Prevalence and Patterns of Problematic Sleep Among Older Adolescents

Ohayon, Maurice M.; Roberts, Robert E.; Zulley, Jürgen; Smirne, Salvatore; Priest, R. G.

doi:10.1097/00004583-200012000-00019

Cited by 293 publications

(241 citation statements)

References 35 publications

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“…There have been almost no studies of insomnia using DSM-IV diagnostic criteria for adolescents, [1] and few thus far in the United States. [2,3] None of the existing diagnostic interviews designed for epidemiologic research on psychiatric disorders originally included modules eliciting symptoms of sleep disorders.…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…[1][2][3] Symptoms of insomnia affect about one fourth of adolescents in several large epidemiologic studies. [1][2][3] Point prevalence of diagnosable insomnia has been reported to affect 4-5% of adolescents. [1][2][3] One study has estimated the lifetime prevalence of insomnia to be almost 11%, with 88% occurring in the past year.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3] Point prevalence of diagnosable insomnia has been reported to affect 4-5% of adolescents. [1][2][3] One study has estimated the lifetime prevalence of insomnia to be almost 11%, with 88% occurring in the past year. [2] Although evidence from prospective studies on the effects of sleep deprivation on functioning of adolescents is still limited, [4,5] overall the evidence suggests that poor sleep (most studies focus on insomnia) is associated with both behavioral and emotional problems among adolescents.…”

Section: Introductionmentioning

confidence: 99%

“…Only three previous studies have examined sleep disorders using diagnostic nomenclature. [1][2][3] Only five studies have focused on consequences of disturbed sleep, and only two of these did so using insomnia as the focus. [21] None have examined chronic insomnia.…”

Section: Introductionmentioning

confidence: 99%

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Chronic Insomnia and Its Negative Consequences for Health and Functioning of Adolescents: A 12-Month Prospective Study

Roberts

Duong

2008

Journal of Adolescent Health

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297

199

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Purpose-To estimate prevalence and chronicity of insomnia and the impact of chronic insomnia on health and functioning of adolescents.Methods-Data were collected from 4175 youths 11-17 at baseline and 3134 a year later sampled from managed care groups in a large metropolitan area. Insomnia was assessed by youth reported DSM-IV symptom criteria. Outcomes are three measures of somatic health, three measures of mental health, two measures of substance use, three measures of interpersonal problems, and three of daily activities.Results-Over one-fourth reported one or more symptoms of insomnia at baseline and about 5% met diagnostic criteria for insomnia. Almost 46% of those who reported 1 or more symptoms of insomnia in Wave 1 continued to be cases at Wave 2 and 24% met DSM-IV symptom criteria for chronic insomnia (cases in Wave 1 were also cases in Wave 2). Multivariate analyses found chronic insomnia increased subsequent risk for somatic health problems, interpersonal problems, psychological problems, and daily activities. Significant odds (p<.05) ranged from 1.6 to 5.6 for poor outcomes. These results are the first reported on chronic insomnia among youths and corroborate, using prospective data, previous findings on correlates of disturbed sleep based on cross-sectional studies.Conclusions-Insomnia is both common and chronic among adolescents. The data indicate that the burden of insomnia is comparable to that of other psychiatric disorders such as mood, anxiety, disruptive and substance use disorders. Chronic insomnia severely impacts future health and functioning of youths. Those with chronic insomnia are more likely to seek medical care. These data suggest primary care settings might provide a venue for screening and early intervention for adolescent insomnia.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Chronic Insomnia and Its Negative Consequences for Health and Functioning of Adolescents: A 12-Month Prospective Study

Roberts

Duong

2008

Journal of Adolescent Health

Self Cite

297

199

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Sleep-Deprived Young Drivers and the Risk for Crash

et al. 2013

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Insomnia

Harvey¹,

Asarnow²

2013

The Wiley Handbook of Cognitive Behavioral Therapy

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Insomnia is a prevalent public health problem affecting large segments of the population on an occasional, recurrent, or chronic basis. Persistent insomnia is associated with significant impairments in daytime functioning, reduced quality of life, and increased health care costs. This chapter reviews several theories of insomnia and sleep, including Borbely's two process theory, the three‐P model (which emphasizes predisposing, precipitating, and perpetuating factors), the behavioral model, the cognitive model, hyperarousal models, the neurocognitive model, several hybrid models, and the role of environmental factors. Diagnosis, assessment, and case formulation are discussed, with a focus on development (children and teens have a different sleep need relative to adults) and the presence of comorbidity. Cognitive behavioral therapy for insomnia is highlighted. Cognitive behavioral therapy for insomnia is an effective and well‐accepted treatment for insomnia. The pros and cons of taking a cognitive behavioral therapy approach to the treatment of insomnia are contrasted with a pharmacologic approach to treatment. Finally, a brief overview of other sleep disorders is included; namely, circadian rhythm disorders, hypersomnia, sleep apnea, narcolepsy, restless legs syndrome, and periodic limb movement disorder. Exogenous factors such as social rhythms, which may have a powerful impact on sleep, are also highlighted.

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Prevalence and Patterns of Problematic Sleep Among Older Adolescents

Cited by 293 publications

References 35 publications

Chronic Insomnia and Its Negative Consequences for Health and Functioning of Adolescents: A 12-Month Prospective Study

Chronic Insomnia and Its Negative Consequences for Health and Functioning of Adolescents: A 12-Month Prospective Study

Sleep-Deprived Young Drivers and the Risk for Crash

Insomnia

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