Evidence map›Paper›PMID 39741263›Full record

ArticleBMC psychiatry2024

Association between sleep disorder and anhedonia in adolescence with major depressive disorder: the mediating effect of stress.

Xinxin Zhao, Hongzhe Ma, Ning Li, Wenjun Wu, Xinxu Ma, Xinxin Zhang, Wenming Liu, Lei Shang, Huaning Wang, Hailong Dong and 3 more

Abstract read
In one paragraph

Article in BMC psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Article
  3. A latent profile analysis of patient activation in postoperative breast cancer patients: a cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Xinxin ZhaoDepartment of Anesthesiology and Perioperative Medicine, Xijing Hospital, The Fourth Military Medical University, Xi'an, Shaanxi, China.
Hongzhe MaDepartment of Psychiatry, Xijing Hospital, The Fourth Military Medical University, Xi'an, Shaanxi, China.
Ning LiDepartment of Psychiatry, Xijing Hospital, The Fourth Military Medical University, Xi'an, Shaanxi, China.
Wenjun WuDepartment of Psychiatry, Xijing Hospital, The Fourth Military Medical University, Xi'an, Shaanxi, China.
Xinxu MaDepartment of Psychiatry, Xijing Hospital, The Fourth Military Medical University, Xi'an, Shaanxi, China.
Xinxin ZhangDepartment of Anesthesiology and Perioperative Medicine, Xijing Hospital, The Fourth Military Medical University, Xi'an, Shaanxi, China.
Wenming LiuDepartment of Psychiatry, Xijing Hospital, The Fourth Military Medical University, Xi'an, Shaanxi, China.
Lei ShangDepartment of Health Statistics, School of Public Health, The Fourth Military Medical University, Xi'an, Shaanxi, China.
Huaning WangDepartment of Psychiatry, Xijing Hospital, The Fourth Military Medical University, Xi'an, Shaanxi, China.
Hailong DongDepartment of Anesthesiology and Perioperative Medicine, Xijing Hospital, The Fourth Military Medical University, Xi'an, Shaanxi, China.
Chen LiDepartment of Health Statistics, School of Public Health, The Fourth Military Medical University, Xi'an, Shaanxi, China.
Guangchao ZhaoDepartment of Anesthesiology and Perioperative Medicine, Xijing Hospital, The Fourth Military Medical University, Xi'an, Shaanxi, China. gczhao0518@hotmail.com.
Min CaiDepartment of Psychiatry, Xijing Hospital, The Fourth Military Medical University, Xi'an, Shaanxi, China. mincai8787@hotmail.com.

Funding

Shaanxi Province Science and Technology New Star Project S2022-ZC-XXMM-0395the Key Program of National Natural Science of China 82030038the National Natural Science Foundation of China 82271211the Science Fund for Creative Research Groups of the National Natural Science Foundation of China 82221001
6 · The paper itself

Abstract

backgroundMajor depressive disorder (MDD) is a highly prevalent mental disorder with devastating consequences that often first manifest during adolescence. Anhedonia has emerged as one of the most promising symptoms of adolescent MDD, which means a longer time to remission, fewer depression-free days, and also increased risk of suicide ideas or actions. Research has shown that at least two-thirds of depressed adolescents have significant sleep-onset or sleep-maintenance problems. However, the association between sleep disorder and anhedonia, and the potential mediators are less understood.

methodsThis is a cross-sectional study that includes 200 adolescents suffered from MDD between the ages of 12-17. We use Spearman's test to explore the relationship among main variables. To evaluate the mediating effects of stress, we applied regression models and used bootstrap method to validate the significance of effects.

resultsSignificant correlation exists among sleep disorder, stress, and anhedonia (P<0.05).The direct effect of sleep disorder on anhedonia was 0.214 (95% CI: 1.5235, 6.2073), while the total effect was 0.295 (95% CI: 2.9683, 7.6924). The indirect effect of sleep disorder on anhedonia mediated by stress was 0.081 (95% CI: 0.5842, 2.5268). Robustness of the regression analysis results has been verified by bootstrap test.

conclusionsOur finding suggested a positive correlation between sleep disturbance and anhedonia in adMDD. Stress partially mediated the relationship between sleep disorder and anhedonia. Due to the deleterious effects of anhedonia on depressed adolescents, these findings provide impetus to investigate further the causal relationship between sleep problems and anhedonia.

trial registrationChiCTR2200060176(Registration Date: 21/05/2022).

Indexed as

AnhedoniaMajor Depressive DisorderSleep Wake DisordersStress, PsychologicalAdolescentChildCross-Sectional StudiesFemaleHumansMaleAdolescentAnhedoniaCross-sectional studyMajor depression disorderSleep disorderStress

Identifiers

PMID39741263
PMCPMC11687048

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.