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Deficits in Emotion Regulation Partly Mediate the Relation Between Sleep Problems and Depressive Symptoms in Adolescent Inpatients With Depression

Bibliographic Data

ID15528840
AuthorsInken Kirschbaum‐Lesch (Ruhr University Bochum), Inken Kirschbaum-Lesch, Martin Holtmann (0000-0003-2644-6601, LWL-Universitätsklinik Hamm), Tanja Legenbauer (0000-0002-1580-9991, LWL-Universitätsklinik Hamm, corresponding author)
Year2021
Volume12
Pages622833-622833
Publication date2021-05-17
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2021.622833
PMID34122162
OpenAlexW3162609245
LanguageEN
Citations received3
References cited41

Sleep problems are a risk factor for the development of depressive disorders and influence the severity and treatment of depressive symptoms negatively. To enhance treatment for depression in young people, it is important to advance the understanding of the relationship between sleep problems and depressive symptoms. Since deficits in emotion regulation are discussed as possible underlying mechanisms, the present study investigated the mediating effect of maladaptive and adaptive strategies for emotion regulation on the association between sleep problems and depressive symptoms. Emotion regulation strategies, depression and sleep quality were assessed via self-report in a large clinical sample of 602 adolescents (age 13-18 years) who reported clinically relevant symptoms of depression. The questionnaires were assessed at admission for inpatient psychiatric treatment. Correlation and mediation analyses were performed. There was a significant partial mediation effect (β = 0.554, p R 2 = 0.527), indicating that sleep problems influenced depressive symptoms via the decreased use of adaptive strategies and the increased use of maladaptive strategies. Additionally, a direct effect of sleep problems on depressive symptoms emerged (β = 0.251, p R 2 = 0.364). This cross-sectional study provides first indications that additional treatment modules focusing on sleep and ER skills in prevention and treatment programs for adolescents would be important steps. Longitudinal studies are needed to substantiate these results

Association (psychology · Cognition · Depression (economics · Depressive symptoms · Major depressive disorder · Mediation · Mood · Psychiatry · Psychotherapist · Sleep (system call · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Psychology · Sleep and related disorders · Sleep and Wakefulness Research

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Unique citing works3
Citations per year1
Citation span2023 - 2025 (3)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 3

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