Private Tutoring,Sleep Time,and Depressive Symptoms Among Adolescent Students in China

Abstract

The recent increase in mental health problems and private tutoring (also called shadow education) among adolescents has been widely documented. This study relates involvement in private tutoring to depressive symptoms using data from a nationally representative sample of middle school students (grades 7–9, Mage = 13.90, N = 25,862) in China. Results show that greater involvement in tutoring is associated with increased depressive symptoms, and a decrease in nighttime sleep duration plays a mediating role. Grade-specific subsample analyses further show that the mediating role of sleep reduction becomes more pronounced for students in higher grades. These findings highlight the essential role of private tutoring for adolescent sleep and mental health and its variation across the schooling process.

Keywords

private tutoring depressive symptoms sleep duration adolescents China

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References

Al Mamun

Cramb

McDermott

B. M.

O’callaghan

Najman

J. M.

Williams

G. M

. (2007). Adolescents’ perceived weight associated with depression in young adulthood: A longitudinal study. Obesity, 15(12), 3097–3105. https://doi.org/10.1038/oby.2007.369

Bersia

Berchialla

Charrier

Lemma

Borraccino

Nardone

Pierannunzio

Ciardullo

Comoretto

R. I.

Dalmasso

(2022). Mental well-being: 2010–2018 trends among Italian adolescents. International Journal of Environmental Research and Public Health, 19(2), Article 863. https://doi.org/10.3390/ijerph19020863

Bor

Dean

A. J.

Najman

Hayatbakhsh

(2014). Are child and adolescent mental health problems increasing in the 21st century? A systematic review. Australian and New Zealand Journal of Psychiatry, 48(7), 606–616. https://doi.org/10.1177/0004867414533834

Bray

(2009). Confronting the shadow education system: What government policies for what private tutoring? United Nations Educational, Scientific and Cultural Organization ; International Institute for Educational Planning.

Bray

(2013). Benefits and tensions of shadow education: Comparative perspectives on the roles and impact of private supplementary tutoring in the lives of Hong Kong students. Journal of International and Comparative Education (JICE), 2(1), 18–30. https://doi.org/10.14425/00.45.72

Bray

(2021). Shadow education in Europe: Growing prevalence, underlying forces, and policy implications. ECNU Review of Education, 4(3), 442–475. https://doi.org/10.1177/2096531119890142

Bray

Zhan

S. L.

Lykins

Wang

Kwo

(2014). Differentiated demand for private supplementary tutoring: Patterns and implications in Hong Kong secondary education. Economics of Education Review, 38, 24–37. https://doi.org/10.1016/j.econedurev.2013.10.002

Bridge

J. A.

Goldstein

T. R.

Brent

D. A.

(2006). Adolescent suicide and suicidal behavior. Journal of Child Psychology and Psychiatry and Allied Disciplines, 47(3–4), 372–394. https://doi.org/10.1111/j.1469-7610.2006.01615.x

Buchmann

Condron

D. J.

Roscigno

V. J.

(2010). Shadow education, American style: Test preparation, the SAT and college enrollment. Social Forces, 89(2), 435–461. https://doi.org/10.1353/sof.2010.0105

10.

Carr

Wang

L. C.

2018. The effect of after-school classes on private tuition, mental health and academic outcomes: Evidence from Korea. Sociology, 52(5), 877–897. https://doi:10.1177/0038038516677219

11.

Chaput

J.-P.

Gray

C. E.

Poitras

V. J.

Carson

Gruber

Olds

Weiss

S. K.

Connor Gorber

Kho

M. E.

Sampson

(2016). Systematic review of the relationships between sleep duration and health indicators in school-aged children and youth. Applied Physiology, Nutrition, and Metabolism, 41(6), S266–S282. https://doi.org/10.1139/apnm-2015-0627

12.

Chen

S. Y.

(2009). After-school time use in Taiwan: Effects on educational achievement and well-being. Adolescence, 44(176), 891–909.

13.

