Mari Hysing1,2, Allison G Harvey3, Kjell Morten Stormark1, Ståle Pallesen2,4, Børge Sivertsen5,6,7. 1. The Regional Centre for Child and Youth Mental Health and Child Welfare, Uni Research Health, Bergen, Norway. 2. Department of Psychosocial Science, University of Bergen, Bergen, Norway. 3. Department of Psychology, University of California, Berkeley, CA. 4. Norwegian Competence Center for Sleep Disorders, Haukeland University Hospital, Bergen, Norway. 5. Department of Health Promotion, Norwegian Institute of Public Health, Bergen, Norway. 6. Department of Research & Innovation, Helse Fonna HF, Haugesund, Norway. 7. Department of Mental Health, Norwegian University of Science and Technology, Trondheim, Norway.
Abstract
Study Objective: The aim of this study was to assess sleep behavior, sleep problems and mental health in childhood as possible candidate precursors for the development of delayed sleep phase (DSP) during adolescence. Methods: A longitudinal cohort study of 2200 children at age 7-9 (T1), 11-13 (T2), and 16-19 (T3) years. DSP was assessed at T3, and mental health problems by the Strength and Difficulties Questionnaire and time in bed and sleep problems at T1 and T2. Logistic regression analyses were used to examine associations between sleep and mental health at T1 and T2, and subsequent DSP at T3. Estimated marginal means were computed to compare mental health at T1 and T2 in adolescents with and without DSP. Results: Sleeping less than 9 hours per night at age 11-13 was significantly associated with DSP at 16-19 years (adjusted odds ratio = 3.37). Sleep problems at 11-13 years of age were more frequent among those who developed DSP compared to children who did not develop DSP (20% vs. 12%) but the results did not remain significant when controlling for early mental health problems. Sleep problems and mental health at 7-9 years of age was not related to later DSP. In the crude analyses, all Strengths and Difficulties Questionnaire (SDQ) subscales at 11-13 years was significantly associated with later DSP, but in the fully adjusted analysis, only the SDQ total score and hyperactivity subscale remained statistically significant. Conclusion: Children with DSP in adolescence possess identifiable risk indicators in childhood.
Study Objective: The aim of this study was to assess sleep behavior, sleep problems and mental health in childhood as possible candidate precursors for the development of delayed sleep phase (DSP) during adolescence. Methods: A longitudinal cohort study of 2200 children at age 7-9 (T1), 11-13 (T2), and 16-19 (T3) years. DSP was assessed at T3, and mental health problems by the Strength and Difficulties Questionnaire and time in bed and sleep problems at T1 and T2. Logistic regression analyses were used to examine associations between sleep and mental health at T1 and T2, and subsequent DSP at T3. Estimated marginal means were computed to compare mental health at T1 and T2 in adolescents with and without DSP. Results: Sleeping less than 9 hours per night at age 11-13 was significantly associated with DSP at 16-19 years (adjusted odds ratio = 3.37). Sleep problems at 11-13 years of age were more frequent among those who developed DSP compared to children who did not develop DSP (20% vs. 12%) but the results did not remain significant when controlling for early mental health problems. Sleep problems and mental health at 7-9 years of age was not related to later DSP. In the crude analyses, all Strengths and Difficulties Questionnaire (SDQ) subscales at 11-13 years was significantly associated with later DSP, but in the fully adjusted analysis, only the SDQ total score and hyperactivity subscale remained statistically significant. Conclusion: Children with DSP in adolescence possess identifiable risk indicators in childhood.
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