cited by 126
Acute sleep restriction reduces insulin sensitivity in adolescent boys
Klingenberg, L., Chaput, J.-P., Holmbäck, U., Visby, T., Jennum, P., Nikolic, M., Astrup, A., & Sjödin, A. (2013) · Sleep · doi:10.5665/sleep.2816 · Cited by 124
Sleep Duration Associated with the Lowest Risk of Depression/Anxiety in Adolescents
Ojio, Y., Nishida, A., Shimodera, S., Togo, F., & Sasaki, T. (2016) · SLEEP · doi:10.5665/sleep.6020 · Cited by 122
Sustained benefits of delaying school start time on adolescent sleep and well-being
Lo, J. C., Lee, S. M., Lee, X. K., Sasmita, K., Chee, N. I. Y. N., Tandi, J., Cher, W. S., Gooley, J. J., & Chee, M. W. L. (2018) · Sleep · doi:10.1093/sleep/zsy052 · Cited by 114
Self-citationLin, Y., Tremblay, M. S., Katzmarzyk, P. T., Fogelholm, M., Hu, G., Lambert, E. V., Maher, C. A., Maia, J. A. R., Olds, T., Sarmiento, O. L., et al. (2017) · Preventive Medicine · doi:10.1016/j.ypmed.2017.12.006 · Cited by 110
Sleep and school attendance in adolescence: Results from a large population-based study
Hysing, M., Haugland, S., Stormark, K. M., Bøe, T., & Sivertsen, B. (2015) · Scandinavian Journal of Public Health · doi:10.1177/1403494814556647 · Cited by 103
Lo, J. C., Lee, S. M., Teo, L. M., Lim, J., Gooley, J. J., & Chee, M. W. L. (2017) · Sleep · doi:10.1093/sleep/zsw042 · Cited by 102
Self-citationYouth participation in the fight against AIDS in South Africa: from policy to practice
Campbell, C., Gibbs, A., Maimane, S., Nair, Y., & Sibiya, Z. (2009) · Journal of Youth Studies · doi:10.1080/13676260802345757 · Cited by 95
Memory encoding is impaired after multiple nights of partial sleep restriction
Cousins, J. N., Sasmita, K., & Chee, M. W. L. (2017) · Journal of Sleep Research · doi:10.1111/jsr.12578 · Cited by 95
Self-citationImpact of Sleepiness and Sleep Deficiency on Public Health—Utility of Biomarkers
Czeisler, C. A. (2011) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.1340 · Cited by 94
An update on adolescent sleep: New evidence informing the perfect storm model
Crowley, S. J., Wolfson, A. R., Tarokh, L., & Carskadon, M. A. (2018) · doi:10.7892/boris.119548 · Cited by 88
Stea, T. H., Knutsen, T. R., & Torstveit, M. K. (2014) · Sleep Medicine · doi:10.1016/j.sleep.2014.01.019 · Cited by 84
Jiang, X., Hardy, L. L., Baur, L. A., Ding, D., Wang, L., & Shi, H. (2015) · PLOS ONE · doi:10.1371/journal.pone.0115326 · Cited by 81
Kang, S., Lee, Y. J., Kim, S. J., Lim, W., Lee, H., Park, Y.-M., Cho, I. H., Cho, S., & Hong, J. P. (2013) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2013.08.023 · Cited by 79
Paksarian, D., Rudolph, K. E., He, J.-P., & Merikangas, K. R. (2015) · American Journal of Public Health · doi:10.2105/ajph.2015.302619 · Cited by 76
Impact of a modest delay in school start time in Hong Kong school adolescents.
