principal component analysis (PCA) 95% bias-corrected confidence intervals (95% BC CI) 2 Abstract
PurposeThe aim of this study was to examine modifiable environmental contributors of shortened sleep duration in adolescents.
MethodWe assayed sleep duration over two weeks using actigraphy in a sample of 98 adolescents (ages 14-18, 51 female). Reports of adolescents setting their own bedtime and parental monitoring of bedtime were collected and, using principal components analysis, reduced to one factor representing bedtime autonomy. In a subsample of participants (n=63) frequency of nighttime cellphone use and reports of cellphone disruption were assessed and combined into a composite score of cellphone usage.
ResultsIncreasing age was associated with shorter total sleep duration, r(98)=-.28, p=.006. Age-related sleep duration was mediated by bedtime autonomy, abcs=-.11, 95% BC CI [-.2167, -.0370]. The effects of bedtime autonomy were moderated by nighttime cellphone use such that bedtime autonomy was most problematic for adolescents who used cellphones more frequently, B=-10.44, SE=4.64, 95% BC CI [-21.3749, -2.8139], compared to those who used cellphones less frequently, B=-1.94, SE=3.28, 95% BC CI [-9.8694, 3.6205].
ConclusionsAdolescence is characterized by insufficient sleep due to biological and environmental factors.Although age is frequently cited as an important element in declining sleep duration, our results suggest age may be a proxy for other co-occurring psychosocial changes during adolescence.3 These findings identify mechanisms by which parents and adolescents may help increase the amount of sleep adolescents achieve.