REM sleep fragmentation associated with depressive symptoms and genetic risk for depression in a community-based sample of adolescents

Pesonen, Anu‐Katriina; Gradisar, Michael; Kuula, Liisa; Short, Michelle A.; Merikanto, Ilona; Tark, Riin; Räikkönen, Katri; Lahti, Jari

doi:10.1016/j.jad.2018.11.077

Cited by 54 publications

(38 citation statements)

References 41 publications

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“…However, we found that on school days most adolescents do not sleep eight hours, these results are in concordance with surveys from different countries 29,32 . Sleep deprivation increases with age 41 , although the importance that this finding may have for adolescents is still being discussed 31,42,43 . In our sample, low levels of parental education and emotional instability were associated with higher prevalence of sleep problems in adolescence.…”

Section: Discussionmentioning

confidence: 99%

“…Adolescents who are sleep deprived have greater intolerance to stress, emotional dysregulation, behavioural disorders, depression, and other emotional disorders [29][30][31] . Different longitudinal studies have indicated that lack of sleep, emotional dysregulation, and depressive symptoms interact with each other simultaneously as causes and consequences 29,30 .…”

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confidence: 99%

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Implications of personality and parental education on healthy lifestyles among adolescents

Yañez

Bennasar‐Veny

Leiva

et al. 2020

Sci Rep

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Several studies have shown an association between personality and health status. the aim of this study was to evaluate the association between personality traits, parental education and health-related lifestyles in a cohort of Spanish adolescents. this is a longitudinal study with a source population of 1,123 third-year students (aged 14-15) in secondary schools in Spain. At the baseline evaluation sociodemographic variables, parental education and personality (Big Five Questionnaire for Children) were collected. At 18 months of follow-up health related lifestyles, including adherence to a healthy diet (KidMed index), tobacco and alcohol consumption, physical exercise, sleep problems and recreative screen and social network time were collected. A total of 824 adolescents (73.4%) completed the 18 months assessment and 695 (84.3%) presented valid data. Higher conscientiousness was associated to a lower risk for non-adherence to Mediterranean diet (OR = 0.7, 95% CIs=0.5-0.9), tobacco (OR = 0.5, 95% CIs=0.3-0.7) and alcohol consumption (OR = 0.6, 95% CIs=0.5-0.8), excessive use of screens (OR = 0.7, 95% CIs=0.5-0.9) and social network sites (OR = 0.7, 95% CIs=0.5-0.8). Higher levels of extraversion was significantly related to a lower risk of physical inactivity (OR = 0.7, 95% CIs=0.6-0.9), but they are at a higher risk of low adherence to Mediterranean diet (OR = 1.3, 95% CIs=1.0-1.7), tobacco (OR = 2.7, 95% CIs=1.7-4.3) and alcohol consumption (OR = 1.9, 95% CIs=1.5-2.4) and excessive use of social network sites (OR = 1.6, 95% CIs=1.3-1.9). High levels of emotional instability were associated with tobacco consumption (OR = 1.5, 95% CIs=1.0-2.2) and sleep problems (OR = 2.0, 95% CIs=1.5-2.7). Finally, we found an association with lower parental education and adolescents' low adherence to Mediterranean diet (OR = 1.6, 95% CIs=1.0-2.4) and sleep problems (OR = 1.8, 95% CIs=1.0-3.0). Cluster analysis of health-related behaviours indicated the presence of two different clusters (unhealthy and healthy adolescents) that were associated with personality traits. Conscientiousness, extraversion, emotional instability and parental education are independent factors associated with the acquisition of adolescent healthy lifestyles.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Implications of personality and parental education on healthy lifestyles among adolescents

Yañez

Bennasar‐Veny

Leiva

et al. 2020

Sci Rep

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“…Increasing autonomy and early school start time predispose adolescents to shortened sleep duration and sleep problems, such as sleep fragmentation, especially on school days (Lehto et al 2016). As a result, this can increase daytime tiredness, depressive symptoms, and burnout, leading to poor daytime functioning (Pesonen et al 2019). Teenage years are also characterized by a circadian shift to eveningness (Roenneberg et al 2007), with a biological tendency towards later bedtime and the need to compensate this with a later wake-up time.…”

Section: Sleep Functioning In Adolescencementioning

confidence: 99%

Bidirectional Relationship of Sleep with Emotional and Behavioral Difficulties: A Five-year Follow-up of Finnish Adolescents

