본문 바로가기
KERD
논문KCI 등재

Managing Circadian Rhythms: A Key to Enhancing Mental Health in College Students

0

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류정신과학

초록

Objective To investigate the impact of circadian rhythm disruptions on mental health among college students and explore effective interventions for maintaining stable circadian rhythms.Methods A comprehensive review of literature was conducted, focusing on sleep patterns, circadian rhythms, and their effects on mental health. Studies were analyzed to identify common factors contributing to circadian misalignment in college students and effective treatments. Data from large-scale studies and specific clinical trials were utilized to understand the relationship between circadian rhythms and psychiatric disorders.Results Disruptions in circadian rhythms were linked to increased prevalence of psychiatric disorders such as depression, anxiety, and bipolar disorder. Biological changes during adolescence, academic pressures, and extensive use of electronic devices were major contributing factors. Effective interventions included light therapy, chronotherapy, melatonin supplementation, and cognitive behavioral therapy for insomnia.Conclusion Stable circadian rhythms are crucial for mental health, particularly in college students who are vulnerable to disruptions due to lifestyle factors. Implementing interventions such as regular sleep schedules, light exposure management, and behavioral therapies can significantly improve mental health outcomes. Further research and targeted mental health programs are essential to address circadian misalignment and its associated psychiatric disorders in this population.

Abstract

Objective To investigate the impact of circadian rhythm disruptions on mental health among college students and explore effective interventions for maintaining stable circadian rhythms.Methods A comprehensive review of literature was conducted, focusing on sleep patterns, circadian rhythms, and their effects on mental health. Studies were analyzed to identify common factors contributing to circadian misalignment in college students and effective treatments. Data from large-scale studies and specific clinical trials were utilized to understand the relationship between circadian rhythms and psychiatric disorders.Results Disruptions in circadian rhythms were linked to increased prevalence of psychiatric disorders such as depression, anxiety, and bipolar disorder. Biological changes during adolescence, academic pressures, and extensive use of electronic devices were major contributing factors. Effective interventions included light therapy, chronotherapy, melatonin supplementation, and cognitive behavioral therapy for insomnia.Conclusion Stable circadian rhythms are crucial for mental health, particularly in college students who are vulnerable to disruptions due to lifestyle factors. Implementing interventions such as regular sleep schedules, light exposure management, and behavioral therapies can significantly improve mental health outcomes. Further research and targeted mental health programs are essential to address circadian misalignment and its associated psychiatric disorders in this population.

참고문헌 (84)

