Evidence Base Update on Assessing Sleep in Youth

Meter, Anna Van; Anderson, Ellen

doi:10.1080/15374416.2020.1802735

Cited by 12 publications

(5 citation statements)

References 337 publications

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“…Thus, research with these measures may not accurately assess the link between sleep problems and STBs and, given the decreased specificity, may be limited in their treatment utility. Alternatively, there are a range of measures and methods that can more comprehensively assess the nature of sleep disturbance (Van Meter & Anderson, 2020). In terms of subjective (self-report) assessment tools, there are well-validated self-report scales that better assess the multidimensional nature of sleep problems over intervals of 2–4 weeks (e.g., seven-item Insomnia Severity Index [ISI; Bastien, Vallières, & Morin, 2001] and 19-item Pittsburgh Sleep Quality Index [PSQI; Buysse, Reynolds, Monk, Berman, & Kupfer, 1989]).…”

Section: Limitations Of Prior Research On Sleep Problems and Suicidal Thoughts And Behaviorsmentioning

confidence: 99%

Sleep problems predict next-day suicidal thinking among adolescents: A multimodal real-time monitoring study following discharge from acute psychiatric care

et al. 2021

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Suicidal thoughts and behaviors (STBs) are major public health concerns among adolescents, and research is needed to identify how risk is conferred over the short term (hours and days). Sleep problems may be associated with elevated risk for STBs, but less is known about this link in youth over short time periods. The current study utilized a multimodal real-time monitoring approach to examine the association between sleep problems (via daily sleep diary and actigraphy) and next-day suicidal thinking in 48 adolescents with a history of STBs during the month following discharge from acute psychiatric care. Results indicated that specific indices of sleep problems assessed via sleep diary (i.e., greater sleep onset latency, nightmares, ruminative thoughts before sleep) predicted next-day suicidal thinking. These effects were significant even when daily sadness and baseline depression were included in the models. Moreover, several associations between daily-level sleep problems and next-day suicidal thinking were moderated by person-level measures of the construct. In contrast, sleep indices assessed objectively (via actigraphy) were either not related to suicidal thinking or were related in the opposite direction from hypothesized. Together, these findings provide some support for sleep problems as a short-term risk factor for suicidal thinking in high-risk adolescents.

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Section: Limitations Of Prior Research On Sleep Problems and Suicidal Thoughts And Behaviorsmentioning

confidence: 99%

Sleep problems predict next-day suicidal thinking among adolescents: A multimodal real-time monitoring study following discharge from acute psychiatric care

et al. 2021

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“…Although youth are considered reliable reporters of their own mental health symptoms (e.g., Ebesutani et al, 2011), future should consider irritability and sleep disturbances using multiple informants (e.g., parent/caregiver and teacher report) or multimethod approaches, including objective or physiological measurements. This may be particularly important for sleep variables, as some literature has found poor agreement between subjective sleep ratings and objective actigraphy measurements (Girschik et al, 2012; Goelema et al, 2019); however, youth self-report measures of sleep have still been implemented in clinical research settings and are thought to be feasible alternatives to objective measurement of sleep in youth when physiological measurement is not possible (Van Meter & Anderson, 2020).…”

Section: Discussionmentioning

confidence: 99%

Toward greater specificity in the nonspecific: Estimating the prevalence of diagnostic irritability and sleep symptoms in adolescents.

