Prevalence and Factors Associated With the Risk of Delayed Sleep-Wake Phase Disorder in Japanese Youth

Sayaka Tomishima; Yoko Komada; Kosuke Tanioka; Isa Okajima; Yuichi Inoue

doi:10.3389/fpsyt.2022.878042

Prevalence and Factors Associated With the Risk of Delayed Sleep-Wake Phase Disorder in Japanese Youth

Front Psychiatry. 2022 May 13:13:878042. doi: 10.3389/fpsyt.2022.878042. eCollection 2022.

Authors

Sayaka Tomishima¹, Yoko Komada^{1

2}, Kosuke Tanioka^{1

3}, Isa Okajima^{1

4}, Yuichi Inoue^{1

3}

Affiliations

¹ Department of Somnology, Tokyo Medical University, Tokyo, Japan.
² Faculty of Liberal Arts, Meiji Pharmaceutical University, Tokyo, Japan.
³ Japan Somnology Center, Institute of Neuropsychiatry, Tokyo, Japan.
⁴ Department of Psychological Counseling, Faculty of Humanities, Tokyo Kasei University, Tokyo, Japan.

Abstract

Background: Delayed sleep-wake phase disorder (DSWPD) is more prevalent among the younger generation. However, the prevalence of this disorder in Asia, particularly Japan, has not yet been elucidated. Furthermore, the impact of DSWPD morbidity on daytime functioning and factors associated with the presence of the disorder remain unclear.

Methods: A web-based survey was conducted among youth aged 15-30 years. In total, 7,810 individuals completed the questionnaire. The questionnaire included items on sociodemographic variables as well as the Japanese version of the Biological Rhythms Interview of Assessment in Neuropsychiatry self-report (J-BRIAN-SR), which assesses the risk of DSWPD, sleep behaviors and possibly related lifestyle variables, productivity loss [WHO Health and Work Performance Questionnaire (HPQ)], and health-related quality of life (HRQOL). The risk of DSWPD was indicated by a J-BRIAN-SR score greater than or equal to 40 points and days of absence ≥4 days per month. After comparing these variables for participants at risk of DSWPD and those who were not, the factors associated with the risk of DSWPD were examined using logistic regression analysis, with sociodemographic and lifestyle variables as independent variables.

Results: The overall prevalence of participants at risk DSWPDs was 4.3%. Compared with participants without DSWPD, those at risk of DSWPD presented significantly worse HPQ and HRQOL scores. The risk of DSWPD was positively associated with the presence of currently treated diseases, length of nighttime liquid crystal display (LCD) viewing, and being a high school/university students. It was negatively associated with habitual exercise.

Conclusion: The risk of DSWPD seemed to be consistent with reports from Western countries, and individuals possibly affected by the disorder were thought to have deteriorated daytime functioning. In addition, lifestyle specific to youth, such as long-term LCD viewing at night and relatively loose social constraints, could be associated with the presence of DSWPD in this generation.

Keywords: biological rhythms interview of assessment in neuropsychiatry (BRIAN); daytime function; delayed sleep-wake phase disorder; web-based questionnaire; young generation.