Although sleep disturbances are highly prevalent in adolescents, neuroimaging evidence on the effects of sleep disturbances on their developing brains remains limited. Therefore, we explored gray matter volumes (GMVs) at the whole-brain level and investigated their relationship to sleep disturbances in a sample of Korean adolescents in the general population. We recruited participants from one middle school and high school. All participants and their legal guardians gave informed consent before participating in our study. We used component 5 of the Pittsburgh Sleep Quality Index to measure sleep disturbances and conducted a voxel-based morphometry-DARTEL procedure to measure GMVs. We performed partial correlation analyses to examine whether the GMVs were associated with sleep disturbances. A total of 56 adolescents participated in this study. Our results revealed that GMVs in multiple global regions were negatively correlated with sleep disturbances. Moreover, most of these identified regions belong to large-scale brain networks categorized by functional neuroimaging studies. We found an association between regional GMVs in multiple global regions involved in large-scale networks and the severity of sleep disturbances in the adolescent population. Based on this evidence and previous neuroimaging evidence, we suggest that structural alterations in the networks may be linked to sleep disturbances. Sleep disturbances and their harmful effects have been increasingly reported in many children and adolescents worldwide 1. In a representative sample of 17,102 children and adolescents, approximately 20% reported sleep disturbances and an additional 13% reported difficulties falling asleep 1. Similarly, 38% of 1,000 school going adolescents suffered from sleep disturbances 2. A recent population-based study reported that 26% of 1,180 Brazilian children and adolescents aged 0-19 years experienced sleep disturbances, had inadequate sleep habits, and had sleep durations lower than the recommended duration 3. While sleep disturbances in adolescents may seem normative, sleep problems are known to be associated with a wide spectrum of physical and mental health problems, such as obesity, growth hormone deficiency, substance abuse, depression, suicidality, anxiety, difficulties with impulse control, and the compulsive use of social media and video games 4-12. Moreover, strong associations between sleep problems and various cognitive functions, including memory, learning, and attention, have been reported by an established body of previous research 13-15 .