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BMC Psychiatry
Published in: BMC Psychiatry 1/2018

Open Access 01-12-2018 | Research article

Moderating effects of depressive symptoms on the relationship between problematic use of the Internet and sleep problems in Korean adolescents

Authors: Min-Hyeon Park, Subin Park, Kyu-In Jung, Johanna Inhyang Kim, Soo Churl Cho, Bung-Nyun Kim

Published in: BMC Psychiatry | Issue 1/2018

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Abstracts

Background

Adolescence is a period of marked sleep pattern changes and sleep problems, which may result from both endogenous and exogenous factors. Among the various factors affecting adolescent sleep, depression and problematic Internet use (PIU) have received considerable attention. We examined if there is a different PIU effect on sleep between depressed group and non-depressed groups.

Methods

Data for a total of 766 students’ between 7th and 11th grades were analyzed. We assessed various variables related sleep to problems and depression and compared those variables between an adolescent group with problematic Internet use (PIUG) and an adolescent group with normal Internet use (NIUG).

Results

One hundred fifty two participants were classified as PIUG, and 614 were classified as NIUG. Compared with the NIUG, the members of the PIUG were more prone to insomnia, excessive daytime sleepiness and sleep-wake behavior problems. The PIUG also tended to include more evening types than the NIUG. Interestingly, the effect of Internet use problems on sleep problems appeared to be different according to the presence or absence of the moderating effect of depression. When we considered the moderating effect of depression, the effect of Internet use problems on sleep-wake behavior problems, insomnia and excessive daytime sleepiness increased with increasing Young’s Internet Addiction Scale (IAS) scores in the non-depressed group. However, in the depressed group, the effects of Internet use problems on sleep-wake behavior problems and insomnia did not change with increasing Internet use problems, and the effect of Internet use problems on excessive daytime sleepiness was relatively decreased with increasing Internet use problems in the depressed group.