Kortesoja

Vainikainen

Hotulainen

et al. 2020

J Youth Adolescence

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The long-term effects of sleep on adolescent psychosocial well-being are mostly unknown, although insufficient sleep has been associated with emotional and behavioral difficulties in cross-sectional studies. With a five-year follow-up of Finnish adolescents (Time 1: n = 8834; Mean age = 13 years, 51.1% female, Time 2: n = 5315, Mean age = 15 years, 51.6% female, Time 3: n = 3712; Mean age = 17 years; 50.2% female), the purpose of this longitudinal study was to investigate the relations between self-reported sleep duration, sleep problems, and emotional and behavioral difficulties during adolescence. Emotional and behavioral difficulties were assessed using The Strengths and Difficulties Questionnaire (SDQ) measuring emotional symptoms, conduct problems, hyperactivity, peer problems and total difficulties. Sleep duration was calculated by counting the hours between self-reported bedtime and wake-up time. Sleep problems were assessed with a single question about the general sleep problems. According to the cross-lagged models for sleep and emotional and behavioral difficulties, the findings of this study indicate a developmental process during adolescence where, firstly, short sleep duration is a stronger predictor for current and prospective emotional and behavioral difficulties than vice versa. Secondly, increased emotional and behavioral difficulties expose adolescents to current and later sleep problems more strongly than reverse. Thus, the results show that short sleep duration predisposed to emotional and behavioral difficulties across adolescence, which then led to more prospective sleep problems. These findings suggest a developmental process where sleep and emotional and behavioral difficulties are intertwined in shaping adolescents' health.

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“…From research in depressive participants, an earlier onset of REM sleep and more REM sleep has been associated with stronger depressive symptoms, and a reduction in REM sleep has been suspected to be beneficial for treatment outcomes. [50][51][52][53][54] However, whether less REM sleep is beneficial for emotional regulation in healthy participants is not clear. As participants were also not instructed to manipulate REM sleep, the reason and impact of the reduction of REM sleep after the instruction to sleep "good" remains elusive but may be interpreted as an impairment of sleep.…”

Section: Discussionmentioning

confidence: 99%

<p>Healthy Sleepers Can Worsen Their Sleep by Wanting to Do so: The Effects of Intention on Objective and Subjective Sleep Parameters</p>

Combertaldi

Rasch

2020

NSS

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Purpose Sleep is regulated by homeostatic and circadian factors. In addition, psychological factors have a strong modulatory impact on our sleep, but the exact underlying mechanisms are still largely unknown. Here, we examined the role of intentions on subjective and objective sleep parameters. Young healthy sleepers were instructed to voluntarily either worsen or improve their sleep. We predicted that participants would be capable of worsening, but not improving, their sleep compared to a regular sleep condition. In addition, we predicted that the instruction to alter sleep would lead to a higher discrepancy between subjective and objective sleep variables. Participants and Methods Twenty-two healthy students participated in one adaptation and three experimental nights. Polysomnography and subjective sleep parameters were measured during all four nights. Participants were instructed to sleep regularly (“neutral”), better (“good”) or worse (“bad”) than normal, in a counterbalanced order. Results The instruction to sleep “bad” increased objective sleep onset latency and the number of awakings during the night. The effects were stronger on subjective sleep variables, resulting in a higher sleep misperception in the “bad” condition as compared to the other two conditions. The instruction to sleep “good” did not improve sleep nor did it affect sleep misperception. Conclusion We conclude that intention is sufficient to impair (but not improve) subjective and objective sleep quality and to increase sleep misperception in healthy young sleepers. Our results have important implications for the understanding of the impact of psychological factors on our sleep.

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REM sleep fragmentation associated with depressive symptoms and genetic risk for depression in a community-based sample of adolescents

Abstract: , REM sleep fragmentation associated with depressive symptoms and genetic risk for depression in a community-based sample of adolescents,

Cited by 54 publications

References 41 publications

Implications of personality and parental education on healthy lifestyles among adolescents

Implications of personality and parental education on healthy lifestyles among adolescents

Bidirectional Relationship of Sleep with Emotional and Behavioral Difficulties: A Five-year Follow-up of Finnish Adolescents

<p>Healthy Sleepers Can Worsen Their Sleep by Wanting to Do so: The Effects of Intention on Objective and Subjective Sleep Parameters</p>

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