BACKGROUND: Sleep disturbances are both common and well-characterized in adults with alcohol use disorders (AUDs), but have received little study in adolescents with AUDs. Furthermore, a handful of studies suggest that sleep complaints are a risk factor for AUDs. However, no published studies have yet examined the longitudinal course of sleep complaints in adolescents with AUDs; in particular, it remains unclear how persistent AUD-associated sleep complaints are in this age group, and what types of sleep complaints are most relevant to alcohol-use symptoms. We investigated these questions in a 5-year longitudinal study of adolescents with and without AUDs at baseline. METHODS: Participants were 696 adolescents (age 12 to 19) from a longitudinal study at the Pittsburgh Adolescent Alcohol Research Center. At baseline, 347 participants had a current AUD (AUD+), while 349 had no current or past AUD (AUD-). We examined sleep and alcohol involvement at baseline as well as 1-, 3-, and 5-year follow-up visits. Sleep variables included self-reported insomnia and hypersomnia, as well as variability in weekday-weekend sleep duration, all at baseline. Covariates included sex, age, current alcohol symptoms, and depression severity. RESULTS: The AUD+ group reported more overall sleep disturbance at baseline, including greater insomnia and hypersomnia complaints, and greater variability in weekday-weekend sleep duration. Group differences in insomnia and hypersomnia complaints persisted to the 5- and 3-year follow-ups, respectively. In the AUD- group, greater insomnia complaints at baseline predicted an increase in alcohol symptoms at the 1-year follow-up, while greater variability in sleep duration at baseline predicted an increase in alcohol symptoms at the 3- and 5-year follow-ups. CONCLUSIONS: These results complement previous findings in other samples, indicating that insomnia and other sleep problems are a chronic predicament for adolescents with AUDs. The findings also suggest that sleep disturbances may place adolescents without AUDs at an elevated risk of developing alcohol problems.
BACKGROUND:Sleep disturbances are both common and well-characterized in adults with alcohol use disorders (AUDs), but have received little study in adolescents with AUDs. Furthermore, a handful of studies suggest that sleep complaints are a risk factor for AUDs. However, no published studies have yet examined the longitudinal course of sleep complaints in adolescents with AUDs; in particular, it remains unclear how persistent AUD-associated sleep complaints are in this age group, and what types of sleep complaints are most relevant to alcohol-use symptoms. We investigated these questions in a 5-year longitudinal study of adolescents with and without AUDs at baseline. METHODS:Participants were 696 adolescents (age 12 to 19) from a longitudinal study at the Pittsburgh Adolescent Alcohol Research Center. At baseline, 347 participants had a current AUD (AUD+), while 349 had no current or past AUD (AUD-). We examined sleep and alcohol involvement at baseline as well as 1-, 3-, and 5-year follow-up visits. Sleep variables included self-reported insomnia and hypersomnia, as well as variability in weekday-weekend sleep duration, all at baseline. Covariates included sex, age, current alcohol symptoms, and depression severity. RESULTS: The AUD+ group reported more overall sleep disturbance at baseline, including greater insomnia and hypersomnia complaints, and greater variability in weekday-weekend sleep duration. Group differences in insomnia and hypersomnia complaints persisted to the 5- and 3-year follow-ups, respectively. In the AUD- group, greater insomnia complaints at baseline predicted an increase in alcohol symptoms at the 1-year follow-up, while greater variability in sleep duration at baseline predicted an increase in alcohol symptoms at the 3- and 5-year follow-ups. CONCLUSIONS: These results complement previous findings in other samples, indicating that insomnia and other sleep problems are a chronic predicament for adolescents with AUDs. The findings also suggest that sleep disturbances may place adolescents without AUDs at an elevated risk of developing alcohol problems.
Authors: Alpar S Lazar; Nayantara Santhi; Sibah Hasan; June C-Y Lo; Jonathan D Johnston; Malcolm Von Schantz; Simon N Archer; Derk-Jan Dijk Journal: J Sleep Res Date: 2012-12-06 Impact factor: 3.981
Authors: Sairam Parthasarathy; Mary A Carskadon; Girardin Jean-Louis; Judith Owens; Adam Bramoweth; Daniel Combs; Lauren Hale; Elizabeth Harrison; Chantelle N Hart; Brant P Hasler; Sarah M Honaker; Elisabeth Hertenstein; Samuel Kuna; Clete Kushida; Jessica C Levenson; Caitlin Murray; Allan I Pack; Vivek Pillai; Kristi Pruiksma; Azizi Seixas; Patrick Strollo; Saurabh S Thosar; Natasha Williams; Daniel Buysse Journal: Sleep Date: 2016-12-01 Impact factor: 5.849
Authors: Brant P Hasler; Peter L Franzen; Massimiliano de Zambotti; Devin Prouty; Sandra A Brown; Susan F Tapert; Adolf Pfefferbaum; Kilian M Pohl; Edith V Sullivan; Michael D De Bellis; Bonnie J Nagel; Fiona C Baker; Ian M Colrain; Duncan B Clark Journal: Alcohol Clin Exp Res Date: 2017-05-29 Impact factor: 3.455
Authors: Lisa M Fucito; Krysten W Bold; Eliza Van Reen; Nancy S Redeker; Stephanie S O'Malley; Tess H Hanrahan; Kelly S DeMartini Journal: J Abnorm Psychol Date: 2017-11-27
Authors: Denise L Haynie; Daniel Lewin; Jeremy W Luk; Leah M Lipsky; Fearghal O'Brien; Ronald J Iannotti; Danping Liu; Bruce G Simons-Morton Journal: Sleep Date: 2018-02-01 Impact factor: 5.849
Authors: Mackenzie J Lind; Allison Baylor; Cassie M Overstreet; Sage E Hawn; Bruce D Rybarczyk; Kenneth S Kendler; Danielle M Dick; Ananda B Amstadter Journal: Sleep Med Date: 2017-03-18 Impact factor: 3.492
Authors: Ryan W Logan; Brant P Hasler; Erika E Forbes; Peter L Franzen; Mary M Torregrossa; Yanhua H Huang; Daniel J Buysse; Duncan B Clark; Colleen A McClung Journal: Biol Psychiatry Date: 2017-12-15 Impact factor: 13.382
Authors: Thomas B Mike; Daniel S Shaw; Erika E Forbes; Stephanie L Sitnick; Brant P Hasler Journal: Drug Alcohol Depend Date: 2016-09-19 Impact factor: 4.492