Self-reported sleep patterns and quality amongst adolescents: cross-sectional and prospective associations with anxiety and depression

Orchard, Faith ORCID: https://orcid.org/0000-0002-5324-5007, Gregory, Alice M., Gradisar, Michael and Reynolds, Shirley (2020) Self-reported sleep patterns and quality amongst adolescents: cross-sectional and prospective associations with anxiety and depression. Journal of Child Psychology and Psychiatry and Allied Disciplines, 61 (10). pp. 1126-1137. ISSN 0021-9630

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Abstract

Background: Sleep problems are common in adolescence, and frequently comorbid with both anxiety and depression. Research studies have suggested a bidirectional relationship between sleep and psychopathology, which includes evidence that sleep interventions can alleviate symptoms of anxiety and depression. However, little is known about the nature of sleep problems amongst adolescents with anxiety and depression, and whether specific sleeping difficulties are involved in the longitudinal relationship between sleep, anxiety and depression. Method: The sample was derived from the Avon Longitudinal Study of Parents and Children (ALSPAC), a population-based, prospective, birth cohort study of children born in 1991–1992. Data were explored from a subset of participants who took part in a clinical assessment at age 15, on self-report sleep patterns and quality, and diagnostic outcomes of anxiety and depression (N = 5,033). Subsequent diagnostic and symptom severity data on anxiety and depression at ages 17, 21 and 24 were also examined. Results: Cross-sectional and longitudinal analyses were conducted to explore the relationship between sleep problems, anxiety and depression. Results revealed that adolescents aged 15 with depression experience difficulties with both sleep patterns and sleep quality, whereas adolescents with anxiety only reported problems with sleep quality. A range of sleep variables at age 15 predicted the severity of anxiety and depression symptoms and the diagnoses of anxiety and depressive disorders at age 17, 21 and 24 years. Conclusions: The results provide further insight into the nature of sleep problems amongst adolescents with anxiety and depression, and the prospective relationship between sleep disturbance and future psychopathology. These data suggest that targeting sleep difficulties during adolescence may have long-term mental health benefits.

Item Type: Article
Additional Information: Funding Information: The UK Medical Research Council and Wellcome (Grant ref: 102215/2/13/2) and the University of Bristol provide core support for ALSPAC. This publication is the work of the authors, and F.O. will serve as guarantor for the contents of this paper. A comprehensive list of grants funding is available on the ALSPAC website. This research was specifically funded by NIH (5R01MH073842‐04; PI Tom O’Connor) and Wellcome Trust and MRC (076467/Z/05/Z; PI George Davey Smith). The authors are extremely grateful to all the families who took part in this study, the midwives for their help in recruiting them and the whole ALSPAC team, which includes interviewers, computer and laboratory technicians, clerical workers, research scientists, volunteers, managers, receptionists and nurses. A.G. is an advisor for a project sponsored by Johnson’s Baby. She has written two books (Nodding Off, Bloomsbury Sigma, 2018; The Sleepy Pebble, Flying Eye Books, 2019). She is a regular contributor to BBC Focus Magazine and has contributed to numerous other outlets (such as The Conversation and The Guardian). She has been interviewed by magazines and commercial websites. She has provided a talk for business (Investec) and is occasionally sent trial products from commercial companies (e.g. blue light‐blocking glasses). M.G. has current consultancies with Nanit and Polar Electro Oy, and a book contract with Hachette. The remaining authors have declared that they have no competing or potential conflicts of interest. Key points Publisher Copyright: © 2020 The Authors. Journal of Child Psychology and Psychiatry published by John Wiley & Sons Ltd on behalf of Association for Child and Adolescent Mental Health.
Uncontrolled Keywords: adolescence,anxiety,depression,longitudinal studies,sleep,pediatrics, perinatology, and child health,developmental and educational psychology,psychiatry and mental health,sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/2700/2735
Faculty \ School: Faculty of Social Sciences > School of Psychology
Faculty of Medicine and Health Sciences > Norwich Medical School
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Depositing User: LivePure Connector
Date Deposited: 21 Aug 2024 14:30
Last Modified: 25 Sep 2024 18:03
URI: https://ueaeprints.uea.ac.uk/id/eprint/96288
DOI: 10.1111/jcpp.13288

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