  1. Becker SP, "Sleep in a large, multi-university sample of college students : sleep problem prevalence, sex differences, and mental health correlates", Sleep Health, 4, pp.174~181 (2018)
  2. Lund HG, "Sleep patterns and predictors of disturbed sleep in a large population of college students", J Adolesc Health, 46, pp.124~132 (2010)
  3. Hirshkowitz M, "National Sleep Foundation’s updated sleep duration recommendations : final report", Sleep Health, 1, pp.233~243 (2015)
  4. Zhong J, "Patterns of sleep habits and their impact on nighttime sleep quality in college students", Sleep, 46(Suppl 1), pp.A77~A78 (2023)
  5. Han HH, "The relationship among smartphone addiction, lack of sleep and sleeping hours of university students", J Converg Inf Technol, 9, pp.213~219 (2019)
  6. Itani O, "Short sleep duration and health outcomes : a systematic review, meta-analysis, and meta-regression", Sleep Med, 32, pp.246~256 (2017)
  7. Sivertsen B, "The epidemiology of in somnia and sleep duration across mental and physical health : the SHoT study", Front Psychol, 12, pp.662572~ (2021)
  8. Tobaldini E, "Sleep, sleep deprivation, autonomic nervous system and cardiovascular diseases", Neurosci Biobehav Rev, 74(Pt B), pp.321~329 (2017)
  9. Blake MJ, "Mechanisms underlying the association between insomnia, anxiety, and depression in adolescence : implications for behavioral sleep interventions", Clin Psychol Rev, 63, pp.25~40 (2018)
  10. Danielsson NS, "Sleep disturbance and depressive symptoms in adolescence : the role of catastrophic worry", J Youth Adolesc, 42, pp.1223~1233 (2013)
  11. Curcio G, "Sleep loss, learning capacity and academic performance", Sleep Med Rev, 10, pp.323~337 (2006)
  12. Hartmann ME, "Calculating the contribution of sleep problems to undergraduates’ academic success", Sleep Health, 4, pp.463~471 (2018)
  13. Okano K, "Sleep quality, duration, and consistency are associated with better academic performance in college students", NPJ Sci Learn, 4, pp.16~ (2019)
  14. Brown TM, "Recommendations for daytime, evening, and nighttime indoor light exposure to best support physiology, sleep, and wakefulness in healthy adults", PLoS Biol, 20, pp.e3001571~ (2022)
  15. Walbeek TJ, "Naturalistic intensities of light at night : a review of the potent effects of very dim light on circadian responses and considerations for translational research", Front Neurol, 12, pp.625334~ (2021)
  16. Lee HJ, "Circadian misalignment and bipolar disorder", Chronobiol Med, 1, pp.132~136 (2019)
  17. Yeom JW, "Exploring the relationship between circadian rhythm shifts and postpartum depression", Chronobiol Med, 5, pp.53~57 (2023)
  18. Lee HJ, "Prediction of impending mood episode recurrence using real-time digital phenotypes in major depression and bipolar disorders in South Korea : a prospective nationwide cohort study", Psychol Med, 53, pp.5636~5644 (2023)
  19. Song YM, "Causal dynamics of sleep, circadian rhythm, and mood symptoms in patients with major depression and bipolar disorder : insights from longitudinal wearable device data", EBioMedicine, 103, pp.105094~ (2024)
  20. Quan L, "Post-traumatic stress disorders, anxiety, and depression in college students during the COVID-19 pandemic : a cross-sectional study", BMC Psychiatry, 23, pp.228~ (2023)
  21. Holm-Hadulla RM, "Depression and social isolation during the COVID-19 pandemic in a student population : the effects of establishing and relaxing social restrictions", Front Psychiatry, 14, pp.1200643~ (2023)
  22. Lee HJ, "Human circadian rhythm and social distancing in the COVID-19 crisis", Chronobiol Med, 2, pp.45~46 (2020)
  23. Reppert SM, "Coordination of circadian timing in mammals", Nature, 418, pp.935~941 (2002)
  24. Golombek DA, "Physiology of circadian entrainment", Physiol Rev, 90, pp.1063~1102 (2010)
  25. Ko CH, "Molecular components of the mammalian circadian clock", Hum Mol Genet, 15(Suppl 2), pp.R271~R277 (2006)
  26. Gallego M, "Post-translational modifications regulate the ticking of the circadian clock", Nat Rev Mol Cell Biol, 8, pp.139~148 (2007)
