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The hidden clock: how chronotype is related to depression, anxiety, and stress in adolescents – insights from the EHDLA study
Indexado
WoS WOS:001493750700001
Scopus SCOPUS_ID:105005576681
DOI 10.1186/S13033-025-00673-X
Año 2025
Tipo artículo de investigación

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



Background Depression, anxiety, and stress symptoms are common among adolescents; however, studies exploring their relationship with chronotype in European youth populations is scarce. This study aimed to evaluate the association between chronotype status and depression, anxiety, and stress symptoms in adolescents. Methods A secondary analysis of the Eating Healthy and Daily Life Activities (EHDLA) cross-sectional study was performed in 703 adolescents (56.3% girls) between 12 and 17 years from the Valle de Ricote, Spain. Chronotype preference was assessed using the Morningness/Eveningness Scale in Children (MESC), while symptoms were evaluated using the Depression, Anxiety, and Stress Scale (DASS-21). A robust generalized linear regression model was used to evaluate the associations between chronotype prefernces and symptoms of depression, anxiety and stress in adolescents. Results After adjusting for potential covariates (sex, age, socioeconomic status, body mass index, sleep duration, physical activity, sedentary behavior, and energy intake), the highest probability of having depression, anxiety, and stress was identified in those with an eveningness chronotype preference (depression: 27.4%, 95% confidence interval [CI] 17.5-40.1%; anxiety: 28.5%, 95% CI 18.6-41.0%; stress: 47.6%, 95% CI 34.1-61.5%). Conversely, the lowest probability was observed in adolescents with a morningness chronotype preference (depression: 11.9%, 95% CI 8.3-16.8%; anxiety: 15.4%, 95% CI 11.2-28.9%; stress: 19.5%, 95% CI 14.7-25.5%). Significant differences were found when comparing participants with the eveningness chronotype to those with a morningness or intermediate chronotype preference (p < 0.05 for all comparisons). Conclusions Depression, anxiety, and stress symptoms were more likely in adolescents with an eveningness chronotype preference than in those with morningness or intermediate chronotypes. Chronotype preferences should be taken into account for developing interventions that promote better mental health and healthy sleep habits in adolescents.

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Disciplinas de Investigación



WOS
Psychiatry
Scopus
Psychiatry And Mental Health
Public Health, Environmental And Occupational Health
Health Policy
Psychiatric Mental Health
SciELO
Sin Disciplinas

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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

Colaboración Institucional



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Autores - Afiliación



Ord. Autor Género Institución - País
1 Mino, Camila - Univ Espiritu Santo - Ecuador
Universidad Espíritu Santo - Ecuador
2 Smith, Lee Hombre Anglia Ruskin Univ - Reino Unido
Biruni Univ - Turquía
Biruni Üniversitesi - Turquía
3 CRISTI-MONTERO, CARLOS SEBASTIAN Hombre Pontificia Universidad Católica de Valparaíso - Chile
4 Gutierrez-Espinoza, Hector - Universidad Autónoma de Chile - Chile
5 Olivares-Arancibia, Jorge - Univ Las Amer - Chile
Universidad de Las Américas Chile - Chile
6 Yanez-Sepulveda, Rodrigo - Universidad Nacional Andrés Bello - Chile
7 Stubbs, Brendon Hombre Kings Coll London - Reino Unido
Univ Vienna - Austria
Universität Wien - Austria
8 Lopez-Gil, Jose Francisco - Univ Espiritu Santo - Ecuador
Universidad de Los Lagos - Chile
Universidad Espíritu Santo - Ecuador

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Financiamiento



Fuente
Universidad de Las Américas Ecuador
Universidad de las Americas (Ecuador), under the Research Group One Health

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Agradecimientos



Agradecimiento
This work was supported by funding from the Universidad de las Americas (Ecuador), under the Research Group One Health.
This work was supported by funding from the Universidad de las Am\u00E9ricas (Ecuador), under the Research Group One Health.

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