RESEARCH PAPER
Sleep disturbances partly mediate the association between chronotype and depressive symptoms in adult video game players
 
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Faculty of Psychology, SWPS University, Sopot, Poland
 
 
Submission date: 2023-11-13
 
 
Final revision date: 2024-07-08
 
 
Acceptance date: 2024-09-22
 
 
Online publication date: 2024-11-14
 
 
Corresponding author
Marta Jackowska   

Faculty of Psychology, SWPS University, Sopot, Poland
 
 
 
KEYWORDS
TOPICS
ABSTRACT
Background:
Playing video games is a popular leisure activity, but if prolonged it can increase the risk of sleep and mood disturbances. Individuals with an evening chronotype show a greater tendency to be engrossed in video games.

Participants and procedure:
This study tested whether sleep disturbances would mediate the association between chronotype and depressive symptoms in adult video game players. Participants were 1208 adults (86.7% men, mean age 27.4 ± 8.07 years) who regularly play video games. Chronotype was assessed with the Morningness-Eveningness Questionnaire, the Centre for Epidemiological Studies Depression Scale was used to measure depressive symptoms, and sleep disturbance was evaluated with the Athens Insomnia Scale.

Results:
We found that adults who play video games and show an evening chronotype preference spent more time playing than those with a more intermediate or morning preference. An evening chronotype was linked to a higher level of depressive symptoms, and our bootstrap mediation analysis revealed that sleep disturbances partly mediated this association (β = –.15, SE = .02, 95% CI [–.19; –.11]).

Conclusions:
Our study suggests that an evening chronotype should be considered when exploring psychological risk factors contributing to the development of problematic gaming. In adults who play video games and display a tendency towards eveningness, higher rates of depressive symptoms may be partly explained by inadequate sleep.

REFERENCES (38)
1.
Adan, A., Archer, S. N., Hidalgo, M. P., Di Milia, L., Natale, V., & Randler, C. (2012). Circadian typology: a comprehensive review. Chronobiology International, 29, 1153–1175. https://doi.org/10.3109/074205....
 
2.
Allen, J. J., & Anderson, C. A. (2018). Satisfaction and frustration of basic psychological needs in the real world and in video games predict internet gaming disorder scores and well-being. Computers in Human Behavior, 84, 220–229. https://doi.org/10.1016/j.chb.....
 
3.
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed.). APA Publishing.
 
4.
Antypa, N., Verkuil, B., Molendijk, M., Schoevers, R., Penninx, B. W., & Van Der Does, W. (2017). Associations between chronotypes and psychological vulnerability factors of depression. Chronobiology International, 34, 1125–1135. https://doi.org/10.1080/074205....
 
5.
Bakotic, M., Radosevic‐Vidacek, B., & Koscec Bjelajac, A. (2017). Morningness-eveningness and daytime func-tioning in university students: The mediating role of sleep characteristics. Journal of Sleep Research, 26, 210–218. https://doi.org/10.1111/jsr.12....
 
6.
Charlton, J. P., & Danforth, I. D. W. (2007). Distinguishing addiction and high engagement in the context of online game playing. Computers in Human Behavior, 23, 1531–1548. https://doi.org/10.1016/j.chb.....
 
7.
Colder Carras, M., Shi, J., Hard, G., & Saldanha, I. J. (2020). Evaluating the quality of evidence for gaming disor-der: a summary of systematic reviews of associations between gaming disorder and depression or anxiety. PLoS One, 15, e0240032. https://doi.org/10.1371/journa....
 
8.
Entertainment Software Association (2023). Essential facts about the video game industry. Retrieved from https://www.theesa.com/2023-es... [accessed May 15, 2023].
 
9.
Gorgol, J., Waleriańczyk, W., & Stolarski, M. (2022). The moderating role of personality traits in the relationship between chronotype and depressive symptoms. Chronobiology International, 39, 106–116. https://doi.org/10.1080/074205....
 