Choi

(2016). Regulating private tutoring consumption in Korea: Lessons from another failure. International Journal of Educational Development, 49, 144–156. https://doi.org/10.1016/j.ijedudev.2016.03.002

14.

Cosma

Stevens

Martin

Duinhof

E. L.

Walsh

S. D.

Garcia-Moya

Költő

Gobina

Canale

Catunda

Inchley

de Looze

(2020). Cross-national time trends in adolescent mental well-being from 2002 to 2018 and the explanatory role of schoolwork pressure. Journal of Adolescent Health, 66(6, Suppl), S50–S58. https://doi.org/10.1016/j.jadohealth.2020.02.010

15.

(2024). Shadow education in shadow: Parental education and children’s shadow education participation before and during COVID-19. British Journal of Sociology of Education, 45(3), 420–439. https://doi.org/10.1080/01425692.2024.2328133

16.

(2020). Effect of socioeconomic status on children’s psychological well-being in China: The mediating role of family social capital. Journal of Health Psychology, 25(8), 1118–1127. https://doi.org/10.1177/1359105317750462

17.

Goldstein

A. N.

Walker

M. P.

(2014). The role of sleep in emotional brain function. Annual Review of Clinical Psychology, 10, 679–708. https://doi.org/10.1146/annurev-clinpsy-032813-153716

18.

(2020). Some time is better spent than other time: Chinese adolescents’ time use and developmental outcomes. Child Indicators Research, 13(5), 1739–1765. https://doi.org/10.1007/s12187-020-09718-8

19.

Jane Costello

Erkanli

Angold

. (2006). Is there an epidemic of child or adolescent depression? Journal of Child Psychology and Psychiatry, 47(12), 1263–1271. https://doi.org/10.1111/j.1469-7610.2006.01682.x

20.

Jiang

Fang

(2018). Socioeconomic status and children’s mental health: Understanding the mediating effect of social relations in Mainland China. Journal of Community Psychology, 46(2), 213–223. https://doi.org/10.1002/jcop.21934

21.

Kessel Schneider

O’Donnell

Smith

. (2015). Trends in cyberbullying and school bullying victimization in a regional census of high school students, 2006-2012. Journal of School Health, 85(9), 611–620. https://doi.org/10.1111/josh.12290

22.

Keyes

K. M.

Gary

O’Malley

P. M.

Hamilton

Schulenberg

(2019). Recent increases in depressive symptoms among US adolescents: Trends from 1991 to 2018. Social Psychiatry and Psychiatric Epidemiology, 54(8), 987–996. https://doi.org/10.1007/s00127-019-01697-8

23.

Kuan

P.-Y.

(2018). Effects of cram schooling on academic achievement and mental health of junior high students in Taiwan. Chinese Sociological Review, 50(4), 391–422. https://doi.org/10.1080/21620555.2018.1526069

24.

Liu

(2022). “Melancholic children”: Does cram school participation lead to negative emotions? Causal inference based on Chinese Education Panel Survey (CEPS) data [in Chinese]. Chinese Journal of Sociology, 42(2), 60–93.

25.

Lin

Zhang

(2006). Educational expansion and shortages in secondary schools in China: The bottle neck syndrome. Journal of Contemporary China, 15(47), 255–274. https://doi.org/10.1080/10670560500534889

26.

Liu

(2012). Chinese high school students’ academic stress and depressive symptoms: Gender and school climate as moderators. Stress and Health, 28(4), 340–346. https://doi.org/10.1002/smi.2418

27.

Marquez

Long

(2021). A global decline in adolescents’ subjective well-being: A comparative study exploring patterns of change in the life satisfaction of 15-year-old students in 46 countries. Child Indicators Research, 14(3), 1251–1292. https://doi.org/10.1007/s12187-020-09788-8

28.

Melvin

G. A.

Dudley

A. L.

Gordon

M. S.

Ford

Taffe

Tonge

B. J.

(2013). What happens to depressed adolescents? A follow-up study into early adulthood. Journal of Affective Disorders, 151(1), 298–305. https://doi.org/10.1016/j.jad.2013.06.012

29.

