Association between insomnia symptoms and chronotype-A systematic review and meta-analysis

  • 0Department of Big Data in Health Science, Zhejiang University School of Public Health and Department of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China; The Key Laboratory of Intelligent Preventive Medicine of Zhejiang Province, Hangzhou, China.

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Summary

This summary is machine-generated.

Evening chronotypes have a significantly higher risk of insomnia compared to morning types. Understanding chronotype is crucial for assessing and managing insomnia effectively.

Area Of Science

  • Sleep Science
  • Chronobiology
  • Clinical Psychology

Background

  • Chronotype, an individual's daily rhythm of sleep-wake cycles, is increasingly recognized for its influence on health.
  • Insomnia, a prevalent sleep disorder, significantly impacts quality of life and overall health.
  • Previous research suggests a link between sleep timing preferences and sleep disturbances, but comprehensive meta-analytic evidence is needed.

Purpose Of The Study

  • To systematically evaluate the association between chronotype and insomnia.
  • To quantify the risk of insomnia in individuals with evening or intermediate chronotypes compared to morning types.

Main Methods

  • A meta-analysis of prospective and cross-sectional studies was conducted.
  • Searches were performed in PubMed, Embase, and the Cochrane Library up to July 2023.
  • Sixteen studies with 27,789 participants were included, using the Morningness-Eveningness Questionnaire for chronotype assessment.

Main Results

  • Evening chronotypes exhibited a 3.47-fold increased risk of insomnia (OR, 3.47; 95% CI, 2.50-4.83) and higher insomnia severity.
  • Intermediate chronotypes also showed an elevated risk (OR, 1.61; 95% CI, 1.24-2.09) compared to morning types.
  • Morning types reported the lowest likelihood of insomnia symptoms.

Conclusions

  • Evening chronotype is strongly associated with a higher prevalence and severity of insomnia.
  • Intermediate chronotypes demonstrate a moderate association with insomnia.
  • These findings underscore the clinical importance of assessing chronotype in insomnia diagnosis and treatment.

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