| Literature DB >> 35466764 |
Abstract
With the prolongation of non-ordinary situations such as school closures due to the coronavirus disease 2019 (COVID-19) pandemic, high school students have experienced irregular sleep-wake cycles and elevated academic stress resulting from reduced academic achievement and widened gaps in academic performance. This cross-sectional study aimed to investigate the associations among chronotype, social jetlag, lifelong learning competency, and academic stress in high school students during the COVID-19 pandemic. Data were collected through an online survey from May-June 2021. The mean social jetlag was found to be 2 h and 9 min, and multiple regression analysis revealed that social jetlag and lifelong competency affected academic stress. Thus, measures to minimize social jetlag and improve lifelong learning competencies should be implemented to reduce academic stress among high school students. School nurses should identify students with severe social jetlag and provide guidance and interventions to promote sleep hygiene and regular lifestyles.Entities:
Keywords: COVID-19; sleep; social jetlag; stress; students
Year: 2022 PMID: 35466764 PMCID: PMC9039591 DOI: 10.1177/10598405221094847
Source DB: PubMed Journal: J Sch Nurs ISSN: 1059-8405 Impact factor: 2.361
General and Health-Related Characteristics (N = 213).
| Variables | Categories | N (%) | M(SD) |
|---|---|---|---|
| Sex | Male | 173 (81.2) | |
| Female | 40 (18.8) | ||
| Age | 16.41(0.98) | ||
| Grade level | 10th grade | 87 (40.8) | |
| 11th grade | 75 (35.2) | ||
| 12th grade | 51 (23.9) | ||
| Body mass index | Underweight (<18.5) | 32 (15.0) | 22.83(3.99) |
| Normal (18.5–22.9) | 85 (39.9) | ||
| Overweight (23–24.9) | 31 (14.6) | ||
| Obese (≥25) | 65 (30.5) | ||
| Residence type | Living with family | 199 (93.4) | |
| Living alone | 3 (1.4) | ||
| Dormitory | 11 (5.2) | ||
| Religion | No | 134 (62.9) | |
| Yes | 79 (37.1) | ||
| School type | General high school | 180 (84.5) | |
| Specialized high school | 8 (3.8) | ||
| Vocational high school | 25 (11.7) | ||
| Subjective academic performance | High | 28 (13.1) | |
| Low | 185 (86.9) | ||
| Health condition | Good | 190 (89.2) | |
| Bad | 23 (10.8) | ||
| Depressive mood | No | 138 (64.8) | |
| Yes | 75 (35.2) |
Sleep-Related Parameters, Lifelong Learning Competency, and Academic Stress (N = 213).
| Variables | Categories | N (%) | Mean (SD) |
|---|---|---|---|
| Chronotype | Extreme evening type | 5 (2.3) | 43.47 (7.29) |
| Moderate evening type | 84 (39.4) | ||
| Neither type | 118 (55.4) | ||
| Moderate morning type | 6 (2.8) | ||
| Extreme morning type | 0 (0) | ||
| Social jetlag (hour:minute) | 2:09 (0:58) | ||
| Sleep duration (hour:minute) | 6:12 (1:04) | ||
| Lifelong learning competency | 106.17 (13.69) | ||
| Academic stress | 55.15 (12.44) | ||
Comparison of Differences in Academic Stress According to Participant Characteristics (N = 213).
| Variables | Categories | Academic stress | |
|---|---|---|---|
| M (SD) | t/F ( | ||
| Gender | Male | 55.22 (12.24) | 0.17 (.866) |
| Female | 54.85 (13.42) | ||
| Grade level | 10th grade | 53.24 (13.52) | 2.38 (.095) |
| 11th grade | 57.48 (11.16) | ||
| 12th grade | 54.98 (11.93) | ||
| Body mass index | Underweight (<18.5) | 57.47 (12.56) | 0.67 (.570) |
| Normal (18.5–22.9) | 55.54 (10.85) | ||
| Overweight (23–24.9) | 54.45 (13.77) | ||
| Obese (≥25) | 53.83 (13.70) | ||
| Residence type | Living with family | 55.40 (12.27) | 1.17 (.329) |
| Living alone | 56.33 (0.58) | ||
| Dormitory | 50.36 (16.46) | ||
| Religion | No | 54.49 (12.03) | 1.01 (.316) |
| Yes | 56.27 (13.10) | ||
| School type | General high school | 55.74 (11.76) | 3.83 (.023)† |
| Specialized high school | 60.38 (9.61) | Specialized >Vocational | |
| Vocational high school | 49.24 (16.09) | ||
| Subjective academic performance | High | 51.04 (11.19) | 1.89 (.060) |
| Low | 55.77 (12.52) | ||
| Health condition | Good | 55.08 (12.72) | 0.24 (.811) |
| Bad | 55.74 (10.02) | ||
| Depressive mood | No | 52.64 (11.97) | 4.14 (<.001) |
| Yes | 59.76 (12.03) | ||
Scheffe's post-hoc test.
Correlation Between Chronotype, Social Jetlag, Lifelong Learning Competency, and Academic Stress (N = 213).
| Variables | Chronotype | Social jetlag | Sleep duration | Lifelong learning competency | Academic stress |
|---|---|---|---|---|---|
| r (p) | r (p) | r (p) | r (p) | ||
| Chronotype | 1 | ||||
| Social jetlag | -.38 (<.001) | 1 | |||
| Sleep duration | .36 (<.001) | -.17 (.015) | 1 | ||
| Lifelong learning competency | .09 (.188) | -.06 (.392) | -.04 (.576) | 1 | |
| Academic stress | -.27 (<.001) | .18 (.010) | -.22 (.001) | -.26 (<.001) | 1 |
Factors Affecting Academic Stress (N = 213).
| Variables | B | SE | β | t | p | VIF | 95% CI | |
|---|---|---|---|---|---|---|---|---|
| Lower | Upper | |||||||
| (constant) | 81.63 | 9.66 | 8.45 | <.001 | 62.59 | 100.67 | ||
| School type | 10.38 | 4.51 | 0.16 | 2.30 | .022 | 1.31 | 1.50 | 19.27 |
| Depressive mood | 5.79 | 1.60 | 0.22 | 3.62 | <.001 | 1.05 | 2.63 | 8.95 |
| Chronotype | −0.23 | 0.12 | −0.14 | 1.93 | .055 | 1.35 | −0.47 | 0.01 |
| Social jetlag | 0.01 | 0.01 | 0.15 | 2.12 | .035 | 1.30 | 0.00 | 0.01 |
| Sleep duration | −0.01 | 0.01 | −0.07 | 1.14 | .257 | 1.16 | −0.01 | 0.00 |
| Lifelong learning competency | −0.23 | 0.06 | −0.26 | 4.18 | <.001 | 1.04 | −0.34 | −0.12 |
| Adjusted R2 = 0.23 F = 10.00 (p < .001) Kolmogorov-Smirnov (Z = 0.05, | ||||||||
Note. Durbin–Watson's d = 2.06; Durbin–Watson's du (lower critical limit) = 1.84, 4-du (upper critical limit) = 2.16.
Dummy variables (reference): school type (vocational), depressive mood (no).
SE: standard error; VIF: variance inflation index; CI: confidence interval.