Altanzul Narmandakh1, Annelieke M Roest2, Peter de Jonge2, Albertine J Oldehinkel3. 1. Interdisciplinary Center Psychopathology and Emotion Regulation, Department of Psychiatry, University Medical Center of Groningen, University of Groningen, the Netherlands. Electronic address: a.narmandakh@umcg.nl. 2. Interdisciplinary Center Psychopathology and Emotion Regulation, Department of Developmental Psychology, University of Groningen, the Netherlands. 3. Interdisciplinary Center Psychopathology and Emotion Regulation, Department of Psychiatry, University Medical Center of Groningen, University of Groningen, the Netherlands.
Abstract
BACKGROUND: Previous studies have suggested a bidirectional association between sleep problems and anxiety symptoms in adolescents. These studies used methods that do not separate between-person effects from within-person effects, and therefore their conclusions may not pertain to within-person mutual influences of sleep and anxiety. We examined bidirectional associations between sleep problems and anxiety during adolescence and young adulthood while differentiating between person effects from within-person effects. METHODS: Data came from the Dutch TRacking Adolescents' Individual Lives Survey (TRAILS), a prospective cohort study including six waves of data spanning 15 years. Young adolescents (N = 2230, mean age at baseline 11.1 years) were followed every 2-3 years until young adulthood (mean age 25.6 years). Sleep problems and anxiety symptoms were measured by the Youth Self-Report, Adult Self-Report and Nottingham Health Profile. Temporal associations between sleep and anxiety were investigated using the random intercept cross-lagged panel model. RESULTS: Across individuals, sleep problems were significantly associated with (β = 0.60, p < 0.001). At the within-person level, there were significant cross-sectional associations between sleep problems and anxiety symptoms at all waves (β = 0.12-0.34, p < 0.001). In addition, poor sleep predicted greater anxiety symptoms between the first and second, and between the third and fourth assessment wave. The reverse association was not statistically significant. CONCLUSIONS: Within-person associations between sleep problems and anxiety are considerably weaker than between-person associations. Yet, our findings tentatively suggest that poor sleep, especially during early and mid-adolescence, may precede anxiety symptoms, and that anxiety might be prevented by alleviating sleep problems in young adolescents.
BACKGROUND: Previous studies have suggested a bidirectional association between sleep problems and anxiety symptoms in adolescents. These studies used methods that do not separate between-person effects from within-person effects, and therefore their conclusions may not pertain to within-person mutual influences of sleep and anxiety. We examined bidirectional associations between sleep problems and anxiety during adolescence and young adulthood while differentiating between person effects from within-person effects. METHODS: Data came from the Dutch TRacking Adolescents' Individual Lives Survey (TRAILS), a prospective cohort study including six waves of data spanning 15 years. Young adolescents (N = 2230, mean age at baseline 11.1 years) were followed every 2-3 years until young adulthood (mean age 25.6 years). Sleep problems and anxiety symptoms were measured by the Youth Self-Report, Adult Self-Report and Nottingham Health Profile. Temporal associations between sleep and anxiety were investigated using the random intercept cross-lagged panel model. RESULTS: Across individuals, sleep problems were significantly associated with (β = 0.60, p < 0.001). At the within-person level, there were significant cross-sectional associations between sleep problems and anxiety symptoms at all waves (β = 0.12-0.34, p < 0.001). In addition, poor sleep predicted greater anxiety symptoms between the first and second, and between the third and fourth assessment wave. The reverse association was not statistically significant. CONCLUSIONS: Within-person associations between sleep problems and anxiety are considerably weaker than between-person associations. Yet, our findings tentatively suggest that poor sleep, especially during early and mid-adolescence, may precede anxiety symptoms, and that anxiety might be prevented by alleviating sleep problems in young adolescents.
Authors: Lourdes Ezpeleta; José Blas Navarro; Núria de la Osa; Esther Trepat; Eva Penelo Journal: Int J Environ Res Public Health Date: 2020-10-07 Impact factor: 3.390
Authors: Tomás Caycho-Rodríguez; José Ventura-León; Pablo D Valencia; Lindsey W Vilca; Carlos Carbajal-León; Mario Reyes-Bossio; Mariel Delgado-Campusano; Claudio Rojas-Jara; Roberto Polanco-Carrasco; Miguel Gallegos; Mauricio Cervigni; Pablo Martino; Diego Alejandro Palacios; Rodrigo Moreta-Herrera; Antonio Samaniego-Pinho; Marlon Elías Lobos Rivera; Andrés Buschiazzo Figares; Diana Ximena Puerta-Cortés; Ibraín Enrique Corrales-Reyes; Raymundo Calderón; Bismarck Pinto Tapia; Walter L Arias Gallegos; Olimpia Petzold Journal: Curr Psychol Date: 2022-09-07