Chan, N., Zhang, J.-H., Yu, M., Lam, S. P., Li, S., Kong, A., Li, A., & Wing, Y. K. (2017) · Sleep Medicine · doi:10.1016/j.sleep.2016.09.018 · Cited by 52
Beebe, D. W., Field, J., Milller, M. M., Miller, L. E., & LeBlond, E. I. (2016) · SLEEP · doi:10.1093/sleep/zsw035 · Cited by 51
Ong, J. L., Lo, J. C., Gooley, J. J., & Chee, M. W. L. (2016) · Sleep · doi:10.5665/sleep.5840 · Cited by 51
Self-citationMorgenthaler, T., Hashmi, S. D., Croft, J., Dort, L., Heald, J. L., & Mullington, J. (2016) · Journal of Clinical Sleep Medicine (JCSM) · doi:10.5664/jcsm.6358 · Cited by 47
Increased commuting to school time reduces sleep duration in adolescents
Pereira, É. F., Moreno, C. R. D. C., & Louzada, F. M. (2013) · Chronobiology International · doi:10.3109/07420528.2013.826238 · Cited by 46
Dyk, T. V. V., Krietsch, K., Saelens, B., Whitacre, C., McAlister, S., & Beebe, D. (2018) · Sleep Medicine · doi:10.1016/j.sleep.2018.03.007 · Cited by 42
Patte, K. A., Qian, W., & Leatherdale, S. T. (2017) · Preventive Medicine · doi:10.1016/j.ypmed.2017.10.035 · Cited by 39
Diagnosis and Measurement of Anxiety Disorder in Adolescents: A Review of Commonly Used Instruments
Brooks, S. J., & Kutcher, S. (2003) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/104454603322572688 · Cited by 38
Acculturative Stress among Asian International Students in Singapore
Nasirudeen, A. M. A., Koh, J. W. N., Lau, A. L. C., Seng, L. L., & Ling, H. A. (2014) · Journal of International Students · doi:10.32674/jis.v4i4.455 · Cited by 37
Adolescent Sleepiness: Causes and Consequences
Hansen, S. L., Capener, D. C., & Daly, C. (2017) · Pediatric Annals · doi:10.3928/19382359-20170816-01 · Cited by 33
Huang, S., Deshpande, A., Yeo, S.-C., Lo, J. C., Chee, M. W. L., & Gooley, J. J. (2016) · Sleep · doi:10.5665/sleep.6092 · Cited by 28
Self-citationScience education in East Asia : pedagogical innovations and research-informed practices
Khine, M. S. (2015) · doi:10.1007/978-3-319-16390-1 · Cited by 22
Research works printed but not linked: 1
- Tan, 2009, Private tutoring in Singapore: bursting out of the shadows, J Youth Stud, 12, 93
Cited by
Sorted by citations
Sleep Deprivation and Insomnia in Adolescence: Implications for Mental Health
Uccella, S., Cordani, R., Salfi, F., Gorgoni, M., Scarpelli, S., Gemignani, A., Geoffroy, P. A., Gennaro, L. D., Palagini, L., Ferrara, M., et al. (2023) · Brain Sciences · doi:10.3390/brainsci13040569 · Cited by 170
Mikkelsen, H. T., Haraldstad, K., Helseth, S., Skarstein, S. O., Småstuen, M. C., & Rohde, G. E. (2020) · Health and Quality of Life Outcomes · doi:10.1186/s12955-020-01585-9 · Cited by 133
Modifiable parental factors in adolescent sleep: A systematic review and meta-analysis
Khor, S., McClure, A., Aldridge, G., Bei, B., & Yap, M. B. H. (2020) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2020.101408 · Cited by 103
Kuzik, N., da Costa, B. G. G., Hwang, Y., Verswijveren, S. J. J. M., Rollo, S., Tremblay, M. S., Bélanger, S. A., Carson, V., Davis, M. J., Hornby, S., et al. (2022) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-022-01258-4 · Cited by 101
Understanding the Need for Sleep to Improve Cognition
Leong, R. L. F., & Chee, M. W. L. (2022) · Annual Review of Psychology · doi:10.1146/annurev-psych-032620-034127 · Cited by 95
Self-citation
Metadata
- 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.
- Venue
- Sleep Medicine
- Publisher
- Elsevier BV
- Published
- 2019-08
- Volume
- 60
- Pages
- 96-108
- ISSN
- 1389-9457 (ISSN-L)
- 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
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review