Conclusions

This study demonstrated that the effect of PIU on sleep presented differently between the depressed and non-depressed groups. PIU is associated with poorer sleep in non-depressed adolescents but not in depressed adolescents. This finding might be observed because PIU may be the biggest contributor to sleep problems in the problematic Internet user without depression, but in the problematic Internet user with depression, depression might be a more important contributor to sleep problems; thus, the influence of PIU on sleep effect might be diluted.
Literature
1.
Lozoff B, Wolf AW, Davis NS. Sleep problems seen in pediatric practice. Pediatrics. 1985;75(3):477–83.PubMed
2.
Armstrong KL, Quinn RA, Dadds MR. The sleep patterns of normal children. Med J Aust. 1994;161(3):202–6.PubMed
3.
Joo S, Shin C, Kim J, Yi H, Ahn Y, Park M, Kim J, Lee S. Prevalence and correlates of excessive daytime sleepiness in high school students in Korea. Psychiatry Clin Neurosci. 2005;59(4):433–40.CrossRefPubMed
4.
Carskadon MA, Vieira C, Acebo C. Association between puberty and delayed phase preference. Sleep. 1993;16(3):258–62.CrossRefPubMed
5.
Hagenauer MH, Perryman JI, Lee TM, Carskadon MA. Adolescent changes in the homeostatic and circadian regulation of sleep. Dev Neurosci. 2009;31(4):276–84.CrossRefPubMedPubMedCentral
6.
Colrain IM, Baker FC. Changes in sleep as a function of adolescent development. Neuropsychol Rev. 2011;21(1):5–21.CrossRefPubMed
7.
Roberts RE, Duong HT. The prospective association between sleep deprivation and depression among adolescents. Sleep. 2014;37(2):239–44.PubMedPubMedCentral
8.
Short MA, Gradisar M, Lack LC, Wright HR. The impact of sleep on adolescent depressed mood, alertness and academic performance. J Adolesc. 2013;36(6):1025–33.CrossRefPubMed
9.
Wigg CM, Filgueiras A, Gomes Mda M. The relationship between sleep quality, depression, and anxiety in patients with epilepsy and suicidal ideation. Arq Neuropsiquiatr. 2014;72(5):344–8.CrossRefPubMed
10.
Buysse DJ, Angst J, Gamma A, Ajdacic V, Eich D, Rossler W. Prevalence, course, and comorbidity of insomnia and depression in young adults. Sleep. 2008;31(4):473–80.CrossRefPubMedPubMedCentral
11.
12.
Nutt D, Wilson S, Paterson L. Sleep disorders as core symptoms of depression. Dialogues Clin Neurosci. 2008;10(3):329–36.PubMedPubMedCentral
13.
Riemann D, Berger M, Voderholzer U. Sleep and depression--results from psychobiological studies: an overview. Biol Psychol. 2001;57(1–3):67–103.CrossRefPubMed
14.
Liu X, Buysse DJ, Gentzler AL, Kiss E, Mayer L, Kapornai K, Vetró A, Kovacs M. Insomnia and hypersomnia associated with depressive phenomenology and comorbidity in childhood depression. Sleep. 2007;30(1):83–90.CrossRefPubMed
15.
Nuutinen T, Ray C, Roos E. Do computer use, TV viewing, and the presence of the media in the bedroom predict school-aged children's sleep habits in a longitudinal study? BMC Public Health. 2013;13:684.CrossRefPubMedPubMedCentral
16.
Li S, Zhu S, Jin X, Yan C, Wu S, Jiang F, Shen X. Risk factors associated with short sleep duration among Chinese school-aged children. Sleep Med. 2010;11(9):907–16.CrossRefPubMed
17.
Van den Bulck J. Television viewing, computer game playing, and Internet use and self-reported time to bed and time out of bed in secondary-school children. Sleep. 2004;27(1):101–4.CrossRefPubMed
18.
Owens J, Maxim R, McGuinn M, Nobile C, Msall M, Alario A. Television-viewing habits and sleep disturbance in school children. Pediatrics. 1999;104(3):e27.CrossRefPubMed
19.
Cheung LM, Wong WS. The effects of insomnia and internet addiction on depression in Hong Kong Chinese adolescents: an exploratory cross-sectional analysis. J Sleep Res. 2011;20(2):311–7.CrossRefPubMed
20.
Caci H, Robert P, Boyer P. Novelty seekers and impulsive subjects are low in morningness. Eur Psychiatry. 2004;19(2):79–84.CrossRefPubMed
21.
Shapira NA, Lessig MC, Goldsmith TD, Szabo ST, Lazoritz M, Gold MS, Stein DJ. Problematic internet use: proposed classification and diagnostic criteria. Depress Anxiety. 2003;17(4):207–16.CrossRefPubMed
22.
Lin MP, Ko HC, Wu JY. Prevalence and psychosocial risk factors associated with internet addiction in a nationally representative sample of college students in Taiwan. Cyberpsychol Behav Soc Netw. 2011;14(12):741–6.CrossRefPubMed
23.
24.
Hajak G, Hedner J, Eglin M, Loft H, Storustovu SI, Lutolf S, Lundahl J. A 2-week efficacy and safety study of gaboxadol and zolpidem using electronic diaries in primary insomnia outpatients. Sleep Med. 2009;10(7):705–12.CrossRefPubMed
25.
Carskadon MA, Harvey K, Duke P, Anders TF, Litt IF, Dement WC. Pubertal changes in daytime sleepiness. Sleep. 2002;25(6):453–60.CrossRefPubMed
26.
Cajochen C, Frey S, Anders D, Späti J, Bues M, Pross A, Mager R, Wirz-Justice A, Stefani O. Evening exposure to a light-emitting diodes (LED)-backlit computer screen affects circadian physiology and cognitive performance. J Appl Physiol. 1985;110(5):1432–8.CrossRef
27.
