理解晚睡倾向与抑郁之间的联系：日间嗜睡和睡前唤醒在其中的连锁中介作用研究

The evening chronotype is consistently associated with depressive symptoms, but the underlying mechanisms remain unclear. This study examined whether daytime sleepiness and pre-sleep arousal mediate the relationship between eveningness and depressive symptoms in adults. In this cross-sectional study, 524 adults were recruited from community health centers in Indonesia using convenience sampling. Chronotype, daytime sleepiness, pre-sleep arousal, and depressive symptoms were assessed using the Morningness-Eveningness Questionnaire (MEQ), Epworth Sleepiness Scale (ESS), Pre-Sleep Arousal Scale (