2020
DOI: 10.1093/sleep/zsaa187
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Natural history of insomnia symptoms in the transition from childhood to adolescence: population rates, health disparities, and risk factors

Abstract: Study Objectives To determine the sociodemographic, behavioral, and clinical risk factors associated with the persistence, remission, and incidence of insomnia symptoms in the transition from childhood to adolescence. Methods The Penn State Child Cohort is a random, population-based sample of 700 children (5-12 years at baseline), of whom 421 were followed up as adolescents (12-23 years at follow-up). Subjects underwent polys… Show more

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Cited by 30 publications
(26 citation statements)
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“…Previous studies suggest the persistence of insomnia symptoms in youth varies depending on the population examined, definition used, and length of follow-up. [10][11][12][13][14][15][16] To shed light on the transitional period between childhood and adolescence, we recently reported in the Penn State Child Cohort the persistence of childhood insomnia symptoms was 56%, with only 30% fully remitting by adolescence, 14 a rate similar to previous studies in adolescents 15 or in adults. [4][5][6] Although we identified female sex, racial and ethnic minority, and psychiatric and learning disorders as key risk factors, objective short sleep duration (OSSD) was not a significant determinant of the persistence or incidence of insomnia symptoms in the transition to adolescence.…”
supporting
confidence: 76%
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“…Previous studies suggest the persistence of insomnia symptoms in youth varies depending on the population examined, definition used, and length of follow-up. [10][11][12][13][14][15][16] To shed light on the transitional period between childhood and adolescence, we recently reported in the Penn State Child Cohort the persistence of childhood insomnia symptoms was 56%, with only 30% fully remitting by adolescence, 14 a rate similar to previous studies in adolescents 15 or in adults. [4][5][6] Although we identified female sex, racial and ethnic minority, and psychiatric and learning disorders as key risk factors, objective short sleep duration (OSSD) was not a significant determinant of the persistence or incidence of insomnia symptoms in the transition to adolescence.…”
supporting
confidence: 76%
“…[4][5][6] Although we identified female sex, racial and ethnic minority, and psychiatric and learning disorders as key risk factors, objective short sleep duration (OSSD) was not a significant determinant of the persistence or incidence of insomnia symptoms in the transition to adolescence. 14 This lack of association contrasted with previous evidence showing a link between OSSD and adverse health outcomes, including increased hypothalamic-pituitary-adrenal axis activity; low-grade systemic inflammation; high-frequency cortical activity; internalizing symptoms; and externalizing behaviors in children, 17,18 adolescents, [19][20][21] and adults 22 with insomnia symptoms. OSSD has also been associated with the evolution of insomnia symptoms into adult insomnia; thus, OSSD may be a useful biomarker of the chronicity of insomnia.…”
mentioning
confidence: 65%
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