  27. Hirayama J, "CLOCK-mediated acetylation of BMAL1 controls circadian function", Nature, 450, pp.1086~1090 (2007)
  28. Mohawk JA, "Central and peripheral circadian clocks in mammals", Annu Rev Neurosci, 35, pp.445~462 (2012)
  29. Balsalobre A, "Resetting of circadian time in peripheral tissues by glucocorticoid signaling", Science, 289, pp.2344~2347 (2000)
  30. Bass J, "Circadian integration of metabolism and energetics", Science, 330, pp.1349~1354 (2010)
  31. Roenneberg T, "Life between clocks : daily temporal patterns of human chronotypes", J Biol Rhythms, 18, pp.80~90 (2003)
  32. Palagini L, "Insomnia, sleep loss, and circadian sleep disturbances in mood disorders : a pathway toward neurodegeneration and neuroprogression? A theoretical review", CNS Spectr, 27, pp.298~308 (2022)
  33. Lyall LM, "Association of disrupted circadian rhythmicity with mood disorders, subjective wellbeing, and cognitive function : a cross-sectional study of 91 105 participants from the UK Biobank", Lancet Psychiatry, 5, pp.507~514 (2018)
  34. Moon JH, "Advanced circadian phase in mania and delayed circadian phase in mixed mania and depression returned to normal after treatment of bipolar disorder", EBioMedicine, 11, pp.285~295 (2016)
  35. Crowley SJ, "An update on adolescent sleep : new evidence informing the perfect storm model", J Adolesc, 67, pp.55~65 (2018)
  36. Hershner SD, "Causes and consequences of sleepiness among college students", Nat Sci Sleep, 6, pp.73~84 (2014)
  37. Taylor DJ, "Sleep tendency during extended wakefulness : insights into adolescent sleep regulation and behavior", J Sleep Res, 14, pp.239~244 (2005)
  38. Kuula L, "Development of late circadian preference : sleep timing from childhood to late adolescence", J Pediatr, 194, pp.182~189 (2018)
  39. Sadeh A, "Sleep and the transition to adolescence : a longitudinal study", Sleep, 32, pp.1602~1609 (2009)
  40. Kuula L, "Endogenous circadian temperature rhythms relate to adolescents’ daytime physical activity", Front Physiol, 13, pp.947184~ (2022)
  41. Crowley SJ, "Sleep, circadian rhythms, and delayed phase in adolescence", Sleep Med, 8, pp.602~612 (2007)
  42. Hysing M, "Sleep patterns and insomnia among adolescents : a population-based study", J Sleep Res, 22, pp.549~556 (2013)
  43. Feder MA, "Just let me sleep in : identifying and treating delayed sleep phase disorder in adolescents", Child Adolesc Psychiatr Clin N Am, 30, pp.159~174 (2021)
  44. Sivertsen B, "Delayed sleep phase syndrome in adolescents : prevalence and correlates in a large population based study", BMC Public Health, 13, pp.1163~ (2013)
  45. Sivertsen B, "Mental health problems in adolescents with delayed sleep phase : results from a large populationbased study in Norway", J Sleep Res, 24, pp.11~18 (2015)
  46. Lee HJ, "Delayed sleep phase syndrome is related to seasonal affective disorder", J Affect Disord, 133, pp.573~579 (2011)
  47. Bahammam AS, "The relationship between sleep and wake habits and academic performance in medical students : a cross-sectional study", BMC Med Educ, 12, pp.61~ (2012)
  48. Kortesoja L, "Late-night digital media use in relation to chronotype, sleep and tiredness on school days in adolescence", J Youth Adolesc, 52, pp.419~433 (2023)
  49. Chang AM, "Evening use of lightemitting eReaders negatively affects sleep, circadian timing, and nextmorning alertness", Proc Natl Acad Sci U S A, 112, pp.1232~1237 (2015)
  50. Lemola S, "Adolescents’ electronic media use at night, sleep disturbance, and depressive symptoms in the smartphone age", J Youth Adolesc, 44, pp.405~418 (2015)
  51. Burke TM, "Effects of caffeine on the human circadian clock in vivo and in vitro", Sci Transl Med, 7, pp.305ra146~ (2015)
  52. BaHammam AS, "Timing matters : the interplay between early mealtime, circadian rhythms, gene expression, circadian hormones, and metabolism-a narrative review", Clocks Sleep, 5, pp.507~535 (2023)
  53. Potter GD, "Circadian rhythm and sleep disruption : causes, metabolic consequences, and countermeasures", Endocr Rev, 37, pp.584~608 (2016)
  54. Watson NF, "Recommended amount of sleep for a healthy adult : a joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society", Sleep, 38, pp.843~844 (2015)
