The DOI matches its Crossref record; 95 of the 98 references it cites were found in a registry or an index.
A meta-analysis and model of the relationship between sleep and depression in adolescents: Recommendations for future research and clinical practice
Abstract
The purpose of this review was to quantify the strength of evidence for a directional relationship between sleep disturbance and depression in adolescents. A literature search was conducted to identify research investigating the relationship between sleep disturbance and depression in adolescent samples (12-20 y). Twenty-three studies were identified; 13 explored associations between depression and sleep disturbance; seven examined the prospective role of sleep disturbance in the development of depression; and three investigated the role of adolescent depression in the development of subsequent sleep disturbance. Average weighted mean differences in sleep/depression-related outcome variables were calculated between adolescents with depression, and non-clinical adolescents, or those in remission. Adolescents with depression experienced significantly more wakefulness in bed (sleep onset latency, wake after sleep onset, number of awakenings and sleep efficiency), lighter sleep (more stage 1), and reported more subjective sleep disturbance. Overall effect sizes from longitudinal and treatment studies suggest sleep disturbance acts as a precursor to the development of depression. At follow-up, depressed adolescents had significantly longer sleep onset, more wake after sleep onset, and lower sleep efficiency compared to adolescents who were non-clinical, or had undergone remission. Little support was found for a predictive role of depressive symptoms in the development of sleep disturbance. Based on these findings we propose a model to understand the development of depression from initial sleep disturbance, provide recommendations for clinicians and recommendations for future research.
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“Physical activity and sleep duration are two volitational, lifestyle-related behaviors that have been identified as being associated with the prevalence of anxiety and depression among adolescents [9,10,11,12,13].”
From Academic Stress, Physical Activity, Sleep, and Mental Health among Chinese Adolescents (2021) · cites this paper as [10]
In the citing paper
“We note that no trials have tested whole-of-school approaches, or universal interventions like late school start times (an intervention that aligns with adolescents' circadian clock, improving the amount of sleep they get, and in turn their mood; Adolescent Sleep Working Group 2014; Gong 2020; Lovato 2014), or interventions that target broader social-cultural determinants.”
From Prevention of self-harm and suicide in young people up to the age of 25 in education settings (2024) · cites this paper as Lovato 2014
In the citing paper
“Poor sleep is a significant risk factor for depression across the lifespan”
From The effect of non-pharmacological sleep interventions on depression symptoms: a meta-analysis of randomised controlled trials (2019) · cites this paper as [21]
Citations
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Cited by
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“A promising venue for prevention of depression during adolescence is by improving adolescents’ sleep quality as there is evidence that disturbed sleep is a vulnerability factor for the development of depressive symptoms during adolescence (Lovato and Gradisar 2014).”
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Children’s sleep and health: A meta-review
Matricciani, L., Paquet, C., Galland, B., Short, M., & Olds, T. (2019) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2019.04.011 · Cited by 453
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Metadata
- Authors
- Lovato, N., & Gradisar, M.
- Affiliations
- Flinders University (AU)
- Corresponding author
- Lovato, Nicole
- Venue
- Sleep Medicine Reviews
- Publisher
- Elsevier BV
- Published
- 2014-12
- Volume
- 18
- Issue
- 6
- Pages
- 521-529
- ISSN
- 1087-0792 (ISSN-L)
- OpenAlex
- W2064090130
- Cited by
- 594
- References
- 98
- Citations by year
- 2026: 59 · 2025: 65 · 2024: 61 · 2023: 59 · 2022: 64 · 2021: 58 · 2020: 42 · 2019: 62 · 2018: 43 · 2017: 33 · 2016: 27 · 2015: 15 · 2014: 4
- FWCI
- 3.50
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Sleep Medicine Reviews (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Keywords
- sleep disorders, adolescent depression, sleep latency, wake after sleep onset, sleep efficiency, depression onset, remission, clinical guidelines
- MeSH terms
- Adolescent, Child, Depression, Major Depressive Disorder, Humans, Models, Theoretical, Sleep Wake Disorders, Young Adult
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