Sex differences in insomnia and risk for psychopathology in adolescence

Marver, Julia E.; McGlinchey, Eleanor L.

doi:10.1016/j.copsyc.2019.09.004

Cited by 21 publications

(11 citation statements)

References 55 publications

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“…In fact, a global meta-analysis of more than 200 publications reported a steady decrease in teenage sleep over the past century, with teens sleeping more than an hour less per night than in 1905 (Matricciani et al., 2012). This epidemic of chronic sleep deprivation leads to significant negative health outcomes that include mental disorders such as attention-deficit hyperactivity disorder, anxiety, and depression as well as physical ailments including metabolic disease, obesity, and a higher propensity for sports injuries (for recent reviews, see Copenhaver and Diamond, 2017; Galvan, 2020; Jamieson et al., 2020; Marver and McGlinchey, 2019; Shochat et al., 2014; Sugaya et al., 2019; Tarokh et al., 2016; Wahlstrom and Owens, 2017; Wajszilber et al., 2018).…”

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confidence: 99%

Afternoon School Start Times Are Associated with a Lack of Both Social Jetlag and Sleep Deprivation in Adolescents

et al. 2020

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The delayed circadian timing of adolescents creates a conflict with early school start times (SSTs). We used wrist actimetry to compare sleep parameters and routine nighttime activities in middle school students attending either a morning (0700 to 1200 h) or an afternoon (1230 to 1730 h) school shift. On school days, students from both shifts ( n = 21 for morning shift, n = 20 for afternoon shift, ages 12-14 years) had a similar sleep onset, but morning-shift students had an earlier sleep offset and a 1 h 45 min shorter sleep duration than their afternoon peers, who slept the recommended 8 to 10 h of daily sleep. Only morning-shift students had afternoon naps, but this afternoon sleep was not sufficient to overcome sleep deprivation. On weekends, sleep onsets and offsets did not differ between shifts. Because only morning-shift students woke up later and slept longer (2 h 3 min) on weekends, they were also the only ones who experienced social jetlag. Daily surveys on their nighttime (from 1800 to 0600 h) activities indicated there was no difference between shifts in the time spent on leisure or using electronic media during school days, but students from both shifts spent more time in these activities during the weekend. Our study confirms that early SST in adolescents is associated with sleep deprivation and suggests that schedules that start much later than typically considered may be needed to eliminate sleep deprivation in adolescents.

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confidence: 99%

Afternoon School Start Times Are Associated with a Lack of Both Social Jetlag and Sleep Deprivation in Adolescents

et al. 2020

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“…This gender difference may be attributed to various biological, psychological, and sociocultural factors. Previous reviews have indicated that pubertal development, hormonal changes, genetic mechanisms, gestational period, and mode of birth, as well as behavioral and social environments, contribute to this increased susceptibility [49,50]. However, the exact mechanisms underlying this association remain unclear.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and correlates of sleep disturbance among adolescents in the eastern seaboard of China: a cross-sectional study

Yang,

Luan,

et al. 2023

Preprint

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Background Sleep disturbances are serious public health issues that warrant increased attention, especially in adolescents. The aim of this study was to investigate the prevalence and factors associated with sleep disorders among urban adolescents in China. Methods This study utilized an online survey to assess the demographic characteristics and mental health status of secondary school students in Lianyungang City. The Patient Health Questionnaire-9 (PHQ-9) was used to evaluate suicidal ideation and sleep disturbances in adolescents. The seven-item Generalized Anxiety Disorder (GAD-7) assessed anxiety symptoms, and the Perceived Social Support Scale (PSSS) was used to measure perceived social support. Results Among 3443 adolescents, the prevalence of sleep disorders were 10.8%, with significantly higher proportions of sleep disorders (13.7% VS 8.3%, χ2 = 26.559, P < 0.001) among female adolescents when compared to males. Binary regression analysis revealed that suicidal ideation (OR = 2.558, 95% CI: 1.897–3.450, P < 0.001) and anxiety symptoms (OR = 9.899, 95% CI: 7.317–13.393, P < 0.001) were risk factors for sleep disturbances, and significant other support (OR = 0.940, 95% CI: 0.894–0.989, P = 0.016) and good annual household income (OR = 0.661, 95% CI: 0.396–0.943, P = 0.026) were protective factors. Furthermore, multinomial logistic regression analysis showed that sex, suicidal ideation, anxiety symptoms, and parental relationship were associated with an elevated risk of experiencing more frequent sleep disturbances (all P < 0.05). Conclusions We have found that 10.8% of adolescents experience sleep disorders, and it is evident that various factors can influence healthy sleeping. These results underscore the significance of addressing these factors to enhance sleep health among this population.

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“…Difficulties with sleep also often accompany mental health disorders, such as depression, and contribute to their maintenance and burden of illness [7]. Moreover, there is a well-established link between sleep disturbance and the onset of depression in adolescents, emphasizing the need for effective interventions to ensure adequate sleep duration and quality in this population [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Gender Differences in Adolescent Sleep Disturbance and Treatment Response to Smartphone App–Delivered Cognitive Behavioral Therapy for Insomnia: Exploratory Study (Preprint)

Li¹,

Graham²,

Werner‐Seidler³

2020

Preprint

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BACKGROUND Insomnia and sleep disturbance are pervasive and debilitating conditions affecting up to 40% of adolescents. Women and girls are at greater risk of insomnia, yet differences in treatment responsiveness between genders has not been investigated. Additionally, while women report greater symptom severity and burden of illness than men, this discrepancy is yet to be examined in adolescents. OBJECTIVE The purpose of the current study was to examine gender differences in sleep symptom profiles and treatment response in adolescents. METHODS Baseline insomnia symptom severity, sleep quality, sleep characteristics derived from sleep diaries and digital cognitive behavioural therapy for insomnia (CBT-I) treatment responsiveness were compared in boys and girls (aged 12-16 years) who participated in a pilot evaluation of the Sleep Ninja smartphone app. RESULTS We found that girls reported greater symptom severity (P=.04) and night-time wakefulness (P=.01 and .04) and reduced sleep duration (P=.02) and efficiency (P=.03), but not poorer sleep quality (P=.07), number of night-time awakenings (P=.16) nor time to get to sleep (P=.21), compared to boys. Treatment response to CBT-I was equivalent between boys and girls when comparing reductions in symptom severity and improvements in sleep quality (P=.70 and .06, respectively). CONCLUSIONS These results demonstrate the presence of gender differences in insomnia symptoms and severity in adolescents, and suggest further research is required to understand gender differences in insomnia symptom profiles to inform the development of gender-specific digital interventions delivered to adolescents.

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Sex differences in insomnia and risk for psychopathology in adolescence

Cited by 21 publications

References 55 publications

Afternoon School Start Times Are Associated with a Lack of Both Social Jetlag and Sleep Deprivation in Adolescents

Afternoon School Start Times Are Associated with a Lack of Both Social Jetlag and Sleep Deprivation in Adolescents

Prevalence and correlates of sleep disturbance among adolescents in the eastern seaboard of China: a cross-sectional study

Gender Differences in Adolescent Sleep Disturbance and Treatment Response to Smartphone App–Delivered Cognitive Behavioral Therapy for Insomnia: Exploratory Study (Preprint)

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