  55. Roenneberg T, "The circadian clock and human health", Curr Biol, 26, pp.R432~R443 (2016)
  56. Czeisler CA, "Bright light induction of strong(type 0)resetting of the human circadian pacemaker", Science, 244, pp.1328~1333 (1989)
  57. Meléndez-Fernández OH, "Circadian rhythms disrupted by light at night and mistimed food intake alter hormonal rhythms and metabolism", Int J Mol Sci, 24, pp.3392~ (2023)
  58. Gooley JJ, "Exposure to room light before bedtime suppresses melatonin onset and shortens melatonin duration in humans", J Clin Endocrinol Metab, 96, pp.E463~E472 (2011)
  59. Scheer FA, "Adverse metabolic and cardiovascular consequences of circadian misalignment", Proc Natl Acad Sci U S A, 106, pp.4453~4458 (2009)
  60. Vujović N, "Late isocaloric eating increases hunger, decreases energy expenditure, and modifies metabolic pathways in adults with overweight and obesity", Cell Metab, 34, pp.1486~1498 (2022)
  61. Kim S, "Sleep and circadian rhythm disturbances in eating disorders", Chronobiol Med, 2, pp.141~147 (2020)
  62. Lee HJ, "Unraveling the significance of circadian rhythms for health", Chronobiol Med, 4, pp.93~94 (2022)
  63. Kline CE, "The bidirectional relationship between exercise and sleep : implications for exercise adherence and sleep improvement", Am J Lifestyle Med, 8, pp.375~379 (2014)
  64. Mikkelsen K, "Exercise and mental health", Maturitas, 106, pp.48~56 (2017)
  65. Drake C, "Caffeine effects on sleep taken 0, 3, or 6 hours before going to bed", J Clin Sleep Med, 9, pp.1195~1200 (2013)
  66. Roehrs T, "Sleep, sleepiness, sleep disorders and alcohol use and abuse", Sleep Med Rev, 5, pp.287~297 (2001)
  67. Stepanski EJ, "Use of sleep hygiene in the treatment of insomnia", Sleep Med Rev, 7, pp.215~225 (2003)
  68. Cajochen C, "Evening exposure to a light-emitting diodes(LED)-backlit computer screen affects circadian physiology and cognitive performance", J Appl Physiol(1985), 110, pp.1432~1438 (2011)
  69. Hale L, "Screen time and sleep among school-aged children and adolescents : a systematic literature review", Sleep Med Rev, 21, pp.50~58 (2015)
  70. Hunt J, "Mental health problems and help-seeking behavior among college students", J Adolesc Health, 46, pp.3~10 (2010)
  71. Kessler RC, "Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication", Arch Gen Psychiatry, 62, pp.593~602 (2005)
  72. "Major depression"[URL]
  73. Merikangas KR, "Lifetime and 12-month prevalence of bipolar spectrum disorder in the national comorbidity survey replication", Arch Gen Psychiatry, 64, pp.543~552 (2007)
  74. Saha S, "A systematic review of the prevalence of schizophrenia", PLoS Med, 2, pp.e141~ (2005)
  75. Hudson JI, "The prevalence and correlates of eating disorders in the national comorbidity survey replication", Biol Psychiatry, 61, pp.348~358 (2007)
  76. Grant BF, "Prevalence and co-occurrence of substance use disorders and independent mood and anxiety disorders : results from the national epidemiologic survey on alcohol and related conditions", Arch Gen Psychiatry, 61, pp.807~816 (2004)
  77. Rosenthal NE, "Phase-shifting effects of bright morning light as treatment for delayed sleep phase syndrome", Sleep, 13, pp.354~361 (1990)
  78. Khalsa SB, "A phase response curve to single bright light pulses in human subjects", J Physiol, 549(Pt 3), pp.945~952 (2003)
  79. Brown TM, "Recommendations for daytime, evening, and nighttime indoor light exposure to best support physiology, sleep, and wakefulness in healthy adults", PLOS Biology, 20, pp.e3001571~ (2022)
  80. Bjorvatn B, "A practical approach to circadian rhythm sleep disorders", Sleep Med Rev, 13, pp.47~60 (2009)
  81. Lewy AJ, "The dim light melatonin onset as a marker for circadian phase position", Chronobiol Int, 6, pp.93~102 (1989)
  82. Arendt J, "Melatonin and human rhythms", Chronobiol Int, 23, pp.21~37 (2006)
  83. Edinger JD, "Cognitive-behavioral therapy for primary insomnia", Clin Psychol Rev, 25, pp.539~558 (2005)
  84. Harvey AG, "A cognitive model of insomnia", Behav Res Ther, 40, pp.869~893 (2002)

관련 논문AI추천

이 간행물의 다른 논문 (11건)