ORIGINAL RESEARCH article

Front. Psychiatry

Sec. Sleep Disorders

Volume 16 - 2025 | doi: 10.3389/fpsyt.2025.1601613

This article is part of the Research TopicHypersomnolence and Medical Disorders: Causes, Diagnosis, and ManagementView all 3 articles

Excessive or Reduced Rest-Day Sleep Compensation Linked to Depression in Chinese Adults

Provisionally accepted
  • 1Nanjing Tech University, Nanjing, Jiangsu Province, China
  • 2Shanghai University of Sport, Shanghai, China

The final, formatted version of the article will be published soon.

Background: This study aims to evaluate the impact of Rest Day Catch-up Sleep (RDCS) patterns on depression among Chinese adults during the pandemic and to explore the relationship between different levels of compensation and the likelihood of depression. Methods: This study included 3,981 participants, who were divided into five groups based on changes in rest day sleep duration: no change in sleep duration (RDCS = 0 h), reduced sleep duration (RDCS < 0), moderate catch-up sleep (1 h < RDCS < 2 h), and long catch-up sleep (RDCS ≥ 2 h). A multivariable logistic regression model was used to analyze the relationship between RDCS and depression. Stratified logistic regression and interaction effect analyses were conducted to explore demographic differences in the association between RDCS and depression. Results: In the fully adjusted model, participants with reduced sleep duration had an odds ratio (OR) of 2.12 (95%CI [1.31 – 3.46]) for depression, while those with long catch-up sleep had an OR of 1.60 (95%CI [1.29 – 1.98]). Stratified logistic regression and interaction effect analyses indicated that the association between RDCS < 0 h and depression was more significant among individuals with a Body Mass Index (BMI) < 25 kg/m², while the association between RDCS ≥ 2 h and depression was more significant among individuals with a general self-rated health status. Conclusion: The results of this study indicate that both reduced sleep duration and excessive catch-up sleep during the pandemic are associated with an increased likelihood of depression. These findings highlight the importance of maintaining stable sleep patterns during special periods and provide scientific evidence for the development of targeted public health interventions.

Keywords: Sleep compensation, Depression, Pandemic period, Mental Health, public health intervention 1.Introduction

Received: 28 Mar 2025; Accepted: 05 Jun 2025.

Copyright: © 2025 Song, Wang and Liu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Yue Liu, Shanghai University of Sport, Shanghai, China

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