Higuchi S, Motohashi Y, Liu Y, Maeda A. Effects of playing a computer game using a bright display on presleep physiological variables, sleep latency, slow wave sleep and REM sleep. J Sleep Res. 2005;14(3):267–73.CrossRefPubMed
28.
Touitou Y. Adolescent sleep misalignment: a chronic jet lag and a matter of public health. J Physiol Paris. 2013;107(4):323–6.CrossRefPubMed
29.
Touitou Y, Touitou D, Reinberg A. Disruption of adolescents’ circadian clock: the vicious circle of media use, exposure to light at night, sleep loss and risk behaviors. J Physiol Paris. 2016;110(4 Pt B):467–79.CrossRefPubMed
30.
Park S, Hong KE, Park EJ, Ha KS, Yoo HJ. The association between problematic internet use and depression, suicidal ideation and bipolar disorder symptoms in Korean adolescents. Aust N Z J Psychiatry. 2013;47(2):153–9.CrossRefPubMed
31.
32.
Johansson A, Götestam KG. Internet addiction: characteristics of a questionnaire and prevalence in Norwegian youth (12-18 years). Scand J Psychol. 2004;45(3):223–9.CrossRefPubMed
33.
Morin CM. Insomnia: psychological assessment and management. New York: Guilford Press; 1993.
34.
Bastien CH, Vallieres A, Morin CM. Validation of the insomnia severity index as an outcome measure for insomnia research. Sleep Med. 2001;2(4):297–307.CrossRefPubMed
35.
36.
Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep. 1991;14(6):540–5.CrossRefPubMed
37.
Cho YW, Lee JH, Son HK, Lee SH, Shin C, Johns MW. The reliability and validity of the Korean version of the Epworth sleepiness scale. Sleep Breath. 2011;15(3):377–84.CrossRefPubMed
38.
Kovacs M. The Children's depression inventory: a self-rated depression scale for School-aged youngsters. Pittsburgh: University of Pittsburgh; 1983.
39.
Cho SC, Yi YS. Development of the Korean form of the Kovacs’ children’s depression inventory. J Korean Neuropsychiatr Assoc. 1990;29(4):943–56.
40.
Kim EKJY, Hong SD, Kim JH, Yang JW. Factor structure of the children’s depression invertory in children and adolescents. Korean J Clin Psychol. 2005;24(3):693–708.
41.
Wolfson AR, Carskadon MA. Sleep schedules and daytime functioning in adolescents. Child Dev. 1998;69(4):875–87.CrossRefPubMed
42.
Randler C. Association between morningness-eveningness and mental and physical health in adolescents. Psychol Health Med. 2011;16(1):29–38.CrossRefPubMed
43.
Park YM, Matsumoto K, Seo YJ, Shinkoda H, Park KP. Sleep in relation to age, sex, and chronotype in Japanese workers. Percept Mot Skills. 1998;87(1):199–215.CrossRefPubMed
44.
Roepke SE, Duffy JF. Differential impact of chronotype on weekday and weekend sleep timing and duration. Nat Sci Sleep. 2010;2010(2):213–20.PubMed
45.
Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol. 1986;51(6):1173–82.CrossRefPubMed
46.
Natale V, Adan A, Scapellato P. Are seasonality of mood and eveningness closely associated? Psychiatry Res. 2005;136(1):51–60.CrossRefPubMed
47.
Wittmann M, Dinich J, Merrow M, Roenneberg T. Social jetlag: misalignment of biological and social time. Chronobiol Int. 2006;23(1–2):497–509.CrossRefPubMed
48.
Crowley SJ, Acebo C, Carskadon MA. Sleep, circadian rhythms, and delayed phase in adolescence. Sleep Med. 2007;8(6):602–12.CrossRefPubMed
49.
50.
Lee YJ, Park J, Kim S, Cho SJ, Kim SJ. Academic performance among adolescents with behaviorally induced insufficient sleep syndrome. J Clin Sleep Med. 2015;11(1):61–8.PubMedPubMedCentral
51.
Yang CK, Kim JK, Patel SR, Lee JH. Age-related changes in sleep/wake patterns among Korean teenagers. Pediatrics. 2005;115(1 Suppl):250–6.CrossRefPubMed
52.
Rhie S, Lee S, Chae KY. Sleep patterns and school performance of Korean adolescents assessed using a Korean version of the pediatric daytime sleepiness scale. Korean J Pediatr. 2011;54(1):29–35.CrossRefPubMedPubMedCentral
53.
National Youth Policy Institute: Research on human right of children and adolescent in Korea. 2013.
54.
Ministry of Science ICT and Future Planning: Research result on the actual condition of internet addiction. 2014.
55.
Park HY, Heo J, Subramanian SV, Kawachi I, Oh J. Socioeconomic inequalities in adolescent depression in South Korea: a multilevel analysis. PLoS One. 2012;7(10):e47025.CrossRefPubMedPubMedCentral
56.
Wolk R, Gami AS, Garcia-Touchard A, Somers VK. Sleep and cardiovascular disease. Curr Probl Cardiol. 2005;30(12):625–62.CrossRefPubMed
57.
Curcio G, Ferrara M, De Gennaro L. Sleep loss, learning capacity and academic performance. Sleep Med Rev. 2006;10(5):323–37.CrossRefPubMed
58.
Roberts RE, Roberts CR, Duong HT. Sleepless in adolescence: prospective data on sleep deprivation, health and functioning. J Adolesc. 2009;32(5):1045–57.CrossRefPubMedPubMedCentral
Metadata
Title
Moderating effects of depressive symptoms on the relationship between problematic use of the Internet and sleep problems in Korean adolescents
Authors
Min-Hyeon Park
Subin Park
Kyu-In Jung
Johanna Inhyang Kim
Soo Churl Cho
Bung-Nyun Kim
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2018
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-018-1865-x

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