Karlovich,

Shaughnessy,

Simmons

et al. 2023

Journal of Psychopathology and Clinical Science

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The Diagnostic and Statistical Manual of Mental Disorders (DSM) descriptive criterial approach to diagnosis has been criticized for contributing to comorbidity, heterogeneity within conditions, and nonspecificity across conditions. Much research has examined comorbidity and heterogeneity, but less is known about nonspecificity. Here, we examined two nonspecific symptoms: irritability and sleep disturbance. Both are common, clinically significant, and appear in several DSM disorder criteria sets, but their transdiagnostic prevalence is unknown. Leveraging a nationally representative epidemiological study of adolescents (n = 10,148; ages = 13-18), we first identified all instances where irritability or sleep disturbance appears in DSM-5-TR criteria for bipolar, depressive, anxiety, traumatic stress, or disruptive/impulse-control disorders; then found their DSM-IV equivalents in study variables; and finally estimated their prevalence individually and cumulatively across categories. Weighted lifetime prevalence estimates were 79.5% (95% CI [77.8, 81.2]) for irritability and 60. 8% [58.7, 62.9] for sleep disturbance. Associations with age and gender were significant but small. Most youth reported multiple symptoms of irritability (weighted M = 3.04, Mdn = 2) and at least one symptom of sleep disturbance (weighted M = 1.61, Mdn = 1). Both problems were extremely common among individuals with specific disorders but were underestimated by the criteria for those conditions. Results suggest that the high prevalence of DSM-defined irritability and sleep problems may be obfuscated by these symptoms being scattered across diagnostic entities. There is a need for more research on assessing, treating, and understanding problems related to irritability and sleep in their own right, cutting across, rather than confined to, particular diagnoses.

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“…The HSDQ was developed by Kerkhof and colleagues (2013) for the screening of sleep disorders in concordance with the criteria of the International Classification of Sleep Disorders (ICSD-2) in adults aged 18–70 years old [ 38 ]. We used the HSDQ for our complete sample, since the HSDQ has also been previously used in various adolescent Dutch samples [ 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 ] and broad screening measures for sleep disorders developed for adolescents aged 12 years and above are scarce [ 48 , 49 ]. It consists of 32 items in which sleep symptoms are rated over the past three months on a five-point scale (1 = “not at all applicable” to 5 = “applicable”).…”

Section: Methodsmentioning

confidence: 99%

Prevalence of Sleep Disorders, Risk Factors and Sleep Treatment Needs of Adolescents and Young Adult Childhood Cancer Patients in Follow-Up after Treatment

Peersmann

Grootenhuis

Straten

et al. 2022

Cancers

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Background: Sleep disorders negatively impact adolescent and young adult childhood cancer patients’ physical and psychosocial health. Early recognition improves timely treatment. We therefore studied the prevalence of subjective sleep disorders, risk factors and sleep treatment needs after completion of childhood cancer treatment. Methods: Childhood cancer patients (12–26 years old), ≥6 months after treatment, were invited to fill out the Holland Sleep Disorders Questionnaire, which distinguishes six sleep disorders in substantial agreement with the International Classification of Sleep Disorders, second edition (ICSD-2). They additionally indicated sleep treatment needs. Prevalence rates and needs were displayed in percentages. Logistic regression models were used for risk factors. Results: 576 patients participated (response rate 55.8%)—49.5% females, mean age 17.0 years, 44.4% hemato-oncology, 31.9% solid tumors, 23.6% neuro-oncology. Prevalence rates were: insomnia (9.6%), circadian rhythm sleep disorder (CRSD; 8.1%), restless legs syndrome (7.6%), parasomnia (3.5%), hypersomnia (3.5%) and sleep-related breathing disorders (1.8%). Female sex, comorbid health conditions and young adulthood seem to be risk factors for sleep disorders, but cancer-related factors were not. Differing per sleep disorder, 42–72% wanted help, but only 0–5.6% received sleep treatment. Conclusions: Insomnia and CRSD were most prevalent. An unmet need for sleep treatment was reported by childhood cancer patients during follow-up. Screening for sleep disorders after cancer might improve access to treatment and patient wellbeing.

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Evidence Base Update on Assessing Sleep in Youth

Cited by 12 publications

References 337 publications

Sleep problems predict next-day suicidal thinking among adolescents: A multimodal real-time monitoring study following discharge from acute psychiatric care

Sleep problems predict next-day suicidal thinking among adolescents: A multimodal real-time monitoring study following discharge from acute psychiatric care

Toward greater specificity in the nonspecific: Estimating the prevalence of diagnostic irritability and sleep symptoms in adolescents.

Prevalence of Sleep Disorders, Risk Factors and Sleep Treatment Needs of Adolescents and Young Adult Childhood Cancer Patients in Follow-Up after Treatment

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