# Temporal Network Analysis of Bedtime Procrastination and Depression Among Adolescents: A Prospective Longitudinal Study

**Authors:** Tingting Gao, Wei Zhang, Yingying Su

PMC · DOI: 10.1002/mco2.70620 · MedComm · 2026-01-25

## TL;DR

This study explores how depression and bedtime procrastination are linked in adolescents, finding that symptoms like not going to bed on time and trouble concentrating are key for males and females.

## Contribution

The study introduces temporal network analysis to reveal dynamic within-person associations between depression and bedtime procrastination symptoms.

## Key findings

- Not going to bed on time and trouble concentrating were the most influential symptoms for males and females, respectively.
- Feeling worried and not going to bed on time were central for males, while feeling tired and feeling worried were central for females.

## Abstract

Research on bedtime procrastination and depression has primarily used traditional psychometric approaches, limiting the ability to capture symptom‐level temporal dynamics. This study aimed to examine within‐ and between‐person associations between symptoms of depression and bedtime procrastination, considering sex differences. Data from 3296 adolescents followed over 18 months were used to explore symptom associations and their centrality in cross‐sectional networks, as well as cross‐lagged effects to clarify temporal relationships. In the within‐person temporal network, not going to bed on time and trouble concentrating were the most influential symptoms for males and females, respectively. In the contemporaneous network, feeling worried and not going to bed on time were most central for males, while feeling tired and feeling worried were central for females. No significant sex differences were found in overall network strength (S = 0.10, p = 0.75) or structure (M = 0.48, p = 0.09). Positive associations were consistent at the between‐person level. Overall, this study characterizes the symptom‐to‐symptom associations between depression and bedtime procrastination at both the within‐ and between‐person levels, with notable sex differences. For males, sleep difficulties and worries were key factors, while for females, concentration issues and fatigue played a more significant role.

This study explored symptom‐to‐symptom associations between bedtime procrastination and depression among 3296 adolescents over 18 months. Temporal network analyses revealed that “not going to bed on time” and “trouble concentrating” were key symptoms for males and females, respectively. Findings highlight dynamic within‐person links and provide a foundation for personalized mental health interventions.

## Linked entities

- **Diseases:** depression (MONDO:0002050)

## Full-text entities

- **Diseases:** Depression (MESH:D003866), sleep difficulties (MESH:D012893), fatigue (MESH:D005221)

## Full text

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## Figures

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## References

56 references — full list in the complete paper: https://tomesphere.com/paper/PMC12832071/full.md

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Source: https://tomesphere.com/paper/PMC12832071