10.
Hertenstein, E., Feige, B., Gmeiner, T., Kienzler, C., Spiegelhalder, K., Johann, A., Jansson-Fröjmark, M., Palagini, L., Rücker, G., Riemann, D., & Baglioni, C. (2019). Insomnia as a predictor of mental disorders: a systematic review and meta-analysis. Sleep Medicine Reviews, 43, 96–105. https://doi.org/10.1016/j.smrv....
 
11.
Horne, C. M., Watts, A. L., & Norbury, R. (2019). The influence of subjective sleep quality on the association be-tween eveningness and depressive symptoms. Biological Rhythm Research, 50, 534–542. https://doi.org/10.1080/092910....
 
12.
Horne, J. A., & Östberg, O. (1976). A self-assessment questionnaire to determine morningness-eveningness in hu-man circadian rhythms. International Journal of Chronobiology, 4, 97–110.
 
13.
Jankowski, K. S., & Zajenkowski, M. (2016). The role of morningness and endurance in mood and attention dur-ing morning and evening hours. Journal of Individual Differences, 37, 73–80. https://doi.org/10.1027/1614-0....
 
14.
Kardefelt-Winther, D., Heeren, A., Schimmenti, A., van Rooij, A., Maurage, P., Carras, M., Edman, J., Blaszczynski, A., Khazaal, Y., & Billieux, J. (2017). How can we conceptualize behavioural addiction without pathologizing common behaviours? Addiction, 112, 1709–1715. https://doi.org/10.1111/add.13....
 
15.
Kemp, C., Pienaar, P. R., Rosslee, D. T., Lipinska, G., Roden, L. C., & Rae, D. E. (2021). Sleep in habitual adult video gamers: a systematic review. Frontiers in Neuroscience, 15, 781351. https://doi.org/10.3389/fnins.....
 
16.
Kristensen, J. H., Pallesen, S., King, D. L., Hysing, M., & Erevik, E. K. (2021). Problematic gaming and sleep: a systematic review and meta-analysis. Frontiers in Psychiatry, 830, 675237. https://doi.org/.
 
17.
3389/fpsyt.2021.675237.
 
18.
Lemola, S., Brand, S., Vogler, N., Perkinson-Gloor, N., Allemand, M., & Grob, A. (2011). Habitual computer game playing at night is related to depressive symptoms. Personality and Individual Differences, 51, 117–122. https://doi.org/10.1016/j.paid....
 
19.
Merikanto, I., Kronholm, E., Peltonen, M., Laatikainen, T., Lahti, T., & Partonen, T. (2012). Relation of chronotype to sleep complaints in the general Finnish population. Chronobiology International, 29, 311–317. https://doi.org/10.3109/074205....
 
20.
Müller, M. J., Kundermann, B., & Cabanel, N. (2016). Eveningness and poor sleep quality independently contrib-ute to self-reported depression severity in psychiatric inpatients with affective disorder. Nordic Journal of Psy-chiatry, 70, 329–334. https://doi.org/10.3109/080394....
 
21.
Norbury, R. (2021). Diurnal preference and depressive symptomatology: a meta-analysis. Scientific Reports, 11, 12003. https://doi.org/10.1038/s41598....
 
22.
Okajima, I., Miyamoto, T., Ubara, A., Omichi, C., Matsuda, A., Sumi, Y., Matsuo, M., Ito, K., & Kadotani, H. (2020). Evaluation of severity levels of the Athens Insomnia Scale based on the criterion of Insomnia Severity Index. International Journal of Environmental Research and Public Health, 17, 8789. https://doi.org/10.3390/ijerph....
 
23.
Pallavicini, F., Ferrari, A., & Mantovani, F. (2018). Video games for well-being: a systematic review on the applica-tion of computer games for cognitive and emotional training in the adult population. Frontiers in Psychology, 9, 2127. https://doi.org/10.3389/fpsyg.....
 
