Regularity and Timing of Sleep Patterns and Behavioral Health Among Adolescents
| Autor: | Jessica R. Lunsford-Avery, Scott H. Kollins, Casey Keller, Richard J Chung, Matthew M. Engelhard, Ke Will Wang |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Sleep Wake Disorders Adolescent business.industry Actigraphy Sleep in non-human animals Article Fragmented sleep Sleep patterns Psychiatry and Mental health Sleep Initiation and Maintenance Disorders Intervention (counseling) Pediatrics Perinatology and Child Health Health care Developmental and Educational Psychology Humans Medicine Female Sleep business Psychosocial Clinical psychology Adolescent health |
| Zdroj: | J Dev Behav Pediatr |
| ISSN: | 0196-206X |
| DOI: | 10.1097/dbp.0000000000001013 |
| Popis: | OBJECTIVE Sleep is vital to supporting adolescent behavioral health and functioning; however, sleep disturbances remain under-recognized and undertreated in many health care settings. One barrier is the complexity of sleep, which makes it difficult for providers to determine which aspects-beyond sleep duration-may be most important to assess and treat to support adolescent health. This study examined associations between 2 sleep indices (regularity and timing) and adolescent behavioral health and functioning over and above the impact of shortened/fragmented sleep. METHOD Eighty-nine adolescents recruited from the community (mean age = 14.04, 45% female participants) completed 7 days/nights of actigraphy and, along with a parent/guardian, reported on behavioral health (internalizing and externalizing symptoms) and psychosocial functioning. Stepwise linear regressions examined associations between sleep timing and regularity and behavioral/functional outcomes after accounting for shortened/fragmented sleep. RESULTS Delayed sleep timing was associated with greater self-reported internalizing (F[6,82] = 11.57, p = 0.001) and externalizing (F[6,82] = 11.12, p = 0.001) symptoms after accounting for shortened/fragmented sleep. Irregular sleep was associated with greater self-reported and parent-reported externalizing symptoms (self: F[7,81] = 6.55, p = 0.01; parent: F[7,80] = 6.20, p = 0.01) and lower psychosocial functioning (self: F[7,81] = 6.03, p = 0.02; parent: F[7,78] = 3.99, p < 0.05) after accounting for both shortened/fragmented sleep and delayed sleep timing. CONCLUSION Sleep regularity and timing may be critical for understanding the risk of poor behavioral health and functional deficits among adolescents and as prevention and intervention targets. Future work should focus on developing and evaluating convenient, low-cost, and effective methods for addressing delayed and/or irregular adolescent sleep patterns in real-world health care settings. |
| Databáze: | OpenAIRE |
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