Adolescent Sleep, Risk Behaviors, and Depressive Symptoms: Are They Linked?

Overview

Journal Am J Health Behav

Date 2009 Oct 10

PMID 19814603

Citations 82

Authors

Keryn E Pasch

Melissa N Laska

Leslie A Lytle

Stacey G Moe

Affiliations

Soon will be listed here.

Abstract

Objective: To explore how weekday and weekend sleep patterns are related to adolescent substance use, depressive symptoms, and school truancy.

Methods: Selfreport surveys of 242 youth (93.4% white, mean age 16.4 years).

Results: Longer weekday sleep duration was inversely associated with depressive symptoms, past month alcohol use, and drunkenness. Later weekend bedtime and wake-times, compared to those of weekdays, were associated with increased substance use and truancy.

Conclusions: Weekday sleep duration appears to be protective for substance use, depression and school truancy for teenagers. However, inconsistent sleep patterns between weekdays and weekends were associated with a range of markers for adolescent risk.

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References

OBrien E, Mindell J . Sleep and risk-taking behavior in adolescents. Behav Sleep Med. 2005; 3(3):113-33. DOI: 10.1207/s15402010bsm0303_1. View

Wills T, Walker C, Mendoza D, Ainette M . Behavioral and emotional self-control: relations to substance use in samples of middle and high school students. Psychol Addict Behav. 2006; 20(3):265-78. DOI: 10.1037/0893-164X.20.3.265. View

Yap M, Allen N, Sheeber L . Using an emotion regulation framework to understand the role of temperament and family processes in risk for adolescent depressive disorders. Clin Child Fam Psychol Rev. 2007; 10(2):180-96. DOI: 10.1007/s10567-006-0014-0. View

Fredriksen K, Rhodes J, Reddy R, Way N . Sleepless in Chicago: tracking the effects of adolescent sleep loss during the middle school years. Child Dev. 2004; 75(1):84-95. DOI: 10.1111/j.1467-8624.2004.00655.x. View

Patel S, Malhotra A, White D, Gottlieb D, Hu F . Association between reduced sleep and weight gain in women. Am J Epidemiol. 2006; 164(10):947-54. PMC: 3496783. DOI: 10.1093/aje/kwj280. View

Wills T, Cleary S, Filer M, Shinar O, Mariani J, Spera K . Temperament related to early-onset substance use: test of a developmental model. Prev Sci. 2001; 2(3):145-63. DOI: 10.1023/a:1011558807062. View

Guo J, Collins L, Hill K, Hawkins J . Developmental pathways to alcohol abuse and dependence in young adulthood. J Stud Alcohol. 2001; 61(6):799-808. PMC: 1975961. DOI: 10.15288/jsa.2000.61.799. View

DiClemente R, Wingood G, Crosby R, Sionean C, Cobb B, Harrington K . Parental monitoring: association with adolescents' risk behaviors. Pediatrics. 2001; 107(6):1363-8. DOI: 10.1542/peds.107.6.1363. View

Carskadon M, Harvey K, Duke P, Anders T, Litt I, Dement W . Pubertal changes in daytime sleepiness. Sleep. 1980; 2(4):453-60. DOI: 10.1093/sleep/2.4.453. View

10.

Petersen A, Crockett L, Richards M, Boxer A . A self-report measure of pubertal status: Reliability, validity, and initial norms. J Youth Adolesc. 2013; 17(2):117-33. DOI: 10.1007/BF01537962. View

11.

Kandel D, Davies M . Epidemiology of depressive mood in adolescents: an empirical study. Arch Gen Psychiatry. 1982; 39(10):1205-12. DOI: 10.1001/archpsyc.1982.04290100065011. View

12.

Laberge L, Petit D, Simard C, Vitaro F, Tremblay R, Montplaisir J . Development of sleep patterns in early adolescence. J Sleep Res. 2001; 10(1):59-67. DOI: 10.1046/j.1365-2869.2001.00242.x. View

13.

Ledoux S, Miller P, Choquet M, Plant M . Family structure, parent-child relationships, and alcohol and other drug use among teenagers in France and the United Kingdom. Alcohol Alcohol. 2002; 37(1):52-60. DOI: 10.1093/alcalc/37.1.52. View

14.

Gluck M, Geliebter A, Satov T . Night eating syndrome is associated with depression, low self-esteem, reduced daytime hunger, and less weight loss in obese outpatients. Obes Res. 2001; 9(4):264-7. DOI: 10.1038/oby.2001.31. View

15.

Duncan S, Duncan T, Biglan A, Ary D . Contributions of the social context to the development of adolescent substance use: a multivariate latent growth modeling approach. Drug Alcohol Depend. 1998; 50(1):57-71. DOI: 10.1016/s0376-8716(98)00006-4. View

16.

Pasch K, Nelson M, Lytle L, Moe S, Perry C . Adoption of risk-related factors through early adolescence: associations with weight status and implications for causal mechanisms. J Adolesc Health. 2008; 43(4):387-93. PMC: 2577596. DOI: 10.1016/j.jadohealth.2008.02.009. View

17.

Borawski E, Ievers-Landis C, Lovegreen L, Trapl E . Parental monitoring, negotiated unsupervised time, and parental trust: the role of perceived parenting practices in adolescent health risk behaviors. J Adolesc Health. 2003; 33(2):60-70. PMC: 3142794. DOI: 10.1016/s1054-139x(03)00100-9. View

18.

Allgower A, Wardle J, Steptoe A . Depressive symptoms, social support, and personal health behaviors in young men and women. Health Psychol. 2001; 20(3):223-7. View

19.

Warner S, Murray G, Meyer D . Holiday and school-term sleep patterns of Australian adolescents. J Adolesc. 2007; 31(5):595-608. DOI: 10.1016/j.adolescence.2007.10.005. View

20.

Kuczmarski R, Ogden C, Guo S, Grummer-Strawn L, Flegal K, Mei Z . 2000 CDC Growth Charts for the United States: methods and development. Vital Health Stat 11. 2002; (246):1-190. View