Merikangas

A. K.

Mendola

Pastor

P. N.

Reuben

C. A.

Cleary

S. D.

(2012). The association between major depressive disorder and obesity in US adolescents: Results from the 2001–2004 National Health and Nutrition Examination Survey. Journal of Behavioral Medicine, 35(2), 149–154. https://doi.org/10.1007/s10865-011-9340-x

30.

Mojtabai

Olfson

Han

(2016). National trends in the prevalence and treatment of depression in adolescents and young adults. Pediatrics, 138(6), Article e20161878. https://doi.org/10.1542/peds.2016-1878

31.

Morgan

I. G.

Jan

C. L.

(2022). China turns to school reform to control the myopia epidemic: A narrative review. The Asia-Pacific Journal of Ophthalmology, 11(1), 27–35. https://doi.org/10.1097/apo.0000000000000489

32.

Noh

J.-W.

Kim

Cheon

Lee

Kwon

Y. D.

(2020). Relationships between extra-school tutoring time, somatic symptoms, and sleep duration of adolescent students: A panel analysis using data from the Korean children and youth panel survey. International Journal of Environmental Research and Public Health, 17(21), Article 8037. https://doi:10.3390/ijerph17218037

33.

Park

Buchmann

Choi

Merry

J. J.

(2016). Learning beyond the school walls: Trends and implications. Annual Review of Sociology, 42(1), 231–252. https://doi.org/10.1146/annurev-soc-081715-074341

34.

Park

Byun

S.-y.

Kim

K.-k.

(2011). Parental involvement and students’ cognitive outcomes in Korea: Focusing on private tutoring. Sociology of Education, 84(1), 3–22. https://doi.org/10.1177/0038040710392719

35.

Patalay

Gage

S. H.

(2019). Changes in millennial adolescent mental health and health-related behaviours over 10 years: A population cohort comparison study. International Journal of Epidemiology, 48(5), 1650–1664. https://doi.org/10.1093/ije/dyz006

36.

Radloff

L. S.

(1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401. https://doi.org/10.1177/014662167700100306

37.

Roberts

R. E.

Duong

H. T.

(2013). Obese youths are not more likely to become depressed, but depressed youths are more likely to become obese. Psychological Medicine, 43(10), 2143–2151. https://doi.org/10.1017/S0033291712002991

38.

Roberts

R. E.

Duong

H. T.

(2014). The prospective association between sleep deprivation and depression among adolescents. Sleep, 37(2), 239–244. https://doi.org/10.5665/sleep.3388

39.

Roberts

R. E.

Roberts

C. R.

Chen

I. G.

(2001). Functioning of adolescents with symptoms of disturbed sleep. Journal of Youth and Adolescence, 30(1), 1–18. https://doi.org/10.1023/A:1005230820074

40.

Sobel

M. E.

(1982). Asymptotic confidence intervals for indirect effects in structural equation models. Sociological Methodology, 13, 290–312. https://doi.org/10.2307/270723

41.

Stevenson

D. L.

Baker

D. P.

(1992). Shadow education and allocation in formal schooling: Transition to university in Japan. American Journal of Sociology, 97(6), 1639–1657. https://doi.org/10.1086/229942

42.

Sun

Shafiq

M. N.

McClure

Guo

(2020). Are there educational and psychological benefits from private supplementary tutoring in Mainland China? Evidence from the China education panel survey, 2013–15. International Journal of Educational Development, 72, Article 102144. https://doi.org/10.1016/j.ijedudev.2019.102144

43.

Tang

Ren

Wong

D. F. K.

(2019). Prevalence of depressive symptoms among adolescents in secondary school in mainland China: A systematic review and meta-analysis. Journal of Affective Disorders, 245, 498–507. https://doi.org/10.1016/j.jad.2018.11.043

44.

Tang

Ren

Wong

D. F. K.

(2020). Psychosocial risk factors associated with depressive symptoms among adolescents in secondary schools in mainland china: A systematic review and meta-analysis. Journal of Affective Disorders, 263, 155–165. https://doi.org/10.1016/j.jad.2019.11.118

45.