24.
Prat, G., & Adan, A. (2011). Influence of circadian typology on drug consumption, hazardous alcohol use, and hangover symptoms. Chronobiology International, 28, 248–257. https://doi.org/10.3109/074205....
 
25.
Rehbein, F., Kliem, S., Baier, D., Mößle, T., & Petry, N. M. (2015). Prevalence of internet gaming disorder in Ger-man adolescents: Diagnostic contribution of the nine DSM-5 criteria in a statewide representative sample. Ad-diction, 110, 842–851. https://doi.org/10.1111/add.12....
 
26.
Randjelovic, P., Stojiljkovic, N., Radulovic, N., Stojanovic, N., & Ilic, I. (2021). Problematic smartphone use, screen time and chronotype correlations in university students. European Addiction Research, 27, 67–74. https://doi.org/10.1159/000506....
 
27.
Radloff, L. S. (1977). The CES-D scale: a self-report depression scale for research in the general population. Ap-plied Psychological Measurement, 1, 385–401. https://doi.org/10.1177/014662....
 
28.
Roenneberg, T., & Merrow, M. (2007). Entrainment of the human circadian clock. Cold Spring Harbor Symposia on Quantitative Biology, 72, 293–299. https://doi.org/10.1101/sqb.20....
 
29.
Soldatos, C. R., Dikeos, D. G., & Paparrigopoulos, T. J. (2000). Athens Insomnia Scale: Validation of an instrument based on ICD-10 criteria. Journal of Psychosomatic Research, 48, 555–560. https://doi.org/10.1016/S0022-....
 
30.
Staner, L. (2010). Comorbidity of insomnia and depression. Sleep Medicine Reviews, 14, 35–46. https://doi.org/10.1016/j.smrv....
 
31.
Stewart, R., Besset, A., Bebbington, P., Brugha, T., Lindesay, J., Jenkins, R., Singleton, N., & Meltzer, H. (2006). In-somnia comorbidity and impact and hypnotic use by age group in a national survey population aged 16 to 74 years. Sleep, 29, 1391–1397. https://doi.org/10.1093/sleep/....
 
32.
Terlecki, M., Brown, J., Harner-Steciw, L., Irvin-Hannum, J., Marchetto-Ryan, N., Ruhl, L., & Wiggins, J. (2011). Sex differences and similarities in video game experience, preferences, and self-efficacy: Implications for the gaming industry. Current Psychology, 30, 22–33. https://doi.org/10.1007/s12144....
 
33.
Urbán, R., Magyaródi, T., & Rigó, A. (2011). Morningness-eveningness, chronotypes and health impairing behav-iors in adolescents. Chronobiology International, 28, 238–247. https://doi.org/10.3109/074205....
 
34.
Van den Berg, J. F., Kivelä, L., & Antypa, N. (2018). Chronotype and depressive symptoms in students: an investi-gation of possible mechanisms. Chronobiology International, 35, 1248–1261. https://doi.org/10.1080/074205....
 
35.
Vollmer, C., Michel, U., & Randler, C. (2012). Outdoor light at night (LAN) is correlated with eveningness in ado-lescents. Chronobiology International, 29, 502–508. https://doi.org/10.3109/074205....
 
36.
Vollmer, C., Randler, C., Horzum, M. B., & Ayas, T. (2014). Computer game addiction in adolescents and its rela-tionship to chronotype and personality. Sage Open, 4, 2158244013518054. https://doi.org/10.1177/215824....
 
37.
Weaver, E., Gradisar, M., Dohnt, H., Lovato, N., & Douglas, P. (2010). The effect of presleep videogame playing on adolescent sleep. Journal of Clinical Sleep Medicine, 6, 184–189. https://doi.org/10.5664/jcsm.2....
 
38.
World Health Organization (2019). International classification of diseases for mortality and morbidity statistics (11th revision). Retrieved from https://www.who.int/standards/... [accessed May 15, 2023].
 
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