Pre-Sleep Arousal and Sleep Problems of Anxiety-Disordered Youth

Alfano, Candice A.; Piña, Armando; Zerr, Argero A.; Villalta, Ian K.

doi:10.1007/s10578-009-0158-5

Cited by 147 publications

(150 citation statements)

References 39 publications

(49 reference statements)

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“…The methods used may contribute to the results observed: some studies have shown that a greater number of sleep problems are revealed using child-reported (as against parent-reported) data [13,14] . Interestingly, this pattern appears to be reversed in clinical samples, with parents reporting more problems than the children themselves [2,15] .…”

Section: Methodological Issuesmentioning

confidence: 98%

“…Some studies use single-item measures. For instance, the children and adolescents investigated by Alfano and colleagues [2] were asked if they have 'trouble sleeping' and/or 'trouble waking in the morning'; or a longitudinal French cohort study where parents were asked, 'Does your child have sleep problems?' [10] .…”

Section: Methodological Issuesmentioning

confidence: 99%

“…In clinically anxious children, this proportion appears to be substantially higher: Alfano et al [2] reported that 85% of a sample of anxiety-disordered 7-14 year olds had clinically significant sleep disturbance scores.…”

Section: Introductionmentioning

confidence: 99%

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Anxiety Disorders and Sleep in Children and Adolescents

Willis

Gregory

2015

Sleep Medicine Clinics

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The Authors have nothing to disclose 3 SynopsisSleep problems are common in children and adolescents. A growing body of research has explored the relationship between sleep problems and anxiety in youth. When reviewing the literature, methodological inconsistencies need to be considered, such as variation in:conceptualisation of sleep problems (e.g. general 'sleep-related problems' vs. specific sleep disorders), measurement of sleep (e.g. subjective vs. objective; self-vs. parent-report); and the classification of anxiety (e.g. combined anxiety/depression vs. specific anxiety subtypes).Despite this, there appears to be good evidence of concurrent and longitudinal associations between sleep difficulties and anxiety in both community and clinical samples of young people. Potential mechanisms are proposed. There is a need for further exploration of these relationships, with the hope of aiding preventive capability and developing useful treatments.

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Section: Methodological Issuesmentioning

confidence: 98%

Section: Methodological Issuesmentioning

confidence: 99%

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Anxiety Disorders and Sleep in Children and Adolescents

Willis

Gregory

2015

Sleep Medicine Clinics

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“…Psychophysiological insomnia may be more evident in older children and adolescents given the advancement in cognitive abilities leading them to be concerned and worried about the impact of their sleep on daytime behaviour. Indeed there is a growing body of evidence that catastrophic worry, dysfunctional beliefs about sleep and cognitive pre--sleep arousal are characteristic of children, teenagers and young adults reported to experience sleep disturbances (Barclay and Gregory 2010;Gregory et al 2009b;Gregory et al 2010;Alfano et al 2010;Gregory et al 2008b;Alfano et al 2009 (Hublin et al 1998b).…”

Section: Behavioural Insomnia Of Childhood: Difficulties Associated Wmentioning

confidence: 99%

Sleep in Childhood and Adolescence: Age-Specific Sleep Characteristics, Common Sleep Disturbances and Associated Difficulties

Barclay

Gregory

2013

Current Topics in Behavioral Neurosciences

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Sleep changes throughout the lifespan, with particularly salient alterations occurring during the first few years of life, as well as during the transition from childhood to adolescence. Such changes are partly the result of brain maturation; complex changes in the organisation of the circadian system; as well as changes in daily routine, environmental demands and responsibilities.Despite the automaticity of sleep, given that it is governed by a host of complex mechanisms, there are times when sleep becomes disturbed. Sleep disturbances in childhood are common and may stem from behavioural difficulties or abnormalities in physiological processes and, in some cases manifest into diagnosable sleep disorders. As well as occurring exclusively, childhood sleep disturbances often co--occur with other difficulties. The purpose of this chapter is to outline the neurobiology of typical sleep/wake processes, and describe changes in sleep physiology and architecture from birth to adulthood. Furthermore, common childhood sleep disorders are described as are their associations with other traits, including all of the syndromes presented in this handbook: ASDs, ADHD, schizophrenia, and emotional/ behavioural difficulties. Throughout, we attempt to explain possible mechanisms underlying these disorders and their associations.

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“…Further, sleep has reduced restorative value, because recovery sleep tends to occur at an inappropriate circadian phase (Carskadon, 2011). Adolescents are also vulnerable to the same processes that cause insomnia in adults, such as susceptibility to hyperarousal (Alfano, Pina, Zerr, & Villalta, 2010;Blake et al, 2017a;Riemann et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

A cognitive-behavioral and mindfulness-based group sleep intervention improves behavior problems in at-risk adolescents by improving perceived sleep quality

Blake

Snoep

Raniti

et al. 2017

Behaviour Research and Therapy

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Objective: The aim of this study was to test whether a cognitive-behavioral and mindfulness-based group sleep intervention would improve behavior problems in at-risk adolescents, and whether these improvements were specifically related to improvements in sleep. Method: Secondary analysis of a randomized controlled trial conducted with 123 adolescent participants (female = 60%; mean age = 14.48, range 12.04-16.31 years) who had high levels of sleep problems and anxiety symptoms. Participants were randomized into either a sleep improvement intervention (n = 63) or an active control "study skills" intervention (n = 60). Participants completed sleep and behavior problems questionnaires, wore an actiwatch and completed a sleep diary for five school nights, both before and after the intervention. Results: Parallel multiple mediation models showed that postintervention improvements in social problems, attention problems, and aggressive behaviors were specifically mediated by moderate improvements in selfreported sleep quality on school nights, but were not mediated by moderate improvements in actigraphy-assessed sleep onset latency or sleep diary-measured sleep efficiency on school nights. Conclusion: This study provides evidence, using a methodologically rigorous design, that a cognitive-behavioral and mindfulness-based group sleep intervention improved behavior problems in at-risk adolescent by improving perceived sleep quality on school nights. These findings suggest that sleep interventions could be directed towards adolescents with behavior problems. Clinical Trial Registration: This study was part of The SENSE Study (Sleep and Education: learning New Skills Early). URL: ACTRN12612001177842; http://www.anzctr.org.au/TrialSearch.aspx?searchTxt=ACTRN1261 2001177842&isBasic=True.

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Pre-Sleep Arousal and Sleep Problems of Anxiety-Disordered Youth

Cited by 147 publications

References 39 publications

Anxiety Disorders and Sleep in Children and Adolescents

Anxiety Disorders and Sleep in Children and Adolescents

Sleep in Childhood and Adolescence: Age-Specific Sleep Characteristics, Common Sleep Disturbances and Associated Difficulties

A cognitive-behavioral and mindfulness-based group sleep intervention improves behavior problems in at-risk adolescents by improving perceived sleep quality

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