Twenge

J. M.

Joiner

T. E.

Rogers

M. L.

Martin

G. N.

(2018). Increases in depressive symptoms, suicide-related outcomes, and suicide rates among U.S. adolescents after 2010 and links to increased new media screen time. Clinical Psychological Science, 6(1), 3–17. https://doi.org/10.1177/2167702617723376

46.

van Vuuren

C. L.

Uitenbroek

D. G.

van der Wal

M. F.

Chinapaw

M. J. M

. (2018). Sociodemographic differences in 10-year time trends of emotional and behavioural problems among adolescents attending secondary schools in Amsterdam, The Netherlands. European Child and Adolescent Psychiatry, 27(12), 1621–1631. https://doi.org/10.1007/s00787-018-1157-5

47.

Wang

Chen

X.-Y.

Liu

Fan

(2022). Has the “double reduction” policy relieved stress? A follow-up study on Chinese adolescents. Child and Adolescent Psychiatry and Mental Health, 16(1), 91. https://doi.org/10.1186/s13034-022-00530-6

48.

Weissman

M. M.

Wolk

Goldstein

R. B.

Moreau

Adams

Greenwald

Klier

C. M.

Ryan

N. D.

Dahl

R. E.

Wickramaratne

(1999). Depressed adolescents grown up. JAMA, 281(18), 1707–1713. https://doi.org/10.1001/jama.281.18.1707

49.

& Zhang

. (2010). Changes in educational inequality in China, 1990–2005: Evidence from the population census data. In Hannum

Park

Goto Butler

(Eds.), Globalization, changing demographics, and educational challenges in East Asia (Vol. 17, pp. 123–152). Emerald Group Publishing Limited. https://doi.org/10.1108/S1479-3539(2010)0000017007

50.

Zhang

Dronkers

(2018). Not a zero-sum game: Migration and child well-being in contemporary China. Demographic Research, 38, 691–726. https://doi.org/10.4054/DemRes.2018.38.26

51.

Xue

Ding

(2009). A study on additional instruction for students in cities and towns in China. Educational Research, 30(1), 39–46.

52.

(2015). Key-point schools and entry into tertiary education in China. Chinese Sociological Review, 47(2), 128–153. https://doi.org/10.1080/21620555.2014.990321

53.

Young

N. A. E.

Hannum

E. C.

(2018). Childhood inequality in China: Evidence from recent survey data (2012–2014). The China Quarterly, 236, 1063–1087. https://doi.org/10.1017/S0305741018001303

54.

Zhang

Paksarian

Lamers

Hickie

I. B.

Merikangas

K. R.

(2017). Sleep patterns and mental health correlates in US adolescents. The Journal of Pediatrics, 182, 137–143. https://doi.org/10.1016/j.jpeds.2016.11.007

55.

Zhang

Gao

(2022). Competition and game: The academic returns and mental health costs of private tutoring. Chinese Journal of Sociology, 42(3), 159–194. https://doi.org/10.1177/2057150X231165143

56.

Zhang

(2018). Private tutoring, students’ cognitive ability and school engagement, and the formal schooling context: Evidence from middle school students in China. Chinese Journal of Sociology, 4(2), 277–298. https://doi.org/10.1177/2057150X18764859

57.

Zhang

Xie

(2016). Family background, private tutoring, and children’s educational performance in contemporary China. Chinese Sociological Review, 48(1), 64–82. https://doi.org/10.1080/21620555.2015.1096193

58.

Zhao

Xue

H.-p.

(2018). The influence of participation in private supplementary tutoring on sleep time of junior middle school students in China. Journal of Schooling Studies, 15(6), 62–74.

59.

Zheng

Wang

Shen

Fang

(2020). Associations of private tutoring with Chinese students’ academic achievement, emotional well-being, and parent-child relationship. Children and Youth Services Review, 112, Article 104934. https://doi.org/10.1016/j.childyouth.2020.104934