Sanne Verkooijen1, Nelleke de Vos2, Betty J W Bakker-Camu2, Susan J T Branje3, René S Kahn4, Roel A Ophoff5, Carolien M Plevier2, Marco P M Boks6. 1. Department of Psychiatry, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands. Electronic address: m.p.m.boks@umcutrecht.nl. 2. Community Health Service Greater Utrecht Area (GGD Region Utrecht), Zeist, The Netherlands. 3. Research Center Adolescent Development, Utrecht University, Utrecht, The Netherlands. 4. Department of Psychiatry, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands; Department of Psychiatry, Icahn School of Medicine, Mount Sinai, New York, NY. 5. Department of Psychiatry, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands; Center for Neurobehavioral Genetics, University of California, Los Angeles, Calif. 6. Department of Psychiatry, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands.
Abstract
OBJECTIVE: To investigate the prevalence of adolescent sleep disturbances and their relation to psychosocial difficulties and health risk behaviors with the use of data from a province-wide health survey (n = 16,781). METHODS: Psychosocial difficulties were measured with the Strength and Difficulties Questionnaire. Additional assessments included self-reported sleep disturbances, suicidality, and health risk behaviors including current use of tobacco, alcohol, and drugs, physical inactivity, and compulsive use of multimedia. We used multilevel analyses to investigate the relationhips, including differences, between boys and girls, as well as the mediating role of emotional problems. RESULTS: Just under 20% of adolescents reported sleep disturbances in the previous month. These sleep disturbances were associated with psychosocial problems (odds ratio [OR], 6.42; P < .001), suicidality (OR, 3.90-4.14; P < .001), and all health risk behaviors (OR, 1.62-2.66; P < .001), but not with physical inactivity. We found moderation by gender for the relations between sleep and suicide attempts (OR, 0.38; P < .002) and between sleep and cannabis use (OR, 0.52; P = .002), indicating attenuated relationships in girls compared with boys. Emotional problems partially mediated the relationships between sleep disturbances and multimedia use. CONCLUSIONS: This study reiterates the high prevalence of sleep disturbances during adolescence. These sleep disturbances were strongly related to psychosocial problems and a wide range of health risk behaviors. Although the direction of causality cannot be inferred, this study emphasizes the need for awareness of impaired sleep in adolescents. Moreover, the gender differences in associated suicide attempts and cannabis use call for further research into tailored intervention strategies.
OBJECTIVE: To investigate the prevalence of adolescent sleep disturbances and their relation to psychosocial difficulties and health risk behaviors with the use of data from a province-wide health survey (n = 16,781). METHODS:Psychosocial difficulties were measured with the Strength and Difficulties Questionnaire. Additional assessments included self-reported sleep disturbances, suicidality, and health risk behaviors including current use of tobacco, alcohol, and drugs, physical inactivity, and compulsive use of multimedia. We used multilevel analyses to investigate the relationhips, including differences, between boys and girls, as well as the mediating role of emotional problems. RESULTS: Just under 20% of adolescents reported sleep disturbances in the previous month. These sleep disturbances were associated with psychosocial problems (odds ratio [OR], 6.42; P < .001), suicidality (OR, 3.90-4.14; P < .001), and all health risk behaviors (OR, 1.62-2.66; P < .001), but not with physical inactivity. We found moderation by gender for the relations between sleep and suicide attempts (OR, 0.38; P < .002) and between sleep and cannabis use (OR, 0.52; P = .002), indicating attenuated relationships in girls compared with boys. Emotional problems partially mediated the relationships between sleep disturbances and multimedia use. CONCLUSIONS: This study reiterates the high prevalence of sleep disturbances during adolescence. These sleep disturbances were strongly related to psychosocial problems and a wide range of health risk behaviors. Although the direction of causality cannot be inferred, this study emphasizes the need for awareness of impaired sleep in adolescents. Moreover, the gender differences in associated suicide attempts and cannabis use call for further research into tailored intervention strategies.
Authors: Brant P Hasler; Jessica L Graves; Meredith L Wallace; Stephanie Claudatos; Peter L Franzen; Kate B Nooner; Sandra A Brown; Susan F Tapert; Fiona C Baker; Duncan B Clark Journal: Alcohol Clin Exp Res Date: 2022-05-17 Impact factor: 3.928
Authors: Luyao Xiao; Sheng Zhang; Wenyan Li; Ruipeng Wu; Wanxin Wang; Tian Wang; Lan Guo; Ciyong Lu Journal: Int J Environ Res Public Health Date: 2019-12-06 Impact factor: 3.390
Authors: Zuzana Dankulincova Veselska; Daniela Husarova; Michaela Kosticova Journal: Int J Environ Res Public Health Date: 2021-06-04 Impact factor: 3.390
Authors: Alessandro Andreucci; Paul Campbell; Lisa K Mundy; Susan M Sawyer; Silja Kosola; George C Patton; Kate M Dunn Journal: Eur J Pediatr Date: 2020-05-12 Impact factor: 3.183
Authors: Jojanneke A M C van Kooten; Caroline B Terwee; Michiel A J Luijten; Lindsay M H Steur; Sigrid Pillen; Nicole G J Wolters; Gertjan J L Kaspers; Raphaële R L van Litsenburg Journal: J Sleep Res Date: 2020-03-16 Impact factor: 3.981